20170112 Permit Pkg 01172017City 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: inns All nmp-q nP NF
Assessor Parcel No.: 99002045325 Subdivision:
Contractor Information:
Name: SUNBIRDS SHOPPING CTR
Address:
PO BOX 2589
YELM WA 98597
Contractor License No.:
Permit No.: 20170112
Issue Date: 1/17/2017
(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: COUPON BOOK SALE JANUARY 17 THRU 30, 2017
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 regulations including those overning zoning and land subdivision, and in addition, all covenants,
easements and restrictions of rec rd. If applying as yn contractor, I further certify that I am currently
registered in the State of Washington.
Signature -�� �' Date I rl
Firm � -vA li'iL
Lot:
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
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1757 N. NATIONAL AVE. 1000 ALGIERS DRIVE
CHEHALIS, WA 9853Z YELM, WA 98597
PHONE (360) 748 3337 FAX (360) 748 3331 PHONE (360.) 458 2009 FAX (360) 458 2311
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