20140111 Permit Pkg 02062014 �Q� TH�p�� C ity of Ye I m Perm it No.: 20140111
�
� �� Community Development Department Issue Date: 2/06/2014
� n+ (Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
L
'".`","`T°" Fax: (360)458-3144
Applicant:
Name: BROWNS CAR CARE Phone: 360-458-1421
Address: 16510 106TH AVE SE
YELM WA 98597
Property Information:
Site Address: 16510 106TH AVE SE Owner: MIKE BROWN
Assessor Parcel No.: 64303400504 Subdivision: Lot:
Contractor Information:
Name: AMERICAN NEON INC. Phone: 253-627-7446
Address:
P.O. BOX 431
TACOMA WA 98401
Contractor License No.: Expires:
Project Information:
Project: SIGN
Description of Work: RELOCATE ELECTRONIC SIGN ON 507 TO MIDDLE OF LOT NEXT TO MONUMENT SIGN
Sq. Ft. per floor: First Heat Type(Electric,Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
SIGN AMERICAN NEON INC. $ 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 State of Washington.
� / � Date:
Signat e� Date� ��� /�
By:
Firm
Cit� of Y�lm
(�6 ) 45��8�0�
�EC#: 00151765 2l06/2014 iC�:ll AM
OPER: �0 TERM; 001
RE�#;
TRAN: 33.00U0 �U7�D1NG PERh1ITS
2C�14C1111 a0.OOCR
BROWNS CAR CARE
16.510 1t�6tN A�l� S�
STGN 20,UUGR
TENDEREG; 100.QCJ CASH
APPLTFC�; 2U.00-
CH�NGE: �`-`___80.�J0
� CITY OF YELM liL�"l�r�1�
' SIGN PERMIT APPLICATION FORM
Project Address: ��,�/d ���fh /7✓� s� Parcel#:
Zoning; �� Current Use:��rM Proposed Use: ��11�'�`�
Type/Number of Sign(s) (wall, monument, lighted, etc.): / ���
Value of each Sign: �U�
I��` I � � Q,� ���``
Dimensions of Sign(s): �(� �uV� �� r_ � ��
D�� �/
Building Gross Floor Area (sq. ft): � P/ � � 1
� ,/� _ 1 � e �� �� � ��
Building Height: , _ � 1/��� �;� � ��� � NU�
�e �U � IM A ,�� o
Existing Signage(if any) and dimensiorhs: � ��� M
APPLICANT ��
L�t Name First Na e �
ADDRES IlPS D � U� EMAIL �/��v�rSG�✓`GG✓F=/C!/��G GD�1
CITY t'Iwl STATE /i✓ ZIP �'� TELEPHONE Z
BUILDING OWNER
ADDRESS AIL
CITY STATE ZIP TELEPHONE
BUILDING TENANT
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
SIGN CONTRACTOR � �i ��� TELEPHONE
ADDRESS ` Gv� � ri '�� EMAIL-.._.—.---_. _
CITY STATE -----�If'-'-�"��� FAX
CONTR CTOR'S LICENSE# EXP DATE CITY LICENSE#
I hereby certify that the above information is correct and that the co�struction 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.
2 3 /
's Sig ature Date
wner I ontractor/Owner's Agent/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
_.
REG�"�``�
�`"�""' JAN 2 3 2014
105 Yelm Aue W (36 --- -
Yelm, WA 98597 (360) 458-3144 FAX
www.ci.yelm.wa.us