20110122 Permit Pkg 01202011City 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
Assessor Parcel No.: 99002045325 Subdivision:
Contractor Information:
Name: SUNBIRDS SHOPPING CTR
Address:
1757 N NATIONAL AVE
CHEHALIS WA 98532
Contractor License No.:
Permit No.: 20110122
Issue Date: 1/20/2011
(Work must be completed within 180 days)
Phone: 360-748-3337
Owner: SUNBIRDS
Lot:
Phone:
Expires: 0/00/0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: EXTRA SIGNAGE FOR COUPON BOOK JANUARY 26, 2011 THRU FEBRUARY 8, 2011
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SE
Contractor
SUNBIRDS SHOPPING CTR
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 and correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm regul ons including those governing zoning and land subdivision, and in addition, all covenants,
easements~ndNestriof record. If applying as a contractor, I further certify that I am currently
registered i th tate of ashington.
Firm
Fees
$ 0.00
5 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
~0!l012~
City of Yelm
Comrraunity Deueloprrcent Department
5.1°L~"'CIAL ''VENT ~ TEMPf>>RAl'~Y' tlSE
APPLICA2'ION
Special Ev®nt Sign P®rmit (limped to ~~ days, 4 times per calendar year)
_ Temporary' Use (properly owner permission letter required)
i(see REVERSE for regulations)
//~~
NAME OP PROJECT ~r (~ LI Pct
APPLICANT/BIJSIIVE'5S NAME ~ „!d 72
Mailing Address
City, 5ta#e and Zip u~ ~
Telephone ~S"' EMAIL ~
City of Yelm Business License Number ~ZY39.d
SITE OWNER
Mailing Address ~{~g'
City, State and Zip
Telephon ~ Q EMAIL
S/TLC ADDRESS/L OCA T'!ON i 7
S1TE PARCEL NUMBER
SUMMARY OF REQUEST ~
START DATE . ,] p N ,2L ~~ i ~ END DATE ~
I affirm that all answers, statements and information above and subrnitDed with this application are complete and
accurate to the hest of my knowledge. I also affirm that I am the owner of the subject site or am duty authorized by
the owner to act with respect to application. Further, I grant permission from the owner to any and aU
employees and repress tatives the City of Yelm and other governmental agencies to enter upon and inspect
said prop as as y ry to process this application.
Sign Date ~~~ ~ ~ a241~
ROUTING: SPECIAL EVENT Building Section
TEMPORARY USE Alarming Section Building Section
IOS Yel»~ Ae,snus Wsa-t
PO ,8os 479
Yelm, WA 98597
~a60) 458-3835
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(360) 7i8-3337 ~` Fax {360) 748-3331