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20120305 Permit Pkg 10292012 �O� �H�A� City of Yelm Permit ►vo.: 20120305 4`� � Community Development Department Issue Date: 10/29/2012 (Work must be completed within 180 days) Building Division Phone: (360)458-8407 ""•�"'""°" Fax: (360)458-3144 Applicant: Name: SUNBIRDS SHOPPING CTR Phone: 360-748-3337 Address: PO BOX 2589 YELM WA 98597 Property Information: Site Address: 1000 YELM AVE E owner: Assessor Parcel No.: 22730110210 Subdivision: Lot: Contractor Information: Name: SUNBIRDS SHOPPING CTR Phone: Address: KEVIN REED PO BOX 2589 YELM WA 98597 Contractor License No.: Expires: 0/00/0000 Project Infortnation: Project: OTHER SPECIAL EVENT 10/30/2012-11/12/2012 Description of Work: Sq. Ft. per floor: First Heat Type(Electric,Gas, Other): Second Third Garage Basement Fees: Item Contractor Fees SE SUNBIRDS SHOPPING CTR $ 0.00 TOTAL FEES: $ 0.00 ApplicanYs Affidavit: OFFICIAL USE ONLY 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 #Sets of Prints: 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 Final Inspection: registered in the State of Washington Signature Date Date: Firm BY: . ° .� � �'i t�' �f �e�m d � . . .: . G�orrznzunity.�e�elopme�t Degartment � ��'EC'T.AL EVE'11r�':f T�MFOI��AR 3!� US� . . .. . . APF.�TCA�ION'; � , ' ' ' . '' . ' 1YLiN1 �'QW . � . � . .,� ' .. �. . . � . ,. ,. , , ' : .• .'. � :', . . ,' . ,: . . � '., . �,. ,.'' , �' ., � . '� . . . '. : . .. . ' . . . . .. . . . � �. , ' ; ' ' ' � . �' ' � . ' . . ' ' � ' , �' ^,�; Spect�l �vent.5ign P.errnit�pirraited to t4 days,4 tim�s per.�alend�r year) ,�� Tamporaty Use�property ov+rner permissio�n letter requlred) • (see REVERSE for.regulations) � NA11��OF PROJECT �Sl.��,�,��,-,�c.�� ,..-. �._.�r . ,. APPL;ICAIIITJBt1�,1NESS,NA141`6 : , o . .�,�: Mailing Addres�. -Q �IOx City, State and Zip Telephone EMAI� �a � �..�i-�� . City of Yelm Business License Number o9-- . SIT�04NN�R. ,,� . . . it; �. M�ilirig�1d�ress. .m� . � Gityr, Sfiate and;�ip ,� .'� . . �� 7elephone ` EMAlL SITE.ADbRESS/LOCATlON /A� ,�tG�.��c,. ��lE�y�!� ��_ 3fTE PARCEL NU11+�B�R . : . �U,Mh!'ARY. O�R�C�?IJEFST . . �u :�n/4 �ir, , ��.�,5�..� ,,�c� tl' . . -, r' -�'�'tl-��.��y.� ' . S7'Al�TbATE . - D ' � L�ND aATE � f � I affirm that sll answers;gLate�ents and inforrn ian abova and submltted with lhla application ar+e complete:a.nq accutate:t0 the f rtty knowledap_ I also a irm that I am the ownar of tha s�bject siEe or sm duly authorizBd by � . the nwner with &Aect to ' is tip . Further;I.grent permiseion fcom the owner to any and alE emp�c ara.d,repre ertt�tiv�s f .Ci of elm a,nd other gavemmantal agenoigs to enter upQn�and ins�ect . � sek!p Perty as Ce rtabty ne sary t pro ess thls app!(Capon. S�gn . . � Date��f � . ROUTIN�: SPECIAL�VENT Building Seotion 't"E�1lPORARY US� � . . Planning Se.Ctlan Building SeCtlon . . . � yo�Xor��we�c �aso�4s8-�8aa� po aox¢�s � � �ssa�4ss-��a�Aac Yelm,1W'A 98597 w7oru.ci�elm.wa.ux Z0{Ze 3J17d . . Q�IIgNf1S W�3h TZEZ85b09� 8Z�5Z ZT9ZIbZlOZ :. . , ' . � � � �.� � �� ' � � � �� '.: � �757 N, AiATIflNAI,A1�.E � �OOQ�ALGIERS DRlVE . .. ,.,,. . CH£HALIS,.VI/A-98532 � �f�1.M, WA 9859 , . 7 . . PMONE(36Q� 748 3337 ,�.FA?C (3�0}?48 3331 RHi?N� (3f►0) 45$xOQ9 FAi((360}458 2311 ,. � _„ . DATE: . ��L/ �Z_ � . . TO:� : : ,�� . . ; . . , .. . ; .' . . , ' ..�� . .__Irl,_ . I I��I��I I . . . . . . . , '. . ... . .I�� ,.. . ..,,. ,.; .. , � „ . . , , • , ., . .. . . .. .., , ,. . . . , . . . . . . ' ' ' " ' :, ' " .' ' . . . ' ' . . . , , . . . FA� NUMBER: �� l`7 `� , . FRpM: �f�`��. .:�3 �;Y'� - . � �.. NU 11A B:ER QF PA6ES,if�ECLU�}ING.GUV�R S�i��T� . :MESSAGE: � . : , : . .:.- : ` �Qn�r�to•�� S��v��-� ��,� . � , � ...�� ,�� _ � . .. .. . � - . � � i��-� ,.. . .,..,....�„ , , ,-.-. � . , . . . ; • Y' ... � � , � . , . ZelTO 3Jdd Q�IIgNf1S W�3A ZZ£Z85b09E 0Z�5Z ZTOZlbZ1eZ