20140108 Permit Pkg 01222014 "f''�oF TH�,�,p City of Yelm Permit No.: 20140108
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� Community Development Department Issue Date: 1122/2014
(Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
EL
`".`"'"°'°" 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 JAN 28 THRU FEB 10, 2014
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 r cord.If applying as,a contractor,I further certify that I am currently Final Inspection:
registered in the State of Wa ingt . ? ( � �
�' � � f'� � L� Date:
Signature i f Date �
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C'ommunity Development Department
, SPECIAL �YEN7'/TEMPORARY zTSL�'
AP2'�IGATrON
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� Sp6C1�1 EV�IIt S1917 P6�rlllt(Ilmlted to 14 days,4 times per calendar year)
Ternporary Use {property o�wner permissionletter required)
�$ee REVERSE for regulations)
NAI�E pFPROwlrECT _C,duPd� �'IL �i4-i�
APP�ICANT/BUSINESS NAME � i o t�t�
Mailing Address a �C
Gity, S#ate and Zip
Te#ephone EMAIL s� ����
City o.f Yelm Business License Number e�9��,2y39.o
SITE OWNER �z.
Mailing Address m�
City, State and Zip �
� Telephone EMAIL
SITEADI]RESS/LOCATION /G� �tG��e.� ��, y�-2s►�, �.J� 98�59�
51T'E'PARCLC'L N'UMBER
SUMMARY OF REQUEST —
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START DATE -� '/ END I�A7'E' �-- O '
1 affrm that all ansvwers,statsm�nts and info tion abnve and 6ubmitted wlth thks appltaetion ere complete and
eCCUrate Yo the best of my knowledge. I akso ffirrn that I am the owner of the subject slbe or am duly authorized by
the owner te act � pect to this a ! at' n. FurCher, I grant permission from the owner to any and al!
emplayees r8pres tatfves of th �Ci Yelm and other govemmentai agenass to enter upon and inspeCt
said pro rty as raas ably necess rocess this applicatfon.
Sign d - Date � ?'�f�
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ROLiTlNG: SPECIAL�VENT Building Section
TEMPORARY US� Planning Sectlan Building 5ection
" 105 Yetm Awenue H�ireo Ca60)�58-E886
PO Bos 479 (860)468�,8l94 FAX
Yelm,WA 98597 rvrneu.clystru.ura.us
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1�'S7 N. NATIONAL AVE. 3000 ALGI�RS DREV'�
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PHON�{360)748 3337 FAX (360)748 3331 PMONE(36D)458 2009 FAX(360j 458 2311
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