20160164 Permit Pkg 05032016City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: MARIACHI ALEGRE
Address: 717 YELM AVE
YELM WA 98597
Property Information:
Site Address: 1 r%R(1s; 1 nr%TH AVF SF
Assessor Parcel No.: 64303400502 Subdivision:
Contractor Information:
Name: AMERICAN NEON INC.
Address:
P.O. BOX 431
TACOMA WA 98401
Contractor License No.: Expires
Permit No.: 20160164
Issue Date: 5/03/2016
(Work must be completed within 180 days)
Phone:
Owner:
Lot:
Phone: 253 - 627 -7446
0 /00 /0000
Project Information:
Project: SIGN
Description of Work: ONE ILLUMINATED WALL SIGN
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SIGN
Contractor
AMERICAN NEON 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 St4tof WasIpington .
Signature Date `7' 3 1 ✓o
Firm 64MV I / i/1/ IAI I—
Fees
$ 125.00
$ 125.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
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CITY OF YELM -v 1 (V()'uq
SIGN PERMIT APPLICATION FORM
Project Address: 16605 106th AVE SE
Parcel #: 64303400507
Zoning; M1 Current Use: Proposed Use:
Type /Number of Sign(s) (wall, monument, lighted, etc.): ONE ILLUMINATED WALL SIGN
Value of each Sign: 3800
Dimensions of Sign(s): 3.3'X 15.4' P Z
Building Gross Floor Area (sq. ft): 3750 SQ. FT.
Building Height: 20'
Existing Signage (if any) and dimensions: NONE
APPLICANT AMERICAN NEON INC - CONTRACTOR ELISA JACOBY
Last Name First Name
ADDRESS 9402 39TH AVE CT SW EMAIL AMERICAN NEON INC@AOL.COM
CITY LAKEWOOD STATE WA ZIP 98499 TELEPHONE 253- 627 -7446
BUILDING OWNER R.G. CHRISTENSEN
ADDRESS 11917 C't /i LAkC &P 5 EMAIL
CITY —STATE _.4 ZIP 9� 39-0 TELEPHONE
BUILDING TENANT MARIACHI ALEGRE
ADDRESS 16605106TH AVE SE EMAIL
CITY YELM STATE WA ZIP 98597 TELEPHONE 360 -485 -6641
SIGN CONTRACTOR AMERICAN NEON INC TELEPHONE 253 - 627 -7446
ADDRESS 9402 39TH AVE CT SW EMAIL AMERICANNEONINCAAOL.COM
CITY LAKEWOOD STATE WA ZIP 98499 FAX 253 - 572 -4614
CONTRACTOR'S LICENSE # AMERIN1002D8 EXP DATE CITY LICENSE # 16 -11328
6/26/17
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.
Applican s ignatur Date
Owner / Contractor / Own is 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
0 6,
105 Yelm Ave W ts TPfiaL4U_UJA .......,.
Yelm, WA 98597 (360) 458 -3144 FAX
www.ci.yelm.wa.us
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