20130348 Permit Pkg 10292013 �ti�F TH�,�,A�," City of Yelm Permit No.: 20130346
,
� � Community Development Department Issue Date: 10/29/2013
4 � (Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
L
""""'"`''°" Fax: (360)458-3144
Applicant:
Name: ELIE DESIGN Phone: 360-458-5758
Address: PO BOX 258
YELM WA 98597
Property Information:
site Address: 208/210 YELM AVE E Owner: STEFAN ELIE
Assessor Parcel No.: Subdivision: Lot:
Contractor Information:
Name: ELIE DESIGN Phone:
Address:
PO BOX 258
YELM WA 98597
Contractor License No.: Expires: 0/00/0000
Project Information:
Project: SIGN
Description of Work: WALL SIGN LED BILLBOARD. SECOND SIGN SINGLE LETTERS MOUNTED ON FRONT
Sq. Ft. per floor: First Heat Type(Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
SIGN ELIE DESIGN $ 40.00
TOTAL FEES: $ 40.00
ApplicanYs Affidavit: OFFICIAL USE ONLY
�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 Sta�of Washington.
Signature������� `��17� Date ��-- 3 /3 Date:
Firm �� � /-� / BY
�C
�,� ofi ye1�
2�
(36 � 458-8402 �21�3�2013 3: PM
R�C#: CQ 45�ZERM: 001
OPER• 3�pq� pERMZZS
REF#� gUI1.DY 2� ppGR
0000
TRAN 2013 346
E11� ��S VE�M AVE E OOCR
2081210 20
SIGN 2p,00 CHE.CK �
-�ENDERED� Zp,00-
pPP�-IE�' p,00
GHANGE:
, 2b�3 0��
CITY OF YELM
SIGN PERMIT APPLICATION FORM
P�oae�tAda�ess: 210 E Yelm Ave, Yelm parce�#: 64400701400
Zoning; CBD CurrentUse: Retail Proposed Use: R@tdll
Type(Numberof Sign{s)(wail, monument, lighted, etc.�: Wa�l Sign, Back lit sign
Dimensions of Sign(s): 24 X72�� ;��� ,'„
Suilding Gross Floor Area(sq.ft): 2�0 d
Building Height: 14'
Existing Signage{if any)and dimensions: 511191e 12tt@C'S 1110U11ted Ot1 ft'OCtt
� �,p����q�� E I i e S t e f a n
L t r�� First Name .
ADDRESS 2�� � Yelt11 AV@ EMAIL elie.design@gmail.00111
CITY Ye m STATE WA ZIP 5 7 TELEPHONE -45 -575
g���p��y�p���� I@ nves men S
ADDRESS ee a OV@ EMAIL
CITY STATE ZlP TELEPHONE
�u��airt�r�rvarv-r ie si n, c.
ADQRESS v EMAIL
CITY STATE ZIP TELEPHONE
SIGN �QN7'FiACTC3F2_'���� -IC'�� u�c�'iC�'�'C- TELEPHONE (253) 922-2146
ADDRES: 5113 Pacifi Hwy E #12 EMAI�
CITY ( Fife STATE 1NA ZIP98424 FAX
CONTRACTOR'S �10ENSE#SIGNTEL988BC�XP DATE7'14 CITY LICENSE#
1 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 regulatians of the State of Washington and the Ciry of Yelm.
�'�� ��� 11/27 J 2 O�.3
Applicant's Signature Date
(Owner/Contractor t Owner's Agent/Cantractor'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
I0�Yelm Auertue West (360)458-383a'
Pn Box 47.9 (36(I)9.58-3144 FAX
Ye.lm, WA 98.i9i tcu�raci.yelm.u�a.us
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