20160301 Permit Pkg 07262016City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: CROWE LAW OFFICE
Address: 715 YELM AVE E #1
YELM WA 98597
Property Information:
Site Address: x(19 YFI M AVF F
Assessor Parcel No.: 64420901600 Subdivision:
Contractor Information:
Name: SHINE SPECIALTIES & PROMOTIONS
Address: JIM & LORI SHINE
1201 E YELM AVE STE 400
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
Expires:
Permit No.: 20160301
Issue Date: 7/26/2016
(Work must be completed within 180 days)
Phone: 360- 960 -8366
Owner: CROWE LAW OFFICE
Phone:
0 /00 /0000
Heat Type (Electric, Gas, Other):
Contractor
SHINE SPECIALTIES & PROMOTIONS
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 the S at of Washington.
Si nature ! t Date :V
Date 11 CR
Firm I-ri I % n
Lot:
Fees
$ 125.00
$ 125.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
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RECD
00238681 1126120
OPEF, : CO TERM : 00
REFS': 5110
PAID BV
IRAN:
33.0000 BUILD 1 T5
25 (�
00
20,60301 ROWS LAW OFFICE
"(ELM AVE E
302
125.0[ CR
SIGN
125.00 [HECK
AENOEREO: 125.00 -
APPLIED�
---- ..`._ ----0.00
CHANGE:
CITY OF YELM
SIGN PERMIT APPLICATION FORM
Project Address: 36Z E. WLIM INA Ad Parcel #:
Zoning; e CDMMe Current Use: I f-w G Proposed Use:
Type /Number of Sign(s) (wall, monument, lighted, etc.):
Value of each Sign:
��* - 0
Dimensions of Sign(s): �,; f 'i 51,
S 1�c
Building Gross Floor Area (sq. ft): 3lQ Cst�o
Building Height: _ nrio a--
Existing Signage (if any) and dimensions: ►-31pt
APPLICANT arch! ;,A.lc# dLtnn'��X
Last Name First Name
ADDRESS —115 9_ Utlm AAA-t- EMAIL Lxln�0 &iouuklaj•'�"
CITY�Jt r,n STATE E
3100 G I pU V3tp10
BUILDING OWNER CAn
ADDRESS EMAIL
CITY t 14 1,m S ATE W A ZIP TELEPHONE
BUILDING TENANT 1.Jr
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
SIGN CONTRACTOR TELEPHONE 3100. 4r,t) • lbn6 Lo
ADDRESSIZbI F. l_Lelrn &L, EMAILShinpkl+,.alt,�-%
CITY p►m STATE lLR ZIPct'%'Z -A) FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
I hereby certify tha a above information is correct and that the construction of the above described sign will be in
accor nce ' e I s, rules and regulations of the State of Washington and the City of Yelm.
( - l -7 6//Ca
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 pe D dLyf,7,$S\`
JUL 2 0 2016
BY. ....................
105 Yelm Ave W (360) 458 -3835
Yelm, WA 98597 (360) 458 -3144 FAX
wwwxLyelm.wa.us
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360.960.8366
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EXHIBIT A
SCALE:
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CITY R/W
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