20160317 Permit Pkg 08302016City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Permit No.: 20160317
Issue Date: 8/30/2016
(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: COUPON BOOK SALE. SEPT 9 THRU 19, 2016
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 regulati0 including thole governing zoning and land subdivision, and in addition, all covenants,
easements an restrictions of record. If applying as a contractor, I further certify that I am currently
registered in th tote f Was. ington
Signature ff -- 4ffy Date
Firm /-(
Lot:
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
02129/2016 13:25 3604532311
YELM SUNEIRD
City of Yelm
PAGE 02/02
A00 3q
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 ?an1
APPLICANT /BUSINESS NAME o �nceG
Mailing Address PQ BOX
City, State and Zip
Telephone . Ai L
City of Yelm Business License Number 02Ler2y39.p
SITE OWNER 2
Mailing Address—ErS-ox
City, State and Zip ?
Telephone EMAIL v t4
SITE ADDRESSILOCATION 11922 . oit=,-S
SITE PARCEL NUMBER
SUMMARY OF REQUEST r
y
START DATES g -G _1G— END DATE g�lgG
I eMrm that all answers, statements and information above and submitted with this application are complete and
accurate to the best of my knowledge. I also affirm that I am the owner of the subject site or am duly authorized by
the owner to act with respect to this application. Further, I grant permission from the owner to any and all
employees and resenwives of the City of Yelm and other governmental agencies to enter upon and Inspect
said prop e reasona Hates to process this application. Q Q /
Signe Date
ROUTING; SPECIAL EVENT
TEMPORARY USE
105 Yelm Avenue
PO Box 479
Yelm, WA 98597
Building Section
Planning Section Build
(380) 43 83S
(380 14 144,F., X ,
wWWxi,y�e+.t(�m.u'a. U9
08/2912016 13:25 3604582311 YELM SUNBIRD PAGE 01/02
1757 N. NATIONAL AVE. 1000 ALGIERS DRIVE
CHEHALIS, Wyk 98532. YELM, WA 98597.
PHONE (360x). 748 3337 FAX (360) 748 3331 PHONE (360) 459 2009 FAX (360). 458 2311
DATE: �' 9'--(
TO: A /AA �-
FAX NUMBER:
FROM:
NUMBER OF PAGES INCLUDING COVER SHEET:
MESSAGE: