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20170302 Permit Pkg 09012017u�p City of Yelm p Community Development Department IL [I Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Applicant: Name: RHINESTONE RANCH Address: PO BOX 923 MCKENNA WA 98558 Property Information: Site Address: Ann FIRST CT C Assessor Parcel No.: 22719332300 Subdivision: N/A 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: Fees: Item SIGN WALL SIGN First Second Third Garage Basement Expires: Permit No.: 20170302 Issue Date: 9101/2017 (Work must be completed within 180 days) Phone: 360- 400 -4100 Owner: Phone: 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 a co ct. I also certify that the proposed structure is in conformity with all applicable City of ,elm regula ion i cludihose:lgoverning zoning and land subdivision, and in addition, all covenants, easements nd a tr ibns of r cord. If apply g as a contractor, I further certify that I am currently registered i thd a Signature Date —7 Firm Lot: N/A Fees $ 125.00 $ 125.00 OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: Clt' Ot Mm (36 ,o458-3244 RECA: 00279927 9/01/2017 4 :12 PM OPEF: ASHCO TERM: 001 REFA: 1188 PAIL BY: TRAM: 33.0000 BUILDING PERMITS 20170302 125.0(CR RHINESTONE RANCH 404 FIRST ST S SIGN 125.0(CR IE:NDERED: 125.00 (HECK. APPLIED: 125.00- CHANGE: 0.00 ce�VON (7 CITY OF YELM SIGN PERMIT APPLICATION FORM Project Address: F—yZy + t`C t' VI I I (r� Parcel #: s ' Zoning; YY1YWt',(a Current Use:_V Proposed Use: _ Type /Number of Sign(s) (Qwalll,, monument, lighted, etc.): &✓ALL MoU AJ t 6 Value of each Sign: I J 0 , I , Dimensions of Sign(s): (o0 6 xYV "1 -r t1vvilz) y 0 A/ d1v4 c� n TU,44/ Building Gross Floor Area (sq. ft): Building Height: Q& Existing Signage (if any) and dimensions: J%6 L X '1 t9 ,y 6 u APPLICANT as Name First Name / ADDRESS EMAIL r' l ec � cal a rxl,.�b/ CITYyYir14g.,n j2 STATE _ZIPQ =TELEPHON —2-1 13K •.. �• A& . TELEPHONE I BUILDING TENAN C �\/ ADDRES o F' EMAIL P v) 2 CITY ��F 1 f°h SPATE t/1/Pt ZIPS -TELEPHONE (Qn- -400- q !(�() SIGN CONTRACTOR 51P/VF 5PFGt/� TELEPHONE 3Go you - moo© ADDRESS 3u.5 ! >T 5t 30v7% �^'yt _E_MAILSItrtiE S �cr�e� -,ES Cpt4� /.tin, CITY 7'=FIAI STATE u-4 ZIP 9,'5!7 FAX 360 V00 11,9, ,?6 CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE # 17 -I /0 $3 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. Owner / Contractor / Owner's Agent / Contractor's Agent / Tenant ae (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 AUG 2 ' 2017 105 Yelm Ave W (360) 458 -3835 Yelm, WA 98597 (369y#d-AU4F.A.---------- www.ci.yelm.wa.us Y4 11-7ll- ('0M O90"1 OI��• t. r h i ne ne.. lop