20050476 Sign Permit App 020906~ ~ c~ ~ ) =~ ~~7 ~( ~ cS
• CITY OF YELM ~~~G I~~ \ /
` SIGN PERMIT APPLiCATION FORM FEB 0 9. ~~ v
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Project Address: 5 ~2- ~ ~-~ W Parcel #:~( `7 .~ ~_I ~ ~ Z~~. ~
Zoning; ~ r ~\
Current Use: Proposed Use: ~ ~
Type/Number of Sign(s) (wall, monument, lighted, etc.):
Dimensions of Sign(s): '-' (J1.Q,~~.A ;La~ o ~ ~ '
~ ~~~~ ~~-' ~~~
Building Gross Floor Area (sq. ft}: ~/ C~-~
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Building Height:
Existing Signage (if any) and dimensions: c~ ~~ ~(, ~~~~
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:
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ADDRESS EMAIL
C~N STATE ZIP TELEPHONE
~~~~ ~~~ ~~ TELEPHONE -- S ~
ADDRESS (~ EMAIL
C~n' STATE ZIP FAX
CONTR CTOR'S LICENSE # EXP DATE CITY LICENSE #
1 hereby certffy that the above information is correct and that the construction of the above described sign will be in
xr~rdance with the laws, rules and regulations of fhe State oi Washington and the City of Yelm.
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1~s~igrTat~ure ~ ~ O
Date
Corrtra~ Own gen ntractor's Agent / Tenant (Please circte 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
~v:. ~e~m nuenue weat (360) 45&3835
P0 8ox 479 {360) 458-3144 FAX
Yelm, WA 98597 www.ci.yelm.wa.us