20150324 Permit Pkg 11032015City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: YELM FOOD CO -OP
Address: 308 YELM AVE E
YELM WA 98597
Property Information:
Site Address: znR VFI M AVF t=
Assessor Parcel No.: 99000114600 Subdivision:
Contractor Information:
Name: DREAMTIME VISUAL COMM., INC
Address: DAVID KEENAN
PO BOX 2324
YELM WA 98597
Contractor License No.: 10988
Project Information:
Project: SIGN
Permit No.: 20150324
Issue Date: 11103/2015
(Work must be completed within 180 days)
Phone: 360- 400 -2210
Owner:
Phone:
Expires: 12/31/2015
Lot:
Description of Work: 4 FT x 4 fT SIGN ABOVE MAIN ENTERANCE. 2 FT x 8 FT SIGN ON EAST FACING
EXTERIOR WALL
Fees:
Item
SIGN
Contractor
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 W ingtonn C
Sinnature ''� %�� �� /i!�'/ 1f'1 X/ rhrc
Firm
Fees
$ 250.00
$ 250.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Citj of Yelm
(36 ) 458 -3244
REC #: 00211639 11/03/2015
OPER: CO TERM: 001 8:50 AM
REF #: 14567
PAID BY:
IRAN: 33.0000 BUILDING PERMITS
20150324 250.000R
YELM FOOD CO -Op
308 YELM AVE E
SIGN 250.000R
TENDERED: 250,00
APPLIED: CHECK
250,00-
CHANGE: 0.00
CITY OF YELM
AV (403
SIGN PERMIT APPLICATION FORM
LM
Project Address: �� g �e �rrlv'� Parcel #:
Zoning; / Current Use: a I Proposed Use: e -p / p
Type /Number of Sign(s) (wall, monument, lighted, etc.): 2 tdaI I �U(-�� C� /z , A Cea(
Value of each Sign: $ ,5) ,s , 4 ! "�_S 0 J
Dimensions of Sign(s): 6Y X 4 i 92 147
Building Gross Floor Area (sq. ft):
D
Building Height: %
Existing Signage (if any) and dimensions: x (s' mboUe clbo 2 x $ Sr pig Pasi'1ac i
err be �c7�'iwJe p��l c� 2x iof LAJ
APPLICANT Ur/ (-- h -
d, Last Name
ADDI
CITY
BUILDING OWNS.
ADDRESS
CITY
I
First Na e J
EMAIL u f i n q "t C9r, �
TELEPHONE %o ' - 22/0
EMAIL
ATE ZIP- TELEPHONE
BUILDING TENANT Q_ v af`
ADDRESS P 2 EMAIL b L, C !q." lAI\
CITY r> ;- STATE WA ZIP TELEPHONE 3�C• C' , Z 1U
SIGN CONTRACTOR ^au rt - re_,.v 'A ELEPHONE q5-'6- "
ADDRESS J�; (�? �'�/ EMAIL f%'1ai _ d r��.•t }r�s,�c�- ,a�'�
CITY ''m ATE LLa ZIP FAX
CON ACTOR'S LICENSE # EXP DATE C" 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.
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
105 Yelm Ave W
Yelm, WA 98597
(360) 458 -3835
(360) 458 -3144 FAX
www.ci.yelm.wa.us
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