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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 (asa) X58-3I44 FA.K wroro.ci.yslnt.mans Z0/Z0 39dd Q21IgNf1S W~3A IZ8Z89b09E 6E~ZZ ZTOZ/LT/Z0 sHOp~~r+~ _ :,ENTER ~ , V C. 1000 Algiers P.O. ~a~ 289 '~ 'Yelrn, WA 9~~97 (360} 4~8-2009 ~` FaY {360) 4~$-2311 Hate: •~ ~ ~ ~ ~ a2DJ ~ ~ o: ~~~~~ FAx ~ ~/f~~ ~l ~~ From: ~ ~ G- Via. o~ pages including cover page: ~ zefTe 3Jtid Q~IIgNf1S W~3A ZZ£Z8Sb69£ 6£ ~ZZ TZOZ/LtlZO 177 N. I~'ational "Chehalis, ~~A 9$~3? (360) 7i8-3337 ~` Fax {360) 748-3331