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20170265 Permit Pkg 07252017City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Applicant: Name: A NOVEL BOOK STORE Address: 412 REFLECTIONS LANE RAINIER WA 98576 Property Information: Site Address: '%nr% FIRCT CT C Assessor Parcel No.: 64420200100 Subdivision: Contractor Information: Permit No.: 20170265 Issue Date: 7/25/2017 (Work must be completed within 180 days) Phone: 360- 458 -4722 Owner: Name: A NOVEL BOOK STORE Phone: Address: ROBERT MADDOX 412 REFLECTIONS LANE RAINIER WA 98576 Contractor License No.: Expires Project Information: Project: OTHER SPECIAL EVENT Description of Work: ANNIVERSARY SALE. AUG 1 THRU 14, 2017 Sq. Ft. per floor: First Heat Type (Electric, Gas, Other): Second Third Garage Basement Fees: Item SE Contractor A NOVEL BOOK STORE TOTAL FEES: Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true d correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm regul tions including those governing zoning and land subdivision, and in addition, all covenants, easement and striction of record. If applying as a contractor, I further certify that I am currently registered th t to of shington. —1 Signature �1 Date f WS Firm Lot: Fees $ 0.00 $ 0.00 OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: —'11111illo; OR Tip City of Yelm Community Development Department SPECIAL EVENT I TEMPORARY USE APPLICATION LM WASHINGTON Special Event Sign Permit (limited to 14 days, 4 times per calendar year) Temporary Use (property owner permission letter required) (see REVERSE for regulations) A) to N C- �> NAME OF PROJECT APPLICANT/BUSINESS NAME (,_ Mailing Address /7- City, State and Zip Telephone EMAIL City of Yelm Business License Number SITE OWNER c re) - Mailing Address --2- kC, -F City, State and Zip IL -�-J A 9 11 Telephone EMAIL 2) I,-, �, SITE ADDRESSILOCATION SITE PARCEL NUMBER SUMMARY OF REQUEST START DATE , , - t, - END DATE �- I affirm that all answers, statements and information above and submitted with this application are complete and accurate to the best of my knowledge. I also affirm that I am the owner of the subject site or am duly authorized by the owner to act with respect to this application. Further, I grant permission from the owner to any and all employees and representatives of the City of Yelm and other governmental agencies to enter upon and inspect said property as reasonably ecessary to process this application. </ / Signed Date L��L -�/n 1 -c) ROUTING: SPECIAL EVENT TEMPORARY USE 105 Yelm Avenue West Yelm, WA 98597 Building Section Planning Section Builds*ection (360) 458 -3835 (360) 458 -3144 FAX www.ci.yelm.wa.us i ,3X576 ea )