20100037 Permit Pkg 022410City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: FIT STOP
Address: 16910 ST. ROUTE 507
YELM WA 98597
Permit No.: 2010003?
Issue Date: 2/24/2010
(Work must be started within 180 days)
Phone:
Property Information:
Site Address: 16910 ST. ROUTE 507 Owner: Mike McGraw
Assessor Parcel No.: Subdivision: Lot:
Gontractor Information
Name: FIT STOP
Address: NIC YOUNIS
16910 ST. ROUTE 507
YELM WA 98597
Contractor License No.:
Phone:
Expires: 0/00/0000
Project Information:
Project: SIGN
Description of Work: REFACE EXISTING SIGN. SETBACK ALLOWED BECAUSE OF EXISTING SIGN.SIGN IS
SUBJECT TO FUTURE RIGHT-OF-WAY IMPROVEMENTS.
Sq. Ft. per floor:
First
Second
Third
Garage
Basement
Fees:
Item Contractor
SIGN FIT STOP
Heat Type (Electric, Gas, Other):
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 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 ~f~- ~7~ Date
Fees
$ 25.00
$ 25.00
> of Prints:
Inspection:
CITY OF YELM
SIGN PERMIT APPLICATION FORM
Project Address: ~ U ~ ~ U ~~t•A R° ~-t SU~--
Zoning; C- ~"~ Current Use: -"'~ Proposed Use: ~Ty ~"~
Type/Number of Sign(s) (wall, monument, lighted, etc.): ( I.~~ih>-~'( I'1br~~~.s...'r
Dimensions of Sign(s): S '~ fi •`~~C ~-~' `~ t ~ k ~ ~~ fi''I y
Building Gross Floor Area (sq. ft): ~ 1 Sr7rJ
ff II ~ ~~/
Building Height: ~ ~i' 1 ~~`~`
Existing Signage (if any) and
APPLICANT fJ~~c~~ 5 ~ '-
Last Name First Name
ADDRESS t bill O Sh,..1-c R~~~c.. C~U~- EMAIL N, ~ ~" ~i ~ StL~ "~-~1. ~c;~
CITI'_~ z 1 ~ STATE 'W~ZIP ~i~ S ~~- TELEPHONE ?~r.,, ~ ~'~-~ ~i ; ~,
BUILDING TENANT ~ Stv
ADDRESS l~r~tiv R S ~~'} EMAIL ~ ~@ 1 S1ro~ 7-4 - rv c•".
CITY `(~Iw. STATE~[~ZIP a$59~fi TELEPHONE 3~~ `~'S'f, - 3y~o
SIGN CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY_ STATE ZIP FAX
CONTP.ACTOR'S LICENSE # EXP DATE CITY LICENSE #
1 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.
Applicant's Signature Date
Owner /Contractor /Owner'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
~; G~(/
g~gIIa~~
FEB 1 1 2010
105 }'elm A~~enue West (360) 458-3835
PO Efox 479 (360) 458-3144 FAX
}'elm, W.9 98597 u~mu+.ct;velm.u~a.us
Ci fY Of YEI~
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TkAM: i.;,~}00 RUILDIr~; PERMITS
~OI00037
FIT STt1F 2J' 0~
SIGN1b910 ST' ROUTE 507
25.~k
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