20180232 1412 Yelm Ave E Sign FJof Herb City of Yelm Permit No.: 20180232
`9
,qfCommunity Development Department Issue Date: 6/18/2018
4 (Work must be completed within 180 days)
• Building Division
Phone: (360)458-8407
IlkAlt•. Fax:(360)458-3144
Applicant:
Name: VERIZON WIRELESS Phone: 845-356-8390
Address:
ABERDEEN WA 98520
Property Information:
Site Address: 1412 YELM AVE E C103 Owner: CREEK STREET PLAZA LLC
Assessor Parcel No.: 22730140202 Subdivision: Lot:
Contractor Information:
Name: PHOENIX SIGN Phone: 360-532-1111
Address:
PO BOX 497
ABERDEEN WA 98520
Contractor License No.: phoensc94407 Expires: C "--
Project Information:
Project: SIGN City of Yell
Description of Work: REPLACE WALL SIGN (36 ) 458-3244
Sq. Ft. per floor: First Heat Type(Electric, Gas, RECA: 00310616 6/16/2018 11 :17 AM
OPEF': CO TERM: 001
Second REFA: 17172
Third PAID BY:
Garage
Basement IRAN: 33.0000 BUILDING PERMIT;
20180232 125.0(CR
Fees: VERIZON WIRELESS
Item Contractor 1412 YELM AVE E C1(3
SIGN PHOENIX SIGN SIGN 125.0(CR
TO
TENDERED; 125.00 (HECK.
APPLIED: 125.00-
Applicant's Affidavit: CHANGE: 0.00
I certify that I have read and examined the information contained within the application ai
to be true and correct. I also certify that the proposed structure is in conformity with all applicauie t,ny ui #Sets of Prints:
Yelm regulations including those governing zoning and land subdivision,and in addition, all covenants,
easements ad restrictions of record. If applying as a contractor,I further certify that I am currently Final Inspection:
registered in h State of W gton.
6 -18.- a Date:
Signature �./ Date
Firm O'lv%1y h C4 . By:
*2,01 O 2__7 Z
CITY OF YELM
SIGN PERMIT APPLICATION FORM
Project Address: I 0 qt111) V , ''t_ L, J'4--e.C-I O Parcel #: '3D1 LI OR
Zoning; Current Use: I .� Proposed Use:Y_;'�7
LA, 1;A
Type/Number of Sign(s) (wall, monument, lighted, etc.)( \) 1NVll L up\au , V xl c- 1 rvip
v
Value of each Sign:43 W .
Dimensions of Sign(s): a \ S 4j CA- Q &t '+i Y t �r.l2 DUI"I V \ vv'- i g i o S fi +
Building Gross Floor Area (sq. ft): gt J
Building Height: 2U -5'
Existing Signage (if any) and dimensions: \ c U --C—k`
APPLICANT ' " ,i.: A i • . Y
Lw Name First Na e ,
ADDR Z �Yf;Y 20 \V EMAIL S 1tY1 • 01DYLXSl9IA 06VVV U. t.;Yl
CITY ,NSTAT ,
ZIP 'Y, 2--C) TELEPHONE j�0 --C-;� I 1 11
B'UTUDYNG OWNER _ _ . e fi G
ADDRESS 11).- EMAIL
CITY U,^, X\\1\\.e STATE IN h ZIP otk3A TELEPHONE
BUILDING TENANT \j Q„,, 17 by)
ADDRESS (w , `( VY) h)LC Ll v3 EMAIL
CITY\')x \ mocpcx STATE UVA ZIP TELEPHONE
SIGN CONT A TOR %r ��.fi . 11:'I . TELEPHONE ----)(o[,—c.5- 77111
ADD SS 1kQ I • r , EMAILSharl ,pho l/ickS yrl�u%9,�aII,0.
CITYY Yci{,{-6.4'1 STATE JA ZIP . . FA) (CO 'li%3--1—X S
CONTRACTOR'S LICENSE #S1 ,I�SL�'1D3LA4 EXP DATE2I11�CITY LICENSE# I Q 5(DC)
1 hereby certify that the above information is correct andthat+the construction of The above described sign will be in
accordance with the laws,.rules and regulations of theState of Washington and,the City of Yelm.
(/, �,; -ems' (i' .2/
ppllcant's�e
Date
wner/ ntract Owner's Agent / Contractor's Agent/Tenant (Please circle one.)
L�-,
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
APPROVED by City of Yelm
John Rowland
06/14/2018 3:57:55 PM
105 Yelm Ave W (3611) 458-3835
Yelm,WA 98597 (360) 458-3144 FAX
www.ei.yelm.wa.us