20150235 Permit Pkg 06252015City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Permit No.: 20150235
Issue Date: 6/25/2015
(Work must be completed within 180 days)
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:
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: PARKING LOT SALE JULY 14 THRU JULY 27, 2015
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SE
Contractor
SUNBIRDS SHOPPING CTR
TOTAL FEES:
Applic nt's Affidavit:
I cert i that I have read and examined the information contained within the application and know the same
to be t ue and correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm r g those governing zoning and land subdivision, and in addition, all covenants,
easem nts an restric:ofWa record. If applying as a contractor, I further certify that I am currently
registe din State ington.
Signatur Date LP • Z
Firm � F ?
Lot:
Fees
$ OM
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
2aSoa3�
City of Yelm
Community Development Department
SPECIAL EVENT I TEMPORARY USE
APPLICATION
Special Event Sign Permit (limited to 14 days, 4 times per calendar year)
_
Temporary Use (property owner permission letter required)
(see REVERSE for regulations)
NAME OF PROJECT / APPLICANT/BUSINESS NAME
Mailing Address O sox L42 !Caw" RE9.54 Al
City, State and Zip
Telephone EMAIL
City of Yelm Business License Number d9— zy39.�
SITE OV�NER
Mailing Address Eep .8ox
City, State and Zip ?
Telephone,, o -y g,00� EMAIL ,N
SITE ADDRESS /LOCATION Y�2rir. fnj 9gsrty
SITE PARCEL NUMBER
SUMMARY OF REQUEST
START DATE END DATE
I affirm that all answers, statements and Information above and submitted with this application are complete and
accurate to the best of my knowledge. I iso affirm that I am the owner of the subject site or am duly authorized by
the owner to act wi pect to this ap cation. Further, I grant permission from the owner to any and all
employees and r re ntatives e/ ity of Yelm and other governmental agencies to enter upon and inspect
said property rea onably ce a to process this application.
Signed Date L /lIIG �l
ROUTING' SPECIAL EVENT Building Section
TEMPORARY USE Planning Section Building Septlon
105 Yelm Avenue West (860) 458 -8835
PO Box 379 (8060) 458 -8144 FAX
Yelm, WA 98597 J U N444We wa.u�
QazaNns GS =Ez STOZ/SZ /9e
SH CIO PP11NG CENTER
1757 N. NATIONAL AVE.
CHEHALIS, WA 98532
PHONE (360) 748 3337 FAX (360) 748 3331
DATE: �c �!�! L �� /
TO: /�1Z7Y
FAX NUMBER: =// , ?! -,/
FROM; JOZ6--v V6400s
NUMBER OF PAGES INCLUDING COVER SHEET;
MESSAGE:
1000 ALGIERS DRIVE
YELM, WA 98597
PHONE (360) 458 2009 FAX (360) 458 2311
ZafTO 39 d QJI3Nns W13 A TTEZ8Sb09c GS :8T STOZISZi'90