20190019 CL 9 ApplicationCITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: 15419 Coles Ct SE
Subdivision:
Parcel #:
Coles Landing Lot #: 9 Plan #: 2470 , Zoning:
/ New Construction F1 Re -Model / Re -Roof /Addition 0 Home Occupation Sign
El Plumbing El Mechanical El Mobile /Manufactured Home Placement 11 Other
Project Description/Scope of Work: Construct SFR
Project Value:-- $125,000
Building Area (sq. ft) Vt Floor 1103. 2nd Floor 1369 3rd Floor Garage -2 car 400 1 3 car
Covered Patio Covered Porch ioo Patio 100 Deck
Bedrooms # Bathrooms2.5 Heating (FOTHER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? No
ff yes, a completed environmental checklist must accompany permit application.
:Mountain Ierrace 131131ders
ADDRESS?10 Mosman Ave. ,SE EMAIL MTBuurcbasRngagmaol.com__
CITY STATE WA ZIP TELEPHONE -Yelm 59Z :16o 4r;8 1509
LICENSE #
ADDRESS 1202 Main St Ste 104 EMAIL
CITY. Sumner STATE—WA ZIP 9,93,90 TELEPHONE
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TELEPHONE
ADDRESS -EMAIL
CITY STATE -ZIP FAX
CONTRACTOR'S LICENSE #_MQ_U=890BS_ EXP DATE3L11CITY LICENSE #-603 2Unra2
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TELEPHONE 253 .405.2499
ADDRESS 17909 Kismet Lane SE EMAIL
CITY Yelm STATE WA ZIP 98597 FAX
CONTRACTOR'S LICENSE # JRSPLI*975D5 EXP
DATE3/19 CITY LICENSE # 602.264.092
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ELEPHONE 253.536.3357
ADDRESS 1201 E Yelm Ave STE 400 EMAIL
CITY Yelm STATE WA ZIP 98597 FAX
CONTRACTOR'S LICENSE # PREMIGC884RJ EXP DATB2/18CITY LICENSE # 603.257.522
, Copy of mitigation agreement with Yelm Community Schools, if applicable.
I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the
above described property will be in accordance with the laws, rules and regulations of the State of Washington and the
City f Yelm-j
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A "I
Ywpt'sature Date
SiTn
ner / Contractor / Owner's Agent / Contractor's Agent (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
105 Yelm Avenue West (360) 458-3835
Yelyn, WA 98597 (360) 458-3144 FAX
www.ci.yelin.wa.us