20150149 Permit Pkg 04062015City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: KEEP AND BEAR ARMS
Address: 15136 DURANT DR. SE
YELM WA 98597
Property Information:
Site Address: 15425 SR 507 SE
Assessor Parcel No.:
Contractor Information:
Name: KEEP AND BEAR ARMS
Address: JOHN PACKER
15136 DURANT DR. SE
YELM WA 98597
Contractor License No.:
Project Information:
Project: SIGN
Description of Work:
Sq. Ft. per floor:
First
Second
Third
Garage
Basement
Fees:
Item
SIGN
Permit No.: 20150149
Issue Date: 4/06/2015
(Work must be completed within 180 days)
Phone: 360- 972 -6393
Owner: TYPE CURRENT OWNER
NAME
Subdivision: Lot:
Phone:
Expires: 0 100 /0000
Heat Type (Electric, Gas, Other):
Contractor
KEEP AND BEAR ARMS
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 i - t- he.S.Zate o- f Washington.
Signature Date
Firm
Fees
$ 20.00
$ 20.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
City of Ni
(36 ) 458 -3244
REC #: 00191280 4/06/2015 2:44 PM
OPER: CO TERM: 001
REF #:
PAID BY:
ACCT #: XXXXXXXXXXXXXXXXXXX
AUTH #: H66485
TRAN #: 000000001153
TRAN: 33.0000
20150149
KEEP AND
SIGN 15425 SR
TENDERED:
APPLIED:
CHANGE:
BUILDING PERMITS
20.00CR
BEAR ARMS
507 SE
20.00CR
20.00 CREDIT CARD
20.00-
2o1501 q�f
CITY OF YELM
SIGN PERMIT APPLICATION FORM
Project Address: 15425 State RT 507 SE Parcel #:
Zoning,
Current Use: Sign Proposed Use: Sign
Type /Number of Sign(s) (wall, monument, lighted, etc.): Monument 1/ Double sided
Value of each Sign: $100 1
�n
Dimensions of Sign(s): 27" X 68.25" 'l` t f_—Ac-if
Building Gross Floor Area (sq. ft): 675 scl. ft.
Building Height:
Existing Signage (if any) and dimensions: 27" X 68.25"
APPLICANT Packer John (DBA -Keep and Bear Arms)
Last Name First Name
ADDRESS 15425 State RT 507 SE EMAIL kabaguns anyahoo.com
CITY Yelm STATE_W.L_ZIP 98597 TELEPHONE 360- 972 -6393
BUILDING OWNER
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
BUILDING TENANT
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
SIGN CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
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.
4/1/2015
Applicant's Signature Date nt (P
Owner / Contractor / Owner's Agent / Contractor's Agent Tenalease 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
0 2 2015
105 Yelm Ave W (360) 458 -3835
Yelm, WA 98597 (360) 458-314-14
www.ci.yelm.wa.urs