20150322 Permit Pkg 10282015City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Permit No.: 20150322
Issue Date: 10/28/2015
(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: ANNIVERSARY SALE NOVEMBER 3 THRU 16, 2015
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SE
Contractor
SUNBIRDS SHOPPING CTR
TOTAL FEES:
Applicant's Affidavit:
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
Yelm re rdi ations uding those governing zoning and land subdivision, and in addition, all covenants,
easeme Van ons of record. If applying as a contractor, I further certify that I am currently
register he State of Washington. n
Lot:
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
10!26/2015 17:02 3604582311 'YELM SUNBIRD PAGE 02102
II
C�
Communi
SPECIAL
OV -1 3aa
of Yelm
;edopment Department
TT / T'EMl'ORAR y USE
LICATION ,
Special Event Sign Permit (limited to 14 d , 4 tirnes per calendar year)
Temporary Use (property owner permission I'
Ic tter required)
i
(see REVERSE for re 0 lations)
NAME OF PROJECT
APPLICANTIBUSINESS NAME
Mailing Address O ZOX .2Z-
City, State and Zip
Telephone_
City of Ye lm Business License Number
SITE OWNER �t
Mailing Address v
City, State and Zip Y
Telephone�3�D
SITE ADDRESS LocATION�
SITE PARCEL NUMBER
SUMMARY OF REQUEST
START DA,
1 affirm that all answers, statements and information above and sqb fitted with this application are complete and
accurate to the best of my knowled . I a o affirm that I am the d er of the subject site or am duly authorized by
the owner to act spec` to t a pli Lion. Further, I grant Pb ission from the owner to any and all
employees a pr entatives f the CI of Yelm and other go mental agencies to enter upon and inspect
said pro as re onably ne ssa process this application
Signed
ojt I'5)-2
ROUTING: SPECIAL EVENT
TEMPORARY USE
105 YeImAoenue West
PO Box 473
Yelm, WA 98597
ng Section
ing Section Building Section
(860) 468 -3836
(860) 468 -8144 FAX
WT'V W. ci.yelfn.WM roe
J �rW
7 2015
10/26/2015 17:08 3604582311 VELM SUNBIRD PAGE 01/02
CIO P P I ra � : 4c IE im. mr 0 it
1757 N. NATIONAL AVE. 1000 ALGIERS DRIVE
CHEHALIS, WA 98532 I ELM, WA 98597
PHONE (360) 748 3337 FAX (360) 748 3331 PHONE (360) 458 2009 FAX (360) 458 2311
DATE:
TO.
FAX NUMBER:
FROM:
NUMBER OF PAGES INCLUDING COVER SHEET:
f MESSAGE:
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