20130153 Permit Pkg 03252013 � City of Yelm Permit ►vo.: 20130153
� Community Development Department issue Date: 3/25/2013
� (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 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: COUPON BOOK SALE. MARCH 26 THRU ARIL 8, 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
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 regu tions including those governing zoning and land subdivision,and in addition, all covenants,
easement and i ' ns of record. If applying as a contractor, I further certify that I am currently Final Inspection:
registered in th S t of ashin
Date:
Signature Date
Firm BY�
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� 2v�3�153 .
� � City a f Yelm . � ` -
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� Commu��ty Deuelo��nent�epartmerat
� s��c'r� �v�lv�'i�"�tpoRARY vS�
APPLICATI'01V
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� Spectal Evant Sign permit(lrm�ted ta�4�ays,4 times per ca�endar yearj
�,.,` Yempor8ry► �Ige {propgrly owper p�rmiasion let��r reyulred) �
� � ��ee REVERSE for regula�lons)
NAME OF PRA,l�'CT_s��,�(���� �—
APpLlCANT/8!lSll'VLSS,NAME � ���
Mailing Address O
City, State and Zip
TElephane EMA1L ��-��-
City o.f Yelm 6usiness License Number D9-
S/TE OWNER ,� . ,�,
Mailing Address �
City, State and Zip • 7
Telephone E��
Sf�L�qDDRLSS20CA T10N
SITEP,ARCEL NUM'�3LR �
Suh+1h1ARY O�'REQUEST ,,,�.
� STAI4T DATE ,� � 7.� EAID DATE' ��
1 affirm thaf ail ansvrera,$tatein�ts end inft� don above and submitted with th(�applicatipn are compleoe and
accurate to the 6ast af my knpwrredge, 18lso �rrt th�t!am ths owner of the sub ect site or am duly aut�orized by
- the owner to ad with res�pect to thl ap . Further, I grant permission from the owner to any ahd a11
employees artd tetives o th CIty Yelm end ottler governmental �
said propariy,a6 re ably n to acess thls application. ��Cles to enter upon and inBpect
. / •
Signed � � Date�'� �'� .
ROUT7NG: SPECIAL EIl�NT �Building Section
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