20160186 Permit Pkg 04212016City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: MT RAINIER PROPERTIES
Address: 9144 BURNETT ROAD SE
YELM WA 98597
Property Information:
Site Address: 9144 BURNETT RD SE B4
Assessor Parcel No.: 21713340601
Contractor Information:
Name: DREAMTIME VISUAL COMM., INC
Address: DAVID KEENAN
PO BOX 2324
YELM WA 98597
Contractor License No.: 10988
Project Information:
Project: SIGN
Description of Work: WALL SIGN
Sq. Ft. per floor: First
Second
Third
Garage
Basement
Fees:
Item
SIGN
Subdivision: N/A
Permit No.: 20160186
Issue Date: 4121/2016
(Work must be completed within 180 days)
Phone: 302 - 332 -6389
Owner: MT RAINIER PROPERTIES
LLC
Phone:
Expires: 12/31/2015
Heat Type (Electric, Gas, Other):
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 Washington. ((,. --
Signature i'� f 1/ 9 Q h ��lJC..L�h Date {'OQJ
Firm
Lot:
Fees
$ 125.00
$ 125.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
City of Yelm
(36 ) 458 -3244
REC #: 00229254 4/21/2016 11:39 AM
OPER: CO TERM: 001
REF #: 3704
PAID BY:
TRAN: 33.0000 BUILDING PERMIT'S
20160186 125.000R
MT RAINIER PROPERTIES
9144 BURNETT RD SE B4
SIGN 125.00CR
TENDERED: 125.00 CHECK
APPLIED: 125.00-
CHANGE: 0.00
CITY OF YELM
SIGN PERMIT APPLICATION FORM
Project Address: 914 L[ Parcel
Zoning;/ /�f�Current Use Proposed Use:
Type /Number of Sign(s) (wall, monument, lighted, etc.):
Value of each Sign: H ' CDL->
Dimensions of Sign(s):
Building Gross Floor Area (sq. ft[):_ - r- Q-v���i�, �'� `i •5 r
Building Height: 0, 9D"
Existing Signage (if any) and dimensions: tl
APFLfCANT MT
Last Name r First Name
ADDRESS 1.0. 6 EMAIL
CITY STATE
ZIP TELEPHONE -
0 *011119110 • _ 0 1 ! /
a
9I' A 019'"ON; _.11! No
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SIGN CONTRACTO i/ TELEPHONE
ADDRESS i4,x Z I ( 2 ' C
CITY GUG-
`y!_ /.. STATE �� / 'ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
hereby certify that the above information is correct and that the construction of the above described sign will be in
asr,ordance with the laws, rules and regulations of the State of Washington and the City of Yelm.
Applicant's Signatur
Owner / Contracto Owner's Agent/ Contractor's Agent / Tenant
%I11(.,
Date
(Please circle one.)
m
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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
p Z 6.010 fl1.3i IE7M
rlG1IBIS
105 Yelm Ave W
Yelm, WA 98597
By. . ' ,. .......... .....
(360) 458 -3835
(360) 458 -3144 FAX
www.ci.yelm.wa. us
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