20130157 Permit Pkg 04032013 �o��'N��� City Of Yelm Permit No.: 20130157
o �
� � Community Development Department Issue Date: 4/03/2013
(Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
L
"'•"»'"`"°" Fax: (360)458-3144
Applicant:
Name: DOLLAR TREE Phone: 206-795-2629
Address: 4000 DELRIDGE WAY SW
SEATTLE WA 98106
Property Information:
site Address: 906 YELM AVE E B Owner: TYPE CURRENT OWNER
NAME
Assessor Parcel No.: 227330110204 Subdivision: N/A Lot: N/A
Contractor Information:
Name: ADVANCED SIGNS LLC Phone:
Address:
1 37TH ST NW#C
AUBURN WA 98001
Contractor License No.: Expires:
Project Information:
i Project: SIGN
Description of Work: ONE LIGHTED WALL SIGN AND ONE TENENT PANEL DOUBLE FACED
Sq. Ft. per floor: First Heat Type(Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
SIGN ADVANCED SIGNS LLC $ 40.00
TOTAL FEES: $ 40.00
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 the State,of�ing�n._,.___..
_.
- Date:
Signature f'L- + -- `_.�`—'"" Date t/ 3��-�
Firm ,�$�
By:
Cit� af V�lm
��� � a5a-saoz
REC#: 00123591 4/03/2013 10:46 AM
GPER: CO TERM: 001
REF#: 3141
TRAN: 30.0000 BUSINESS LICENSE
ADVANCED SIGN I.LC
BUSINES5 LICENSES & 35.t)OCR
TRAN; 33.0000 dUIIDING PERMIT5
2013n157 40.00CR
DOLLAR TREE
906 YELM AVE E B
SIGN 40.00CR
TENDERED: 75.U0 CHECK
APPLIED; 75.00-
CHANGE: ^�0,00
�:
CITY OF YELM ��► �/`-'r � �
SIGN PERMIT APPLICATION FORM
,��°u"-�
�? � ��(�� ���)�i
Project Address: yU� /�Iqer�5 rz1� �fc-l�,L✓A Parcel#:
Zoning; �1�17 Current Use: �7i'�`�i:��c;G,. � Proposed Use:(_�vw►��l��. �
Type/Number of Sign(s) (wall, monument, lighted, etc.): � I�`U�tif��� L���� �«�fi� t �r�►�c`�-� ;��.�c.� ����%��t �zu�i�
,,, . � �� ,
Dimensions of Sign(s): 3L' ��� l� 6K
Building Gross Floor Area(sq. ft): ��6��
i
Building Height: 2 �
Existing Signage(if any) and dimensions: �'�`�
APPLICANT L-� i�-
Last Name First N e
ADDRESS i 3 i#`~ <��. �.:w� ��- EMAIL -tt.-��t�ll��C�:u.S!- c��►^
CITY qv�i.�rn .� STATE W/Q ZIP �/Ik>(.�l TELEPHONE �e�.. - r! � ° Z
BUILDING OWNER t r.l� (c..2.w 1 �
ADDRESS »�i 1 t ���� � EMAIL
CITY �.;<<I,� STATE �..1%4 ZIP �'S`'I�? TELEPHONE ��b 5`i13 - � ��3 Z� �
BUILDING TENANT of��w- � '"L-C-
ADDRESS "-fit''E. s`�Ir' �ry N � EMAIL
CITY 4`�I� STATE t.,,�� ZIP Q 8��1� TELEPHONE �.�c - s N� °r32 b
SIGN CONTRACTOR A�✓-,... cd� �� t1 LLG. TELEPHONE 2�'� �G�t6-Jl�t Z
ADDRESS 1 '����-'�� `��"r. ti'W� EMAIL f-t��1�t tc�o�-bl(�`�crrv►�:,'1,���""
CITY �'�,;;�;;r�- STATE�ZIP�L1'�k)1 FAX � !�-�
CONTRACTOR'S LICENSE#I��✓q�1�,L�it3n,�EXP DATE 3 Z nCITY LICENSE#
I hereby certify that the above information is correct and that the construction of the above described sign will be in
cordance with the laws,rules and regulations of the State of Washington and the City of Yelm.
/ �
�'•, ._.. �Y,.---... s�f� > ,
7
Applicant's Signature Date
Owner/Contractor/Owner'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
RE' C�''.a.�'t!�
MAR 15 2013
105 Yelm Auenue West :45R-,�S ,__
PO Box 479 (360)458-3144'F`AX
Yelm, WA 98597 www.ci.yelm.wa.us
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