20170261 Permit Pkg 08142017City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458-3144
Applicant:
Name: SMASH DELI
Address: 905 SPRING LN
CENTRALIA WA 98531
Property Information:
Site Address: 203 YELM AVE W
Assessor Parcel No.: 85800300100
Contractor Information:
Name: SMASH DELI
Address:
905 SPRING LN
CENTRALIA WA 98531
Contractor License No.:
Project Information:
Project: SIGN
Description of Work:
Sq. Ft. per floor:
Fees:
Item
SIGN
Permit No.: 201 70261
Issue Date: 8114/2017
(Work must be completed within 180 days)
Phone: 360- 359 -5103
Owner: TYPE CURRENT OWNER
NAME
Subdivision: Lot:
Phone:
Expires: 0 /00 /0000
SASQUATCH SHADOW CUTOUTS GROUPING. ON NORTH, EAST AND SOUTH WALLS
First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Contractor
SMASH DELI
TOTAL FEES:
Applicant's Affidavit:
I cert ify that I ha a read and examined the information contained within the application and know the same
to be true and rrect. I also certify that the proposed structure is in conformity with all applicable City of
Yelm regulatio including those ove ng zoning and land subdivision, and in addition, all covenants,
easements a d restrictions of r or . I applying a%-a actor, I further certify that I am currently
registered i the tate o as on.
Signature ' Date L/ 7
Firm
Fees
$ 125.00
$ 125.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
C(�1� Of Yell44
t 36t ,
RECA: 00278301
8/14/2017 11:24 AM
OPER: CO TERM:
001
REFA
PAID BI:
TRAPi: 33.0000
BUILDING PiRM113
x`0170261
SMASH DELI
203 YELM AVE W125
0(CR
SIGN
1[.NDERED:
125.00 [ASH
PRIED,
125.00 -
CHANGE:
r 0.00
Am o Au I
CITY OF YELM
SIGN PERMIT APPLICATION FORM
Project Address: Zb 3 W Parcel #:
Zoning; r0✓w�-,L C t X Current Use: 1GeS� fx u Proposed Use:
Type /Number of Sign(s) (wall, monument, lighted, etc.): r�k�� %, �pca
_ �vo � r j
Value of each Sign:
Dimensions of Sign(s): �i G4 L�_t- ?-8;" Z-- Iq 1�
Building Gross Floor Area (sq. ft): 4/0 h 2t3
Building Height: sr��ns 4r t�
Existing Signage (if any) and dimensions: c'�^ -�"I t,.��� S (MS �/� ��' 10
APPLICANT Cc4 Q (Z
Last Name First Name
ADDRESS ? J3 EMAIL S rmLskcr , (0
CITY__(4�,o - th ll�
BUILDING OWNER ►� 15.E yZe, �-
ADDRESS- '10-1 EMAIL
CITY S ATE W01 ZIP 15W55 i"ZTELEPHONE ? LyO - LSD - ?-G
BUILDING TENANT t Srv" ' h
ADDRESS Z2 3 u� EMAIL S rnG�SV� �� i P4�W�CC�.�� •W
CITY ��^ STATE Lt,° ZIPG1yS�l� TELEPHONE 3/PC> - SjgC� - it I I
SIGN CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
certify that the above information is correct and that the construction of the above described sign will be in
ice with the laws, rules and regulations of the State of Washington and the City of Yelm.
/ Owner's Agent / Contractor's Agent / Tenant
_J
Dat
(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 daySys�s
105 Yelm Ave W
Yelm, WA 98597
F I • .M
(360) 458 -3835
(360) 458 -3144 FAX
www.ci.yelm.wa.us