20130105 Permit Pkg 01162013 �OF ZH�A� City of Yelm Permit No.: 20130105
O '�` Community Development Department Issue Date: 1/16/2013
(Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
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"".`"'"°,°" 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 ALGIERS DR NE owner:
Assessor Parcel No.: 99002045325 Subdivision: Lot:
Contractor Information:
Name: SUNBIRDS SHOPPING CTR Phone:
Address:
PO BOX 2589
YELM WA 98597
Contractor License No.: Expires: 0/00/0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: ADDITIONAL SIGNAGE, SANDWICH BOARDS. JANUARY 22 THRU FEBRUARY 4,2013
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
Applica s Affidavit: OFFICIAL USE ONLY
I certify t ati;l have read and examined the information contained within the application and know the same
to be tru arid correct. I Iso certify that the proposed structure is in conformity with all applicable City of #Sets of Prints:
Yelm re ulat n c udi g those governing zoning and land subdivision,and in addition,all covenants,
easeme ts d restric� ns of recor If applying as a contractor, I further certify that I am currently Final Inspection:
registere in h' Stat of Wa hi t
Signatur Date ' lf Date:
Firm By�
,, � � � �l 3 0 ��
. , City of �'elm . ' .
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Community�7evero�.nment�epart�n,ent
� . SPZ�'CIAL �VEN2"t�'E1VI�OR.I9.RY USE
AP.t'�l'CA2'ION
. �+ora�s �� �
Special.Event Sign Permit�r�mited tQ�4 d�a,ys�4 tfrr�e�per ca�ehd�r ysar)
� Tei'ilpOraty USa (property owrner psrm�sslon fetter requir@d}
�se� REVERSE for r�gulations)
NAME OF'PRQ.1�C7' �
APPt,lCAIY7/Br1�SlNE'�SS NAM� � „��
Maiting Address O
City, State and Zip
T�lephone EMA� ,,,f���
City o,f Yelm Busin�ss Licertse Number 4`�--
SIT�`OW/VER � �
Mailing Address . - o B
. City, Sfiate and Zip � �
T�le�phane EMAIL
SITE ADDR�SS/LOCATION
S1TE PARCEL N'r/MBER
SUMMARY pF REQUEST' ,�,�
�
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� START DATE - -l END DAT,E - � -
� . t affima that afl�ansrvers;stet8�nents and intorm�tion abpve and submitted�with this.applicatipn ara compEete�nd
� accu�a6e.to the bes lcnowlad : .I 9iso affirm that I am the owner of the sublect site�r Qm duly authorized by
the owner to ith re ect this plication, Further, I grant permfssion from the owner to any and eI)
� er►tployae end rep ntatfv of ity oE Yelm and other governmenra!agendes to enter upon end inspect
said pro rfy ay sonably . to p�thls applicatiat�.
sign _ aate _ S •�
ROI�TING: SPECIAL EVENT __�__,Building Section
- . TEMPOEZARY ElSE __`_,Pi&nni�g SectiQn Building S4ction .
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' ' H�OPP � N � � E �TER
1757 N. NATIONAL AVE. 1000 ALG[ERS DRIVE
,. .. ...
CHEHAUS,WA 98532 YEt,M,WA 98597
PHqNE (360)748�3�'� FAX(3fi0}748 3331 PHONE �360)458 2009 FAX (360}458 23�1
DATE: 1" I S � ��
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�Ax NUMBER: ���f�, �'�f��/
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FROM:
NUMBER OF pAG�S IIVC�UDING COVER SHEET: 2
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