20100007 Permit Pkg 012510City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: EDWARD & KATHY NEIBURGER
Address: P.O. BOX 820
YELM WA 98597
Property Information:
site Address: 203 YELM AVE W owner:
Assessor Parcel No.: 85800300100 Subdivision:
Contractor Information
Name: EDWARD & KATHY NEIBURGER
Address:
P.O. BOX 820
YELM WA 98597
Contractor License No.: _
Project Information:
Project: SIGN
Permit No.: 20100007
Issue Date: 1/25/2010
(Work must be started within 180 days)
Phone:
YELM VISION CLINIC
Lot:
Phone:
Expires: 0/00/0000
Description of Work: 4 FT BY 6 FT LIGHTED SIGN TO REPLACE CURRENT LIGHTED SIGN
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SIGN
Contractor
EDWARD & KATHY NEIBURGER
TOTAL FEES:
AMOUNT PAID:
BALANCE DUE:
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 corcecL I also certify that the proposed structure is in conformity with all applicable City of
Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants,
easements and restrictions of record. If applying as a contractor, I further certify that I am currently
registered in the State of Washington. ,
Signature ~ ~'~"~ ~ w-. __ n ~ n . ~.. _ .~, .._. Date ((~ ~ ~ ( ~
Fees
$ 40.00
~ 40.00
$ 0.00
$ 40.00
Sets of Prints:
final Inspection:
Date:
Firm ~~.~~ ~,. ~ 1 v
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nF'ER: rye TERM: CCI.
F'E~~:
TRA~~: ~~3,COOC I~UILDI?~H F'~R?~IT ~ ~./
~OlCCCO r 4C. CCCE
i~II~URGE(', EDiIARD & t~ATHY
~C3 YELM AUE ~
SI ~ 4C. CCCR
TENI'ERED: 4C.i1~ CASH
r,N,AHGE: C.CC
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Z o/ O DOd7
CITY OF YELM
SIGN PERMIT APPLICATION FORM
Project Address: .~ ~ ~ ~ -Q ~~ Parcel #:
Zoning; Current Use: Proposed Use:
Type/Number of Sign(s) (wall, monument, lighted, etc.)'
\_ ~ ^ C`
Dimensions of Sign(s): ~ l x ,, ( ~~ ~c-s~._ ~ °~V
Building Gross Floor Area (sq. ft): _ _ } _
Building Height: -:
Existin Si na a if an and dimensions: _, ~~_~
9 9 9 ( Y) r
CITY
I hereby certify that the above Information is correct and that the construction of the above described sign will be In
accordance with the laws, rules and regulations of the State of Washington and the City of Yelm.
~L' ` \ O
Applicant's Signature Date
Owner /Contractor /Owner's Agent / Contractor s Agent /Tenant (Please circle one.)
All permits are non-transferable and will expire ff 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 Auenue Weat (350) 458-3835
PO Box 479 (360) 458-3144 FAX
Yelm, WA 98597 www.ci.yelm.u+a.ua
.u _,
Back View
1 1 /2 inch angle iron frame
with stands to the facia
3/8" x 3" lags
into studs
Yelm Vision Clinic
~An Opiomefric Eye Clinic
207 Yelm Ave. W. Dr. David S. Hays
Yelm, Washington 98597 Or Kim Eckroth
(360) 458-2088
Dr. David J. Lasater
(360) 458-5872 Far
Janurary 8, 2010
To Whom it May Concern:
RE: Road Runner Express Cafe Sign
I as owner of~the building located at 203 Yelm Ave. West, I give my pern~ission to Ed
and Kathy Neiburger to move the "Cafe" sign located on the back ofthe building to the
side.
If I can be of any further assistance, please feel free to contact me at (360) 458-2088.
Sincerely,
Kim Eckroth, OD
i