20100056 Permit Pkg 031910City of Yelm
Community Development Department
Building bivision
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit No.: 20100056
Issue Date: 3/19/2010
(Work must be started within 180 days}
Applicant:
Name: DREAMTIME Phone: 360-458-7183
Address: PO BOX 2324
YELM WA 98597
Property Information:
site Address: 206 YELM AVE E Owner: ELIE JEWELRY
Assessor Parcel No.: 85800200300 Subdivision:
Contractor information:
Name: DREAMTIME Phone: 360-458-7183
Address:
PO BOX 2324
YELM WA 98597
Contractor License No.: A10559513 Expires: 12/31 /2013
Project Information:
Project: SIGN
Description of Work: ONE HANGING SIGN REFACED
Sq. Ft, per floor: Heat Type (Electric, Gas, Other):
First
Second
Third
Garage
Basement
Fees:
Item
SIGN
Contractor
DREAMTIME
Lot:
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 Ciry 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. ,
Fees
$ 20.00
S 20.00
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SICsN PERMIT APPLICATION FORM ~~ (~ ~~o
Project Address: ~O ~ ~~`~~ / 1~~-- ~Per~cel #:
zoning/~Nl/~ ~- Currt3r~t use: /~~~ Proposed use:
TypeMumber of Sign(s) (wall, morwment, Clgt>ted, etc.): l ^' ~ /~J/~~~
Dimensions of Sign(s): L~,~,'~ ~ ~ ~~~ /~_=/~~~(~ ~ xls~~~.S,~/`.J
Building Gross Floor Area (sq. ft): ~~~''~~ ~~~~i~
building Height:
it
E>asting Signage (if any) end dimensions: 2 C.~ ~ ~
tf Grand Opening Sign(s) (limited to 14 days Dates: From To
~_
Event S"tgn(s) (limited to 14 days, 4 times per calendar year
SIGN CONTRACTOR TELEPHONE
ADDRESS /i ~ EMAIL /ti ~ r1..~'
CITY -L~-- STATE v/,a Z!P FAX - !
CON CTOR'S LICENSE # EXP DATE CITY LI #
I ttstsbl- drt!!~I flat ttla above Mlorsnatbn is cOrtsc~ and tstat tM t~nsttUCtiaf d t!r aboMS dsscrtb~d sign rrv bs in
accotdancs with tln legs, runts end rs~ulatlats d tlrs Stag d 1NasNnylon and tlrs Gty d Ydm.
_ J ~ al
Applicant's Signature
owner 1 Coretractar / Owner's Agent / Contrsdors ApMt 1 Tenant (Piaas+ drda ona.)
AW permits an non-transhrabk and wiN expir+f: !f wotic auttwrizad by suds pe~mk fs rat beQurt
within 180 darts of issuano~~ or ff worts is susp~rid~d or abandor>!d for a psrbd d 1a0 days
.,
YEAR 1 '.', ?_Q1Q _,~-~t
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~~ 360.400.7433
~ www.ionwavs.com/sirrobert
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