20050496 Permit Package 032106Ot TNe� City of Yelm
SIGN -05- 0496 -YL
% Community Development Department
it
03/2112006
(Work must be stated w4hln 180 days)
Building Division
41192
Phone: (360) 458-5407
2000 .
yEL Fax:(360)458 -3144
000
Applicant:
0.0000
Name. Golden Dragon Restaurant
TOTAL FEES:
Address. 813 Yelm Ave. West
City. Yelm
Property Information:
Site Address. 813 Yelm Ave.W.
Assessor Parcel No. 21724130300
Subdivision:
Contractor Information:
Name', Esco Pacific Sign
Contact Swayze, Dale
Address: 627N.W.Middle St
City Chehalis
Conlracto,Ucense NO. Escopi233NW
Expires: 12/28107362
lemI Information:
Project: Golden Dragon
Description of Work: Sign on Building. Wall mount.
Sq. Ft. per floor: (1st) 0 (2nd) 0 (3rd) 0
Heat Type (Electric, Gas, Other)'. OTHER
Fees:
Permit No:
SIGN -05- 0496 -YL
Issue Date:
03/2112006
(Work must be stated w4hln 180 days)
Receipt No:
41192
Phone: 3604594M
State: wa Zip 118597
Lot.
Phone'. 360- 748 -6461
State. we Zip. 98532
Business License. 06 -001033.3
Garage 0 Basement 0
Item
than Fee
Base Amt
Unit Fee
Und Rate
No. Units
Unit Desc
Building Perms - Other
2000 .
om
000
0.0000
0.0000
$1.000
TOTAL FEES:
SM.00
Eico_ %
l /6Ni
pace
s...en wmu,NU.lo•o...3a mw
A FULL SERVICE SIGN COMPANY
DALE SWAYZE
C1ffJUUS 360r749 6161 . FAx )60.1464299
OLYMPIA I-sa62th -6461
LMA1L siens(dawpcJic.can
wwevic.cwn
627 N.W.MN ST. OI
MIDDLE ST CIF.HALI5, WA 94532
Appllcantie 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 confmmity cosh all applicable City of
Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants,
easements and restnctions of record. If applying as a contractor. I father certify that I am currently
C Sets of Prints:
9nal Inspection:
Date:
By:
CYELMF
F•1, R.,
YOIm. WA 98504
WO45N -8401
e 'FIVE D
****TWENTY DOLLARS 6 00 CENTS
RECFNEU FROM DATE REC. NO
ESCO PACIFIC SIGNS 03/21/06 41192
627 MW MIDDLE ST
CHEHALIS. WA 98532 BUDGETARY
360 -748 -6461
JANINE
SIGN PERMIT SIGN -05- 0496 -YL
SITE ADDRESS 813 YELM AVE W
RECEIPT No. 41192
nMnii,;i HFF tl4
20.00 CHECK 14347
I
116375"
Golden pr
GUIDING WALL
1 15.5' 15"
oWNEON (ioLIGHTED
CHANNEL LETTER . MIN. (4) 3B"
LAG SCREWS
24 GA METAL - -�
RACEWAY
CITY OF YELM
SIGN PERMIT APPLICATION FORM
Project Address: g13 4E�m A ✓E, 4,E i Parcels: .9/124 1 30-7 00
Zoning: Current Use: Alkali Proposed Use: QESTAU.Ra.✓T'
Type/Number of Sign(s) (wall, monument, lighted, etc.): L 1G# JED – OA LL_ ryl6ay.t'r
Dimensions of Sign(s): 1g X 1t(g'
Received
Building Gross Floor Area (sq. ft): .2900 MAR ] 5 2006
Building Height: 2..2 – 6 +
Existing Signage (if any) and dimensions: .16,0E
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.
BUILDING OWNER 4
ADDRESS S�409 5,5 TEMAIL
CITY LZ(P_v' STATE w/+ ZIP Cif' d3TELEPHONEr – f3
BUILDING TE T U L2 U
ADDRESS l 3 In/. a ; yP_ EMAIL
CITY Yv vw STATE -1 [ ZIP TELEPHONE ( 3 .,o ) – i El:?_
I hanby mrtey that the above Information b cornett and that the construction of the above described sign will he in
secordance with the laws, rules and regulations of the State of Washington and the City of Yelm.
X d-Lc r tde-� 03 -0b,0b
t nets Signature Dale
Owner f ontrador /Owner's Agent I Contractor's Agent 1 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 Aueaue Wnt (J60) 458 -3835
PO B. 479 (360) 45"144 FAX
Yelm, WA 98597 ruwmsi.yerm.uo.w