20100218 Permit Pkg 12082010City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: WHITE HORSE
Address: P.O. BOX 876
YELM WA 98597
Property Information:
Site Address: ~A7 YFI M OVF F
Assessor Parcel No.: 64400500300 Subdivision:
Contractor Information:
Name: WHITE HORSE
Address:
P.O. BOX 876
YELM WA 98597
Contractor License No.:
Project Information:
Project: SIGN
Description of Work:
Sq. Ft. per floor: First
Second
Third
Garage
Basement
Fees:
Item
SIGN
Permit No.: 20100218
Issue Date: 12!08/2010
(Work must be completed within 180 days)
Phone: 36D-458-4555
Owner: KYLE PHILLIPS
Lot:
Phone:
Expires: 0/00/0000
Heat Type (Electric, Gas, Other):
Contractor Fees
WHITE HORSE $ 20.00
TOTAL FEES: $ 20.00
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 tate of Washington.
u n ~ . , _ i.. /~.~r
Firm
OFFICIAL USE ONLY
Sets of Prints:
final Inspection:
Date:
ay: _
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CITY Of= YELM
SIGN PERMIT APPLiCATIOf+t FORM
Project Address: ~f~? r1 ~~,v~ /Q d ~ Parcel #:~!~ ~Qp Sao 30 0
Zoning; G f3~ Current Use:,_~] Proposed Use: CNO CH~G~.~
Type/Number of Signs} (wall, monument, lighted, etc.):_~~~ 5~~ A-'r'y-'q{ i.{fr~
Dimensions of Sign{s):_,___SF~ ~}-t-~~K~~
Building Gross Floor Area (sq. ft): 1$00 3~.~.t^~~~
Building Height: ~,0, ~ ~~>
Existing Signage (if any) and dimensions:~3) Sr L /~44--'1'`T~H~~_
APPLICANT
BUILDING
CITY
CITY STA
CONTRACTOR'S LICE=NSE
EXP
First Name
~~~~~
~v~~~, r; ~ h~
I hereby certify that the above information Is correct ana that the construction of the above described stgn will be in
accordance with the laws, cute gulatians of the State of Washington and the City otYefm.
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A plica S g at re Date
Owner /Contractor /Owner's Agent /Contractor's Agent / enant (Please circle one.)
All permits are non-transferable and will expire i# 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 Auentce
PO Box 479
Yelm, WA 98597
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{360) 458-3835
(360) 458-3144 FAX
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1"x 1/1"Angle With ~
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- 3/4"MOO Sign Face. II
Painted&Sealed.
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3/31"Wire Sahey Line ~~
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Sign Elevation
Sign Location
~~ FILE
Site Map
30'-0"
1'
aatieoaf sign
1155WestlakeAve.N,
Seattle, WA 98109
P: (105) 182-0100
F; (206)185-3091
nationalsJgncorp,com
This Is An Original Unpublished
Drawing, Created By National Sign
Corporation. It Is Submitted For Yow
Personal Use In Connection With A
Project Being Planned for You By
National Sign Corporation. It Is Not
70 8e Shown To Anyone Outside
Vow Organization, Or is Be Used,
Reproduced, Copied Or Exhibited In
Any Fashion. Any Usage Beyond That
Granted To Buyer Hereirm Shah
Require The Separate Payment 01 A
Design And Engineering Fee To
National Sign Corporation.
Client:
White Norse Tavern
lobsite:
107Ye1m Avenue East
Yelm, WA
Representative
Isaac Duke
Design No. Acct. No.
10-3 0000
DesJgner
Brad McKay
Stole:
Noted
Dare 10/18/10
Sheet No. 1 of 1
Sign Elevation
Customer Approval