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20150102 Permit Pkg 01132015City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Applicant: Name: LEANN STONER Address: PO BOX 642 OLYMPIA WA 98540 Property Information: Site Address: 4Ad79 RAn4ZRAAKI Assessor Parcel No.: 21724440200 Contractor Information: Name: NW SIGNWORKS Address: 10301 CASE RD SW OLYMPIA WA 98512 Contractor License No.: Permit No.: 20150102 Issue Date: 1/13/2015 (Work must be completed within 180 days) Phone Owner: Subdivision: N/A Phone: Expires: Project Information: Project: SIGN Description of Work: MONUMENT SIGN AND WALL SIGN Sq. Ft. per floor: First Heat Type (Electric, Gas, Other): Second Third Garage Basement Fees: Item Contractor SIGN NW SIGNWORKS TOTAL FEES: 360- 456 -8324 Applicant's Affidavit: 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 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 registered in the State of Washington. Signature ` - Date ��[ "ZE Firm Lot: N/A Fees $ 40.00 $ 40.00 OFFICIAL USE ONLY # Sets of Prints Final Inspection: Date: By: City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Applicant: Name: LEANN STONER Address: PO BOX 642 OLYMPIA WA 98540 Property Information: Site Address: 1 -A9r% Mr)CMAN Assessor Parcel No.: 21724440200 Subdivision: N/A Contractor Information: Name: DREAMTIME VISUAL COMM., INC Address: DAVID KEENAN`� PO BOX 2324 YELM WA 98597 Contractor License No.: 10988 Expires Permit No.: 20150102 Issue Date: 1/13/2015 (Work must be completed within 180 days) Phone: 360- 456 -8324 Owner: Phone: 12/31/2015 Project Information: Project: SIGN Description of Work: MONUMENT SIGN AND WALL SIGN Sq. Ft. per floor: First Heat Type (Electric, Gas, Other): Second Third Garage Basement Fees: Item Contractor SIGN DREAMTIME VISUAL COMM., INC TOTAL FEES: Applicant's Affidavit: 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 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 registered in the State of shington. Signature Date Firm Lot: N/A Fees $ 40.00 $ 40.00 OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: City of Mm (36 ) 458 -8402 REC #: 00183139 1/13/2015 8:29 AM OPER: CO TERM: 001 REF #: 15798 TRAN: 33.0000 BUILDING PERMITS 20150102 40.000R STONER, LEANN 15425 MOSMAN SIGN 40.000R TENDERED: 40.00 CHECK APPLIED: 40.00 - CHANGE: 0.00 ►j .i is CITY OF YELM SIGN PERMIT APPLICATION FORM Project Address:_�S -"� ��"%i+�/V� Parcel #: Zoning; Current Use: Proposed Use: Type/Number ofSign(s) (wall, monument, lighted, etc.): Value of each Sign:x��a — - -' -- Dimensions ofSign(s):' ✓ // ✓� Z`-0 Building Gross Floor Area (sq. Building Height: Existing Signage (if any) and dimensions: / /�/V�//`�%C� _s; , APPLICANT �� I_ l2 __ ZZJI_ 7717 Last Name First Name !!�� ADDRESS &7/,_� EMAIL GZ/ CITY STATE ZIP TELEPHONE BUILDING OWNER ADDRESS o? EMAIL CITY STATE ZIP TELEPHONE NUNN ADDRESS /030i <'= CITY C)ic- `i/yl-" STATE CONTRACTOR'S LICENSE #A TELEPHONE. -)E� - /'- FAX EXP D</ TY LICENSE # 1 hereby certify that the above information is correct and that the construction ofthe above described sign will be in accordance with the laws, rules and regulations ofthe State of Washington and the City ofYelm. 1'_�x__ (L"') 15 App icant's Signature to Owner / Contractor / Owner's Agent / Contractor's Agent / Tenant ( lease circle one.) des�g %�r t n dreamtime visual communications, inc d a v i d k e e n a n creative director 866.458.7183 info @dreamtimesigns.com Po box 2324 yelm,wa 98597 'work authorized by such permit is not begun ded or abandoned for a period of 180 days JAN 08 2915 (3j6G 458- 383_5_._ - -- (360) 458 -3144 FAX . C-fwl . 6j STUDIO WEST PROJECT: Emma's Grill House A part of the Dreamtime Creative Collective Tenant Improvement: Sign on Entrance Gable, 1.866.458.7183 Monument Sign Faces Email: designs @studio703west.us CLIENT: Emma's at Mt Tahoma LLC 703 WestYelm Avenue Yelm, WA 98597 SITE LOCATION: 15425 Mosman Ave SW YELM, WA 98597 David Keenan PH: 360. 239.4474 Account Representative Contact: Scott & Lee Ann Stoner Email: tricitymeats @comcast.net STUDIO WEST PROJECT: Emma's Grill House A part of the Dreamtime Creative Collective Tenant Improvement: Sign on Entrance Gable, 1.866.458.7183 Monument Sign Faces Email: designs @studio703west.us CLIENT: Emma's at Mt Tahoma LLC 703 West Yelm Avenue Yelm, WA 98597 "" SITE LOCATION: 15425 Mosman Ave SW YELM, WA 98597 David Keenan PH: 360. 239.4474 Account Representative Contact: Scott & Lee Ann Stoner Email: tricitymeats @comcast.net STUDIO WEST A part of the Dreamtime Creative Collective 1.866.458.7183 Email: designs@studio703west.us 703 West Yelm Avenue Yelm, WA 98597 David Keenan Account Representative PROJECT: Emma's Grill House Tenant Improvement: Sign on Entrance Gable, Monument Sign Faces CLIENT: Emma's at Mt Tahoma LLC SITE LOCATION: 15425 Mosman Ave SW YELM, WA 98597 PH: 360. 239.4474 Contact: Scott & Lee Ann Stoner Email: tricitymeats @comcast.net I