20100055 Permit Pkg 032510City of Yelm
Community Development Department
Building Division
Phone: (360)458-8407
Fax: (360)458-3744
Applicant:
Name: PLUMB SIGN INC.
Address: 909 S. 28TH ST.
TACOMA WA 98409
Property Information:
Site Address: 1002 YELM AVE E
Permit No.: 20100055
Issue Date: 3/25/2010
(Work must be started within 180 days)
Phone: 253-473-3323
Owner: JIFFY LUBE
Assessor Parcel No.:
Contractor Information
Name: PLUMB SIGN INC.
Address: CONNIE GUFFY
909 S. 28TH ST.
TACOMA WA 98409
Subdivision:
Lot:
Phone: 253-473-3323
Contractor LicenseNo.: PLUMBS10770S Expires: 11/10/2011
Project Information:
Project: SIGN
Description of Work: SIX WALL AND NON-ILLUMINATED SIGNS
Sq. Ft. per floor: First
Second
Third
Garage
Basement
Fees:
Item
SIGN
Heat Type (Electric, Gas, Other):
Contractor
PLUMB SIGN INC.
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 restdctions of record. If applying as a contractor, I further certify that I am currently
registered in fate of Washington~.,~~J ~ '7
Clnnanir~/l/i~ . //~/~__ Date~'S L3S•~~
Firm
Fees
$ 1zo.oo
$ 120.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
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ALLIED: 1~O.OD CHECK
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CITY OF YELM L {~-~/`~~> f \'""' ~(°
SIGN PERMIT APPLICATION FORM 111 (~
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Project Address: /DCb? f/E~.•-t fI /6 • E. Parcel #: 99/loa?'Dy6o795~
Zoning; Current Use: Dim L'H~lvG2~Proposed Use:ai~ !3h'F~iLlr1S
Type/Number of Sign(s) (wall, monument, lighted, etc.). ~/i/~~t ~/ir/di!/- ~.c4.t//r~ '
Dimensions of Sign(s):~~6.~ C - /•L G .l~t' ~ ~/G.v p -~: Ba g`r 3~b..iE - 3.oJ,r~y
Building Gross Floor Area (sq. ft): /G DOD
Building Height: a?~ r '
Existing Signage (if any) and dimensions:,3~ls/A -o2s'. SY ~ ~iCn/ .6 - ~d',S~ CS
D.S/GN ~ - o2~.SV SI c3/bN G' ,3.3U ~ 6ibv^~ '3'~a~
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AP~P~LICANTo GULG~Y /Ca.•/.YiG .cu~~ ~iG./S
Last Name ,+, First Name
ADDRESS 9Q 9 ~ • ~~' .57 EMAIL G'oivr~it p~~~3sil,.~S• ~'° ~''~
CITY TAcarnn STATE ZIP 9Aya9 TELEPHONEas3 •573.3.9-73xso
BUI~DINGT;OWNER SiFF-~' ~uBE
ADDRESS i0aa Y~<.u A-/ £ ~ • EMAIL
CITY Yf<+w STATE 4JA ZIP 9d'S97 TELEPHONE
BUII~QING~TtENANT ~T/.~-~Y .~-uCfb
ADDRESS .~+mt ~9S .9-BoYt EMAIL
CITY STATE ZIP TELEPHONE
SIGN CONTRAET.Of2 /~«*/++~ ~/~si.i5 ..v C. TELEPHONE 02.53 • Y73.33~3
ADDRESS 9d9 .3. ot~ r" 67 EMAIL
CITYrAeom.n STATE~ZIP 98f~aq FAX
CONTRACTOR'S LICENSE # EXP DATE_CITY LICENSE # o'1o2ti43-•O
t~~...,•,~S~o» a5 /i/~o/..
hereby certify that the above information Is correct and that the construction of [he 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
Owner / Contractor I C
~'/rc •/D
Date
Agent / enant (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
APPROVED ~?~G~BC~I}~
-~fi~~~ MAR 17 2010
]05 Yelm Auenue West v '° "'-----C'~fG'91-'3883--
POBox 479 (360) 458-3149 FAX
YeIm, WA 98597 www.ci.yelm.wa.us
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