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20050511 Permit Package 033006of THFAA City of Yelm ~' Pennic No: SIGN-05-0511-YL o ~.. ~p Community Development Department Issue Date: 03/30/2006 ~ ~ Building Division (Work must be started within 180 days) ,~ Phone: (360) 458-8407 Receipt No: 41369 YELM Fax: (360) 458-3144 Applicant: Name: 7th Heaven Phone: Address: 1010 Algiers #G City: Yelm State: wa Zip 985997 Property Information: Site Address: 1010 Algiers a'M Assessor Parcel No. 22730110210 Subdivision: Lot: Contractor Information: Name: Sound Electrical Const. Inc. Contact: Madsen, Mark Phone: 253-988-6868 Address: PO. Box 44190 City: Tacoma State: wa Zip: 98444 Contractor License No: Expires: 10102106275 Business License: soundec983pb Project Information: Project: 7th Heaven Sign Description of Work: New Sign on building Sq. Ft. per floor: (1st) 0 (2nd) 0 (3rd) 0 Garage 0 Basement 0 Heat Type (Electric, Gas, Other): Fees: Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc Building Permit -Other 20.00 0.00 0.00 0.0000 0.0000 $1,000 TOTAL FEES: $20.00 Applicant's Affadavit: OFFICIAL USE ONLY 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 # Sets of Prints: Yelm regulations inGuding those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I futher certify that I am currently Final Inspection: Date ~~~v~ Date: 'f /~ . ~ BY~ City of Yelm Community Development Department Building Division Phone: (360) 458-8407 Fax: (360)458-3144 Applicant: Name: 7th Heaven Address: 1010 Algiers #G Property Information: Site Address. 1010 Algiers #G Assessor Parcel No. 22730110210 Name: Sound Electrical Const. Inc. Address: PO. Box 44190 Contractor License No. Project Information: Pro)ect: 7th Heaven Sign Description of Work: New Sign on building Sq. Ft. per Floor: (1st) 0 (2nd) 0 Heat Type (Electric, Gas, Other): Permit No: SIGN-05-0511-YL Issue Date: 03/30/2006 (Work must tie started within 180 days) Receipt No: City: Yelm Phone: State: wa Zip 985997 Sutxirvision Contact: Madsen, Mark City: Tacoma Expin3s: 10102/06275 (3rd) 0 Garage 0 Fees: Item Item Fee Base Amt Unit Fee Unit Rate Building Permit -Other 20 00 0.00 0.00 0.0000 TOTAL FEES: 520.00 Lot: Phone. 253-988-6868 State: wa Zip: 98444 Business License: soundec983pb Basement 0 No. Units Unit Desc 0.0000 51,000 Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same OFFICIAL USE ONLY to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of # Sets of Prints: 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 futher certify that I am currently registered in the State of Washington. Final Inspection: Signature Date Date: Firm By' CITY OF YELM P.O. Box 479 Yelm, WA 98597 360-458-8403 RECEIVED .."'TMENTY DOLLARS & 00 CENTS RECEIVED FROM DATE REC. NO. SOUIiD ELECTRIC CONST. Il1C 04/05/06 41369 PO 80S 44190 TACOMA MA 98444 BUDGETARY 7TH HEAVEN CITY OF YELM P.O. Box 479 Yelm, WA 98597 360-458-8403 RECEIVED •"*TNENTY DOLLARS & 00 CENTS RECEIVED FROM DATE REC. NO. DREAM?Il1S SIGIiS 04/05/06 41370 112 YELM AVE BAST YELM MA 98597 BUDGETARY RECEIPT No. 413 6 9 AMOUNT REF NO. 20.00 CHECK 11933 RECEIPT No. 413 7 0 AMOUNT REF. NO. 20.00 CHECK 11933 7TH PERMIT CITY OF YELM SIGN PERMIT APPLICATION FORM , # ~ _ ~ o i o A.~~G ~CF/V Project Address:~j'~ ~/l/1~~~ parcel #: 2 27 3v~ / v z / p ~fQR~ 01p~, Zoning; Current Use: Proposed Use: ~~//~`/~ Type/Number of Sign(s) (wall, monument, lighted, etc.): ~~L /~d~%~~T~G~ ~~~'~T/=~ Dimensions of Sign(s): ~~ ~ /2~t ~'` ~•~• ~ S' f-~ Building Gross Floor Area (sq. Building Height: Existing Signage (if any) and If Grand Opening Sign(s) (limited to 14 days): Dates: From To If Speaal Event Sign(s) (limited to 14 days, 4 times per calendar year): Dates: From To Previous Date(s) Displayed This Calendar Year: I hereby certKy that the above Information is correct and that the construction of the above described sign will be~ ~/~-; accordance with the laws, ryie~nd regulations of the Stag of Washin nand the ity of C~ G,Y ~ I Applicant's Signature Date Owner / Corrtractor /Owner's Agen ontractor's A~ nt~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 sus ended or abandoned for a period of 180 days APPR~VED ~-Z~'~°~ 105 Yelm Auenue West PO Boac 479 Yelm, WA 98597 (360) 468-3836 (360) 458-3144 FAX wu~u~. ci.yelm. roa. ue Mar 15 06 08:23a MARK MADSEN 2538758282 p.l DRPARTMENT OF LABaR AND IcvDUS'rRIES LICENSED AS PROVIDID $Y LAW AS ELEC CONTR GBNERA.L '"Z~G~?5~~,°#~ :EXP.` DATE EGaT ;.~-:SO~EC9~:3.P~! ~~~4fa~f2Q06:;=. - EF'F$CTI~° DATE ~`• .`TC~f Q? ~f:~OQ2' `~. 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