20040212 Permit Pkg 022805City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: RSE Outback
Address: City:
Property Information:
Site Address: 207 First Street S.E.
Assessor Parcel No. 64420100400
Name:
Address:
Contractor License No:
Project Information:
Project: Neon Sign
Description of Work: Add one Neon Sign 24x28
Sq. Ft. per floor: (1 st) 0
Heat Type (Electric, Gas, Other)
(2nd) 0
Subdivision:
Contact:
City:
Expires:
(3rd) 0
Permit -vo: SIGN-04-0212-YL
Issue Date: 02/28/2005
(Work must be started within 180 days)
Receipt No: 35764
Garage 0
Phone:
State: Zip
Lot:
Phone:
State: Zip:
Business License:
Basement 0
Item
---------------------------
Building Permit - Other
TOTAL FEES:
Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
----------- ----------- ----------- ----------- ----------- -------------
20.00 0.00 0.00 0.0000 0.0000 $1,000
$20.00
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 s i ing those governing zoning and land subdivision, and in addition, all covenants,
easem ts and restric ns of record. If applying a contractor, I futher certify that I am currently
registered in the Stat f Wa,~hington.
~i
Signature Date
Firm ~ ~/~ V~~~ !~
T''ep9,"~ CI
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ELM
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P.O. Box 479
~ Yelm, V~JA 98597
y~ 360-4~8-8~03
EIVEv ****TWENTY DOLLARS & @0 CENTS
RECENEG FFOM
DREAriTIME VISUAL COr4M
112 YELTi AVE
YEL~i, WA 98597
SIGN-04-0212-YL
SITE: 207 FIRST ST SE
m
RECEIPT No. ~ 5 7 6 4 i
DATE REC. NO. A1~10U^1T
03/01/05 35764 20.00 CHECK
r•iISCELLANEOUS RECEIPT
DIANA
R~F. NO.
11620
~
SIGN PERMIT
Received
CITY OF YELM DEC 1 7 2004
SIGN PERMITAPPLICATION FORM
•~ i~ °7 ~; r~ t.S=t S c=
Project Address: ~~--~-^~ . W h- '~ `~~ ~' ~? Parcel #: ~D ~ y Z-o / d~ S~ 0 0
Zoning; Current Use:'~~~~ Stv~r-~ Proposed Use: ~Q~<< S~'f~-
Type/Number of Sign(s) (wall, monument, lighted, etc.): ~'~' +' ~"~' ~~~~~ ~~~.~1~~__
Dimensions of Sign(s): ~~~~~~ 1 '~' ,~~--~~~- ~!
Building Gross Floor Area (sq. ft): S,~::
Building Height: ~~'`~~ ~~ S'~"'Ly
Existing Signage (if any) and dimensions: ~
If Grand Opening Sign(s) (limited to 14 days): Dates: From ~ To ~
If Special Event Sign(s) (limited to 14 days, 4 times per calendar year):
Dates: From - To -
Previous Date(s) Displayed This Calendar Year: '
~UILDING OWNER ~/~ ^'~~ ~ S L.;~ J~A,K
ADDRESS EMAIL
CITY ~'~ ~r~~ STATE ~%~ ZIP ~'-5'.i g~ TELEPHONE
CITY
i~ ,=nc• dbc~ U cttbc~cK 5~~ut;cZu."- ~~c.>c-- o-c. c~e
= F ~~ f Sf ..5 ~ EMAIL ,t~1~ .zv~. ~ ~c;w-'~~a,COC~
ATE w'" ZIP `~L~S-S 7 TELEPHONE C3vo) ~~~-aJ-~ ~~/.3
~IGN CONTRACTOR l~~rrc~_ v+-~ ~ w.~ SiG,v ~ TELEPHONE `~s"b'-7/ ~3
ADDRESS EMAIL
CITY Y~~: ~• ~'~ STATE +-~ ~ ZIP ~~~ ~~y "I FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
I hereby certify that the above information is correct and that the construction oT the above described sign will be in
accordan.,yo-w' he laws, rules and regulations ot the State of Washington' and the City of Yelm.
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Applicant's Signa e Date
Owner / Contractor er's Agent / Contractor's Agent / Tenant (Please circle one.)
All permits are non-transferable and will expire if work authorized by such permit is not begun
within 180 days of issuance, or if work is suspended or abandoned for a period of 180 days
105 Yelm Avenue West (360) 458-3835
PO Box 479 (360) 458-3144 FAX
Yelm, WA 98597 zowzo.ci.yelm.toa.us
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