20140107 Permit Pkg 01162014 �Q I 3�7�/�
aF tHEA,� City of Yelm Permit ►vo.: 20140107
�� �� Community Development Department Issue Date: 1/16/2014
d t�^,y (Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
YEL
Fax: (360)458-3144
Applicant:
Name: STARBUCKS Phone:
Address:
Property Information:
site Address: 1406 YELM AVE E Owner: TYPE CURRENT OWNER
NAME
Assessor Parcel No.: 22730140202 Subdivision: Lot:
Contractor Information:
Name: STARBUCKS Phone:
Address:
Contractor License No.: Expires: 0/00/0000
Project Information:
Project: SIGN
Description of Work: One new wall sign
Sq. Ft. per floor: Heat Type(Electric, Gas, Other):
First
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
SIGN STARBUCKS $ 20.00
TOTAL FEES: $ 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 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 t ate of Washin,�qton.
/ Date:
Signature .-�---- Date ''/ ^ '�`
By:
FiRn `r '
sG� �3�� g
Cit� af Y�lm
(36 ) 458-8402
REC#: 00149867 1/16/2014 3:55 PM
OPER: CO TERM: U01
REF#: 10229
TRAN; 33,0000 BUILDING PERMITS
20140107 2Q.Ot�CR
STARBUCKS
1406 YELM AVE E
SIGN 20.00CR
TENDERED: 20.00 CHECK
APPLIEq: 20.00-
CHANGE: 0.00
' CITY OF YELM
• SIGN PERMIT APPLICATION FORM
Project Address: ►y 0� �,�F�.vu- � Parcel#:
Zoning; Current Use: Proposed Use:
Type/Number of Sign(s) (wall, monument, lighted, etc.):
Value of each Sign: �����
Dimensions of Sign(s): �� �
Building Gross Floor Area (sq. ft):
Building Height:
Existing Signage(if any) and dimensions: 5��- �f7"A�-GLt i!
APPLICANT �� �2 ..��-k- ° �
Last Name First Name
ADDRESS � =rYrv.iL. �`� (d (�ts L°�-� EMAIL
CITY STATE ZIP TELEPHONE
BUILDING OWNER
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
BUILDING TENANT C t �- ��
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
SIGN CONTRACTOR C�`SH-q� e;%�.�,� �L�'- TELEPHONE .,Zcr L� -3�`i�> j�i�
ADDRESS �S l e 7 S�:'rh _F}.nx. � EMAIL•-��z r;y.✓. F'' Nc�'.»,a'�-�[c�.n�.
CITY-°"�e.-�� STATE vv� ZIP e� �S�(o FAX.
CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE#
(�S/_�•�,2�;� `S`�u ;�' - 4�_ �� Z u� '�
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.
, �
j��� .,�/
plicant's Signature Date
Owne�I Contractor I Owner's Agent 1 Contractor's Agent I 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
�
105 Yelm Aue W (360)458-3835
Yelm,WA 98597 (360) 458-3144 FAX
www.ci.yelm.wa.us
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