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20130150 Permit Pkg 03182013
� City of Yelm Permit No.: 20130150 ,� Community Development Department Issue Date: 3/18/2013 � (Work must be completed within 180 days) Building Division Phone: (360)458-8407 "` `°" Fax: (360)458-3144 Applicant: Name: PHO YELMS RESTAURANT Phone: 3605562264 Address: 201 YELM AVE EAST YELM WA 98597 Property Information: Site Address: 201 YELM AVE E owner: Assessor Parcel No.: 64400800100 Subdivision: Lot: Contractor Information: Name: PHO YELMS RESTAURANT Phone: Address: DIN HY&SCOTT SMITH 201 YELM AVE EAST YELM WA 98597 Contractor License No.: Expires: Project Information: Project: SIGN Description of Work: THREE WALL MOUNT SIGNS Sq. Ft. per floor: First Heat Type(Electric, Gas, Other): Second Third Garage Basement Fees: Item Contractor Fees SIGN PHO YELMS RESTAURANT $ 60.00 TOTAL FEES: $ 60.00 ApplicanYs Affidavit: 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 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 Final Inspection: registered in ate of Washi gto . /� Date: Signature (.Z Date � By: Firm Cit� of Y�lm (36 ) 458-8402 REC#: 00122823 3/18/2013 2:03 PM OPER: CO TERM: 001 REF#: TRAN: 33.00(l0 BUILDING PERMITS 20130150 60.00CR PHO YELMS RESTAUf2ANT 201 YELM AVE E SIGN 60.00CR TENDERED: 60,00 CASW APPLIED: 60.00- CHANGE: 4i O.OU a���of� CITY OF YELM SIGN PERMIT APPLICATION FORM Project Address:��� Y`7!�`C/ Parcel#: Zoning; � _Current Use:L//IL1L'C%i/�/� Proposed Use: ���r/ Type/Number of Sign(s)(wall, monument, lighted, etc.):� ,�'�� ��/����� / / Dimensions of Sign(s): � � lO ��� � �"��a � Building Gross Floor Area (sq. ft): it��� ���� `��� ����`I�J � Building Height:�D��� //I �lfl�il�� Existing Signage (if any)and dimensions: ���� APPLiGANT Last N me J) /,,,, First Name ADDRESS ��S ���/ Va�"� �'� EMAIL Ll�l�%� � ry; ��ILb- ' CITY STATE ZIP TELEPH NE BU(�E?ING OWNEF� ADDRESS %7 EMAIL CITY STATE . ZIP TELEPHONE BUtLf71NG-TENANT / 1 ADDRESS / / EMAIL CITY STATE ZIP TELEPHONE�,�� � Sl�l� CC3N7RAC7'QR TELEPHONE ADDRESS EMAIL CITY STATE ZIP FAX CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE# I hereby certify that the above information is correct and that the construction of the above described sign will be in accordance with the laws,rules and regulations of the State of Washington and the City of Yelm. � 1�.� �/��'�h �� Applicant's Sig ture �----=�..� Date Owner/Contra or/O er's Agent/Contractor's Agent/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 suspended or abandoned for a period of 180 days RECEIVED MAR 15 2013 105 Yelm Avenue West ( �1��8-3835 PO Box 479 ( - Yelm, WA 98597 www.ci.yelm.wa.us �rs �� ,�� � �� � 'I ''''�� �� ;; �«�'� i���� '' � � �� ��� � � � s� z �� �. , `5 � . �kC � ��... � � E �� � �*� I � � �e� i � � � � � � � � � z� e x� g ; � s�; �9 �� a e e � �a�� �+. � y °RS e ,� i � a� a g � a §v `�` ' ba€ �'�� �3 *� � &��. g a � � : �' d p&� e R � � 'r e =. �w � ��� 4 � � � �� � � � : ap �q � � � � � P �.. ��,. �$s d a ��d" � ' 4 � 3 � � ��� C � � �; ps 8'if$Bp �,�' � � �� 4&? eP v .�q ,p w � �e ��. �� �$.P .�re,e g�°s � �� I $ a� �'°A' `£ � $ . .R { I P a! �` ea.8..�.� E�..F�'� S" �% c4.Y R �. 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