20150204 Permit Pkg 05282015City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: YELM PHYSICAL THERAPY
Address: 4740 Avery Lane SE
Lacey WA 98503
Property Information:
Permit No.: 20150204
Issue Date: 5/28/2015
(Work must be completed within 180 days)
Phone: 360- 951 -0754
Site Address: 417 YELM AVE W Owner: YELM PHYSICAL THERAPY
Assessor Parcel No.: 75300400100 Subdivision: SOLBERGS FIRST Lot:
ADDITION
Contractor Information:
Name: ESCO PACIFIC SIGN Phone:
Address:
627 N.W. MIDDLE ST.
CHEHALIS WA 98532
Contractor License No.: 10231 Expires: 12/31/2015
Project Information:
Project: SIGN
Description of Work: TWO LIGHTED WALL SIGNS
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
SIGN ESCO PACIFIC SIGN $ 40.00
TOTAL FEES: $ 40.00
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 corr t. I also certify that the proposed structure is in conformity with all applicable City of
Yelm regulations n uding those governing zoning and land subdivision, and in addition, all covenants,
easements and est�ictions of rec e�, I furt ar certify that I am currently
registered in t St to of Washi to
Signature Date
Firm Z_ �/4GI' C_
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Citr of Yell
(36 ) 458 -3244
REC #: 00196404
OPER: CO TERM; 001$12015
REF #: 39750 9:18 AM
PAID By;
TRAN: 33.0000
20150204 BUILDING PERMITS
YELM PHYSICAL 40.00CR
SIGN AVE W
417 YELM THERAPY
TENDERED 40,OOCR
APPLIED: 40.00 CHECK
40.00 -
CHANGE: -
0.00
05o ao `P
CITY OF YELM
SIGN PERMIT APPLICATION FORM
Project Address: 'A117 3G 1A" AdCd9U W Parcel #:
Zoning; Current Use: Proposed Use:
Type /Number of Sign(s) (wall, m ongn t ghted, etc.):Chy. ;e1 Leh «S (.Z) %�I/ //� �i fhfe,,
Dimensions of Sign(s): 5 �7` C �� Jr Al rvl.✓ y l j
Building Gross Floor Area (sq. ft):
Building Height:
Existing Signage (if any) and dimensions: A eLd C o�S�rl�c ti 6N
A'
First Name
EMAIL 1
TELEPHOI
BUILDING OWNERSen,v S,ye- -- S,lge- T/,PrA i Gircup _Z.uc.
ADDRESS,2523 Cedar PAr,f' Loop S� EMAILSe ro -tier r u Cori^
CITY014,m p; A STATE & ZIP 22,& TELEPHONE 3G0- 9S/�a7 '!
B.UILDtNG TENANT
ADDRESS EMAIL
I CITY STATE ZIP TELEPHONE
SIGN CONTRACTOR F_sco A,7ci ;c S TELEPHONE 0- 79.7 (o!
ADDRESS 627 itt !N%dd t< Sf EMAILS: fas 16 85c4 - Vdc,
CITYC &*,q /,.S STATE—hg—ZIP 9,P5 ,?Z_ FAX 3G0 -7`f8- if p
CONTRACTOR'S LICENSE -# EXP DATE CITY LICENSE #1013!
Z7 25'COPPS873/(U 6-1-2615
I hereby if that the above information is correct and that the construction of the above described sign will be in
accord c with the laws, ru{e fe9t4a4Q sof the State of Washington and the City of Yelm.
Applicant's Signature Date
Owner/ Contractor/ Owner's Agent/ Contractor'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
MAY 21 2015
10S Yelm Avenue West 3y: (360) 458 -3835
PO Box 479 sa FAX
Yelm, VVA 98597 City of Yelm, CDUwci.ye1M.Wa.0
Approved
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Karen Bennett
From: Duane Taylor [duane @esco - pacific.com]
Sent: Thursday, May 21, 2015 10:49 AM
To: Karen Bennett
Subject: Fwd: Yelm physical therapy permit
Attachments: 14016.00 - 2015 -03 -30 Architectural Revision 2- 1.pdf; elevations.pdf; Yelm permit app.pdf;
Yelm PT -2.pdf
Karen
Thank you for your help yesterday. Have a great weekend.
Duane Taylor
Esco Pacific Signs
Phone: 36o -748 -6461
Fax: 36o - 748 -4299
Duane Pesco pacific.corn