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20110148 Permit Pkg 03012011City of Yelm Community Development Department Building Division Phone: (360)458-8407 Fax:(360)458J144 Applicant: Name: OLD SCHOOL TATTOO Address: 106 YELM AVE W YELM WA 98597 Property Information Permit No.: 20110148 Issue Date: 3/01/2011 (Work must be completed within 180 days) Phone: 360-564-5401 Site Address: 106 YELM AVE W Owner: BUDDY GREEN Assessor Parcel No.: 85800100100 Subdivision: Lot Name: OLD SCHOOL TATTOO Phone: Address: 106 YELM AVE W YELM WA 98597 Contractor License No.: Expires: 0/00!0000 Project Information: Project: SIGN Description of Work: 5 FT X 8 FT MONUMENT SIGN Sq. Ft. per Floor: First Heat Type (Electric, Gas, Olheq: Second Third Garage __ Basement Fees: Item Contractor Fees SIGN OLD SCHOOL TATTOO $ 20.00 TOTAL FEES: $ 20.00 Applicant's Affidavit: OFFICL4L USE ONLY I certify that I have read and examined the information contained within the application and know the same to be true end correU I also certify that the proposed sWClure is in conformity with all applicable Ciry of A Sets of Prinfs: Yekn regulations including those governing zoning and land subdivision, and in addihon, all covenants, easements and restndions of record. If applying as ntraUOr, I further certify that I am rrently Final Inspection: registered in the of Washington y ~ D Date: ate Si natu / _ ey: Finn ty ~f Y~1~ ~~l1Ai. ~ .yam I!t/lI[ylt 2.G1 F9{ Of'Fk: CO TER;+f: ifil l~i~: ;;~~: :,.t'OOn Ed1ItDIt~ FfF`diiS ~ll91C3 '~'•~'~%'~ OLE :~;NIRs iAT15f :f~5 `fl:Ui rP+f is gist, ?~,.~rrf~ TF1'CL!~G: .P. x~ G1~ I AFF11fG: 20.~)C:- CITY OF YELM SIGN PERMIT APPLICATION FORM Project Address: ~'~~ -!/.r% 1a7 r~i/.r vP~r/ceI #: Zoning; Current Use:_ _ Proposed Use: Type/Number of Sign(s) (wall, monument, lighted, etc.): ~ ~ ~ %~~ ~ U / ~ (//77 ~ f't ~~ Sl i1J 11 p i Dimensions of Sign(s); .5 7 X O I Building Gross Floor Area (sq. ft): `- Building Height: Existing Signage (If any) and dimensions: RAFLlCAAIT ~ ~/t~~ Last Name First Name ADDRESS Y EMAIL CITY STATE ZIP LEPHONE ?' ' - ~ ~j BUILbING-OWNER ~ . - ADDRESS ~~~.~.Zt EMAIL CITY STATE ZIP TELEPHONE @f j11.DING TENANT ADDRESS EMAIL CITY STATE Zlp TELEPHONE SIGN CONTRACTOR /.. c'C ~ G TELEPHONE ADDRESS EMAIL CITY STATE 21p FAX CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE # I hereby tartly that the above IMormatlon is Corr9et and that the conaVUCdon of the above descrbed sign well be In accordance wHh the laws, rubs and reguWtions of the State of Washington and the Ciy of Yelm. i? .i.a ~ (~6.~ ois.~ i~i....''i 7~~. Applicant's Signatu D' e Owner /Contractor 7 Owner's Agent /Contractor's Agent /Tenant (Please circle one.) AlJ permits are non-transferable and will expJre If work authorized by such permit is not begun within 180 days of issuance, or ff work Is suspended or abandoned for a period of 180 days !~ r05 Yeim Avenue Nest (860) 458-3835 PU Box 479 (860) 458-3/44 FAX YeIm,WA 98697 www.ciyelm.wa.ue ~-~+ FILE ,~=~- ~/~--rte ~~_ ~o ~a~e s~~~,g,~'e 1°cr/',~ ,~ ~' ~~~~ c r ~~ ~ ~ ,~- e y'~ ~ ~~.. e S / ft r S `~ i~ Cc c~' ~ /~7v)r 1 vL~I r~~ T S ~ h '~G' ~ /~-v-e ~~rO`',~~' ' ~v ~ ~ ~e ~~~~~vra Es.."t S'~s h ~,.1~ r17, ,-~._ ~7. .~ `~~~ /~ ~Z~ ~ Z , zf- __ ? ,r .~ wr"T?CY ~- ~rurh ~ 'h C~ ~C _, ~' ~~~