20160348 Permit Pkg 10212016City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: SUNBIRDS SHOPPING CTR
Address: PO BOX 2589
YELM WA 98597
Property Information:
Site Address: lnnn Al f_-=oc mo kite
Assessor Parcel No.: 99002045325 Subdivision:
Contractor Information:
Name: SUNBIRDS SHOPPING CTR
Address:
PO BOX 2589
YELM WA 98597
Contractor License No.:
Permit No.: 20160348
Issue Date: 10/21/2016
(Work must be completed within 180 days)
Phone: 360- 748 -3337
Owner:
Phone:
Expires: 0 /00 /0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: SUNBIRDS ANNIVERSARY SALE NOV 1 THRU 15, 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' Affidavit:
I certify tha I have read and examined the information contained within the application and know the same
to be true nd correct. I aiso ce that the proposed structure is in conformity with all applicable City of
Yelm regul tionsintr6ding those g verning zoning and ubdivision, and in addition, all covenants,
easements and restrictions of re rd. If applyin a contractor, further certify that I am currently
registered i the ate of Wash 1,n
Signature C, t Date Yv'
Firm n \l.i��ti �lL
Lot:
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
City of Yelm
Community Development Department
SPECIAL $V ENT I TEMPORARY USE
APPLICATION
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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 to .ICI Q�RS4NAl I l,!> =Af =:X
APPLICANTIBUSINESS NAME t o
Mailing Address P22,80X tLqef
City, State and Zip
Telephone-Z EMAIL IAJ I f
City of Yelm Business. License Number_ 09—��2_42
SITE OiNt/�VER ..� 2 '"
Mailing Address P0,8
City, State and Zip -7
Telephone EMAIL gylg
SI71�,ADDRESS/LOCATION /
SITE PARCEL NUMBER
SUMMARY OF REQUEST j , 3s, A 2
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 knowled I a o affirm that I am the owner of the subject site or am duly authorized by
the owner to act w' sped to a pli tion. Further, I grant permission from the owner to any and all
employees a p entatives f th C' of Yelm and other governmental agencies to enter upon and inspect
said prop as r onably no sa t process this application. �1 ^ /
Signed Date —J-0 1 - L CJ__� l0
ROUTING: SPECIAL WENT Building Section
TEMPORARY USE _ Planning Section Building Section
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105 Yelm Avenue
PO Boz 479
Yelm, WA 98G97
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1757 N. NATIONAL AVE. 1000.ALGIERS DRIVE
CHEHALIS, MCA 98532 YELMy WA 98597
PHONE {360) 748 3337 FAX .(360): 748 3332 PHONE (360) 458 2009 FAX (360) 458 2311
DATE: to -20
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FAX NUMBER' .
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NUMBER OF PAGES INCLUDING COVER SHEET:
MESSAGE:
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