20120259 Permit Pkg 08272012City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: SUNBIRDS SHOPPING CTR
Address: PO BOX 2589
YELM WA 98597
Property Information:
Site Address: 1000 ALGIERS DR NE
Assessor Parcel No.: 99002045325 Subdivision:
Contractor Information:
Name: SUNBIRDS SHOPPING CTR
Address:
PO BOX 2589
YELM WA 98597
Contractor License No.:
Permit No.. 20120259
Issue Date: 812 712 01 2
(Work must be completed within 180 days)
Phone: 360 - 748 -3337
Owner:
Lot:
Phone:
Expires: 0 /00 /0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: COUPON BOOK SALE, SEPT 4 THRU 17, 2012
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SE
Contractor
SUNBIRDS SHOPPING CTR
TOTAL FEES:
Applica is Affidavit:
I certify at I have read and examined the information contained within the application and know the same
to be tr a and correct. 1 also certify that the proposed structure is in conformity with all applicable City of
Yelm re ula cluding those governing zoning and land subdivision, and in addition, all covenants,
easem is�pnd res rictions of record. If applying as a contractor, I further certify that I am currently
register d jrl the S ate of Washipgtory _ _ r
Date 1`1 • /i!'
Finn
Fees
$ 000
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By.
�ol�na,�i
T CIi�.Of�'�%Et
a
Community Development Department
SPECIAL EY,E'NTI TEMPORARY USE
APPLICATION
Special Event Sian PerM.1t.01mised to 14 days, 4 times Per calendar year)
Temporary (jus (prpperty evoner permi alon letter required)
(see REVERSE for regulations)
NAME OF PROJECT
APP"CANT/BUSINESS NAML� t o ]n)6
Mailing Address-, D d3oX
City; State and Zip
Telephone EMAIL a
City,ofYelm Business License Number D9- R�zy39.�i
SITE OWNER
Mailing Address F& Z3
City, State and Zip 7
Telephone_ EMAIL
SITEADDRESS/LOCA ON /ga90 't1 r� ? yt20+_1.0 ..i7_
SITE PARCEL NUMBER
SUMMARY OF REQUEST
START DATE END DATE . S&�T I z
I affirm that all answers, statements and Inforrotion above and submitted with this application are complete and
accurate to the best of my kno4adge. I also Afflrm that I am the owner of the subieCt site Dram duly authorized by
'the owner to act spect to is a i do , Further, I grant permission from the owner to any and all
employees rep entativas f Ci of elm and other governmarntal agande>f to enter upon and inspect
said pro as re onably'nMe sary t pr cess this application. /y.
Sig. Date Ti ' ? Z
tOUTING: SPECIAL EVENT Building Section .
TEMPORARY USE —Planning Sectia. r ,_,Building Section
(360) 4684835
(480) 458 -8144 FAX
_, wrour.cigelm,wa.urr
TTEZBGO096 LZ:6T ZLOZ /bZ /80