20130242 Permit Pkg 06202013;I,
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oF THFp� City of Yelm Permit ►vo.. 20130242
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` � Community Development Department Issue Date: 6/20/2013
(Work must be completed within 180 days)
Building Division
ill Phone: (360)458-8407
� L"'""°" Fax: (360)458-3144
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� 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
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Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: PARKING LOT SALE, JULY 16 THRU 29, 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
Applican 's Affidavit: OFFICIAL USE ONLY
I certify t at I have read and examined the information contained within the application and know the same
to be tru and corre also certify that the proposed structure is in conformity with all applicable City of #Sets of Prints:
Yelm reg lation � cludi those governing zoning and land subdivision,and in addition,all covenants,
easemen s an restricti s of record. If applying as a contractor, I further certify that I am currently Finai Inspection:
I � registere in t State W sh�
Signature Date Date:
Firm By�
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. , � City af Yel'm � � .
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' Communrty.Deuel�opr►�,ent Depart�ne�nt
�'�� � SPE'CIAL �YENT 17'�M,�'O�Y �SE
'' A.PPLICATION
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Special �vent Sign Permit (Itmited to 1�days,4 times
I Ten7 Or� Uge p per caleridar year)
I p ry {property owner ermisalon ieLte�requfred}
(see REVERSE for regulations)
NAME OF I'�ROJEC7' �i �
APPLI'C�INT/BtJ'SINE'SS NAINE - �Nd
Mailing Address O
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City, State and zip
Telephone EMAIL �a ,� ����-.
City of Yelm Business License Number d����
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S/T�OWN'ER ..l �
Mailing Address m
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City, State and Zip � �
� � Telephone EMAiL
SlTE ADDRE'SS/LOCA7%QN
iSlTE PARC�L N�lMBE'R
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SUMMARY QF R,EQUEST
START DATE � END DATE' • Z
I affirm that all answers,stat6ments and Inforinati0n above end submltted wlth this app!(catio�are complete artd
accurate to the best ot my knowledgs I alsc af�rm that I am tho awner of the subject s(te or am duly authorized by�
th�owrser to aCt y►+ith r6spect ta this pllcati�n. Further, i grant permission from the owner to any and all
empl4yee plresenk8tive9,of Clry af Y@Im�nd oth�r goverr��entaE ag�ncies to enter upon and inspect
s�id.p erty e8son I ry to process this applicatlon.
�fg� Date (O~! f '�I
ROUTING: SP�CIAL,EVENT Building Section
TEMPORARY USE Planning Sectlon Building Sectioh .
x05 YeYm doe,yae FPeat
�'O Boz 979 (�do)QS&g835
YeCrr►,W� 98G97 l8601�dGB-3J44 F,AX
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� �10 �' P � h� � GEl�lTER
1757 N. NATIONAt AV�, 100D ALGIERS bFtIVE
GHEHALIS, WA 98532 Y�LM, INA 98597
i' PHONE (3G0j y48��37 FAX(36Q) 748 �331 PHONE{360) A58 20I19 FAx (360}q58 2�11
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DAT�:
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Fax r�U�MBER: �
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