20170243 Permit Pkg 06212017City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Permit No.: 20170243
Issue Date: 6/21/2017
(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 25 THRU AUGUST 6, 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 an correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm regulati ns i cludi ose governing zoning and land subdivision, and in addition, all covenants,
easements a d r tri ions o record. If applying as a contractor, I further certify that I am currently
registered in he a of W hington.
Signature Date 01117
Firm . c
Lot:
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
City of Yelm
-.vtrLrrt-urttty Leiveiopment Department
SPECIAL EVENT/ TEMPOR RY USE
APPLICATION
Special Event Sign Permit (limited to 14 days, 4 times per calendar year)
Temporary Use (property owner permission letter required)
NAME OF PROJECT
Mailing Address
(see REVERSE for regulations)
City, State and Zip gig9a
Telephonelp�
City of Yelm Business License Number
SITE OWNER , a
1 Mailing Address O
City, State and Zip
Telephoner3/ge Y�,pQ�
i SITE ADDRESSILOCATION
SITE PARCEL NUMBER
rJ
G
�af70143
START DATE U1 I E/VD DATE Ail r�, -)
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 also affirm that I am the owner of the subject site or am duly authorized by
the owner to act with respect tot application. Further, 1 grant permission from the owner to any and all
employees and repres ntativ the City of Yelm and other governmental agencies to enter upon and inspect
said property aso b sary to process this application.
Signed
Date
I _ .._. .......... ....
-
I
ROUTING: SPECIAL EVENT Building Section
TEMPORARY USE Planning Sectlon Building Section
Iva lean Avenue west
PO Box 479
Yelm, WA 98597
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1757 N. NATIONAL AVE. 1000 ALGIERS DRIVE
CHEHALIS, WA 98532 YELM, WA 98597
PHONE (360) 748 3337 FAX (360) 748 3331 PHONE (360) 4S8 2009 FAX (360) 458 2311
DATE:
TO:
FAX NUMBER:
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