20100011 Permit Pkg 012210City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360)458-3144
Applicant:
Name: SUNBIRDS SHOPPING CTR
Address: 1757 N NATIONAL AVE
CHEHALIS WA 98532
Property Information:
Site Address: 1000 ALGIERS DR NE Owner:
Assessor Parcel No.: 99002044532 Subdivision:
Contractor Information
Name: SUNBIRDS SHOPPING CTR
Address:
1757 N NATIONAL AVE
CHEHALIS WA 98532
Contractor License No.:
Permit No.: 20100011
Issue Date: 1/22/2010
(Work must be started within 180 days)
Phone: 360-748-3337
SUNBIRDS
Lot:
Phone:
Expires: 0/00/0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: SUNBIRD COUPON BOOK STARTING JANUARY 19, 2010 THRU FEBRUARY 1, 2010
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SE
TOTAL FEES:
AMOUNT PAID:
BALANCE DUE:
Applicant's Affidavit:
I certify that I have read and examined the information contained within the application and know the same
to be true and correct. I also certify that the proposed structure is in conformity with all appligble City of
Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants,
easements and restrictions of record. If applying as a contractor, I further certify that I am currently
registered the of W s ington. ('~ ~~(,~ ( 1_
Suture ~~~~ .{4N XIl1M-'/~~ 7 Date ~ ~ZZ~J
Contractor
SUNBIRDS SHOPPING CTR
Fees
$ 0.00
S 0.00
S 0.00
S 0.00
# Sets of Prints:
Final Inspection:
Date:
Firm I "~
2v~oc~l
City of Yelm
Comirrcr~nity Development Department
S.l°ECIAL EVEN2" / TEMPORAR ~' USL~"
API'I,I CATION
Special Event Sign Permit (Ilmited to 14 days, 4 times per calendar year)
Temporary USe (property owner permission latter required)
(s®e REVERSE for regulations)
NAME OF PROJECTS ~~~,j~.f~ C~ ~-~ ~~ :K
APPLCANT/BUSINESS NAME ,J6 7~
Mailing Address
City, State and Zip - v~
Telephone S EMAIL - ~ •%
City of Yelm Business License Number-~a2„ 9.0
SITE OWNER
Mailing Address Pn~Rrnt 2~~'9
City, State and Zip 7'
Telephone~L~ 4t~S~5 .~9 EMAIL ~! ,~
SITE ADDRESS/LOCATION ~ /~ l~Q. ~~.~, ~/~~J
SITE PARCEL NUMBER
SUMMARY OF REQUEST ~' r'
-.~- -.
START DATES A^f ! `i , ZOJD ~ END DATE b,,~ra'S I ~~l0
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 sits or am duly authorized by
the owner to aet with rasp®ct to ~ application. Further, I grant permission from the owner to any and all
employees and repress tatJves the City Of Yelm and oth6r governmental agencies to enter upon and inspect
said p as s y a ry to process this application. ~~//
Sign Date . ~- 2+~' ~~
ROUTING; SPECIAL EVENT Building Section
TEMPORARY USE Pltlnning Section Building Section
105 Yelm Avenrea Wrbt (860) 45t3-3835
PO Bar 479 (360) 458.9144 FAX
Yelm, WA 98b97 wtau.ci.yelm.wa.us
10/10 39tld VJ731.-QbISNIIS IZEZSSb09Ei ib~TT 6i0Z/ZZ/i0