20090105 Permit Pkg 061209
06/11/:009 THU 11:15 PAx 360aSA316Q City oi' Yo1m CCD
City of Yelm
Community Deveiopmt~nt Department
Building Division
Phone' (360) 48407
Fax: (550) 458.9144
Applicant:
Name; Sunbirds Shopping Center
Address: P.O, 13ox 2689
Proporty Information:
Site Address: 1000 Algiars
Assessor Parcel No.
Contractor Informat(on:
Name:
Address:
Captractor Lioensa No:
Project Information:
Project: Sunbird
DescripGan of Wark; Sunbird Parkin8 Lot Salo
Sq. Ft. per floor: (1st) p (2nd) 0
Hdat Type (Electric, Gas, Othrx):
Fees:
City: Yelm
5ubdlvisbn:
Contact:
Clly,
Expires;
(3rd) 0
Item item Fee Base Amt
TOTAL FEES: $0.00
Phone; a58~2009
Slate: WA Zip 98SB7
Permit No: 5E-09^i~1 O5~YL
Issue Date; Not Issued
(Work must be started within 180 days)
Receipt No:
Phone;
State: Zip:
Suslnesa Llcenae:
Garage 0 Basement t)
®oo2/no:
Lot;
Unit Fee Unlt Raie No. Wilts lJnli Desc
Applicant's Affadavlt:
I certify that I havo read and ®xamined the information eontakned within the application and know the lama
io be true and correct. I aisa rvrtlfy that the proposed structure le In conformity with ell apptiCablp City of
Yelm regulations including those govarning zoning and land subdivision, and In addtiion, all covenanl9,
easwmmnts artd restrictions of record, If ap lying as a contractor, t futher certify that I am currently
registered in atT f Waah'ng
Sigrtr,turt ~ Dato ~ ~~-~~-
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SGIS of Prints:
Final Inspection:
parr;:
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TZEZ85b096t TO~zt 600Z/ZT190
a~~~ 1rIHF ~ City o f Ye l rrz
a
Community Delvelopment Department
SPECIAL EVENT / TEMPORARY rJSE
_ APPLICATI0IV
Sp®cial Event Sign permit (limited to 14 days, 4 times per calendar year)
T®mporary Use (property owner permission left®r required)
(see REVERSE for regulations}
NAME OF PROJECT ~!~ ('~I~r~ ~14/ekinl6. ~4~ cSl~-L,~
APPLICANT/BUS/N~ESS NAME" ~ n!~ 7L
Mailing Address
City, State and Zip ~9'~
Telephone S EMAIL - ~ C~. ~i~'
City of Yelm Business License Number ~9-Gb~~3R. d
SITE OWNER
Mailing Address. P~ ~~~'
City, State and Zip 7
Telephone EMAIL
SITE' ADDRESS/LOCATION L : ~ 7
SITE' PARCEL NU1VlBLR
SUMMARY OF RBQUE'ST
~'r
.~~nr +~S
START DA7' ~ / _ E'ND DATE
t af6rrn that all answers, statements and information above and submitted with this application are complete and
accurate to the best of my knowledge, I also afFrm that I am the owner of the subject site or am duly authorized by
the owner to act with respect to application. Further, I grant permission from the owner to any and all
employees and repress tatives the Cily of Yelm and other governmental agencies to enter upon and inspect
said prop as easo y s ry to process this application. Q
Signs Date
ROUTINCy: SPECIAL EVENT Building Section
TEMPOE?ARY USE Planning Section Building Section
105 YeGn Avenue Went
PO Box 479
Yelm, WA 98597
(3EU) 458-3835
(~so) 45~a1~~ FA.X
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SNOP~ING
~EP,ITER
~I C.
177 N. National ~` Chehalis, OVA 9~~3?
(360) 748-3337 ~` Fax (360) 7=18-3331
1000 Algiers P.O. Bo12~89 " Y'elm, ,VIW'A 98x97
(360) 4~8-'?009 ~'` FaY (360) 4~8-?311
To: ~,e~~
FAl'`~ rr ~J'~8 ~/~,lY `''
No. of pages including cover page: ~
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