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20130146 Permit Pkg 03132013 City of Yelm Permit No.: 20130146 � Community Development Department Issue Date: 3/13/2013 � (Work must be completed within 180 days) Building Division Phone: (360)458-8407 Fax: (360)458-3144 Applicant: Name: DAVID MAZER Phone: 360-458-2171 Address: 14938 100TH AVE SE YELM WA 98597 Property Information: Site Address: $06 YELM AVE E owner: Assessor Parcel No.: 22730121900 Subdivision: Lot: 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: Sq. Ft. per floor: First Heat Type(Electric, Gas, Other): Second Third Garage Basement Fees: Item Contractor Fees SIGN DREAMTIME $ 20.00 TOTAL FEES: E 20.00 Applicant's 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 regulatio including those governing zoning and land subdivision,and in addition,all covenants, easemen and re trictions of record. If applying as a contractor, I further certify that I am currently Final Inspection: registe d in the ate� shing Signature Date �)� — Date: F�R„ L � By: Cit� of Y�lm (36 ) 458-8a02 REC#: 0012�480 3/15IZ013 1 :02 PM OPER: CfJ TERM: U01 REF#: GI TRAN; 3�.Q000 BUIL.DING PERMITS 20130146 2U�OOCR MAZER, DAVIU 806 YE�M AVE E SIGN 10.QOC� rENDFRE�3: 2U.00 OTHER A�PLIED: 20.00- CNANGE: --__ 0.00 ' 2oi �o( � CITY OF YELM SIGN PERMIT APPLICATION FORM Project Address: �'�' /�� ° 1G. Parcel#: Zoning; Current Use: Proposed Use: Type/Number of Sign(s) (wall, monument, lighted, etc.): Dimensions of Sign(s): � '�g ! Building Gross Floor Area(sq. ft): Building Height: Existing Signage (if any)and dimensions: �� '' l APPLICANT �. Last Name First Name ADDRESS 1�i�z✓� l� ' �. �� EMAIL ?it�iZ., ZC�m�n ,C�yy! CITY �g�vl S ATE W'/� ZIP TELEPHONE �V: - - ` �� Zlvl�'�-��i-1 .� 5 � BUILDING OWNER � —. �` ADDR SS_ oZQj�S )'1'�A��l� Av�., EMAIL � Mr ,P ' � �� ,e6� �� CITY �LTii}��3� STATE G' ZIP TELEPHONE ' BUILDING TENANT �},� ADDRESS EMAIL CITY STATE ZIP TELEPHONE SIGN CONT,�CTOR � TELEPHON 1� �' " ) ADDRESS i'� � EMAIL in� � �lyL'tj��e��`��S,L � CITY STATE�_ZIP G- FAX t! CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE# I he� ify that the above information is correct and that the construction of the above described sign will be in a rdance ith the la s,rules and regutations of the State of Washington and the City of Yelm. `� 3-i� - �� ApplicanYs Signat Date Owner/Contract Owne ' t/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 ��C:.��'�I�:�� MAR 11 2013 105 Yelm Auenue West PO Box 479 (360)458-3144 FAX Yelm,WA 98597 www.ci.yelm.wa.us 'L�u � i t £lOZ I I �dW � `, i � � � ��1��.��2-I � i I ` � ; � , � � �, I j � -� �� ,�f� � �' � � _ � C 1, ' 4 � I 4 i � , � Q� s � ; : � � '; � { � J j ; ` i � � � I ' i f � � 1.._ , __ , � _ __-- --- --- � -- ----- I y -- _ _: e_.___ __-----------�-- � -� � i � � � � � � � � � � � � � � � � � � � r � � � � � �-. ,_____ ---_______ _ � � � � -� _ � . __._T � � ��1 � � � � ��._�___; ` � � � � , '� � � �� c� �� vh ' ; i ; . : � s ;+ ( i f � , � ! � � � � . l �� ' 1 d i r � � � � � p� � i �: � �.a , � �� J � � �� '� � ; _ �c c.^; . �� , -�__ � �`�- � �� -��, � _ , \ . � � � a i -`,; ____. ._ -__._�__------..� � � `� �,� � � �� x�� _ -_____ � N � -- �� _ __ i �` � � ,_____� ____ �� __ al � � �� .. ��' - --__. �� ., , �� .� _ fi�� ; � , � - � � � � � � � � ` � � � � --__� ��-�;f-��=- _ .� -�.�._.-: MAR 1 r 2013 BY: � � � �� i � ,�� _. � � � � �!,� �~�i � E �k � � � � � � C � � H Z � �. � � � H �� g�� ,�, � E •� � � � � � � � � �� \ �' � �� j�� dc-x{ - N �`� O �!; O w �j L.-__�==J i