Loading...
Building Permits ~ , , ` r' +~"~ CITY OF YELM Building Permit r' ` BUILDING DEPT . ~ ~~ ~ ~~ ~~~~ Phone: (360) 458-8407 Date '~' ' Fax: (360) 458-8417 (Work must be started within 120 days) t ~, ;~, ,~ `N Name k-,/1/1 1 >? ~ I'"i3 ~rAl t~ S ,~ l_ ....! Phone ( ) ~j %',~i R Address ~ U ~ ~k ~ ~ ~ ~ City `" 2r[ h,1 State i-t,.~ Zip Code ~ .~~ ; ~~ -~^ Site Address ;~'~? J '~ ,rJ / dj' ,+ ~ ,q~Z= r P ~ Assessor's Parcel No. Lot Size (sq. ft./acres) P E R Subdivision Lot Block T Y OR Short Plat No. Block ! Existing Structures, if any: /~C /y~ r y~ C o Name ~ ,~ Contact Phone ( ) R Address City State Zip Code License No. Exp. Yelm Bus. Lic. No, Description of Work ~r',A r ~ 7 J ti; ~, ~ OFFICIAL USE ONLY Permit Type: q. Ft. per floor: (1st) (2nd) ~.. Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE Plan Check By ~ ' Minimum distance of structure from property lines: Issued By "~ ~~~--- Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Applicant's Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true S b itt d and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm regulations including u m e / / 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 a currently registered contract in the State of Washington. 9uarterly Reports Signature ~ ~ ~ ~ Date Assessor / / Firm: TRPC / / L/ L,' CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 ,'~ ~~" a Building Permit '~' '~ ~' '' l ~ f~ %~'s , . , '? ~"` ~ f. C"?. Date = "~ ~ ~ I (Work must be started within 120 days) ~& O ,-r ~^/ Name ~ ~( /y1 ~ / N Phone ) 7~S ~ " ` .r rt Address ~'f'?, / ' C/ ""~ City ~~"' ~~6vY State L.-tJ~ Zip Code c~`.~~ Site Address ~ ~ fj~., r~. o Assessor's Parcel No. ~' c : ` ~ ~ ; U, (~ ~ {°,~ Lot Size (sq. ff./acres) P E Subdivision Lot Block R T v OR Shorf Plat No. Block Existing Structures, if any: < r1 a ~ ~ ~ C o ...- i7 Name ~ l ,p 1:?~-y7 '~ .gyp .. ,rt ( Contact t - 'r s 1' Phone ( ) ! / ~j /~ .~~7,~~ R A ",, Address , ~ , ~ ~° .:= c ,, City ~.R LF i_ State ~ ~ ~ Zip Code , '",~~ -~ License No, l / ,iQ A~ f/1 ~ .,j""~.!~~ ~" (~ ~,~,,rl Exp. Yelm Bus. Lic. No. ~~ c% c'_? '~ Description of Work *l~`(r- 1 ,1 r' ~ L' "~ , , ~~ J, -,> {~ j "w OFFICIAL USE ONLY f Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial ~'" Other - ".ity Water Private Well Private System Shoreline Permit Y N neat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value y: ~> c..% +~S ~: 4 Sets of Prints ~~ Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE ?'~ ~,~ ~ ^~' Plan Check By °e.r ~ ~~' t->r'~'~~~~1?'~° Minimum distance of structure from property lines: Issued By ~~~;- +~:,:....~....-•~ Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form 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 a currently registered contract in the State of Washington. Assessor Floor Plan and Permit Submitted / / uarterly Reports Signature ~'~'. --..~ ~. Date ; ~', ~~ 2 i '- ,~ Assessor / / Firm: ~ ~ TRPC / / CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 f: Building Permit '' ' "' ~' Date / ~ / ~ ~• ~+~%~~~ (Work must b started within 120 days) ~ / ~ _ w N _- w-r <, ` Name ,r l ,~(' Phone ( ~' ~ -c - f. ~/` ~ ... E R Address ~ l ) U -' ` arj `~"~" C,~t1 _ City i ~ _~~',r,,, y ~ State (,G ),4. Zip Code ` ~ `, r'~ Site Address ~ c„ -`, !.%~ L.. i ~ ~' fT.>~/' .~~ ,^~` c-' P R O Assessor's Parcel No. Lot Size (sq. ff./acres) P ~ Subdivision ~ , i rr .~ ~~~ ~~~ .~,J,,(J Lot ; Block T y OR Short Plat No. Block ~" "` Existing Structures, if any: C o T Name 'r `-r'a~ j""r:. <x r f"~. '~~ ~(°~` , ;~~ ~,, Contact Phone '"'v ) r_,/:. ;~ .~ Address '~ /' f G. ! % '`"'~ o'~ ~.,•_~ I L.~ City ~...,Or ,r Y,.~t~ State ,~ 1. ~ Zi Code ~ ,--t p t~, ~ ,~~- ~ Ucense No. Exp. Yelm Bus. Lic. No. Description of Work "~~ ~ OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) '~ ~ (~rrd) ;_,'„rJ ~' ~ ~~ ;` Residential ~ Sign Sewer Se tic A p pproval No. Commercial Other '+ty Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value "-~' ~ "'~ ,- t~. ~~ Z^j ~,. r , c'1 ;~ Sets of Prints , n Other Plumbing Permit # .'~ <t; ~~, y WA. ST. BC. Fee (4.50 -New Const. Only) .' f, ~ ~,~ a~ Mechanical Permit # `~~ /~1f' TOTAL FEE j ~~/ , ~ ~' ~ ! f'1 Plan Check By ~ _y ~ ~-•^-~~-- Minimum distance of structure from property lines: ~ Issued By r ~ , r^ - t Front to of ~ Road a Final Insp: / / Side Side Rear Owner L & I Form r~, ,l 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 a currently registered contract in the State of Washington. Assessor Floor Plan and Permit Submitted / / uarterly Reports Signature , /7'1 , ~a~,2.1? ~~ %r}Gt.r~a <- ,d, Date /.2~/ ~~os Assessor / / Firm: TRPC / / City of Yelm -Permit Fees Site Address: Willow Glen: 16340 Littleton Ave SE, lot 3 Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee (Sin le Famil) $145.00 $1.45.00 ~~~e, `~ 805 Sewer Inspection Fee MultiFamily/Comm./Industrial) $145.00/ ERU Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca acity $2480.00 Sewer ERU in the LID+LID Assessment $2480.00 Zc(.~ ~. 5~ ~ ~ f ~j ~ : ~5 Sewer ERU lots outside the LID boundaries $4850.00 $4858:$8 uD ~/ah 5 104 Site Plan . f-/'~n , p ~ JQ Water Latecomers r ~~/! ~~ 712 Water Meter $300.00 $300.00 Uwt?J ~~mw~v7h~~ GL c~ Water Meter I.RR ~ Z 3~U coo ' 760 Water ERU's (inside ci limits $1000.00 $1000.00 760 Water ERU's (outside ci limits $1200.00 740 wtr 742 swr Consumer Deposit $90.00 $ 90.00 100 Plan Review $ 544.63 032 Building Permit 6533 $ 837.89 160 WA Building Code Fee $ 4.50 $ 4.50 032 Mechanical Permit 5760 $ 84.90 032 Plumbing Permit 5645 $ 90.00 030 Yelm Business License# confirm 420 Transportation Facility Charge $ 757.50 410 Open Space Fee $ 320.17 Total $9024.59 J. School Mitigation Fee $650.00 confirm liu~ EuvL YAYASLr: A1' '1'iME OF PERMIT ISSUANCE! CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 ,~ /~ ~ f ~; , _ O ~JJ ff --'' w Name ls.J/~ I~j;~ /"i'117~/ l~` ~ i N R Address ) , ~ '` ~` --=7 ~ • Site Address / ~~~~ ~~ P ~ Assessor's Parcel No. (,,~~ ~ '" '-L3 ~,` P E Subdivision ,1 ~ p a / r~ t / ,,~ i R T '. City ~l /;~r~ G ~,~ Lot Size (sq. ff./< Lot Phone ~ State ~-~•~ r/ Cft.J Y`~ ~e Block Block Existing Structures, if any: ~ T Name / ~' ~ / G ,~~A k'r~ o /'Y t / ~ ~ Contact ~` i ~ ~7 /~ c:.- t' Phone (.~; s `') :~ ~ A ' ~ C'' 4 ` _ Address ~ .~ '-'• / t~ ~ City /fi<<.~,ry?,f State ~.~j~ V Zip Code ` ~~' ``r/f f 1 2 Ucense No. "~ ~' Exp. Yelm Bus. Lic. No. ~'- ~)U, / Description of Work - `` OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) ,-~,/, ~', (2nd) j ~ ;; A+ ~' ~ ~ ~ Residential Sign °r` Sewer Septic Approval No. Commercial Other -- City Water Private Well Private System Shoreline Permit Y N ~_. ,..eat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ "' ' ~ .'", {,J? ,1 r - .7 Sets of Prints ~.~ Other Plumbing Permit # ~ ~~` ~ d WA. ST. BC. Fee (4.50 -New Const. Only) ,/ ~" ~ Mechanical Permi t # ~ 1 ~ '~~ TOTAL FEE ; t - .~V / Plan Check By C 7- "~`,%~s Minimum distance of structure from property lines: // Issued By (7 "~`~ Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form 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 a currently registered contract in the State of Washington. Assessor Floor Plan and Permit Submitted / / uarterly Reports Signature ~ ~_ ° Date 2. ~ ~ ~~ Assessor / / Firm: f Lr ~ TRPC / / r'r . . ,~ Building Permit ~11 ~ ;~' Date ~ ~-~.~~~~ C.~ `'~,d~' (Work must be started within 120 days) City of Yelm -Permit Fees Site Address: 15407 105th Ave SE, lot 75 Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee (Sin le Famil $145.00 $145.00 ~~ 805 Sewer Inspection Fee MultiFamil /Comm./Industrial) $145.00/ ERU Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca acity $2480.00 10160 $1000.00 pre paid Sewer ERU in the LID+LID Assessment $2480.00 Sewer ERU lots outside the LID boundaries $4850.00 104 Site Plan Water Latecomers 712 Water Meter $300.00 $300.00 ~3b Water Meter I.R.R. 760 Water ERU's (inside ci limits) $1000.00 $1000.00 ~3 b 760 Water ERU's (outside ci limits) $1200.00 740 wtr 742 swr Consumer Deposit $90.00 $ 90.00 ~~/~ 100 Plan Review $ 758.46 /l ~zb 032 Building Permit 6532 $ 1166.87 /I_G3b 160 WA Building Code Fee $ 4.50 $ 4.50 ~ ~ ~~~ 032 Mechanical Permit 5759 $ 91.40 ~~~ 032 Plumbing Permit 5644 $125.00 1~~~~ ` 030 Yelm Business License# 98-001389.0 Total $3681.23 420 Transportation Facility Charge School Mitigation Fee $650.00 confirm 410 Open Space Fee DUE AND PAYA BLE AT TIME OF PER MIT ISSilA NC'F"i CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 r --~- w Name ~ rat"~ ~ h a>~ ~ ,~t a Address `~ - f Site Address 5 / ~ f. i R Assessor's Parcel No. ! r-• " ^ " O P ~ (_i ~ ~ P R Subdivision ~~ ~ c, . a , ,i ~r r ~ y oR snort Piat No. h~ h Building Permit f Date ~ -~ ' ! ~,~ ~' C: (Work must be started within 120 days) / ; , / ~ : ,r , /f State %UJ :_, JCS - i ";tC_.f -~ Zip Code Ct'¢•> ~~ if ' Lot Size (sq. ff Lot Block Block Existing Structures, if any: C o Name ^vff1 v'.c' iii s, ; ,~, ,~: ,~ Contact ~l ~ ~;~i::; '~ Phone (o, ,~ ~-' `" ~ ~ r "'~- Address "' ~ ~"' ~ ~ +~- s" ~~ City ~~'~.r/~ ~ mz State ` ^. Zip Code ~- ~/ ~ f t License No. ,~ ~; f -• ,~, ~~ ~_, C` Exp. Yelm Bus. Lic. No. `~~ CJ C` ? ` Description of Work ~ ~"~~' _. OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor. (lst) ;` ~r %~~ (2nd) f~ ~% ~ ,q ~, ~ ~Q, 1 Residential r'~ Sign ~ '~ Sewer Se tic A p ~ pproval No. Commercial Other / , --city Water Private Well Private System Shoreline Permit Y N .aat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value J ~ <' % ~ ~ °`i7~ / i % /~ d C.~ ~,~ /~ t~~ ~ '~ Sets of Prints E~ Other Plumbing Permit #~~~ ~ ~~ Sro WA. ST. BC. Fee (4.50 -New Const. Only) ~' -/ t '~ _, Mechanical Permit #~~ TOTAL FEE ~ - , _ Plan Check B / _ Minimum distance of structure from property lines: Issued By ~~' ' ~--~°"'"^---- Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form 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 a currently registered contract in the State of Washington. Assessor Floor Plan and Permit Submitted / / uarterly Reports Signature ~ Date ~' ~ ~j -~ Assessor / / Firm: ~..~ f TRPC / / Phone City of Yelm -Permit Fees Site Address: 15411 105th Ave SE, lot 76 Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee (Sin le Famil) $145.00 $145.00 ~~~j3 805 Sewer Inspection Fee MultiFamil /Comm./Industrial) $145.00/ ERU Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca aciry $2480.00 10160 $1000.00 pre paid Sewer ERU in the LID+LID Assessment $2480.00 Sewer ERU lots outside the LID boundaries $4850.00 104 Site Plan Water Latecomers 712 Water Meter $300.00 $300.00 / / ~~ (~ Water Meter LRR 760 Water ERU's inside ci limits) $1000.00 $1000.00 ~ / ~/~ 760 Water ERU's (outside ci limits) $1200.00 740 wtr 742 swr Consumer Deposit $90.00 $ 90.00 ~~- ~3 100 Plan Review $ 790.25 ~~ ~~ 032 Building Permit 6504 $ 1215.77 ~~~~/ 160 WA Building Code Fee $ 4.50 $ 4.50 ~ / ~3/ 032 Mechanical Permit 5758 $91.40 I I-~.,~ 032 Plumbing Permit 5643 $118.00 /~~~/ / 030 Yelm Business License# 98-001389.0 Total $3754.92 420 Transportation Facility Charge School Mitigation Fee $650.00 confirm 410 Open Space Fee DUE AND PAYA BLE AT TIME OF PER MTI' ISSITA N(`F.! :CITY OF YELM .BUILDING DEPT. Phone: (360) 458-8407 _ Fax: (360) 458-8417 1 A~ Building Permit `~ ' Date /~~ /,` ~ ~~rr;~ ~ r (Work must be started within 120 days) ~ ~y~~ N Name Y• met , , n 9 ~-..' _`~ c- ~ Phone C ) y'~S ~ - f'f~~ R Address '~' ~~Y ! ~a,°. , ~~ City ~ ~ ,~Y,, State ~~~ Zip Code `7`(,.~~1 ~' i'r Site Address i / ' ~ ~ ; y P ~ Assessor's Parcel No. Lot Size (sq. ff./acres) P R Subdivision r Block Existing Structures, if any: j Name J,1? I-- h-~~ / ~. `~ r_ y Contact >r/ _9'j ~ Phone ( ) Address City State Zip Code ~ Ucense No. Exp. Yelm Bus. Lic. No. Description of Work _..y; / ~ / . .k ~ t ~, ~, /d , ~ ! 1 f ~ ,/~~, . OFFICIAL USE ONLY ` Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign `' Sewer Septic Approval No. Commercial Other "'ity Water Private Well Private System Shoreline Permit Y N _,..-peat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ /f/ .~L Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4,50 -New Const. Only) Mechanical Permit tl TOTAL FEE Plan Check By Minimum distance of structure from property lines: //s'; Issued By E~~ l""~ a--°~--- Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form 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. 1 also certrfy 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 a currently registered contract in the State of Washington. r..~- ",. r Assessor Floor Plan and Permit Submitted / / uarterly Reports Signature ~~ '~ r ~~'~ ~ (,~ ~~,, ,~ % , ~ ~ Date (,~ ~ ~ ("j C~ Assessor / / Firm: _ 'L~_~~ .~~ ~,, ~aJ TRPC / / Lot Block __ , ~': CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 ~, _ Fax: (360) 458-8417 i e, Phone w Name l ~9 \,\ tiL ~'}~ f ,/1 ~'"r ~` , E / R Address ~ `~ ~ ~"/ y~=2,Fs~9 ~ i,,.Q Site Address l . ~~> ~ ~ -/I (`[ aye. / P R Assessor's Parcel No. P R Subdivision Lot Size (sq. ff Lot Block T y - __ OR Short Plat No. Block Existing Structures, if any: N ~` -; Name ,~'~ ,, -{-~ yy, `~ Contact ,~,;.r, ~,,..(, PhoneC -~ - ) G/;';~'- 0 '•' T Address ` % t e Z,-~ r ._ , ,.. _..._ // ~ ! ~ ~r „f. ~-"" City /~'(.c_,. State ;'.`,; f Zip Code ~~}..5 / ~~ Ucense No. Exp. Yelm Bus. Lic. No. 1 Description of Work ~;:~ ~,,C ,i µ. i-~ iJ h ~ ~ ! 1,~~, <~' - OFFICIAL USE ONLY Permit Type: , Sq. Ft. per floor: (1st) (2nd) ''r„. Residential Sign Sewer Septic Approval No. Commercial Other - -city Water Private Well Private System Shoreline Permit Y N zat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~,~~ ~ Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE ~,- bra Plan Check By i -~' ~-- ~"`~-~- " Minimum distance of structure from property lines: ; / i Issued By r c'~ ^ ~-- Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form 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,a..~s-~a•~contractor, I further certify that I am a currently registered contract in the State of Washington. /° ... ~ -'~ Assessor Floor Plan and Permit Submitted / / uarterly Reports • _ :.~ .-_ Signature J (' ''~ ~ ~-_., Date f ~ ~ Assessor / / Firm: ~ l ``•'a TRPC / / ,` Building Permit ~ i'+ ~~ `" ,, ,r a~ ,.. Date f ~ f~/`,/r•n~~ ~•1C.~ (Work must be started within 120 days) %-~~~'S Code ~~(~ ~: ~~ t_wi CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 ~ '~ ~. ..; ~,f- ,,~ Building Permit ' '~_ ,~; "" Date ~ " t .~ (Work must be started within 120 days) ~~,,,, o w N -- Name ~ r~ ~u f- ~ S t~.,_ ~ r J °"=~ Phone 'J~' ! 1) `-! ` E R Address ~ ~ / ~~ (•-r City ~ °r°~ .%/11 State tti11 /~ ZlpCode ~ ~~'?~~~ / "`~ Site Address ~ r - c ~? ~ ~ - , , a ~ <,~ ~ /r : ", v-"~~ P ~ Assessor's Parcel No. ~ ~ ''~ '? ';; ( _ - ' , {,~ (,~' Lot Size (sq. ff./acres) p ~ ~ Subdivision °`, p r ~ ! ~ ~ I /~l, r ~z / .~ ~F' ' Lot '~ Block T y OR Short Plat No, Block Existing Structures, If any: Name x~__, r~'r`~,; r,' -" Contact Phone ~`1cc_.7 = ~ -~ ~ `/t,, ~ R Address r.' ' ~ f 1" u}..~),Y s `, ~°" City ,~ YT ; f r. State -' ~/ ~ti Zip Code - ~" = "~ ° ~. ~ License No. *" ,< ~; ~ G. ~ r•, ~ ' (. 1~ Exp. Yelm Bus. Lic. No. r „) 7 Description of Work ~ j ,~ ~ ; ,r ° '° , ., ~ / , ~ •;.°~, OFFICIAL USE ONLY ~ Permit Type: Sq. Ft. per floor. (lst) ,! ?, y ~' (2nd) c"'c~ ;'~ r.~ ,~ ~~~5;y!% Residential G" Sign Sewer Septic Approval No. Commercial Other - amity Water Private Well Private System Shoreline Permit Y N _,.eat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ;_ ( , :% ~ ~, ~ r` ~ Sets of Prints ~-~ Other Plumbing Permit # ,`7 ~~ `~~ WA. ST. BC. Fee (4.50 -New Const. Only) ' <~ `?`,~ > Mechanical Permit # TOTAL FEE ) ~~ U ~~ Plan Check By /'1~, (,-~_ _ ~_. .' ~ "'""" Minimum distance of structure from property lines: ,._ Issued By C` ~- Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. ~f ~ 9uarterly Reports Signature ~ .~ .~f ` U G-~r Date f ~ L~'v ~ ` ~ . . ~; ~1 Assessor / / Firm: °'~ fT"`.~j 6" ~ fJ /~--~'~- ~'`L-i C. % ~~~,/Y~ TRPC / / ' ` City of Yelm -Permit Fees Site Address: 15346 & 15348 Berry Valley Drive SE, lot 8 Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee (Sin le Famil $145.00 $145.00 / ~~ l 805 Sewer Inspection Fee (MultiFamil /Comm./Industrial) $145.00+ $35.00/hr Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca acity $2480.00 x2 $ 4960.00 , ~07~ Sewer ERU in the LID+LID Assessment $2480.00 Sewer ERU lots outside the LID boundaries $4850.00 Site Plan Water Latecomers ?12 Water Meter $300.00 x2 $600.00 /~ Water Meter I.R.R 760 Water ERU's (inside ci limits) $1000.00 x2 $2000.00 // ~ U ~ l ~ 760 Water ERU's outside ci limits) $1200.00 740 wtr 742 swr Consumer Deposit $90.00 ~ $180.00 ~~ ~ n/ 100 Plan Review $ 809.73 / / ~ ~ / (~ 032 Building Permit 6528 $ 1245.75 %~ ~~J ` 160 WA Building Code Fee $4.50 ~~ ~ ~~~ 032 Mechanical Permit 5757 $ 136.80 /~_ ~~,/ ( 032 Plumbing Permit 5642 $ 153.00 / % ~~/ 030 Yehn Business License# 001279.0 Total $10234.78 420 Transportation Facility Charge School Mitigation Fee $1000.00 Confirm-ok 410 Open Space Fee DUE AND PAYA BLE AT TIME OF PER MIT iSSUA NC'F.i CIN OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 ~'~'s C#t' ~~ ~. ~~, Building Permit ~'' Date ~~~j ~ ~(~ ~~~i/ ~,•r ~,' (Work must be started within 120 days) o N `~ ~-., Name v~ /`/ /,~Y.~C ~ ;.a ~ ~7 Phone (,~' 4~'~ Cp •~ ~ j E R ~/ ~~, Address '"7 ~? p~ >~ ` r~ `j~a ~ s-y ~ ~~ City ~ Gt' < ,~ State ~„ Zip Code ~1 CC I ~' r Site Address 7~ /" ~ ~(~ ~~ ~ r„~'~j P rz 0 Assessor's Parcel No. Lot Size (sq. ff./acres) P E R Subdivision Lot Block T y OR Shorf Plat No. Block Existing Structures, if any: ~` " ~ ,~ ,, + ~.; ,;)~~ `,~' 4 C O N ' <~ Name ~.~ - ~ ~-, ~ ~ ,- ,~'~~ ~,,;,~ <- Contact - Phone ( ) r a Address ~~ ) , ~%"~,' ~- .~; ~ ~ City ~~ ~ ~ (' ~ State tr ; ,. Zip Code ~ (G• Ucense No. ~% ? ?"~~•? "~ - f Exp. Yelm Bus. Lic. No. Description of Work OFFICIAL USE ONLY Permit Type: Sq. Ft, per floor: (1st) (2nd) Residential Sign `~ Sewer Septic Approval No. Commercial Other - ~~ity Water Private Well Private System Shoreline Permit Y N _.~eat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value I -~, -, u?.,-- Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE :-~ ~~ ~~ i Plan Check By i~7 ~~,r~..•-- ~ ~ - " ~ • Minimum distance of structure from property lines: ...•..-- Issued By + Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. ~ Quarteriv Reports ~ i ... __ Signature F "~ _ ~ Date '4.~ -.• / ~'- l7 ~~ Assessor / / ~ ~ w Firm: /• •'~: ,, j ~__t_.r.xt_A ~.~,o~.. ~~ +~.,5•~ Gf.r'.l.Tvr_.r'...~e_.-~R TRPC l l CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 f ~ e F r'JJ ~ << ~' ~ ~ Building/Permit ~ ~ _ ' ~ I'.' i Date ~`~ ~ ~~ (Work ust be started within 120 days) `/'/ Name ~ ; a% +~ Phone . ';' ~~~F N R Address ~ .~~to ,~, rr /~P Y~C v ~-` - City ;;C ,dy? /a,/ State Zip Code ~ ~_~ ,f..~+ Site Address ~ ,3 S ~~ ~ ~'~ ~ f ~ , + ~ t i f~ / ~ P ~ Assessor's Parcel No. ~<'e '~1 "` +•~ ~U ~ Lot Size (sq. ff./acres) p R __~ Subdivision "7r. ~ i- ~ ~ ,1 ,• ,..- f j .~ ~ l Lot ~""' Block T / y OR Short Plat No. Block Existing Structures, if any: 5 Name ~ ~~ 7 Contact Phone ~ c ~ - ~'{ , ~~ ~ 2 ~, R~ Address ~ ,4 ~ ~) ,~,,~;,- ~ < City ~~''{ y.~~;l ,~,~ State ,~~ Zip Code _ `j~[~, ~~, / r' f Ucense No. ~ ~`.~,- a ` ~ ~';1 ( (~, Exp. Yelm Bus. Lic. No. j `";? G Description of Work ~`•~~ ~ ! ~ ~'- /'~, ,,,~° ~. OFFICIAL USE ONLY Permit Type: Sq. Ft, per floor: (1st) ~'/, (2nd) ~ ,:;r ,~. ~ Residential "` ~~ Sign / r Sewer Septic Approval No. ' Commercial Other - -pity Water Private Well Private System Shoreline Permit Y N .seat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y_ N Buildin Value ~ A /~ ) ~, .~ -• '' Sets of Prints ~~ Lf.O Other Plumbing Permit # ~~~' `'~~ WA. ST. BC. Fee (4.50 -New Const. Only) ~ '~ < Mechanical Perm it # TOTAL FEE ~ ~? ~ G? 7 >)'~ Plan Check By ~„ 1 ~ [~~~~f 0~ G(~~ Minimum distance of structure from property lines: ff Issued By "~~ ~') ~: °'^ Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form 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 a currently registered contract in the State of Washington. r' n Assessor Floor Plan and Permit Submitted / / uarterly Reports Signature ~~,G.~Q.--/(~c~~~.~,,. Date (,~ " J ~ ~''~ Assessor / / / f Firm: ,G~~ ,~.~ ~~~' ~'~ ~-. / Call~~~ ~"j,~ C..-r!,.'`~ f~~' TRPC / / r; CitX of Yelm -Permit Fees Site Address: 15315 & 15317 Berry Valley Drive SE, lot 15 ll i ~ ~ Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee (Sin le Family} $145.00 $145.00 `~ ~,a 805 Sewer Inspection Fee (MultiFamil /Comm./Industrial) $145.00+ $35.00/hr Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca aci $2480.00 x2 $ 4960.00 i j,~~ ~ (~ J Sewer ERU in the LID+LID Assessment $2480.00 Sewer ERU lots outside the LID boundaries $4850.00 Site Plan Water Latecomers 712 Water Meter $300.00 x2 $600.00 ~~~~~, Water Meter I.R.R 760 Water ERU's (inside ci limits) $1000.00 x2 $2000.00 /~ ~~, 760 Water ERU's outside ci limits) $1200.00 740 wtr 742 swr Consumer Deposit $90.00 x2 $180.00 /~ 7 100 Plan Review $526.32 ~~ ~~~ 032 Building Permit 6526 $ 1245.75 /~~~ 160 WA Building Code Fee $4.50 ~~~~~ 032 Mechanical Permit 5756 $ 149.80 l~ ~~ 032 Plumbing Permit 5641 $ 188.00 ~~ ~~ 030 Yelm Business License# 001279.0 Total $9999.37 420 Transportation Facility Charge School Mitigation Fee $1000.00 Confirm-ok 410 C+pen Space Fee DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE! CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 O ~^/ r Name ~ r/i ' N R Address ~/ i / p Site Address / ~ ,~~? c P ~ ' Assessor's Parcel No. ~ `~ .,~ P _~-- E R - Y r`i= Subdivision - r %; _ ,~, f ,~~~~t~ .~. Building Permit ~' -; F. ~'~~~, ~~~, r b Date ,,~ ~~ /~-~~~ ~ ~ (Work must be started within 120 days) S I ~ ':3. ,„ r <'t..t' ~>"rJe;l~ Phone(;ti/.~ ,.A/C~;~?Jr~ ~~ r~Y-l~ .(~ ~ , e? _ ~~ E pity (~' C ~/l!`~^ (~A~ State ~..tJ ~ i ~ .Zip Code `-~ ~] .'r^j '/- ~' ~_~ f ~!"~ ~ % y !~ ~% Lot Size (sq. ff./nacres) ~ ,, , ~:~: r~~r~; /a ~~ Lot ° '/ '`J Block Block Existing Structures, if any: Name ~-" /~/'> A hf t /1 ~ Address L/ ~~~ ~~..~ ~~ Contact C Phone ( ~~;n r,/,l;r~.. ` `/~ J City (~< >/r'1r,~:%J9 State ~~ -~'~' Zip Code "~T~/'S<,'/ Ucense No. ~ ~,) r~' ~~ .1 t t ~ Exp. Yelm Bus. Lic. No. 1) Description of Work ~! 11 . J r.~/ / ~ / ' , ,-` ~ -~~ri OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor. (lst) f i ~~ /`~, (2nd) !~~/ `~ ~: ij~ ~ ? ~j Residential ~` Sign Sewer Septic Approval No. Commercial Other ^.ity Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N ' Building Value c , ter} ~ -/.~ tal . A 4 ~ •~ ~~'~''~f "y~' ~~ ~ /~"" Sets of Prints ~ I Ly Other Plumbing Permit # ti~ f,,. ~f~7 WA. ST. BC. Fee (4.50 -New Const. Only) ~ ', ~~; Mechanical Permit # TOTAL FEE r- F,_~ ~ ~_ ,j ,U) ~ ...- Plan Check By ,J /rte U /r G//r:c~ - Minimum distance of structure from property lines: r Issued By /'!' ~ -'~-- Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form 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 shucture 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 ce?fy that I am a currently registered contract in the State of Washington. ~ i'~ Assessor Floor Plan and Permit Submitted / / ~uarterly Reports Signature ~~•'~,. •~~, ~~ t%~ T~ Date i~ - ,~ ~ ~ Assessor / / Firm: ~° ~ ~>. .~CJi~ ~ l-- cj'!`--' _ /G4 G. -'R'G TRPC / / City of Yelm -Permit Fees Site Address: i 5321 & 15323 Berry Valley Drive SE, lot 14 Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee Sin leFamil $145.00 $145.00 / -7 /~lt'l ~~ 805 Sewer Inspection Fee MultiFamil /Comm.lIndustrial) $145.00+ $35.00/hr Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca aci $2480.00 x2 $ 4960.00 /~ ~~`-~ Sewer ERU in the LID+LID Assessment $2480,00 Sewer ERU lots outside the LID boundaries $4850.00 Site Plan Water Latecomers 712 Water Meter $300.00 x2 $600.00 /~ I ~~ Water Meter I.RR 760 Water ERU's inside ci limits $1000.00 x2 $2000.00 ~~ ~~~`~ 760 Water ERU's outside ci limits $1200.00 740 wtr 742 swr Consumer Deposit $90.00 ~ $180.00 /~ ~~~~~ 100 Plan Review $526.32 ~~ ~~~~ 032 Building Permit 6525 $ 1245.75 /~ 7 ~~ 160 WA Building Code Fee $4.50 l,~ ~~~~, 032 Mechanical Permit 5755 $ 149.80 ~~ ~~C' 032 Plumbing Permit 5640 $ 188.00 ~/ J/,~ ~G' 7 030 Yelm Business License# 001279.0 Total $9999.37 420 Transportation Facility Charge School Mitigation Fee $1000.00 Confirm-ok 410 Open Space Fee DUE AND PAYA BLE AT TI ME OF PER MIT ISSUA NCE! CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 Building Permit ., Date ~ ~ ~ ' (Work must be started within 120 days) O `N N '~ ~ Name ~ y.r +~ P-~ ~ ~e f ' Y1 C 1 ~ ,r /r ~ --~ ~'~~.``.,~~ Phone CtiJ.-t:i) A '~l'Q _ _ _",; ,; ., .~ R Address "•"~/ ~ ~r`L"? ' ~ City •-_7 i~/; x?.~ State /. ~.~ Zip Code `l"~'3:`^ ~~,c' Site Address '(:r 1 ~_ f) % ~i 3 +~ i .! rrs. ~ ~ . ~._•- P ! ~ Assessor's Parcel No. ,;~ '`9'~ `; - ,'S! ' •- l.. /'(~~'(~ ~ Lot Size (sq. ft./acres) P R 1 Subdivision ~"`i~f-/i Ida /!' % ~ 'f , :- ~1 ,,,~ --~ ~ ,,.~ / Lot , ,+ ~~ Block r y OR Short Plat No. Block Existing Structures, if any: .~/,:,ti, Name ~ ,!Zj /~ Contact , f , ~, r,r Phone (_-~y~.) y~'c ~ ~ ~ A ,r . - Address '~i . L;~y ~ City _~ ~~ 3f ~,..~ O~.Jl State [ ..~ .~ Zip Code `~ r ~5" ?,'~. License No, /T~~ d "~` Exp. Yelm Bus. Lic. No. s•} • ~ "' ~ ~ -> Description of Work ~°`}^ ~ ~ d~;,, ~ -~ ~/~ OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor. (1st) /,;,~;~] <°~ (2nd) f ~l fl'r ." ,.;a•> ~ ~'~~ Residential ~- Sign Sewer Septic Approval No. Commercial Other ^ity Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value J .t ~ r-' ~' ~ %-- , yy Sets of Prints ~l L~' Other Plumbing Permit # -~ /P ~~ WA. ST. BC. Fee (4.50 -New Const. Only) a_J S [',) < Mechanical Permit # ~J~O.~~ TOTAL FEE a , / f f ~ Plan Check Bye i ~ f ~1~,~ Minimum distance of stuucture from property lines: Issued By ~7 , ~'ow Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form 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 a currently registered contract in the State of Washington. ~ _.. Assessor Floor Plan and Permit Submitted / / uarterly Reports '' ;~• Signature -- „~.~..• ~~. ~''.-~ •~~ _..~ Date ~ ~,- ~~ - C~C,.~ Assessor / / Firm: 1" " ~ / ~ `~~' City of Yelm -Permit Fees Site Address: 16320/16322 Birkland St. SE, Lot 16 Permit # Fee List Fees Due Recei # Comment 805 Sewer Inspection Fee (Sin le Family $145.00 $145.00''' l~(a7~ aZ 805 Sewer Inspection Fee (MultiFamil JComm.IIndustrial $145.00+ $35.OOlhr Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca aci $2480.00 2480.00 10204 i ERU $1000 prepaid Sewer ERU in the LID+LID Assessment $2480.00 Sewer ERU lots outside the LID boundaries $4850.00 Site Plan Water Latecomers 712 Water Meter $300.00 x2 $ 600.00 ~~.~~~ Water Meter LR.R. 760 Water ERU's (inside ci limits $1000.00 ~ $ 2000.00 ~ ~7~~ 760 Water ERU's outside ci limits) $1200.00 wtr swr Consumer Deposit $90.00 ~ $ 180.00 / ~7~ ~ 100 Plan Review $ 560.49 I ((7~0~ 032 Building Permit 6524 $ 1326.61 ~ ~7~ ~ 160 WA Building Code Fee $ 4.50 _ ~~'7(Pa 032 Mechanical Permit 5754 $ 123.30 I ~:71G ~ 032 Plumbing Permit Sb38 $ 190,00 ' ~07~~- 030 Yelm Business License# 99002303 Total $7609.90 420 Transportation Facility Charge School Mitigation. Fee $ 650.00 no 410 Open Space Fee DUE AND PAYAB LE AT TIME OF PER MIT ISSUA NC'F.! CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 r' Building Permit '. ~ ' " ~~ '~~ ,• Date /~~ _C%~ ;~~ ~~ ~'s.~, (Work must be started within 120 days) `N N Name ~ ' ,' ti _ ,~f ra % "' ,' ~ , ~ ~ " s,.. ? i Phone ( ..., ) t~ , .. ~ U R Address =~~% ~ `~ City K~''~ ,,~ ~ ~l~' State J~' Zip Code `'" ~~ /~(Ko Site Address ( `5() ~ ~o .~i,~; ~ r~` t,t% L <.A.r/ ~~~ ~ . P R o Assessor's Parcel No. ~ ; ~' ~, _ ' ,~ ~'.y (; . ,/, ~, Lot Size (sq. ff./acres) P R '"'? Subdivision ~!~ ,fJ 1 r/ l ~~~ /r.~~t` ~r'--~ ~ ' ~ ~~~, , ~ Lot / °j Block T rA y OR Short Plat No. Block Existing Structures, if any: ~ C o Name ~ Contact .~~ t Phone :' / )) ~ . t : - r"" ~, ~ Address j-'' ' ~' ! -~ City !<.,~/ , 1r"'r' State y r~ Zip Code ~ ~' ~; ~ Ucense No. ~ Exp. Yelm Bus. Lic. No. r~~~CJ- ;) __ = ~~ ` .r" Description of Work ~~ ~ _ ; ~~ 1 .y~ ~ OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor. (lst) r°I (2nd) ~~~f~~f %'.7,1 `~~ Residential ~ Sign Sewer Septic Approval No. ~ Commercial Other 'ity Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N ' ~ Building Value ' ~ [ f~(f • ~ ~', ^J Sets of Prints / C.y Other Plumbing Permit # " ~ Mechanical Permit # ~~ f~ •~ WA. ST. BC. Fee (4.50 -New Const, Only) , S _ TOTAL FEE ~ z ~ ~~/ ~ ~' ! Plan Check By J ~ ~~~d ~! "~~~~ C'~ ( Minimum distance of structure from property lines: Issued By ._..~ ~ Front to of Road i Finallnsp: / / Side Side Rear Owner L & I Form ` Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. Quarterly Reports ~'~ Date / ~ -_ L Signature ~ ~ , ' - ~ ~ Assessor / / , ~,, Firm: ~""~; ("~T , ~ TRPC / / Cit~Yelm -Permit ,Fees Site Address: 16302/16304 Birkland St. SE, Lot 13 Permit # Fee List Fees Dne Recei t # Comment 805 Sewer Inspection Fee $145.00 $145.00 ~7 ~~~ ~ ~ Sin le Famil) p 805 Sewer Inspection Fee $145.00+ MultiFamil /Comm.Mdustrial) $35.00(hr Sewer Latecomers 802 Sewer ERU approved under $2480.00 2480.00 10204 1 ERU $1000 prepaid 1994 Sewer Ca ci Sewer ERU in the LID+LID $2480.00 Assessment Sewer ERU lots outside the $4850.00 LID boundaries Site Plan Water Latecomers 712 Water Meter $300.00 $ b00.00 ~ ~ ~7~ ~ Water Meter I.R.R. 760 Water ERU's $1000.00 $ 2000.00 ~ ~~ ~ t inside ci limits x2 P a o 760 Water ERU's $1200.00 outside ci limits 740 wtr Consumer Deposit $90.00 $ 180.00 1 J ~~~ 10 742 swr ~ 100 Plan Review $ Sb0.49 / ~~~~ 032 Building Permit 6523 $ 132b.b1 ~ ~~~ 1 b0 WA Building Code Fee $ 4.50 / 032 Mechanical Permit 5753 $ 123.30 i ~7/ 032 Plumbing Permit 5639 $ 190.00 ~ ~.z~, 030 Yelm Business License# 99002303 Total $7(09.90 420 Transportation Facility Charge School Mitigation Fee $ b50.00 no 410 Open Space Fee DUE AND PAYA BLE AT TIME OF PER MIT ISSU ANCES ,' CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 ~ ~ d$~ _ ~ Building Permit r° Date ~ ~ ` ~ ~ - ~ ~,~~ (Work must be started within 120 days) 0 N Name ;, ~ Phone (:',i~) .~~~ - ~7L, i R Address ` • ~',} ~ (ii,l,,1i- v,J <<~~ ~' City J' ;~-, , t, , State ' Zip Code ~~'~ e'S jz Site Address / ~ '`' ~. , ~ P O Assessor's Parcel No. ~°i c>C/G' .• / , ; '%~ Lot Size (sq. ff./acres) P R Subdivision I r J t,: J [;~`,~ Lot Block r Y OR Short Plat No. Block Existing Structures, if any: C ' ~ o Name ' •, ~ ~`a r.I ,A Contact Phone ( j"2- ) ti .. , ~ ~ ° c'~ ~ % *~ ~j , , n Address ` (l ~ „~~ - ? -; ~ City ~°~ ~ ; ~ State J Zip Code ~_; ;7 ~ License No. U ~~ /~ 1 ~ '•' ~ Exp. Yelm Bus. Lic. No . ~~~- ~ " /~-' Description of Work `~, J..= ~ OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) ~ ,~ ~ (2nd) ~ (, '>~(i' - ~ i Cl Residential Sign Sewer Septic Approval No. Commercial Other ''ty Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~ ~ ~ /ii. G u '/'/ /, / Sets of Prints j!/~ ~F~ Other Plumbing Permit # ~~ ~° -~ WA. ST. BC. Fee (4.50 -New Const. Only) ~ ~ t v~ Mechanical Permit # •-~ ~ ~ ~ TOTAL FEE ~ / -; ~ ti5 ` Plan Check By ••L-~Y"" „' ~.' '. Minimum distance of stuucture from property lines: Issued By ~ ~~ -~c...=•- Front to of Road Finallnsp: / / Side 'Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 fyrther certify that I am a currently registered contract in the State of Washington. ,~ ~% ,--%'~' i Quarterly Reports Signature ~ ~~/ ~! s~,/.// '_'~ Date !,: f' /~ ; t." / f L' Assessor / / ~ ' -~ , Firm: ~;~ - y~ J t ' ' ,l ,l TRPC / / l;' t ,. City of Yelm -Permit Fees Site Address: 14822 Prairie Vista Loop SE, Lot 46 Permit # Fee List Fees Dae Recei t # Comment 805 Sewer Inspection Fee (Sin le Famil ) $145.00 $145.00 805 Sewer Inspection Fee MultiFamil /Comm./Industrial) $145.00+ $35.00/hr Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca aci $2480.00 10215 $1000 prepaid Sewer ERU in the LID+LID Assessment $2480.00 Sewer ERU lots outside the LID boundaries $4850.00 Site Plan Water Latecomers 712 Water Meter $300.00 $300.00 Water Meter I.R.R. 760 Water ERU's (inside ci limits) $1000.00 $1000.00 760 Water ERU's (outside city limits) $1200.00 740 wtr 742 swr Consumer Deposit $90.00 $90.00 100 Plan Review $ 471.93 032 Building Permit 6522 $ ].117.01 160 WA Building Code Fee $4.50 032 Mechanical Permit 5751 $ 84.90 032 Plumbing Permit 5637 $ 118.00 030 Yelm Business License# 00379.0 Total $3331.34 420 Transportation Facility Charge School Mitigation Fee $650.00 Confirm 410 Open Space Fee DUE AND PAYA BLE AT TIME OF PER MIT ISSUA NCE! CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 r, /~ ~~ ~~~~ ~~> 7 ~ Building Permit Date ~~ ~ '~'" ~~~~'~ (Work must be started within 120 days) O w _ ~~, Name - ~ ~ % i /1 t jC M ~ /'h Phone C i. ~ v ~~O " C.3C~' ~~ N E R Address r'~~/ ~~ (' /) . ~ , . ; /~l ~ w. '' City / r ~JZ State ,' (/}~ Zip Code =r ,' ' ~ `, Site Address ,f y ~ ~ t';, ;I ~ ~~ P ~ Assessor's Parcel No. '~^a f c'~ (~^ !1 f.) ,, -) t ") (~ ~ Lot Size (sq. ff./acres) P E Subdivision + r Lot ~ Block R T y OR Short Plat No. Block Existing Structures, if any: Name ,*~'~ • . _.~1d ~~ s~ r ~.+ ~ ~. Contact !<' ...ter S Phone =; `'~ ~ ~ ~J ~.: > L; .j C~ -- ~k 7 Address / :~ ~-? ~ 4,~- / C .~, s., , r / h-} l~!/rl ~ City {~ i..~i_„~ p/ J ~1 L-d~ State r <%,,.~} Zip Code ~f ~ ~ 7,~ Ucense No. ,~ 1 ~ ~" ~, "~~~_ Exp. Yelm Bus. Lic. No. C°f~ ~ ; / ~'. Description of Work ,- -~"' ~> OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential ~~" Sign Sewer Septic Approval No, Commercial Other "ity Water Private Well Private System Shoreline Permit Y N neat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N .---~- ~ Building Value Sets of Prints t' ~ l~r' Other Plumbing Permit # ~~ ~'~ CP Mechanical Permit # ~~ ' ~ ~~ WA. ST. BC. Fee (4.50 -New Const. Only) . TOTAL FEE Plan Check By -~-~y~'"f /~ ~ Minimum distance of structure from property lines: Issued By : , ~-~_ Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. .~ °` '~~,rO~`'' ~ Quarterly Reports ~.,~~.. , ~~ i;, Signature ~%',' /~ % ~ ~~ - Date ?; L%~7 ,~f~ Assessor / / 0 i ,~. ~ , / Firm: ~% _ ' 9 ~ ~ .- „ %~,,~. ~ .~.~~ TRPC City of Yelm -Permit Fees Site Address: 14802 Prairie Vista Loop SE, Lot 42 Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee (Sin le Famil } $145.00 $145.00 805 Sewer Inspection Fee (MultiFamil !Comm./Industrial) $145.00+ $35.00lhr Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca aci $2480.00 10215 $1000 prepaid Sewer ERU in the LID+LID Assessment $2480.00 Sewer ERU lots outside the LID boundaries $4850.00 Site Plan Water Latecomers 712 Water Meter $300.00 $300.00 Water Meter LR.R. 760 Water ERU's (inside ci limits) $1000.00 $1000.00 760 Water ERU's (outside city limits) $1200.00 740 wtr 742 swr Consumer Deposit $90.00 $90.00 100 Plan Review $ 471.93 032 Building Permit 6521 $ 1117.01 160 WA Building Code Fee $4.50 032 Mechanical Permit 5749 $ 84.90 032 Plumbing Permit 5636 $ 118.00 030 Yelm Business License# 00379.0 Total $3331.34 420 Transportation Facility Charge School Mitigation. Fee $650.00 Confirm 410 Open Space Fee DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE! ~' ~ t CITY OF YELM Building Permit ~~ ~; `? BUILDING DEPT. / , ~ ~ O ' ' 3~ ` / ~ Phone: (360) 458-8407 Date ~ ` FQX: (360) 458-8417 (Work must be started within 120 days) `N Name ~ t ! ~n t r ~E.~ Phone (~' ` ) <' "'~- N E R _ ~ Address i- `D _ y '~' /Y r,'`"' City 1 ',, ,:f G± ~ :State (..qj ip Code ,~ ~ ~, ~ ~ ' Site Address / ;~~-~{~ to C. ^~ ... P R , ~, Assessor's Parcel No. "<, / ~ r r.~ , (~ ~ Lot Size (sq. ff./acres) 0 P R Subdivision / ~ ,t , r f' r r ,~ {' Lot ^~" Block r y OR Short Plat No. Block Existing Structures, if any: ~ ~~ "~- C - o + - ? ~° Contact Phone ( Name ' ) Address "' r"'~ ~~',', ~~ < J" City ~ ;? ~ ~,,,-/~ ~ State 3 Zip Code f ~ ~ ~ F Ucense No. ~ ,! , !^ i "'- ~ f Exp. Yelm Bus. Lic. No . Description of Work ;~ _ t~ ~ OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (lst) ~ ~ (2nd) Residential Sign Sewer Septic Approval No, Commercial Other "ity Water Private Well Private System Shoreline Permit Y N --Meat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value G: T ~ `.~ ~ ('rid ~ ~~ Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) y ~ )~J Mechanical Permit # TOTAL FEE ~'` t ~ r / Plan Check By f ~r ~-.... f'' Minimum distance of structure from property lines: Issued B y Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. Quarterly Reports Signatur ~ ~~` Date ~ ,~,1 Assessor / / Firm: TRPC / / '~~~~ T~ ~ i, ` ~ ~ City of Yelm -Permit Fees Site Address: 15407 107th Lp SE, Lot 29 Permit # Fee List Fees Dne Receipt Comment 805 Sewer Inspection Fee Sin le Famil ) $145.00 $ 805 Sewer Inspection Fee (MultiFamil /Comm./Industrial) $145.00+ $35.00/hr Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca aci $2480.00 Sewer ERU in the LID+LID Assessment $2480.00 Sewer ERU lots outside the LID boundaries $4850.00 Site Plan Water Latecomers 712 Water Meter $300.00 Water Meter LR.R. 760 Water ERU's inside city limits) $1000.00 760 Water ERU's outside ci limits) $1200.00 740 wtr 742 swr Consumer Deposit $90.00 100 Plan Review $123.72 032 Building Permit 6520 $190.34 160 WA Building Code Fee $4.50 032 Mechanical Permit 032 Plumbing Permit 030 Yelm Business License# Total $318.56 420 Transportation Facility Charge School Mitigation Fee 410 Open Space Fee DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE! i ~ ~ ~; i.` CITY OF YELM Building Permit BUILDING DEPT. / Phone: (360) 458-8407 Date Ie ~ 1 f ~~ '~` 1 r~' t_ -. Fax: (360) 458-8417 (Work must be started within 120 days) w N Name ~~~ ~-- ~ v1 C Phone C ) `~' ~, ' i./r ~. YCi j R Address j~ ~ . City ~ /[-"v e1~- State ~...c.J 0~'} Zip Code ~ i3 ~ ~ 1 ~.S ~ ~` Site Address `jam '7 ~j T P R 0 Assessor's Parcel No. Lot Size (sq. ff./acres) P R Subdivision Lot Block T Y OR Short Plat No. Block Existing Sfructures, if any: y . ~~) y- _wr~'G .~, "'-'"" C o Name y~ ~'" ~ r ; p ~,,,, ~~~ ~, , G ~ Contact y( .~ y_.~ Phone( ) R Address City State Zip Code Ucense No. Exp. Yelm Bus. Lic. No. Description of Work OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign `~ Sewer Septic Approval No. Commercial Other - "'ity Water Private Well Private System Shoreline Permit Y N `~ - neat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value - i~ ~ Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE ~ ~ ,} ,~- Plan Check By Minimum distance of structure from property lines: Issued By :'"~~,~ Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Applicant's Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / and correct. I also certify that the proposed stuucture 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 a currently registered contract in the State of Washington. Quarterly Reports Signature Date Assessor / / Firm: TRPC / / ~ ~ ~ / ~ / CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 r t ~ tr^; ,r'' ~,~' % ~,~ ~,< Building Permit Date (Work must be started within 120 days) o ~_ N Name ,~ }G'n+~•'~i +~il < ~L w~f E r R Address < <. j/c.~ , `7 , Site Address ' ~ ~ j",='~r li P R Assessor's Parcel No. f ,• y 0 P R Subdivision ;~ C ~ / T V nn cn~rt pi„+ nip Phone (:a b ~ :~ ~ ° c~c;~ Ci~ ~.~.. Lot Size (sq. ff. Lot Block Block Existing Structures, if any: N ., Name ; ~, ~,; ~ i (`, ~,. Contact Phone E,i ~) ,~ ~; ' _;~ .~ ~ T Address ~ ~'" ~} ,~~ J ~~ City !i~{ ;;" State Zip Code ~ '~ j -~~ ~ , License No. ,-. r ~.~ %j ,~ '/ Exp. Yelm Bus. Lic. No. ~ ~ "~; "? r, Description of Work ~~ j~_ OFFICIAL USE ONLY ' Permit Type: Sq. Ft. per floor (1st) ~ ' ~,;a (2nd) ' ~„~ ,r/ Cf r;/~;,- Residential "" Sign Sewer Septic Approval No. Commercial Other "'ity Water Private Well Private System Shoreline Permit Y N ~~-neat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value . -; _ ~'., ~ -X r` , ~ i' ~ ~.~ ~~ Sets of Prints ~"~' (,~ Other Plumbing Permit # ..`> lc ~ WA. ST. BC. Fee (4.50 -New Const. Only) <~ S ~~ Mechanical Permit # -~ 7 ~~~ TOTAL FEE ~ `, ~ ~ ~ / Plan Check By -L.~~ !" _ Minimum distance of structure from property lines: Issued By (? ~--~"'""- Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form 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, II"fuc$her certify that I am a currently registered contract in the State of Washington. ~,~ ,"" / '~ .69 i Assessor Floor Plan and Permit Submitted / / uarterly Reports ~ i. ~ Signature % '!; ,';/ ~ ~ ~ ~'~ ~`_, Date ~I ~ / ~', ~ _ '~ II (.. ' ~, V Assessor / / Firm; :N ~: , ,'; 1-.! ~+, , ~ a;( TRPC / %r / .~.~ ~f~J~i ~>~ State ,. City of Yelm -Permit Fees Site Address: 14834 Prairie Vista Loop SE, Lot 47 Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee (Sin le Famil ) $145.00 $145.00 805 Sewer Inspection Fee MultiFamil /Comm./Industrial $145.00+ $35.00/hr Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca acity $2480.00 10215 $1000 prepaid Sewer ERU in the LID+LID Assessment $2480.00 Sewer ERU lots outside the LID boundaries $4850.00 Site Plan Water Latecomers 712 Water Meter $300.00 $300.00 Water Meter I.RR 760 Water ERU's inside ci limits) $1000.00 $1000.00 760 Water ERU's outside ci limits) $1200.00 740 wtr 742 swr Consumer Deposit $90.00 $90.00 100 Plan Review $ 471.93 032 Building Permit 6518 $ 1117.01 160 WA Building Code Fee $4.50 032 Mechanical Permit 5748 $ 84.90 032 Plumbing Permit 5635 $ 118.00 030 Yelm Business License# 00379.0 Total $3331.34 420 Transportation Facility Charge School Mitigation Fee $650.00 Confirm 410 Open Space Fee DUE AND PAYA BLE AT TIME OF PER MIT ISSUA NCE! CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 ~. Fax: (360) 458-8417 o ..-, N Name ~`S,G; ~,) 1.i ~,,J,%t /f 1~-~ E ~ -. R Address ~ n ~_.-/ Site Address u ~ /~c:.J k'.7 , P ~ Assessor's Parcel No. ~ ~i ' J P R Subdivision V l /,g + / ,, T Y (~R Shart Plat No. a /~ ~ A~''''' ~~@ Building Permit Date ~~~ ~~~ ~'~ ~'~~~ (Work must be started within 120 days) Phone -, ', city ,`'." ~ ..r:.A l l..d'~ state ~11.~f `... Lot Size (sq. ff./acres) Lot ~-~ ~~ Block Block Code `/r~ ~ j.z Existing Structures, if any: C o Name ~ ~ .~ J ~ h I Contact Phone . ;~ ~ ~ ? "J jr1 Address ,-~ ~ S ~../! c ~' ,./' ~~ r City f`t c.,. "' 'State ; ~ Zip Code ~-~~~ ~ !~ ~ Ucense No. ~ ° ~ 7 ~ ~, ,r ~ Exp. Yelm Bus. Lic. No. ' r L~ ,.j - ~~ Description of Work '~z~ OFFICIAL USE ONLY Permit Type: -° (2nd) I R .~,'~ ,, A , ~ ~ 4 l `-"^ Sq. Ft. per floor: (1st) , ~ C. Residential ~~ Sign ~_, Sewer Septic Approval No. Commercial Other _ "'ity Water Private Well Private System Shoreline Permit Y N ~--neat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N ~~ r ~ ~' Building Value ~ :~ -" '~~;; /,~ ~ ~;. ~~ r"(~ ~ ~~ Sets of Prints Other Plumbing Permit # ~~ ~'J cf 5 ~ ` / WA. ST. BC. Fee (4.50 -New Const. Only) . ~~~ Mechanical Permit # TOTAL FEE ,; ti/~ - `~~ Plan Check By .I~'F'" _ Minimum distance of structure from property lines: Issued By ~7 ("~~-,- Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 fyrtber certify that I am a currently registered contract in the State of Washington. ~~ ,~r f ,~ Quarterly Reports Signature ,, ' Date ~ ~. ~! Assessor / / ~ Firm: "'~ _ , n,- c-_~ ~ .~ r r TRPC / / City of Yelm -Permit Fees Site Address: 14840 Prairie Vista Loop SE, Lot 48 Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee (Sin le Famil } $145.00 $145.00 805 Sewer Inspection Fee MultiFamil /Comm./Industrial) $145.00+ $35.00/hr Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca aci $2480.00 10215 $1000 prepaid Sewer ERU in the LID+LID Assessment $2480.00 Sewer ERU lots outside the LID boundaries $4850.00 Site Plan Water Latecomers 712 Water Meter $300.00 $300.00 Water Meter I.R.R. 760 Water ERU's inside ci limits $1000.00 $1000.00 760 Water ERU's outside city limits) $1200.00 740 wtr 742 swr Consumer Deposit $90.00 $90.00 100 Plan Review $ 509.53 032 Building Permit 6517 $ 1206.00 160 WA Building Code Fee $4.50 032 Mechanical Permit 5747 $ 84.90 032 Plumbing Permit 5634 $ 118.00 030 Yelm Business License# 00379.0 Total $3457.93 420 Transportation Facility Charge School Mitigation Fee $650.00 Confirm-ok 410 Open Space Fee DUE AND PAYA BLE AT TIME OF PER MIT ISSIJA NC'F,! CITY OF YELM` BUILDING DEPT. Phone: (360) 458-8407 ,,.. ~.M1 Fax: (360) 458-8417 vN/ Name - --, f ~~' [~ t,t.~o'! (i ~ Cti~(1 l'-'LO S Phone . ? " ~'" :~ ~ - .~-;f'; ' ~ R Address / ->( ~M ~~ ~ ~: t: r, ~ ~~ City ~- ^ ~ State t, ~~ ,21p Code ~ . ~ ,~ .,.'~ Site Address % ~/~ ( '~ -~~",~ , ~ l ; , / -,/ P ~ Assessor's Parcel No. i~ ,/ rx , ~ "" ~ '; ~: .t ~, ~ Lot Size (sq. ff./acres) P ~ R Subdivision ~.i ~ ~ ~' ,1 ~ Lot ~.~t Block T y OR Short Plat No. Block Existing Structures, if any: C ' ~ - o -. Name r '`,,,~,; , f `, +x~.* .1 Contact Phone EJ .~. '~ .) ~::' ~ ~.. ~'~:,~r % ~~ T ~ .~ Address --" j °~ ._ / ~-- , ~ s ~ ~c a, r.~ ~.-l~ ~ City C "i.;~ d~~att _ :) State r ~ ,'i;~ Zip Code ~, ~_/ - ~ Ucense No. *;'., .~ .r.' ~.~ ~ "1"'~ Ex Yelm Bus. Lic. No p• . ~'" ~'~ "'f'' _ 1~ -s Description of Work ~ OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor. (lst) ~ ~ M~ (2nd) (; i ~!'~ ,r;+°I~ 9al ,~± Residential ~' Sign Sewer Septic Approval No. Commercial Other `"ity Water Private Well Private System Shoreline Permit Y N ~ ~eat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value r ~ ; . y'~ ~ ~ `f' y ~ f ~ ,..:%~) i Sets of Prints i < ~, Other ~- ~~_. Plumbing Permit # .; ~~~ ~- . S ` ~ ~ ~r ' WA. ST. BC. Fee (4.50 -New Const. Only) ~~- . ~ t .a ~~ Mechanical Permit # ~F TOTAL FEE ~ ~ '"" Pl Ch k B . ~ -'" ~ ° dam f ~ an ec y ~~ . f /1 ` ? ~ ~~~""' Minimum distance of structure from property lines: ; - Issued By <' Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. ~ !~ / Quarterly Reports ' , Signature ,;~ ~ ~` ~~ i' ~ ~ 4.t, Date ~ ° ~ ~!~ ~ , .>/ Assessor / / :<~ ,~ ~ r ` I Firm: ~ ~ i ` ,i - ~ rC ~.., , c TRPC / / //f/ r r 6 ~~ ~"~~~ ~~~ Building Permit' !° ~~. ~ r' ,/ ,y<, . Date ,,~/ ...~~ ~,"` `,~L (Work must be started within 120 days) City of Yelm -Permit Fees Site Address: 14808 Prairie Vista Loop, lot 44 Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee (Sin le Famil ) $145.00 $145.00 805 Sewer Inspection Fee MultiFamil /Comm./Industrial) $145.00/ ERU Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca aci $2480.00 10215 Prepaid sewer Sewer ERU in the LID+LID Assessment $2480.00 Sewer ERU lots outside the LID boundaries $4850.00 104 Site Plan Water Latecomers 712 Water Meter $300.00 $300.00 Water Meter I.R.R 760 Water ERU's (inside ci limits $1000.00 $1000.00 760 Water ERU's outside ci limits) $1200.00 740 wtr 742 swr Consumer Deposit $90.00 $90.00 100 Plan Review $ 477.68 032 Building Permit 6516 $ 1130.62 160 WA Building Code Fee $ 4.50 $ 4.50 032 Mechanical Permit 5746 $ 91.40 032 Plumbing Permit 5633 $ 118.00 030 Yelm Business License# 00379.0 Total $3357.20 420 Transportation Facility Charge School Mitigation Fee $650.00 Confirm payment 410 Open Space Fee DUE AND PAYA BLE AT TIME OF PER MIT ISSU ANCE! CIN OF YELM BUILDING DEPT. Phone: (360) 458-8407 :.---., Fax: (360) 458-8417 i Building Permit .~ Date - ~;,~'~ _ ~ >/~~~~~~ (Work must be started within 120 days) N Name t`_~ ~1 >•' G L~,,," /JC l E -, R Address l .- ~~ t' ~ ,u, r , Site Address / ~ ~/ ~ l; ~~ ,--a r ;,.= , r P o Assessor's Parcel No. ~° ' !~ ,;i,~i; l P R Subdivision ~ J f ~ / l " P .-=.~. T Phone City .~", l,~r ~ 7 State t ;~..~~ .;-~r - Lot Size (sq. ff./acres) Lot f x~ Block Block Existing Structures, if any: N T ---~ ~' Name ...~~l;i ,,.-;~ c, ~ i~ ~,'~ ~ S Contact ,~ e ~ _~r, l ~ -~ Phone -~ - ~ , /) ~~ Cat /~. R ~ ) Add // ~ ~ t ` ~ ress ~ _ ~ J ~ rat nJ ~ ~ ~, ..,+ ~:. " Ci C1 ~ L "' tY ~" %1r State ~ Zip Code fi / -~ ~ r. , , License No, r } f ;,~ „~ ~- ,.~! ; ~ ~-.> '~ -; Exp. Yelm Bus. Lic. No, c'i ~) ~ ;, '1 i. ~? Description of Work ~ , ~== ~'" OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor. (1st) ," ~" y °~~ (2nd) ~ - ;;, ~ Residential ~' Sign Sewer Septic Approval No. Commercial Other ""'ity Water Private Well Private System Shoreline Permit Y N " 1~--neat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~ . `I ?, t 1. _J i ~, ,, ~y ,~ ~., ~' Sets of Prints Other Plumbing Permit # ._`_? ~..~ , WA. ST. BC. Fee (4.50 -New Const. Only) y; t, yLi~ Mechanical Permit # ~-~ ~' ~~^~~ TOTAL FEE . ".^ ~ .~ ~~ ~: Plan Check By ~, L -' ~~"" Minimum distance of structure from property lines: / Issued By "~i` t r-, Front to of Road Final insp: / / Side Side Rear Owner L & I Form Applicant's Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true Submitt d and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm regulations includin e / g those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I fu~ttler certify that I am a currently registered contract in the State of Washington. ,~r%: '~ +'~ ~ / " Quarterly Reports ~, _ , Signature ,% ~,; ~ '~-~~,,~ Date ~f r`~~t; `~~%~'~'~ Assessor / / d ~.'] ~ Firm: fy;- ~~ 1. ter, i ~ r' ~ V TRPC / / ~_ I, •~i,~~ /-c , =.~, _ . ~ 7 ~._. Zip Code ,I~ ,~ ,; !, ;% •~ City of Yelm -Permit Fees Site Address: 14806 Prairie Vista Loop, lot 43 Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee (Sin le Famil ) $145.00 $145.00 805 Sewer Inspection Fee MultiFamil /Comm./Industrial) $145.00/ ERU Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca aci $2480.00 10215 Prepaid sewer Sewer ERU in the LID+LID Assessment $2480.00 Sewer ERU lots outside the LID boundaries $4850.00 104 Site Plan Water Latecomers 712 Water Meter $300.00 $300.00 Water Meter I.RR. 760 Water ERU's inside ci limits $1000.00 $1000.00 760 Water ERU's (outside ci limits) $1200.00 740 wtr 742 swr Consumer Deposit $90.00 $90.00 100 Plan Review $ 448.92 032 Building Permit 651.5 $ 1062.54 160 WA Building Code Fee $ 4.50 $ 4.50 032 Mechanical Permit 5745 $ 84.90 032 Plumbing Permit 5632 $ 111.00 030 Yelm Business License# 00379.0 Total $3246.86 420 Transportation Facility Charge School Mitigation Fee $650.00 Confirm payment 410 Open Space Fee DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE! CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 i---,, Fax: (360) 458-8417 _~ (Work must be started within 120 days) o l/ 1 ~ N Name A h~/2' l ~'1Lr~ ~/./.I~G ~7'i R Address ~ Z C ~ I C~, (_X :.~7' .,~ Site Address ~ ' ~ P R Assessor's Parcel No. 0 P R Subdivision ~ a T Ci Y n~ ct,~rt pin+ N~ iS Block Block Existing Structures, if any: Name ~ ~rl ~f ~ y- ~~ 10e'w"7~"...~ Contact ~ ~~f ~ /,~~ ~ ~ Phone („j " . ~%~ ~' - i ' ~~ T R Address ,. %~) ),°`~ ~ ~' C.~ ,,') T ~ City ; _~ C ~iYS-, ~ State ; ~~ Zip Code '-j ~1 `s 4^ ~ ~ O R r Ucense No. ,+~ ;~,r~ r`~' lc' { ,~ _~.:. ( Exp. Yelm Bus. Lia No. -~:~ ; -? :. ~' ~ (~, Description of Work ~. rc-=~,~ ~ OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) j ~,*' ,~ ,"' (2++eF} ,~-~ ~ rr r r C _~ t~ ~ Residential Sign Sewer Septic Approval No. Commercial Other ""ity Water Private Well Private System Shoreline Permit Y N ~-neat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value % :.' ~' t'~ ~ ~ •~ r t °7~1, =:i ~ Sets of Prints _ , Other Plumbing Permit # ~ ~.p T' ~ WA. ST. BC. Fee (4.50 -New Const. Only) { f y ~ • ~,~ 1 ! Mechanical Permit # :~ ~ t~'~ TOTAL FEE p.a;°J ~~ ~~ ~ 11 Plan Check By ~ ~ •l_%~..• f` {i°._rt~ Minimum distance of structure from property lines: Issued By t ~, ~r~ Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form 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 a currently registered contract in the State of Washington. Assessor Floor Plan and Permit Submitted / / uarterly Reports / y1' /, / Signature -; ;.~ ~ ~,~ fi ~ f r'~-; ~;4 Date Assessor / / Firm: TRPC / / l'-' , ' ,~,; t"a Phone Lot Size (sq. ff. Lot ~' r City ~~ ~~ ;r`/~ r,. ;, Building Permit f./ " ~~ " ~' Date /9 : c.-y~.-vr~ State ;ode 7 ~~ ~~ %/ ~ ~ City of Yelm -Permit Fees Site Address: 14949 105`" Ave SF. Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee Sin le Famil ) $145.00 $145.00 805 Sewer Inspection Fee (MultiFamil /Comm./Industrial) $145.00+ $35.00/hr Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca aci $2480.00 10160 $1000.00 Prepaid Sewer ERU in the LID+LID Assessment $2480.00 Sewer ERU lots outside the LID boundaries $4850.00 Site Plan Water Latecomers 712 Water Meter $300.00 $300.00 Water Meter LR.R. 760 Water ERU's inside ci limits) $1000.00 $1.000.00 760 Water ERU's (outside ci limits) $1200.00 740 wtr 742 swr Consumer Deposit $90.00 $ 90.00 100 Plan Review $ 370.49 032 Building Permit 6513 $ 876.92 160 WA Building Code Fee $4.50 $ 4.50 032 Mechanical Permit 5744 $ 84.90 032 Plumbing Permit 5631 $ 97.00 030 Yelm Business License# 99-02383 Total $2968.81 420 Transportation Facility Charge School Mitigation Fee $650.00 $650.00 Confirm 410 Open Space Fee DUE AND PAYAB LE AT TIME OF PER MTI' iSSi1A Nf'T,i /~~, ,~ ~ ~ - :,~~ CITY OF YELM Building Permit <~ BUILDING DEPT. ° Phone: (360) 458-8407 Date !~ ~' / '~ rJ L~' t~ ~~ ~--, Fax: (360) 458-8417 (Work must be started within 120 days) r ~..~, ~ ~• Phone ~ ~) ~j ~ c ! ~ Sj N Name `„~ ~~ - n R Address 7 ~~ C ~ S ~ ~ City ~i State Z, ~ Zip Code / ~ l~' ~` Site Address ~., ,> ~" .- l`_" P R Assessor's Parcel No. 'rr` ~ 1 Lot Size (sq. ff./acres) O P ~ ,.- }" Lot j' ~, Block R Subdivision _ T ~: y OR Short Plat No. Block Existing Structures, if any: C o Name l rs , l' Contact ~° ~.-~ ~ ,r r,., ~ Phone (o,J ~ ? ~,- ~~, .- ! T ,~-" Address ~ ' -, r° ,/ ~ ~=-, `~ City j%fr ~ ~ State y,,,°,} e~ Zip Code ~~ ~C}(/~ Ucense No. ~ ~~ ~~°' ~"~ ~~ ~ Exp. Yelm Bus. Lic. No. `]' -^ ~; ~^~ / ,3 ~ ~ ~'~ Description of Work ^'=, ~- ~ OFFICIAL USE ONLY Permit Type: Sq. Ft, per floor: (1st) ~ ~ (2nd) ~' i / ~. "~ ~' Residential Sign Sewer Septic Approval No. Commercial Other '^ity Water Private Well Private System Shoreline Permit Y N '' Meat: Electric Gas / Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~(~ ~ ,~ ,~ , % ~jf c- -7 ~ _ Sets of Prints t ~~ Other Plumbing Permit # sc: -'.~ WA. ST. BC. Fee (4.50 -New Const. Only) -~- ~j Mechanical Permit # ~ ~ 0..i ~` TOTAL FEE ~y'' ,7(~ ~~^ 7 ~.~ _ _ Plan Check B y ,~ ~Z Minimum distance of structure from property lines: . , /' ~ , Issued By !."r i1- -_~-•~-•.. Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form 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 a currently registered contract in the State of Washington. Assessor Floor Plan and Permit Submitted / / uarterly Reports Signature ! ~ ~'n /~/,~~ Date ~ " ? - G,~ Assessor / / Firm: TRPC / / - -, ~_ s . .".'J '.. b CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 . ~ =~, Fax: (360) 458-8417 \,-' Building Pe/r/mit ..gg Date / / " ~r~ °~ ~v ~~'~ (Work must be started within 120 days) o N _ Name ~' ~ s ~ ~ Phone (~f,~ j - E R Address ~ ~,~' . ,,,. r /~P ~- i~ ,7 L,./ G u G7 i ,. ~. - Y~ pity -;j°~ State f.~l~" Zip Code ~G i~ ~+`s'u~ti Site Address (~ ~~ - P ~ Assessor's Parcel No. ~ y' > ~ Lot Size (sq. ff./acres) P R Subdivision Lot Block ~ OR Short Plat No. Block Existing Structures, if any: C o Name Contact Phone ( ) R Address City State Zip Code ~ Ucense No. Exp. Yelm Bus. Lic. No. Description of Work l~C~ >rr C. .; f~.t ~~ y, i r \ / OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor. (lst) " > ~-, / ~ ,- n , , r'rh T ' ~ y ~7 Cam}) [~,, ~`_ 4 c, ~,'~ Residential Sign Sewer ~ ''~ ,,Y!_;~ Septic Approval No. Commercial '-°°" Other ^ity Water ~, Private Well Private System Shoreline Permit Y N ~'-r?eat: Electric / Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~)0 t ~ S""+ 1~'~ *~ ~/~ 'Zi/r~ ~ / Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4,50 -New Const. Only) ~ °, ~ ~ Mechanical Permit # TOTAL FEE ~' /r r/f `¢e ~ Plan Check By ~7. (~.-._ Minimum distance of structure from property lines: / Issued By /°7' Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Applicant's Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true Submitted and correct. I also certify that the proposed structure is i nformity with all applicable City of Yelm regulations including / / r those governing zoning and, subdivision, and in midi n, all covenants, easements and restrictions of record If . applying as a contry~ctor, I further ertify that I am ~urre~tly gistered contract in the State of Washington. ~ -~' r ,,.~ '`r Ci > ~. i Quarterly Reports Signature ti Date Assessor / / Firm: y~ 1 ,' ) 4? ~,._ ~ C'7-3 ! /-~ Y'" C.C C .. ! +F~}'?'~0. TRPC / / ,. ~.a.. ~'~ r J." ~, City of Yelm -Permit Fees Site Address: Jify Lube 1002 Yelm Ave E Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee (Sin le Famil ) $145.00 805 Sewer Inspection Fee MultiFamil /Comm./Industrial $145.00/ ERU $181.25 1.25 ERU's Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca aci $2480.00 Sewer ERU in the LID+LID Assessment $2480.00 Sewer ERU lots outside the LID boundaries $4850.00 $6062.50 1.25 ERU's 104 Site Plan $ 637.50 Water Latecomers 712 Water Meter $300.00 $ 300.00 3/4" meter Water Meter I.R.R. 760 Water ERU's (inside ci limits) $1000.00 $1250.00 1.25 ERU's 760 Water ERU's outside ci limits) $1200.00 740 wtr 742 swr Consumer Deposit $90.00 $ 90.00 100 Plan Review $ 1063.64 032 Building Permit 6499 $ 1.636.37 160 WA Building Code Fee $ 4.50 $ 4.50 032 Mechanical Permit 5736 $42.50 032 Plumbing Permit 5625 $48.00 030 Yelm Business License# $ Confirm Sub Total $11316.26 420 Transportation Facility Charge $6300.00 School Mitigation Fee 410 Open Space Fee TOTAL $17616.26 DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE! CITY OF YELM Building Permit "~ ~ 'g `' BUILDING DEPT. ~ ~~ Phone: (360) 458-8407 F Date ~~"' -~ ` Fax: (360) 458-8417 (Work must be started within 120 days) ~ ~ Phone ( ) `N Name ~' , N R Address /' (?. '4 ~ // ":> C~C~7 ~ City `'a /~~E'~/( ~ State ZlpCode `~;.~ f~ Site Address ~~~~ f ~/2 ~ ,( ~ t,~~ ,ol..S P R Assessor's Parcel No. ~ ' ~ ? r ~') ,~ j~; ~ ~'~~( .~% Lot Size (sq. ff./acres) O P E Subdivision Lot Block T y OR Short Plat No. Block s, if any: Existing Structure / Name ~ ~ c C Contact (;, ~ ~; ~~ Phone J' L) ~~~ °~" .. , ~-~~~~ ~-~ ,... , T Address ~:~ ~, -' ~ `- ,~ ~~,~` ~y City ~; r~,~'~ ~J~y~ State ,~,,~;,J~ Zip Code c.' ~~i ~ J License No. e.~,i u ~ ~; .r ~"~ ~ '} = Exp. Yelm Bus. Lic. No. ~ ~, (~ ;'? , ~ ""~~ C~ Description of Work ~~ , ~ y `y~ J r -' `~y i OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other "ty Water Private Well Private System Shoreline Permit Y N Heat; Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N C ~°~ ~^, ~~(J ; Sets of Prints Buildin Value _ . Oth Plumbing Permit # er WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE :' li"'^ Plan Check By f rt li f t t Issued By rom prope y nes; Minimum distance o s ruc ure Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. ~,., Quarterly Reports i ~ "~ " _,~;,,v ,< ~' Signature 1" ti~ Date ~ C~ Assessor / / Firm: ~ /J ,.. ~' ~ i/ A TRPC / / ~,i CIN OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 Phone o N -r ~ ~ Name ~ ~q w'? r? ,~ /d r~ R // ~~ Address ;~.1)~j J /fCV l Site Address ~~ ~~, ~+ P o Assessor's Parcel No. <""' P E ~ Subdivision ,i1• ~ ~", ~i ~ ~/ R T Y OR Short Plat No. -fF ~~afQ .~i 'r '.n'~C3Cl ~j~~~ ~, n° Building Permit ' '' . ^ '. Date ,~,~ ~r:~~ ~!~r tip` (Work must be started within 120 days) ~f ,~ t.~ f ~,~' ,..~ > ~ r ! ~ rx-y ~ ~~ Stat@ c Code `~S^ Lot Size Lot Block Block Existing Structures, if any: Name Jv'r)1%~r~T _~ 7 >l /t~rp~r ~ Contact ``,. ~~ j Phone ~ ~~~~ .~ (i ir,; T Address ~/~ ` ~~ // ~ C. c; City ~! ., . ~,y~. /` State ~~ Zip Code j n c~ l`t f ~ License No. ~,~ ; ~7 % ~ ,) ~ Exp. Yelm Bus. Lic. N o. `~ ~ !~ /'~ ~ °, Description of Work < _.r- 1 C OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor. (lst) , ~"~l (2nd) - ~ r - Residential `~" Sign Sewer Septic Approval No. ~! Commercial Other 'lty Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value - /} < - -~' ;' {~~ ~~' ? ~ Sets of Prints -:,~' Other Plumbing Permit # ~ ~~~.v~,-x~ WA. ST. BC. Fee (4.50 -New Const. Only) i, A S Z> Mechanical Permit # ~? ~ t~-~ TOTAL FEE ~ ~ ~L •~ ~' ,+ Plan Check By / ~.~' < T ~ ff 'cz i ~,- ~~ p'~ I ~ ~ " Minimum distance of structure from property lines: ssued By , r ~ Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. ~'~ ~ ~ __..,1 . ~ Quarterly Reports f,./ /~ Signature ~ -_ `__ Date ,.,~,f -~ G'll Assessor / / ~,:' Firm: r :.=:J , ~'I;~- r' ~~ ~ ~ / s.-, -~~, ; , ;. TRPC /-- / ~r ~~ ~~, City of Yelm -Permit Fees Site Address: 15235 105th Ave SE, Lot 64 phase II Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee (Sin le Famil ) $145.00 $145.00 805 Sewer Inspection Fee MultiFamil /Comm./Industrial) $145.001 ERU Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca aci $2480.00 $2480.00 Sewer ERU in the LID+LID Assessment $2480.00 Sewer ERU lots outside the LID boundaries $4850.00 104 Site Plan Water Latecomers 712 Water Meter $300.00 $300.00 Water Meter I.RR. 760 Water ERU's (inside ci limits $1000.00 $1000.00 760 Water ERU's (outside ci limits) $1200.00 740 wtr 742 swr Consumer Deposit $90.00 $90.00 100 Plan Review $430.86 032 Building Permit 6505 $1019.79 160 WA Building Code Fee $ 4.50 $ 4.50 032 Mechanical Permit $91.40 032 Plumbing Permit $111.00 030 Yehn Business License# 98-001389 Total $5672.55 420 Transportation Facility Charge School Mitigation Fee $650.00 Confirm payment 410 Open Space Fee iJUr: A1VL YAYAIfLr; A'1''1'IML~' VIA' YEKMIT ISSUANCE! CIN OF YELM Building Permit ~ ~` ~ ''' BUILDING DEPT. ~,%__ ~ _ ~.~~~ Phone: (360) 458-8407 Date / ~I'' Fax: (360) 458-8417 (Work must be started within 120 days) ~~ ~~~ `N Name I l 1 f Phone ( ) - N E ~ City ~ ~ C ~.-va~"t~ State Zip Code ~" ~ t R Address /I ~ Site Address ~1 ~ ~' F',~y. ~. r', t . ) P R Assessor's Parcel No. -~ ~ '~ "- Lot Size (sq. ff./acres) O P E Subdivision Lot Block R T v OR Shorf Plat No. Block Existing Structures, if any: ,,lr/r ~a1 %,% Name ~r ~!~. ,,.Contact ~, Phone ~~~;) (' ~ ~r T Address ~` G;. ,~c 4 = City ~ ~~ State ,~/~ Zip Code ~ ? ' Ucense No. ~`~ '! - ~ ,~/ ~ Exp. Yelm Bus. Lic. No. ;?'j i "' ? ~r '" Description of Work / `~ ~- " OFFICIAL USE ONLY /, Y~y. ^, ~ ~ n Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other 'qty Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Buildin Value ~ ~ }U t~ Sets of Prints g ~, .. ,. Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit #~„~ ` i' /~ / TOTAL FEE ":~ ~ .~r-° Plan Check By' ' Minimum distance of structure from property lines: Issued ~/ _ %'t Front to of Road Finallnsp: ~/ / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. /'~ Quarterly Reports Signature ,/ }~_ _ Date ~~-- r'~~,'j Assessor / / Firm: ~'~(' f1 ~j?{j t'!f /(_` .,.r' ~/r ,q/~ ~--r~ A,/~ TRPC / / CITY OF YELM Building Permit `" '~~ '~ BUILDING DEPT. ~~ ,d;~ ~ ~~,s~~ Phone: (360) 458-8407 Date Ci~ [/ Fax: (360) 458-8417 (Work must be started within 120 days) ~~~~ l~ w Name !~/i 1 Y1) f ArI !C // ra ~rJ r<`~ 5 ,~ ~ ~~ Phone ( ) r ~ " C' ~ ~ f N ~ R Address , / rr'iY r ~/'/P~ ~ y' City ~"` fi-ti-~. State L.,.l.~ Zip Code ~}~ ' Site Address ~,} '~+~ ~' i riy /f ~~ip.-,>t r' ~ c'~ Y~ P rt Assessor's Parcel No. Lot Size (sq. ff./acres) 0 P E Subdivision Lot Block ,. T __ _ _ Y OR Short Plat No. Block Existin Structures, if any: / c, r O Name % G ~> • Contact ~e~, r ~(._ Phone ('~~ ) 7 ~• C "~ ` _ _ ~ t ~''~;,,~ ,y < / State ''~~ ~. Address ,~(~p K+(`_" ~' ~~ City Zip Code (~' 7,,~G.~!,~ ~ License No, ~~,~ yyl S'y~ T ~ ~ ~~ + jL~ ~ Exp. Yelm Bus. Lic. No. Description of Work ~ ~ ~ ~; ~. OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor (1st) (2nd) Residential Sign Y Sewer Septic Approval No. Commercial Other ''ty Water Private Well Private System Shoreline Permit Y N Neat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value `~ r c, ~ ~ .~ Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE ~) ~ Plan Check By~' ~ ~ K..._..----~ Minimum distance of structure from property lines: y ' Issued By ~Gt--- ~~ _ Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Pfan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. Quarterly Reports Signature Date Assessor / / Firm: TRPC / / CITY OF YELM BUILDING DEPT. phone: (360) 458-8407 Fax: (360) 458-8417 o ~, N Name 1,~ ~_(/>?, ~ ~ Y2 R Address ~~ /~ YC- C.~' ~ Site Address J tf ~~ iff~c,.~ P R Assessor's Parcel No. P E Subdivision ,. r Y OR Short Plat No. C Existing Structures, if any: ~~ /, ~ O Name '~r ~ ~ // r R ~~ I Address +' 2 ; "' ~ Ucense No. Z ~ r City ~ ,n ... ~;. Exp. State 1.~,/,j~ Yelm Bus. Lic. No. tion of Work ~`~ {p /,/ Descri OFFICIAL USE ONLY • p Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential ~ Sign Sewer Septic Approval No. Commercial Other ,ty Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N - ~'-t,~' Sets of Prints Building Value ,-,/ ~ _•--- Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE ,_`, ~ ,`~'`"~- Plan Check By Minimum distance of structure from property lines: Issued By r`r" r ~:,,_._....- Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. Quarterly Reports Signature ~- ~ !: ~ ~, Date %U~ ,~ Assessor / / Firm• TRPC / / o s f o` '"~ P° C /~ ~`~ ` ~, Building Permit <4 `"~ ~ '~ Date /J _`~~--U~i (Work must be started within 120 days) Phone ( ) Y S ~j City ~~~~.. State 6,~) Lot Size (sq. ff./acres) Lot Contact Block Block Phone ( ) ~,~ s Zip Code YI _.. ~ t r ~' .~~¢~~c CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 o ~% N Name E R Address ~ Site Address l~~ P R Assessor's Parcel No. O P E Subdivision R T ~ Y (~R Shnrt Plnt Nn Building Permit ~ .. ~' 0 '~ Date ~ ~~~ '~ (Work ust be started within 120 days) ~_ ~'"! f 7 ~ 'S ~)c//i /~'~!- ~ t ~` Existing Structures, if any: ~ ,~, N Name L A ~.~ t•~/1 r..i R Address ~~" -~ ~,~,; License No. 1~h (,~ t" -~ ~. Phone City `~ t.i„ State (.-t. Lot Size (sq. ff./acres) Lot Block Block i v t~ ,/j /,>h ~,.. Phone ~%./)) Y ~,j' :~-~ ~5 City ~ ~~fy,~~~pi~State ~ ~/, Zip Code '1 c~ g ? Exp. Yelm Bus. Lic. No. Description of Work ~ : ~ ~ ~.~~, -~ I r ; ~ ~ %~- OFFICIAL USE ONLY i Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial `'' Other ^.ity Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value '~ r ~+a 1 y~ f.-<.~''~) V ~- 4.J Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE Plan Check By /% /~) Minimum distance of structure from property lines: Issued By t ~, C .~...-- Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 ca contractor, I further certify that I am a currently registered contract in the State of Washington. r ~ ~ ;' ., Quarterly Reports Signature,' ~ ~:r,:ys~ '~ ?',~~ ~ j'~' :'~r7 D t !r , ;; _ : ,~ a e Assessor / / Firm: TRPC / / Contact 7<) Code CITY OF YELM Building Permit ~~~ ~ +~ `~~~ BUILDING DEPT. "' ~ ~ :~ ~ ~ Phone: (360)458-8407 ~ .~ Date ~ ( f Fax: (360) 458-8417 (Work must be started within 120 days) __ /~~ `n/ Name ~' vy'i .1 r" D d• u ~ Phone ( ' ~ v y - _ .,,1 . N R Address I 1 " ~ ~~"' ~J, ~~ City I~/~11.~~~-ti+<~ State L ~ ' Zip Code ' ~ ~ G f ..•~ Site Address t} / .G'.a 1 ~ ~ ~ ~'" P R Assessor's Parcel No. Lot Size (sq. ff./acres) O P E Subdivision Lot Block R T y OR Shorf Plat No. Block _.,,-r Existing Structures, if any, / + ~ ~~ i ~ wa- Name : "~ , i rye ~,( Contact ~ .~ ~_ .L _ ~. '/! 1 Phone (~ ~ j) ~ '~ /, ~/.y, a . Address ~ ` ;,~ + I Z`~^ ' City :`C-1:- ~wo'It >Y' State (, Zip Code j ~(,~ . ` License No. '~ ~ 4' „/ Exp. Yelm Bus• Lic. No. Description of Work ~,. ~ , --- ~ >7 t1~1 Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign / Sewer Septic Approval No. Other Commercial "qty Water Private Well Private System Shoreline Permit Y N .eat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N _~ Sets of Prints Building Value ! 9 ~ i' ~ ~ /~, ^ Plumbing Permit # ~~/~i~ Other ~~ Mechanical Permit # ~•~ ~+~ WA. ST. BC. Fee (4.50 -New Const. Only) c. ~ ~ TOTAL FEE ~ 4• ~e a~'~ ,- Plan Check By `~U ~ r'/~' ~~'""'^~° // T ~- Minimum distance of structure from property lines: Issued By ( • --•---- Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / and correct. I also certify that the proposed stuucture 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 a currently registered contract in the State of Washington. Quarterly Reports Signature Date ,~(~ ~~ Assessor / / Firm: ~~ ~ P l~/l.f- A..S- f~ P C' ~'~ a_'~ ll ~a ~ , a%, S . n ~'L- __ OFFICIAL USE ONLY TRPC / / CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 Building Permit .,r ~ ' iv ~~" Date ~~' ~~- ~!,°~r~ ~~ (Work must be sta"~rtefd~within 120 days) Lr,.T` GY `N /~ Name /~l'1 (G t~..X ,,.i t' /,! h C ,+ Phone ( ) ~+ ~ t .- Ut1 E R Address _~--~-' ..-. a ~~ A 2.. ~ - City ~ ~-~.. State Zip Code ' ' _ S~ Slte Address "~' ,,z ~ „~,, ~' P R Assessor's Parcel No. ~.~ ~ ` a=yt~ /~ (~ (~ Lot Size (sq. ff./acres) 0 P E R Subdivision Lot Block T Y OR Short Plat No. Block /~ / Existing Structures, if any: (o a ~-r. ~ ~,~.! L ~ ~ ~" f C o Name Contact Phone ( ) T R Address City State Zip Code ~ License No. Exp. Yelm Bus. LIc. No. Description of Work ,,~ ~ ~ OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) ~ ,_~ (2nd) Residential Sign Sewer Septic Approval No. Commercial -~' Other "ity Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Y~ c~~q- ~ ~~ ~~"" Sets of Prints ZS Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE %~ / 7 •~- Plan Check By !-r ~ C~^_.-_. _ Minimum distance of structure from property lines: Issued By ~ ~ ~,..-- Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 tha_ t I am a currently registered contract in the State of Washington. `. _ ,~"' ~,,= „~s"~ Quarterly Reports ~~., '~~ ~- /,I' fir. ~ /d ~ ' ~ `,.'~ ,* Signature '' ~ ~.--~ . r'-.,°''°~_...._„ . Date ,~ / ,711 t_, f~ Assessor / / Firm: TRPC / / CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 Building fPermit ~ _'` ~-' ~~~ Date / ~ ~ ~ ^ ~Gf ®~ (Work must be started within 120 days) ~`~ ~~ ~' 0 ~^/ Name ~ ,~ ~~( -C r Phone ( i _ ~ ^- ~_ t / N R r~ Address ~ 1~ ! i~ t % i 'S / City J,. ,,~ ~ State /} Zip Code `~~ ©Cg Site Address ~ `' esv P R Assessor's Parcel No. '~ ')) Lot Size (sq. ff./acres) 0 P E Subdivision Lot Block R T Y OR Short Plat No. Block Existing Sfructures, if any: ,~ i o ~ ~ ~ t , ~ • ~ ., C o Name ~~,, ,~,~ ~,,,, f ~t_ # Contact Phone ( ) T R Address City State Zip Code License No. Exp. Yelm Bus. Lic. No. Description of Work j-'/ , ,. /~, ~j hlPZF ~ /,i .c~ ~,/,i„%i , `m , ~,;~ c- OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) -~ ;, ~ ~ < (2nd) Residential Sign Sewer Septic Approval No. Commercial ~..-~~ Other "ity Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value /~J ~~ , ,~ Q _ry - --~~ Sets of Prints ~~ Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # -' ~~" ~ f~ TOTAL FEE j - Plan Check By ,~ , •-_ _ ~. .-~ Minimum distance of structure from property lines: Issued By c'• . ~--- Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / and correct. I also certify that the proposed stuucture 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 a currently registered contract in the State of Washington. Quarterly Reports Signature Date Assessor / / Firm: TRPC / / CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 ~ ~, ~; " Building Permit Date J ~ ~ ~~' (W rk must be started within 120 days) o `N N ~'' Name /~ yy~ / ~ Phone .7 ? .. i ~ ~ • E R ... - Address ~ ~' ~~ ~ City +,+= , , State , ' / Zip Code < ,y t ~ / , / Site Address / ~'/ Y / !' r~ ,Y' V~ P R O Assessor's Parcel No. (` [~ ' Lot Size (sq. ff./acres) P rEt ~t Subdivision ~ , (,~ ~ ~ ~ '' Lot r.Y "~ Block r y OR Shorf Plat No. Block Existing Structures, if any: , ~«-- _ Name r~=,.7 y i ~ / l Contact ~,r ~r 6~ r Phone ) '~,) ~ K-'~ - ~ ., R f Address ^ `~~ _ J ~!+ ~,~ City .,_ . State (,~ ~ Zip Code J+~ ~~ $/ r~ ,, Ucense No. ~ ~ j, ~ t ~'" / ,~ ~ ~ ~ Exp. Yelm Bus. Lic. No. ~) (,a " ~ ~ '' ~') Description of Work ~~ ~ OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: 1st r ' i (. ( ) ~ (2nd) r~.7 Residential ~'~ ~ Si n g Sewer Septic Approval No. Commercial Other "ity Water Private Well Private System Shoreline Permit Y N neat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ „ "+ / '~) ^ w ^ Sets of Prints Other Plumbing Permit # -g ~ ~~ WA. ST. BC. Fee (4.50 -New Const. Only) l ~r/j Mechanical Permit # ~~ 7 ~/+/ TOTAL FEE /~ ~,_ -~ ~~ Plan Check By ~~ • tel. ~ `~`~~ it Minimum distance of structure from property lines: Issued By (,, ~r--- Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. 6~uarterly Reports Signature ~ Date /U ~ ~ ~ Assessor / / / f Firm: _-' / ~, 9~8~ ~ tal, m•s 1 ~.1 ! ~ to ,Y'~'~.~.. ~ TRPC / / City of Yelm -Permit Fees Site Address: 14941 105th Ave SE, lot 25 Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee Sin e Famil $145.00 $145.00 ~~ ~~ 0 805 Sewer Inspection Fee MultiFamil /Comm./industrial $145.00/ ERU Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca acit $2480.00 10160 $1000.00 pre paid Sewer ERU in the LID+LID Assessment $2480.00 Sewer ERU lots outside the LID boundaries $4850.00 104 Site Plan Water Latecomers 712 Water Meter $300.00 $300.00 /'/_ //. /(l~ ~C Water Meter I.R.R. 760 WaterERU's inside ci limits $1000.00 $1000.00 ///~r~ / (~ U 760 Water ERU's outside cit limits $1200.00 740 wtr 742 swr Consumer Deposit $90.00 $ 90.00 // / /.v GJ lh 100 Plan Review $ 430.86 ~~ ~ /~ 032 Building Permit 6504 $ 1019.79 ~ ~~ 160 WA Building Code Fee $ 4.50 $ 4.50 /~ % /w !gy 032 Mechanical Permit 5741 $91.40 / / / p lli ~ 032 Plumbing Permit . 5628 $1 11.00 ~ / - / ~ (~' 030 Yelm Business License# 98-001389.0 Total $3192.55 420 Transportation Facility Charge School Mitigation Fee $650.00 confirm 410 Open Space Fee llUL ANll PAYABLE AT TIME OF PERMTI' ISSUANCE! CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 Q `N Name /Q~ gal f/)~ N R Address .7 ~ C. S ~~ Site Address ® ~ P R Assessor's Parcel No. ~'" O P ff E Subdivision /,/r ~ R T ~ _. Y nR Shnrf Plnt Nn ~.', Building Permit. ~• ,~j tj / Date ~~/ ~/ ~~~~~~~~ (Work must be started within 120 days) . ~ ~ ,r ~~~, ~` ~J Lot Size Lot State (~,1,/~ Zip Code y~ ~y Block Block Existing Structures, if any: / ..~" Name ./jt(!' e? ~/9~.,~, r,+~s-r ~~ Contact ,~~ ;!1 ~_ / Phone (? ) '"~ ~' -~ - / ~ ~-J Address _.l ~ G} _~ //~ ~~ `S City ~ r G ~•~• State t. l,i+j Zip Code `r < ;a ~/f r f i License No. ,~~,~,~ ,;•~,Z ~~,~ / ~ ~ ./-J Exp. Yelm Bus. Lic. No. c'' `; C} ~ f' [~ '"" '' Description of Work ~ ~,, . OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor. (lst) t~, <<:"~ (2nd) Residential ~ Sign Sewer Septic Approval No. Commercial Other "ity Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~~ ~ ~(~ , ~~~ , - ~~ Sets of Prints ~. Other Plumbing Permit # as ~' ~ A WA. ST. BC. Fee (4.50 -New Const. Only) , fi ~ Mechanical Permit # ~ / r/ ~~ TOTAL FEE ,r ~ C. JG ~ ~~ / / Plan Check By ~ ~g-+'f lT°j~ Minimum distance of structure from property lines: s Issued By ~ ~'• ~..--" ~___ Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form 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 stuucture 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 a currently registered contract in the State of Washington. Assessor Floor Plan and Permit Submitted / / uarterly Reports Signature f' ~, _,,. Date ~ L' ~%' ~ =~ Assessor / / Firm: ~ cz6,/` rm r~~. ,- nay TRPC / / i~ ~. City of Yelm -Permit Fees Site Address: 10549 Farwest Ct SE, lot 19 Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee $145.00 $145 00 Sin a Famil . ~ .~ j ~o / 805 Sewer Inspection Fee $145.00/ ultiFamil /Comm./Industrial ERU Sewer Latecomers 802 Sewer ERU approved under $2480.00 10160 $1000.00 pre paid 1994 Sewer Ca aci Sewer ERU in the LID+LID $2480.00 Assessment Sewer ERU lots outside the $4850.00 LID boundaries 104 Site Plan Water Latecomers 712 Water Meter $300.00 $300 00 . /~iG / Water Meter I.R.R. 760 Water ERU's $1000.00 $1000.00 f ! inside ci limits ~ ~ / 760 Water ERU's $1200.00 (outside cit limits 740 wtr Consumer Deposit $90.00 $ 90.00 i 742 swr /~/ l (O 100 Plan Review $ 430.86 // /~~C~~~ 032 Building Permit 6 $ 1019.79 l~o~/ 160 WA Building Code Fee $ 4.50 $ 4 50 . ~~~~ 032 Mechanical Permit ~~ $91.40 ` ! ~ /~ ~ 032 Plumbing Permit $~ $111.00 /,+ /LA / / !~' 030 Yelm Business License# 98-001389.0 Total $3142.55 420 Transportation Facility Charge School Mitigation Fee $650.00 confirm 410 O S F pen pace ee T7TL~ • ITT T vvr. r~1~L il'1IH-6LL' Al 111v1r. vr~ r~xinl'1' 155UANCE! CITY OF YELM Building Permit ~ '-' L BUILDING DEPT. e~_ ~~'_ ~ ~~ Phone: (360) 458-8407 c , Date f FqX: (360) 458-8417 (Work must be started within 120 days) +~ ~~ O N Name ~~ I r~ (F (~nrr ,,,._ ~ ~ rJ ,r r Phone ( ) ~ C~ , ~ R Address ~ ~ ~ ~ . E), 1 City ~ ` c.v~ State Zip Code r~ , ~-~ Site Address ) ~ ~ %.~.- P R Assessor's Parcel No. ~ r •7U, T ' G Lot Sizes ff. (q. /acres) O P E Subdivision Lot Block R T y OR Short Plat No. Block Existing Structures, if any: N Name ~._'_, ~ , "+1 Y ; ,..,= Contact ; rr r J,, Phone ( ) '~~(L° ' ~? T Address City State Zip Code ~ Ucense No. Exp. Yelm Bus. Lic. No. 1 Description of Work "` , r ~" t) ` / n td'' ~ f" ~ ~T ~ " OFFICIAL USE ONLY ~. , . 4y,, ~ r I ;c v tc ,~ } u Permit Type: Sq. Ft. per floor: (1st) i ' (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N feat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value -~ -~ .-~- ~,, ~ ' Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) --- Mechanical Permit # ~ ' TOTA L FEE ) -~~~ Plan Check By r.~- ~ `' r!~ r d B Minimum distance of structure from property lines: __. Issue y Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. Quarterly Reports s'~ Signature Date ` , ~ Assessor / / Firm: ! L'._,~'~-c TRPC / / ~ ~~ ~t f ~ y E CITY OF YELM BUILDING DEPT. Phone: (360).458-8407 Fax: (360)' 458-8417 ° Building Permit ~ . ~? ~'" ~+ Date ~ ~~.~''- ~~~1 d (Work must be started within 120 days) w Name ~ /~ .,; e Z l +~ ~~ ~-'" Phone N { R Address :~:,~ • _•v-~,i-_ ca '~L' I^ ,LYE % >< ~c~,,~ity ~v J"w~lF' State Site Address ~', ~ ~ t`~ e.yt /Cf v.(' P R Assessor's Parcel No. Lot Size (sq. ff./acres) P E Subdivision e ._r • ~ ! /~ ,T y OR Short Plat No. Existing Structures, if any: ,L~ C o Name ~ f - ~ T Address ~_:~'C~C^i ~ Ucense No. ~~ ~/ ~ Lot ~C'~ Contact n ~ ;r ~`~ city Exp. Block Block Phone (.~~ 1) ~~ I ~ - , State ~'iel1T Zip Code Yelm Bus. Lic. No. OFFICIAL USE ONLY Description of Work Permit Type: Sq. Ft. per floor: (1st) (2nd) ~_ Residential Sign Sewer Septic Approval No, Commercial Other _--..,City Water Private Well Private System Shoreline Permit Y N +ieat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N ~ ' ~~ ~ ~~ Sets of Prints ~ Building Value ~- C' -~~" Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE ~ ~~} ~-~ --°' Plan Check By l r 1:,~'~- ~~ ,~ f ~~ ~~ ' Minimum distance of structure from property lines: Issued By ~ . a Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan arld Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. Quarterly Reoorts ,r Date `~ ~.,~ C"~~) Signature ~ ~ ~'~ ~ f. '~ ~` ~ Assessor / / r , Firm: TRPC / / __ Code CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 Building Permit ~ ~~ ~> n Date /~ _ ~7- ~'" o (Work must be started within 120 days) ~f~~~~ o ~- w Name ,Q %f df N E R ~~ Address Site Address ~. ~ P R Assessor's Parcel No. ~+"" 0 P R Subdivision = , T Y C)R Shnrt Plnt Nn ~c, Phone (.2~ ~) 5.51 " I~~ ~~ ~' City ! ~}l ~; /'yr/~ state G4/ ~ Zip Code ~,~ y S/~/ Lot Size (sq. ff./acres) Lot ~~j Block Block Existing Structures, if any: C o Name r;y2r? ^r, r Contact Phone( ) T _.---- Address ' ~;° ` City State ~ / t om ~-i ;%J r ~.,+.1.i'4 Zi `r~ ~ ~~ ~~ P Code A Ucense No. ~ ~ ry? ~ ~ +"] • (t Exp. Yelm Bus. Lic. No. ~ )~~' C.~ C~ (~~ ` <'•" ~ Description of Work > OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) ~-~' ~` ~-- (2nd) ~ ~ ~~ ~" Residential "'F Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N eat: Electric Gas ~^' Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Buildin Value g ,~ (~ ,. - ~ ~ ~"'~ <• ~! ~~ ~ , "' Sets of Prints ~ l Other Plumbing Permit # ~ ~ .~ ~1'? WA. ST. BC. Fee (4.50 -New Const, Only) c- ~ f >~ Mechanical Permit # `"~ ~ .~? TOTAL FEE i C~ ~ ~, ~ ~'~ Plan Check By ;,,, j ~i,~ ~ (..f~ Minimum distance of structure from property lines: Issued By ~~~ ~'~- Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form 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 a currently registered contract in the State of Washington. Assessor Floor Plan and Permit Submitted / / uarterly Reports Signature Date ,~ ~ / ~~ Assessor / / + Firm: TRPC / / ' ~ ~~ i J City of Yelm -Permit Fees Site Address: 10415 Brighton St SE, lot 86 Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee (Sin le Famil $145.00 $145.00 ~ 805 Sewer Inspection Fee MultiFamil /Comm./Industrial $145.00/ ERU Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca act $2480.00 $1000.00 pre paid Sewer ERU in the LID+LID Assessment $2480.00 z ~ Sewer ERU lots outside the 'LID boundaries $4850.00 104 ~ Site Plan !Water Latecomers f ~ ~ ~ 712 ~ Water Meter $300.00 $300.00 Water Meter LR.R. 760 Water ERU's inside cit limits $1000.00 $1000.00 760 ~ Water ERU's (outside cit limits $1200.00 740 wtr 742 swr Consumer Deposit $90.00 $ 90.00 100 Plan Review $ 433.61 032 Building Permit 6500 ~ $ 1026.30 160 ~ WA Building Code Fee $ 4.50 $ 4.50 032 Mechanical Permit 5737 $91.40 032 Plumbing Permit 5626 $111.00 r t 030 ~ elm. Business License# ~ ! ~ ! ~ 98-001389.0 Total $3201.81 420 Transportation Facility Charge School Mitigation Fee ~ ~ $650.00 ~ confirm 410 Open Space Fee UUE ANll PAYABLE AT TIME OF PERMIT ISSUANCE: OITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 N Name ikry'U.`J~ ~2 G ~C R Address ~ Y lJ • "~~ ~~~ I Site Address %t ~` ~ vri P rt Assessor's Parcel No. ~ ~ t :; ' 0 P E Subdivision ~l./P t~ - ~n ,T _ y OR Short Plat No. C Existing Structures, if any: ~ uyt J t' ~ ~ ~E -~~ / ~~~ ' ~ ~~ ~ C~~ o Name Contact City !~ (' 6~1 State (_-t)'t Lot Size (sq. ff./acres) Lot Block Block -7 Phone ( ) Address City State Zip Code Lic. No. License No. Exp. Yelm Bus. / j ~ ~ ~r ~ ~ ~ ` ~ ' ~ ~ `' ' OFFICIAL USE ONLY ` f,,,,,. , , ~ / t vr /aY Description of Work , r ~ F u , ,~ Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign ' Sewer Septic Approval No. ..--- Commercial Other "'ity Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Y N Floor Plan '' ~ • ~"'~ / Sets of Prints / Building Value ~,1 ~ Plumbing Permit #~/~. Other WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit #~ .~. '~ TOTAL FEE ~f ~ ,~~ '- ! '7 Plan Check By '' / Minimum distance of structure from property lines: Issued By r ~~ ~,..-.._~ Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. r'""' ~ -..... ~, Quarterly Reports ~" Signature , ~-~ . ~f!"„~U ~1~°~A-~ ~ Date ~1 ~ ~~~ ~-r ~(~ Assessor / / Firm: -.y, ~ ~ ~A (~~ f _ r /',~*~ l ~ `'y',A,+ ^ TRPC / / Building Permit ~., ~• .~ .s Date ' ,f -- I ~ ~ - rJ~ C1 (Work must be started within 120 days) r ~:, r.i / Phone C ) +'~ 7 ~~ `~ ~ ~`•_ ~ '~ City of Yelm -Permit Fees Site Address: The Red Wine Store 704 Yelm Ave W Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee Sin a Famil $145.00 805 Sewer Inspection Fee ultiFamil /Comm./Industrial $145.00+ $35.00/hr Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca aci $2480.00 Sewer ERU in the LID+LID Assessment $2480.00 Sewer ERU lots outside the LID boundaries $4850.00 104 Site Plan Water Latecomers 712 Water Meter $300.00 Water Meter I.R.R. 760 Water ERU's (inside ci limits $1000.00 760 WaterERU's outside ci limits $1200.00 740 wtr 742 swr Consumer Deposit ! $90.00 $ 40.00 b 100 Plan Review $ 117.81 ; 032 Building Permit 6498 $ 181.25 i~ 160 WA Building Code Fee 032 Mechanical Permit 032 Plumbing Permit 030 Yelm Business License# $30:00 ~, Total $369.06 /+ 420 Transportation Facility Charge School Mitigation Fee 410 Open Space Fee TtTT Lv~ hi~u rr1 i ti.aLL' 1# 1 i llYtr. VP YL' 1(tVl..l2. 1~aUA1V(.1:: CITY OF YELM Building Permit `~ ~ r~ '' BUILDING DEPT. ~~~ ~^ ~~ ~~~~~~ ? Phone: (360) 458-8407 Date Fax: (360) 458-8417 (Work must be started within 120 days) ~~ ~ ~~'~d ,.. o N r- Name °r ~'~C ~ T ~~ Phone (~, !.~ ~~ ; ,c~~ / `y C d R Address 7 (~ r \(~( a•r~~ City State ~' ~ i ~P Zip Code ~ ~ ~ - ~~ Site Address L. G / ~ Jt' L.iy~ /~ / . P ~ Assessor's Parcel No. ~ ~ ~ / ~ ~ ) ; ^ "} f~ Lot Size (sq. ff./acres) P E R Subdivision Lot Block T y OR Short Plat No. Block Existing Structures, if anY: r y ~ ~ J ~i ' t ~ ~ S ~ i~%r%.-~ N '-~ Name f- ~ .iSUe ~~~ r/.~ Contact ,(,jA V^ ~ ~ ,..,~ >,. '~ Phone (.;7~+~ L~ 4 ~ ' •~ ~ r Address ~J i_1, / „~~ City f ~°i c-, t State Lti,~`~ Zip Code ~~ '~ ~ Ucense No. ~ ~ ~ ~ ~ r~ c/ ~ C Exp. Yelm Bus, Lic. No. Description of Work ~l ; ,:, ~ ~~~,~/ 7/ ,~ ~..( OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial - Other City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~) ~' ~ ~n Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE ~„ C, ~, ~> 1M Plan Check By '/ Issued By J/j L ~ ~~ ~ Minimum distance of structure from property lines: , Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. Quarterly Reports (( Signature j~~~,t~-~ .fJ~'r`(F~;!. fsf.____ ~ ~ Date -r-.J~~ uc.. Assessor / / /' I,' ' / / Firm: ~~~ {~ I F^",$~..f {`.~R!' ~ ?~ 3 C ~° TRPC / / .- << .` rr VSl • CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 ~ ._ . ~ C N Name ....- ~ R Address ~ ;~ Site Address ~4 ~ P o Assessor's Parcel No. ~ / -~,y, P a Subdivision i Y nra sn.,rt pi~+ ni., Existing Structures, if any: ~ , ~ j Name ~ ~ Z ~ Address ~ . ~ d" ~, 7. ~ Ucense No. . '.~ / ~ ,f,y / Lot Size (sq. Lot r21~ Contact /~' ~ ~ t i ~ 1~. d city L~:~-,. Exp. y~o - Zip Code Description of Work (~, ,, _ ~ OFFICIAL USE ONLY Permit Type: Sq. Ft, per floor: (1st) ~'A ...~ ~'-- - k 1,~- (~2ud) ~ I ,~ ., ~~ , ; ~ ~ Residential Sign Sewer Septic Approval No. Commercial `~ Other amity Water Private Well Private System Shoreline Permit Y N -Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value -~ ~ ~ j U ~ tt ~ .~ ~~ ~~ Sets of Prints~~ Other Plumbing Permit # 5 ~~ ~~ WA. ST. BC. Fee (4.50 -New Const. Only) ,L "~ Mechanical Permit # •) ~' ` TOTAL FEE ~>~ - ~ ~ ,~; Plan Check By ar! (."--t.-- Minimum distance of structure from property lines: ~) r~ Issued By_ ! r, (.~r'~-- Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form 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 a currently registered contract in the State of Washington. Assessor Floor Plan and Permit Submitted / / uarterly Reports Signature ,,`,,.~; Date ~- ~' )_ l1 f~/ Assessor / / Firm: `j.~ <~ ~ ~ ' TRPC / / f Building Permit ~ ~' _"' ` ' <_ Date `~ ;'~-~ '"~~t,~li~ (Work must be started within 120 days) Code Phone (~ State Block Block ~t~~ State ~_,~ ~ Yelm Bus. Lic. No. City of Yelm -Permit Fees Site Address: Safeway Fuel Station Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee Sin a Famil $145.00 805 Sewer Inspection Fee MuhiFamil /Comm./Industrial $145.00 xl ERU $145.00 /~ f~~97 Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca aci $2480.00 Sewer ERU in the LID+LID Assessment $2480,00 Sewer ERU lots outside the LID boundaries $4850.00 $4850.00 /~,~~ 1 ERU 104 Site Plan Engineering $S55.00 -r-~U i~/COQ -/~ .EEL= At` Gic ~ Water Latecomers 712 Water Meter $300.00 $300.00 tr J Water Meter I.R.R. 760 Water ERU' s inside ci limits $1000.00 $1000, 00 ~~ /y ~ Y 1 ERU 760 Water ERU's outside cit limits $1200.00 740 wtr 742 swr Consumer Deposit $90.00 $90.00 /~~~ 100 Plan Review $ 1737.93 ~~~~ 032 Building Permit 6482 $ 2673.75 /~/}~ 160 WA Building Code Fee $4.50 $ 4.50 ~~~ 032 Mechanical Permit 573 $ 55.80 ~~ 9 032 Plumbing Permit 56~. $ 76.00 ~n~ c~ 030 Yelm Business License# Total $11487.98 /,Q Q3~ q y 420 Transportation Facility Charge $ 24750.00 410 Open Space Fee PREPAYMENT ~~~ Z 3i, ~ ~ 3~8?~.98 TOTAL PAYMENT -~~~ .~ ~3 . ~~ ~3z~E~ z 3 PD 9 ~.a -a ao ~ DUE AND PAYABLE AT TIME OF OF PERMIT ISSUANCE! 33~~,~ 3 CITY OF YELM Building Permit .r: BUILDING DEPT. ~ L)l ~ `~~ ~ Phone: (360) 458-8407 . - -: Date Fdx: (360) 458-8417 it h in 120 days) started w (Work must be , ~~ + / / ~ ~~ N G' u ~ /{ I ! ~ r ~ Name ~ ~ /1 d ~ '/ 1 ) Phone ,± ^ _ y ~ ~...- R , / Address ,! /r ~ T p ,~^ ~^ ,,{; ( ,r City ~ i` r a,..... State ~-c.~` ~? Zip Code ~~ `y 1 Site Address / / L ~ ;} ~' za ,~) , ~ ~ ~ ~~ ~`~ P R Assessor's Parcel No. ~ ~9~ G~C~a J Lot Size (sq. ff./acres) 0 P E Subdivision ~~ ` Lot ~ Block R T Y OR Short Plat No. Block Existing Structures, if any: ~'~y`" ~' (. Name ~ ?~,- ~.pr1 ~ Contact Phone (1 ) ~ ~- ~ ~~~ Address - ,1 `, , ~ ,' ~" L City ~~'d,,,, r~ / ,: '~,/j State '' Zip Code ' `.> Z ~~r~ license No. ~ ^ fir' z'' ~ ~ Exp. Yelm Bus. Lic. No. OFFICIAL USE ONLY Description of Work - ~-~~ i'%- ~ Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential ~'` Sign Sewer Septic Approval No. Commercial Other "ity Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value t /'`'~,~(, ! ,r ~ ~'~s~/(.. C u t.~ . "'j -~ Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE ~ ~ ''`-~°' Plan Check By u % ~~ Minimum distance of structure from property lines: Issued By t Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. Quarterly Reports ) ) ~ ~ _ (~ ~ - Signature ~~j`' .: ~ ~,-~<.~~" Date ~~ Assessor / / Firm ~ TRPC / / CITY OF YELM j Building Permit `' ~ °~ ` BUILDING DEPT. (`~ Phone: (360) 458-8407 Date `~ ° ~ - (..~ ~ Fax: (360) 458-8417 120 days) h in (Work must be started wit ~ f 7 /J~ ~ ~ / / ~ o `~`/ l Name rr'~/ I >! / ~ Phone (_~S i.) ~ " Gr (a "? N R Address ~. City ~r L < c-s~r State L .? Zlp Code J~'~~~,j `; Site Address / /~~! ~,~- ~sr P R Assessor's Parcel No. ~ ~^ Lot Size (sq. ff./acres) 0 P E Subdivision „ ~~ ~ y Lot = r- Block R T v OR Short Plat No. Block Existing Structures, if any: .~, S ,r ~- - C o Name , } , r ~ Contact Phone ( ) T A Address City State Zip Code Ucense No. Exp. Yelm Bus. Lic. No. , Description of Work / OFFICIAL USE ONLY : y Permit Type: Sq. Ft. per floor (1st) ^~ ~-- (2nd) Residential - Sign Sewer Septic Approval No. Commercial Other 'ity Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value _;~ ~' s ~~ f -~ , ~ Sets of Prints Other _ Plumbing Permit # ~~' ~' ~ `~ i~ WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # Y TOTAL FEE ,lr~~ ~ ~ "~ r o Plan Check By -%, ~__ ~ Minimum distance of structure from property lines; r ~ Issued By ~ 7, ~ "---- Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and kngw the same to be true Submitted / / and correct. I also certify that the proposed structure is in conformity with all applicable City of Yeltn 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 a currently registered contract in the State of Washington. Firm: Quarterly Reports /~ / Date ;Zf ; ~ j /'4 j~ Assessor / / TRPC / /_ CITY CSF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 Building Permit '~, ~ 'b~ " Date ~ ~~'~ ~~ " ~c~'L~~ (Work must be started within 120 days) w Name ~.~j U C`~ % 1 Phone (mot' r) 1 SM~ ~. N E R Address ~~~ . /~.r ,l ~ City ~ ~~~r.- State ~-`-Jf'p Zip Code ~ ~ ~^ ri'' Site Address '-1 ~ "~ /c) ~ , /'~' i P R Assessor's Parcel No. Lot Size (sq. ff./acres) O P E Subdivision Lot Block R T Y OR Short Plat No. Block Existing Structures, if any: C o Name ~,~~~2 ,y / ?, /, t,- Contact Phone two, ;) L " t ~: 'i R -, Address `--' lJ , / ., ~ ~" City ~.;'7 T ~,• State Zip Code ` ` L~ ~ Ucense No. ,r - , - " r ` ,~ '' Exp. Yelm Bus. Lia No. %;:• - ~, - ; • ~ ~ ~ ` ~ fj- Description of Work ~~ ,~ ;~• OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other ty Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~~~ ~/;~~, ~- -~~ ' ~~~ ~~ Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE ~ ~(~- fi ~,) Plan Check By ' ~"'~ ~ Minimum distance of structure from property lines: - ? ~ Issued By Front to of Road Finallnsp. / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. Quarterly Reports Si nature `"'3' '1-;', U./ ,. a•- --- 9 .- e K~ _ - .~' ~ s ^~ ..~ .. ~:__ Date t;~ ~..-~ Assessor / / Firm: TRPC / / CITY OF YELM Buildin Permit ~ ~.x `~~ '', BUILDING DEPT. ~ ~ ~ t~`~ ~ ~~~ Phone: (360) 458-8407 Date Fax: (360) 458-8417 (Work mus ble started within 120 days) ~~ o ~-- f _ , N Name n 1 r! _' r7 [ x . ~ Phone (: ?' ;) "T ~ ~ ' ~ , E . -~ ^1 rz Address ~ (~' r%'./Sr ~' ' ~ ,d.~ City "~ v~r State ~ 1 Zip Code `, t, ~~ ~+ Site Address ''/ /.%' + ~ y'•,1 ` ~ „J P R Assessor's Parcel No. Lot Size (sq. ff./acres) P __. E R Subdivision Lot Block T y OR Short Plat No. Block Existing Structures, if any: ~ ._ ~._ ~ Name i ~J ~ ~ ' ~ ; ~~ ~~>~ ~ ~'_ ~ " f~,~w '~~ Phone (~~ -tact ~ 1 " ~ : ~ ~,, - I F . rr , ~ 1/s<.~ a , ~ . % Address __ .~~i ~ t~ ~~ ~ ' -~ - ity ~ "~ ~ ~ State J Zip Code Ucense No. Exp, Yelm Bus. Lic. No. J U L~ 1 ~~~ Description of Work ,-- - ,~ r '~ ~ ' ~~ . ~{; ti, ~ OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial ~--" Other '{y Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value / L ~) " ~i ~ ! ~ ~ a~ t -. Sets of Prints :-*~ Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE ~ ( ~ ~~ ~ Plan Check By w/~ur~ /~ ~% f~i/ r'7V r,~- ~, a Minimum distance of structure from property lines: i, Issued By ~T', ~ .-- Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm regulations including those governing zonin and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contrar,. I further certify that I am a currently registered contract in the State of Washington. ~._. ,,r' / ~ ,' .' , ~ . ~' ' ~ Quarterly Reports .~,. , Signature , ,, Date ~ . , ~~ (~ ~%' Assessor / / „t"~' Firm: ~~`"" ~ .~~ f_'~ ~ ~ ~ ~~~~ TRPC / / ~_. ..>, . / ; ~: J "~ i ~'t=.~~ ~? CITY OF YELM Building Permit ~ ~ ~ ~' ~~ ~~ ", BUILDING DEPT. (~ ,f -- Phone: (360) 458-8407 Date ~7 --f f ~ ~ ~ ~-~"~,r~ FQX: (360) 458-8417 (Work must be started within 120 days) ~-~ ~ ,' o - --~ _ N Name <' ~1, ? i ~ '1 C i ~ bone.( ~ .. ~. ~. _ - ~ ~ / ~. _ ~_~ R Address 7 r ~ ~` r i/ v C '`' City ~ ,/ ~ f . State ~ i , ~~ Zip Code ' f 4 ,'?~ ~ • i Site Address °-" y~J ~ j is ~~ ~ %' .~~~Y~ P R Assessor's Parcel No. ~!GY.~~~l /j G~ ) , ~~^ ,f~ ti;) Lot Size (sq. ff./acres) 0 P ~~ _~ ,.. E Subdivision : > .%~ ,/,! (~ /r ,~,~ Lot ~. Block T ____ y OR Short Plat No. Block Existing Structures, if any: Name -~~ ~ ~ . , ~ Contact Phone (- /i~ ~ ~f) ~~i'~ ~ ~ -- ~ /'~ ~~ ,' ( r"~ .. Address ~.r ~ City ~~ r ~, ~ ~ State ! Zip Code `f ~~,:=~j ~ License No. j' ~ ~ 'T Exp. Yelm Bus. Lic. No. %"~'~,~ ~ . is ~ Description of Work ~~ ' OFFICIAL USE ONLY , j ~ ~ ~ „ f V • .r Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential r Slgn Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N neat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~i~:,,`,~~ `' ' -~ Sets of Prints c~ Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const, Only) Mechanical Permit # TOTAL FEE ~ "~= ~ ' / Pl Ch k B ! 7, ~~ , ~ ~) 1 an ec y ~ ...- Minimum distance of structure from property lines: Issued By ~~, ~.`i-~•---• Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. Quarterly Reports Signature A -~~~+ Date ,~' ~ ~~ o t,,,r Assessor / / , -- . ,.r ~ i CITY OF YELM -PERMIT FEES Site Address: ~~'yp TYPE !v?~ G~ ~~ PERMIT NO. RECEIPT ~ NO. COMMF,NTS 805 Sewer Inspection Fee Sin le Famil 145.00 805 Sewer Inspection Fee (Multi-Family/Comm./Industrial) $145.00 + $35.00 / hr. Sewer Latecomers 802 Sewer ERU approved under 1994 sewer ca aci $2,480.0 ' O f~] ~ Sewer ERU in the LID + LID assessment $2,480.00 Sewer ERU lots outside the LID boundaries $4,850.00 Site Plan Water Latecomers 712 Water Meter* $ 300.00 , ~~~ `J Water Meter I.R.R. 760 Water ERU's inside ci limits $1,000.00 ((,11~ '60 Water ERU's (outside ci limits) $1,200.00 740 wtr. 742 swr. Consumer Deposit 90.00 f1-r~~ / J 100 Plan Review 032 Building Permit / S-a ~ ~ ~-- 7 160 WA Building Code Fee Q ''.`o - 032 Mechanical Permit 032 Plumbing Permit 030 Yelm Business License # TOTAL 420 Transportation Facility Charge School Mitigation Fee ~ 410 ~ Open Space Fee DUE AND PAYABLEAT TIME OF PERMIT l~SUANCE! C:\My Documents\buildingWEW DEVELOPMENT.doc ~~3y.~ by ~ o~ ~~ ~ «C. t~n,t,Jl, Gov s CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 ~ d~~ I ,1 ~ r~ ,~, , Building Permit `~ ~ ~' ~, Date ~•~ ~f ~ ~ >r"~ (Work must be started within 120 days) ~ ' , Name ~ Phone "~ +rli~ L ~ ' ". Yic~C..~l.-~ N '"? ` +~[ C ~ St t Zi ~j~ ; f C d R Address U c ~-~..^ = c.-.~..~. ity , e ~_, ~, y a p o e Site Address ~ ~` P R Assessor's Parcel No. Lot Size (sq. ff./acres) O P E Subdivision Lot Block R T Y OR Short Plat No. Block Existing Structures, if any: Name ! ~ ~r - ,,,,.~ - Contact /„~t~ Phone (`J~~,) t,,/ r' '- ;~ Address ~,;~;: j ~ ~ ;r, i ~;'-l City ~:Y~ ~«~ State i ~ Zip Code '~~ License No. "'~~ ~ f ~' ;~ Exp. Yelm Bus• Lic. No. ~.>: - , ; J_S °~' •' • r-~ Description of Work ~ ~ ~, OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other ^ity Water Private Well Private System Shoreline Permit Y N ,.eat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ "~ ,._! ¢ ~ 1. ~ (,) Sets of Prints ~ Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE ~~ ~ , ~ ~? Plan Check By Minimum distance of structure from property lines: Issued By ('°~~ ~•~._..-•-~ Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form 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 stuucture 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 a currently registered contract in the State of Washington. ;' Assessor Floor Plan and Permit Submitted / / uarteriy Reports Signature ,~~~ t~'#.!. °~.:„ ~'>f ~ Date Assessor / / Firm: ~ / TRPC / / CITY OF YELM Buildirl~ Permit f ~ ~ ~~~ ~~ BUILDING DEPT. ` ~ ~ ~ ~~ ~ ~ ~ ~ ~ Phone: (360) 458-8407 Date - ~ Fax: (360) 458-8417 (Work m b started within 120 days) ~~ ~._. W Name '~ ) ~ Phone CJfaf.?I -- 4,ad ~ - ,5,._, .' N rz Address ,` S ~ ` ..,'/ ~°J[J ~ J"~4/ ~~. / // City {~ `'~ f~lrl~e~ State (:,1„l Zip Code `1~~3.1 ~ ~-. Site Address "` ~~ ~ '" 0,1~ P R Assessor's Parcel No. ,.. ;; ~ _--'(.` / /%,~ .`,~{ , 1 Lot Size (sq. ff./acres) P E Subdivision Lot Block R T y OR Short Plat No. Block Existing Structures, If any: ~ r- Q ~~', / ,,. C o ..~.-.- r,,. Name r!`"'. ~ f ) .~ <;' G •, <. Contact V ' Ja 1 ~ ~ ~ ' Z ~`j Phone (,~(,~~r) ~'/ t' ~ ~f ~ rl T , Address ('~, ~ ~ i.B~ }~yl ~~ ~ City (~'~_,~ State Zlp Code `~ ~ ~ ~, License No. ~ r ~''~ i :~~ ;~ ^;/ ~ Exp. Yelm Bus. Lic. No. .~ 1 - • , ~ ~ ~ ~'~, ~ / Description of Work ' f _ ~,~± ,r. `' ~ 1 OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign `~ Sewer Septic Approval No. Commercial Other pity Water Private Well Private System Shoreline Permit Y N ..eat. Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ «i -; ~; ~ 4-- r'„r,~ ~ ~' Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # r ,^ TOTAL FEE i (,~,,.. ~,j ~f t ~`T, ~,,~n.. Plan Check By //~~ Minimum distance of structure from property lines: Issued By~;,l^~.. Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. ,, --~ ~ Quarterly Reports ~ ~ ~ Si nature / `` Date ~ . Assessor / / Firm: ~'.'`R/"f'~ I~l~/~'~ .~7,~ -/5~,~. ! A1/° . TRPC / / .~. i ~~ Li ~.,,,~ .z, CITY OF YELM Building Permit ~ ~ ~'~ `~~ BUILDING DEPT. ~ ~ ~, _ ~~~'~/~ Phone: (360) 458-8407 Date FpX: (360) 458-8417 (Work must be started within 120 days) N Name ~. Phone (` ~ S '°- (:+ C / 1 R Address ((S ~ ~ ~"'~ a-( ~r1 ~ . City ~ State % : ~ Zip Code ~ 1. Site Address L ~ j ~ ~ P ~ Assessor's Parcel No. ~ C~,~C~ ~ `~~ "' ~' <` of Size (sq. ff./acres) ' ~ i~ ~~1~~' P E Subdivision /~ -~ Lot Block R y OR Short Plat No. Block Existing Structures, if any: C o Name ;'.~(,,,c,1 1.,, f'~ Contact Phone ( ) T Address City State Zip Code ~ License No. Exp, Yelm Bus. Lic, No. Description of Work r OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential -' Sign Sewer Septic Approval No, Commercial Other ''ity Water Private Well Private System Shoreline Permit Y N .eat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value :-y ~ ~"" ~~~• ~~ Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE ,`„~ ,.1 J ~ ~ Plan Check By ~ , i> Minimum distance of structure from property lines: Issued By ! ~~~-R, r- Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / and correct. I also certify that the proposed struct ure 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 a currently registered contract in the State of Washington. Quarterly Reports ^~ Signature ^„„~,,~ rt ~ ,; Date ~ ~~~ Assessor / / Firm: ~- ~n tJp n~ (;,,. (~ TRPC / / M-;d; ~w __ CITY OF YELM ~ Building rmit ~ ~ ~~~ BUILDING DEPT. ~~,' ~ Phone: (360) 458-8407 Date Fax: (360) 458-8417 (Work us a started within 20 days) w .~-- ~ ~/ Name ~ , 1 , a,~7 ,a ?r Phone ~' ) ~ // __ } i~'S C4J` C~G> J ~~ N R / Address ,%'} / 'M L ,• ~ , lC,~>~ ~~ City ~ . Mate C ~ Zlp Code J'~ ~,> -- Site Address / .P.if ~ k' I f~ / ' 1 ? ~> 2`~ R Assessor's Parcel No. ~ 1 ,'~) ~ Lot Slze (sq. ff./acres) O E Subdivision i Lot i ~ Block R T y OR Shorf Plat No. Block Existing Structures, If any: Name .' 1J.~ C ~ `~~ Contact Phone ? ) Crj~- ~; ~- I Address j~ ~ f~ ~~ ~r . ,: City f., ;. h/%,, 'State t J~II Zip Code ~~~~7~ License No. ~~ ~:~~ ~ ~' ...-~` Exp. Yelm Bus, Lic. No. ~,~- (> (` --~' ~ Description of Work ~ ~. ~ _y, ~ j ,~''r ~ ~ - OFFICIAL USE ONLY Permit Type; ~~ .r ?t f i Sq. Ft. per floor: (1st) ( .x '. (2nd) - ~, i = ~ (f Residential Si n g Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N .aat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan ' Y N ~^ Building Value -~ , ~~ y ~ I U ~' , ~tri ~ ~ ., ~ , Sets of Prints ~ ~~ Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) ~ ~ /,,,)' Mechanical Permit # TOTAL FEE r'1 f .5 .i Plan Check By v/~ ~~~ ~ fOr y1! Minimum distance of structure from property lines: Issued By ` + ' ~~•w"'" Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form 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 a currently registered contract in the State of Washington. Assessor Floor Plan and Permit Submitted / / uarterly Reports Signature j~ .~.-~^"'~ Date Assessor / / ( Firm: TRPC / / City of Yelm -Permit Fees Site Address: 14819 Prairie Vista Loop, Lot 29 ~Y 2~1 Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee Sin le Famil $145.00 $145.00 I 805 Sewer Inspection Fee MultiFamil /Comm./Industrial $145.00+ $35.00/hr Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca acit $2480.00 10215 $1000 prepaid Sewer ERU in the LID+LID Assessment $2480.00 Sewer ERU lots outside the LID boundaries $4850.00 Site Plan Water Latecomers 712 Water Meter $300.00 $300.00 '~ Water Meter I.R.R. 760 Water ERU's inside cit limits $1000.00 $1000.00 ~~ 760 Water ERU's outside cit limits $1200.00 740 wtr 742 swr Consumer Deposit $90.00 $90.00 ~-•~( `~b 100 Plan Review $ 484.18 ~_ 032 Building Permit 6487 $ 1146.00 ,(~~n 160 WA Building Code Fee $4.50 032 Mechanical Permit 5733 $ 91.40 ~ \ c 032 Plumbing Perrnit 5621 $ 118.00 C 030 Yelm Business License# 00379.0 Total $3379.08 420 Transportation Facility Charge ~,„ ~ j4 School Mitigation Fee $650.00 r . Confirm 410 Open Space Fee DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE! CITY OF YELM Buildin Permit ~ <9 ~ > A' BUILDING DEPT. ~ -~ ~ ~ , j ~ '~, ~ ~~ ~ ~ Phone: (360) 458-8407 ' Date Fax: (360) 458-8417 (Work m e started within 12o days) ~, ., _ _" ,.~ o `/~ ~ /J Name /`"{i G1 ;~ ~,' °~-v ~ _ Phone r ) ; j,% N R Address /~ ~ ~s E- ~'A- ~ Uhf rl~~ City r,~ , ~ ~ State l,J ~ Zip Code ~ ~ ;~ ~ '" Site Address /( ~~ ~/Ir,~/r~~F"" ;,~ ~ 1 P R O Assessor's Parcel No. ~`'~ ~` ~ (~ ~ %) C,~ ~T'% Lot Size (sq. ff./acres) P a Subdivision `„~ / ,~ ~ r'1 E i / ,~ Lot <`(':) Block T y OR Short Plat No. Block Existing Structures, if any: Name ~?„ i{ ~'re'~ r t l>r J~ ~a-r ° ~ S Contact Phone (,,t,'?) ~ ~?(t - ' ~ j r~`i _ R j _ ~ Address /~ ~;J~ ~/Iti/e ~: „~ ~.:.~~ ~`" } City ~t.~. ;~~1t, ) State .'a Zip Code `~~~k~%~~'~j ~ Ucense No. tr %G,:v .,: ~ rf / ~ ~ Exp. Yelm Bus. Lic, No. " f ; j ~ , ~~ ~' ' r' ~ ~'` Description of Work _,;//k- . fipk. ~, l y'i"y~A.~/~ryll~' OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential a ~ Sign Commercial Other Sewer Septic Approval No. ~:ity Water Private Well Private System Shoreline Permit Y N .eat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan ,.Y , N - , i ~' ~ ~ & il i l B A ~ -- ~ ~~ '~ ~ . ~ ~ Sets of Prints ' ng Va u d ue { ~ ~ "! (<~ Other Plumbing Permit # ~ ~* o~ ~ WA. ST. BC. Fee (4.50 -New Const. Only) ~~, ca "~7 Mechanical Perm it # ~~ ~ ,~ e-`-- TOTAL FEE ?) ~ ~ ~ ~ U Plan Check By ~ ¢ v ~''~' ° ~.~ ~ // (' ~'~ Minimum distance of structure from property lines: %. Issued By --- Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. Quarterly Reports Signature "~~_ ""~ Date Assessor / / I Firm: TRPC / / City of Yelm -Permit Fees Site Address: 1481 S Prairie Vista Loop, Lot 30 -L~;~IC:~ ~- ~~~ Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee Sin a Famil $145.00 $145.00 805 Sewer Inspection Fee ultiFamil IComm./Industrial $145.00+ $35.00/hr Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca aci $2480.00 10215 $1000 prepaid Sewer ERU in the LID+LID Assessment $2480.00 Sewer ERU lots outside the LID boundaries $4850.00 Site Plan Water Latecomers 712 Water Meter $340.00 $300.00 '~ Water Meter I.R.R. 760 Water ERU's inside ci limits $1000.00 $ i 000.00 ~ 760 Water ERU's outside ci limits $1200.00 740 wtr 742 swr Consumer Deposit $90.00 $90.00 100 Plan Review $ 526.56 t 032 Building Permit 6486 $ 1246.30 ~-- 160 WA Building Code Fee $4.50 032 Mechanical Permit 5732 $ 91.40 032 Plumbing Permit 5620 $ 118.00 030 Yelm Business License# 00379.0 Total $3 521.76 420 Transportation Facility Charge School Mitigation Fee $650.00 Confirmed 410 Open Space Fee DUE AND PAYA BLE AT TIME OF PER MIT ISSUA NCE! CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 O K-~ v~ Name ;•~~i9ri./Gc,,,.++r. N R Address ~ y;, / E Site Address ~ ~~ P R Assessor's Parcel No. 0 P R Subdivision ! S ~ n , T v OR Short Plat No. „,.,. Building° ermit '~ a'' R' .~ Date (Work m t b .started within 20 days) s^r 1 ~~ _.' i~) t r 1 , ~,,J ~~'~-~ L' -"~ ,f ~''~d i ~ ~r ~'' ~ ~,~ 'C(..! City j ~~ ~ ; y^'I ~ State Lot Size (sq. ff./acres) Lot Phone C.~'1 ~) ~~~~ ~ (c •~- '~ !~~~ 7 ~ /., ).~ Zlo Code ~r' ~,: . I Block Block Existing Structures, if any: Name ~>~;~; yf - ~~ ~'.. ,~ Contact Phone ~ ~ ~) ~- ~~,- r ~!_:, j ~~ j ,.` City c.~ Address ~ ~ f? /d ~ ~ ` j ~! `t State ( ~ l~ Zip Code ` ~ ~~ ;! ~~ r ~ , . r, ~ , ~ „ e , Ucense No. t:;~. ~ „>,vJ ~ ~` ~~.Z% ~,r Exp. Yelm Bus. Lic. No. -' ~- ;~(~Q '~ ""} .. Description of Work ~ ~~' ~ , ~ ' OFFICIAL USE ONLY ~ f .~ 1 t ~ t ~~7 a Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential '°' Sign Sewer Septic Approval No. Commercial Other ~:ity Water Private Well Private System Shoreline Permit Y N ..eat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value - ; ( l f - Sets of Prints e Other Plumbing Permit # ~' ~' } WA. ST. BC. Fee (4.50 -New Const. Only) ~.. (~ i ~ Mechanical Permit # << ~ TOTAL FEE ~,~ ~c"` F ~ Plan Check By ~.J 1'i~r~ ~ ~` " I k~ Minimum distance of structure from property lines: Issued By t . .-- Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. ,,i' Quarterly Reports Signature t `'- ..,,,, Date Assessor / / Firm: TRPC / / .. Cit~of Yelm -Permit Fees Site Address: 14809 Prairie Vista Loop, Lot 31 I'I~V-3~ Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee Sin le Famil $145.00 $145.00 845 Sewer Inspection Fee ultiFamil /Comm./industrial $145.00+ $35.00/hr Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca aci $2480.00 10215 $1000 prepaid Sewer ERU in the LID+LID Assessment $2480.00 Sewer ERU lots outside the LID boundaries $4850.00 Site Plan Water Latecomers 712 Water Meter $300.00 $300.00 Water Meter I.R.R. 760 Water ERU's inside ci limits $1000.00 $1000.00 [~ ~\, 760 Water ERU's outside cit limits $1200.00 740 wtr 742 swr Consumer Deposit $90.00 $90.00 I - 100 Plan Review $ 477.68 I L~ {• J 032 Building Permit 6485 $ 1130.62 ~~ i 160 WA Building Code Fee $4.50 032 Mechanical Permit 5731 $ 91.40 ~' 032 Plumbing Permit 5619 $ 1 ].8.00 030 Yelm Business License# 00379.0 Total $3357.2 '` ~~ 420 Transportation Facility Charge School Mitigation Fee $650.00 Confirmed 410 Open Space Fee DUE AND PAYA BLE AT TIME OF PER MIT ISSUA NCE! CITY OF YELM Building Permit " ~ E '~- BUILDING DEPT. '° _ ? ~~~' Phone: (360) 458-8407 Date ~ ~` ~.> ~~~ Fax: (360) 458-8417 (Work must be started within 120 days) - ~ ~ ~. (~ III _~ r._. _'" _ ~^/ Name~~ y Phone (L ~' N E ...+ ~/~~ R Address fC. r. ~/L% City State Zip Code Site Address L ~ R Assessor's Parcel No. ,~„~ ~ `~ ~ Lot Size (sq. ft./acres) 0 P E Subdivision Lot Block .T y OR Short Plat No, Block Existing Structures, if any: C o Name ,, Contact Phone ( ) T Address ~ ~ d ~ v City ~~p , c. ! , ~S~ate , +,b Zip Code `.~ '> ~ --,'~ License No. Z (' - ~'( Exp. Yelm Bus. Lic. No. . _ ,~ ~ ~~ ~ Description of Work ~ ~7 OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Slgn ~ Sewer Septic Approval No. Other Commercial ^ity Water Private Well Private System Shoreline Permit Y N great: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value . ; ( `' S 1 ~ -,; ~ .- ~]~ ~ Sets of Prints ~ Other , p PlumbingPermit# ~jJ`~`t r -" Mechanical Perm t #~ ~J ~ ~.,- WA. ST. BC. Fee (4.50 -New Const. Only) i TOTAL FEE 'r"'}~ ,~;~~ fi9 ~ Plan Check By •.! ~ ~ Lt y ~~ v~.: , / C=A (n Minimum distance of structure from property lines: r Issued By ,.~,s Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. Quarterly Reports Signature % 1,. rr~ ~"~~~` ~P Date ~ l -s~rr~' C: Assessor / / Firm: ~` TRPC / / City of Yelm -Permit Fees Site Address: 1201 Yelm Ave East, Hollywood Video Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee Sin le Famil $145.00 805 Sewer Inspection Fee uhiFamil lComm./Industrial $145.00 x ERU $ 420.50 C~ _ )~ i Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca aci $2480.00 Sewer ERU in the LII}+-LID Assessment $2480.00 Sewer ERU lots outside the LID boundaries $4850.00 $]4065.00 I - 2.9 ERU's Site Flan Review $422.50 _ i 6.5 hrs @ $65.00 Water Latecomers 712 Water Meter $300.00 $300.00 ~~ i Water Meter I.R.R 760 Water ERU's inside ci limits $1000.00 $2900.00 1 ~ , 2.9 ERU's 760 Water ERU's outside cit limits $1200.00 740 wtr 742 swr Consumer Deposit $90.00 $ 40.00 100 Plan Review $ 1531.65 ~~ ' (~ 032 Building Permit 6429 $ 2356.38 ~-- c 160 WA Building Code Fee $ 4.50 ~~ 032 Mechanical Permit 5702 $119.80 `_r <~ ~ 032 Plumbing Permit 5594 $ 90.00 ~~ 030 Yelm Business License# Sub Total $22300.33 ~(~ 420 Transportation Facility Charge $23235.00 School Mitigation Fee 410 Open Space Fee TOTAL $45535.33 DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE! CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 0 `~/ Name C /i'Q l~1 .S ~' N E R Address / ' ~ ~,~ ~ a" ~ ~? ~ ,~ Site Address ^~[.• 1 1 / ~ i s +a i 7 ( ~ /R~ (~v' R O Assessor's Parcel No. ~ j~ ,~ (~ d ~ ' ~ L P E Subdivision Lot Block ~T y OR Short Plat No. Block r Existing Structures, if any: ~ 7 ~ l~ [ r+ C o Name t, ),,,,, Contact Phone ( ) T Address City State Zip Code ~ Ucense No. Exp. Yelm Bus, Lic. No. ~ Description of Work ~" ~ ~~ ~I ~f~r h ~ r~4'` ...o ~.~ /r~'~ OFFICIAL USE ONLY Permit Type: ,, Sq. Ft. per floor: (1st) (2nd) 4~ Residential Sign Sewer Septic Approval No. Commercial Other ,ity Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Buildin Value // i ~,~/",~,- ; '~ ~..-•~'" Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # ru ,; ~ " TOTAL FEE ~ , i ----~'"" Plan Check By rr t~ ~ Minimum distance of structure from properly lines: Issued By Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. Quarterly Reports ~ ,~ L ~~' .~-' ~ Date ~ - 7 / nature ~ ' ~ ~ fir' ~ ~I« Si Assessor / / d , , ;~_,,,, g Firm: - TRPC / / -~ .~, Building Permit Date `~ ~ ~~ ~~~~~ (Work must be started wit~hin~j120 days) Phone ~( .i .- Zip Code / ;~ S , Lot Size (sq, ff CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 `Fax: (360) 458-8417 Building Permit ~ ~~ °' ~'' r ~~ ~ '' fir,. ~~ l f ~~S Date ~~.,~~ ~ r~` t ~' ~ I ~ ~{, r (Work must be st~jted within 120 days) 1 _- -/ 1 ~. __..~- 1 r - _ r r` i o , --' , N Name t } Phone ( ) R ^~ Address ,~ / J q City t'-1_ r~,, State Zip Code t S ~ "Z Site Address ~ / P R O Assessor's Parcel No. Lot Size (sq. ff./acres) P E R Subdivision Lot Block T y OR Short Plat No. Block Existing Structures, if any: /~'~'" ~ . N Name i,)~ ~ " ~ t~ ~~,-tii Contact Phone ( ) '' ~ -- l 'G1v't~ T ~ , R Address ~'", (/ , , "~ -;`?l(~l ,. City '~/i. -:..e State ~ ~~ Zip Code ~f7) ! ~ ~ License No, ~? ~:l <'" ~` ~~ t Exp. Yelm Bus. Lic. No. Description of Work `'`(~ ~ 1 U O Permit Type: "~~/ Sq. Ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other "ity Water Private Well Private System Shoreline Permit Y N neat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value r ~ ~ Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE "" c: ~° Plan Check B y ~1 / [ I B ~ Minimum distance of structure from property lines: . ~ ssued y ~-.-- Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / and correct. I also certify that the proposed structure js in conformity with all applicable City of Yelm regulations including those governing zoning and land subdivis~, and,' addition, all covenants, easements and restrictions of record. If applying as a contractor, I fGrther certify YYfat I aryl gcurrently registe/pfd contract in the State of Washington. / ~ f Quarterly Reports Signature \ ! Jr , ~...~'' ~ , ~ Date OFFICIAL SE NLY Assessor / / TRPC / / r,. f __ . _. ~ _• r- ~ 1. CITY OF YELM Building Permit N°_ 6 4 81 BUILDING DEPT. Phone: (360) 458-8407 Date Fax: (360) 458-8417 (Work must be started within 120 days) `N N Name ~/ ~ S Phone (~ E R Address Q City ~~ State .~ Zip Code Site Address P R O ~ Assessor's Parcel No. Lot Size (sq. ff./acres) P E R Subdivision Lot Block T y OR Short Plat No. Block Existing Structures, if any: C O Name Contact ) T R Address City State Zip Code License No. Exp. Yelm Bus. Lic. No. ~~ Description of Work OFFICIAL USE ONLY P mit Type: `~ Sq. Ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Ap oval No. Commercial Other ity Water Private W I rivate System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BA FOR FEE FEE Floor Plan Y N Building Value ' ~ ~ 7~~ Sets of Prints ~ /_ Plumbing Permit # 5~~~ Other ' Mechanical Permit # S ~ WA. ST. BC. Fee (4.50 -New Const. Only) S D TOTAL FEE 75' 9~~ Plan Check By ~ ~ D Minimum distance of structure from property lines: Issued By ~ ~.- C..----~ Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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, an d in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contract in the State of Washington. Quarterly Reports Signature Date Assessor / / Firm: TRPC / / CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 0 N Name ~ oQt~ l~ /lY7) ~ E R Address ~_ "L J .... ~ ~/ Site Address !.i' ~ L~ P ~.. R Assessor's Parcel No. ~ 0 P R Subdivision I r v OR Short Plat No. Building P rm~~i~~t `' ° `~'~ Date ~_ 'l.Ui.~..l ~_( ~ \~\ .1 (Work~inust be;s~jarted within 120 days) 1, City /ery ~~ ~ ~~ ~~~c., State ! J ./q Zip Code ~~~ r~ ~~ r Lot Size (sq. ff Lot r^}'' ~ Block Block Existing Structures, if any: C o .../ L / Name ,~'~? r'n ~ Contact C. ~ ~/~'/ G ~ Phone ~~j ) ~ ~`-' ~ ~ 7~j <r',~ T n Address i' '` ~ ~ ~ ~' ~ City J ry ! ~.~ n1j State (,J}} ~ Zip Code `J JS r1 r~ `/r R /,j 7 L",,C j~ ~;~ ~ ~, Exp. Yelm Bus. Lic. No. License No. Cl L! Description of Work OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other ^ity Water Private Well Private System Shoreline Permit Y N meat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value - =~~ ^,iJ L' ~; ~ Sets of Prints f Other PlumbingPermit# '~~~~~"' t l 4 50 N C O ~- ~'~ ~' -~ Mechanical Permit # ~ '~ ~ WA. ST. BC. Fee ons . n y) . - ew ( /~ TOTAL FEE ~` /~' ~ ~~ - ~ ^ Plan Check By ~.,~ ~~ j~G~ ~ 2' A- J ~ Minimum distance of structure from property lines: Issued By /? • ~0-- ` Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. Quarterly Reports y -, r, Signature -'! '~:, r / ~, ,,.J~, Date ~ ,•'~?' '-~<-' Assessor / / Firm: TRPC / / cal- o~qo D City of Yelm -Permit Fees Site Address: 1040~Brighton St SE ~1~ Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee Sin le Famil $145.00 $145.00 805 Sewer Inspection Fee MultiFamil /Comm./Industrial $145.00+ $35.00/1-r Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca aci $2480.00 $0 10160 $1000.00 Prepaid Sewer ERU in the LID+LID Assessment $2480.00 Sewer ERU lots outside the LID boundaries $4850.00 Site Plan Water Latecomers 712 Water Meter $300.00 $300.00 I J Water Meter I.R.R. 760 WaterERU's inside ci limits $1000.00 $1000.00 15 760 Water ERU's outside ci limits $1200.00 740 wtr 742 swr Consumer Deposit $90.00 $90.00 ~~ 100 Plan Review $ 460.94 ~~ ~(.-~ 032 Building Permit 6480 $ 1091.00 ~~ 160 WA Building Code Fee $4.50 $ 4.50 032 Mechanical Permit 5729 $ 91.40 ` 032 Plumbing Permit 5616 $ 111.00 030 Yelm Business License# 98-001389 Total $3293.84 420 Transportation Facility Charge School Mitigation Fee $650.00 Confirm 410 Open Space Fee llUE AND PAYABLE AT TIME QF PERMIT ISSUANCE! CITY OF YELM BUILDING DEPT. phone: (360) 45a-x407 Fax: (360) 458-8417 Building rmit ' _ ~ N" ~` '.~~ (Work,Ynust be started within 120 days) v' o / ~' -~"` ~^/ Name h/ ~?,~ •{- Lr)~ ~ r~ Phone 7~ ) r -' N '? '' N ~_>- _ R Address rc:~ C) / ~ r City / ~c ;_~ rr', State (~ ZIp Code l ~ ~ f Site Address '(J ~ ).~ ,av~~ ~ /? ~, f ~ i r~~ P -•' R Assessor's Parcel No. +~ ~--' ~ d ~~ ~'~C.1!`~ Lot Size (sq. ff./acres) O E Subdivision J``-,~ t ~ f , .r ti r ~t' ` Lot "; -j Block R J v OR Short Plat No. Block Existing Structures, if any: Name %~~j ~ rt.' t .~ ~ . y" ~ Contact (, ~'f ~1~,0 ~ Phone ~,~~, j ~ )~1 > ~~ •- ,1,,.,J ~J~, Address ~ ~) ) "~ ~ ~ ,L~+ :, 7" r. City ~ C<',',~YJ State ~ f Zip Code ` ~-' C- ~~ '. License No. ,q ~r'i f /'~"• f ,~,~) ~_ ,~'` Exp. Yelm Bus. Lic. No. (J (,i ! `; `~ .~~' l / / Description of Work ~-. -^~.,~yt ,, / L f r:_ f , MFG•r~+ • ~' OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential r Sign Sewer Septic Approval No. Commercial Other "ity Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ' ~a~C '"'3 Sets of Prints e~~ Other Plumbing Permit # . `~~f a!p WA. ST. BC. Fee (4.50 -New Const. Only) ("•~ Mechanical Permit # ~`7~c~~' TOTAL FEE ; •, „ ~ 1 -~ Plan Check By ~ ~ VL•e' ~ ~ NJ r Minimum distance of structure from property lines: % Issued By ~ A' ~ ~ Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form 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 a currently registered contract in the State of Washington. Assessor Floor Plan and Permit Submitted / / uarterly Reports Signature ,~ - „/~ j~;' :. ~,. Date , -' ;' i- ~ ._) Assessor / / Firm: ~ TRPC / / ~`i ~8` D City of Yelm -Permit Fees ~ ~~~ ~~ Site Address: 10405 Brighton St SE Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee Sin a Famil $145.00 $145.00 805 _. Sewer Inspection Fee ultiFamil /Comm./Industriai $145.00+ $35.00/hr Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca aci $24$0.00 $0 10160 $1000.00 Prepaid Sewer ERU in the LID+LID Assessment $2480.00 Sewer ERU lots outside the LID boundaries $4850.00 Site Plan Water Latecomers 712 Water Meter $300.00 $300.00 \ Water Meter I.R.R. 760 Water ERU's inside ci limits $1000.00 $1000.00 760 Water ERU's outside ci limits $1200.00 740 wtr 742 swr Consumer Deposit $90.00 $90.00 100 Plan Review $ 421.09 032 Building Permit 6479 $ 996.67 x- 160 WA Building Code Fee $4.50 $ 4.50 032 Mechanical Permit 5728 $ 84.90 /~ ~' 032 Plumbing Permit 5616 $ 104.00 030 Yelm Business License# 98-001389 Total $3146.16 ~~ 420 Transportation Facility Charge School Mitigation Fee $650.00 Confirm 410 Open Space Fee UUi~: A1VL YAXABL@: A'1" "1'1ME OF PERMIT ISSUANCE! ' CIN OF YELM Building P rmit ~° p BUILDING DEPT. I' ~ ~~~ Phone: (360) 458-8407 Date A,Ja, f FaX: (360) 458-8417 (Work ust be st ~ ed within 120 days) J ~/'/ Name 1 ~2 - . ~., N R Address ,: ~~ U.`a~ Ld T ~' :~ ~ __ City J` di Cei y State ~, /1 Zlp Code ' ~(f ''l ~ ~ Site Address j li j j ~ ~j l(i „~J C~ ~"' ~, r~ P o Assessor's Parcel No. ~ ~ O ~C~C, tJ J ~ Lot Size (sq. ff./acres) P E Subdivision T-', ~ f,,,, n Zl _, Lot Block R T y OR Short Plat No. Block Existing Structures, if any: ..~ ~ Phone (~'+ ~) s~ - ! C j ~ ~ i C Contact N ~ ? 7 ' / N l /~ ~ ame ~ r > ?,ya , , , T ~,~ .. Address ~ ? U ~ ~, j ~ City / .•7 <' vrr,B State Lid/} Zip Code ~~ ';/ ~/ Ucense No. /.,~/! !~J ~ ~ vk "'? "' C t Exp, Yelm Bus. Lic. No. (~~)/S~}( Descri Lion of Work ~ ~~ i ' ~ •~ ~ ~ p `i L °"~ " P OFFICIAL USE ONLY P ~i,va -,, r f •tiC 1 Lva. Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential `' Sign Sewer Septic Approval No. Commercial Other "ity Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N 7 `""~ Building Value ~ , / - J ~; d ~ © Sets of Prints Other Plumbing Permit # J t~ / ~ M h i l P it # 5 '~ `` WA. ST. BC. Fee (4.50 -New Const. Only) e ~ S ~ ~ an ec ca erm ~ TOTAL FEE ~ r'J ~-~ ~~ ~ S ~ r Plan Check By +l . L%u ./~1 c•ti~ Minimum distance of structure from property lines: Issued By ~ 1 ~~- Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. Quarterly Reports Signature I ~~ ~ ; ~ ~ ;:>.. Date ~-' • / r - ~-' ~ Assessor / / Firm: TRPC / / ~~-05~~~ City of Yelm -Permit Fees '~~- 2, j Site Address: 10517 Farwest Ct SE Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee Sin le Famil $ i 45.00 $145.00 805 Sewer Inspection Fee MultiFamil 1Comm./Industrial $145.00+ $35.00/hr Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca aci $2480.00 $0 10160 $1000.00 Prepaid Sewer ERU in the LID+LID Assessment $2480.00 Sewer ERU lots outside the LID boundaries $4850.00 Site Plan Water Latecomers 712 Water Meter $300.00 $300.00 I~ Water Meter I.R.R. 760 Water ERU's inside ci limits $1000.00 $1000.00 ~~ 760 Water ERU's outside cit limits $1200.00 740 wtr 742 swr Consumer Deposit $90.00 $90.00 ~~_ 100 Plan Review $ 460.94 t I 032 Building Permit 6478 $ 1091.00 160 WA Building Code Fee $4.50 $4.50 ~~ 032 Mechanical Permit 5718 $ 91.40 032 Plumbing Permit 5615 $ 111.00 n V 030 Yelm Business License# 98-001389 Total. $3293.84 ~C ~ 420 Transportation Facility Charge School Mitigation Fee $650.00 Confi 410 Open Space Fee DUE AND PAYA BLE AT TIME OF PER MIT ISSUA NCE! i CITY OF YELM • Building Permit ~ '" ~" `' BUILDING DEPT. ~~~ , ~ -°?,~, ~. ~L~~1~ ' / Phone: (360) 458-8407 ~ Date t Fax: (360) 458-8417 ed within 12 0 days) (Work must be sta rt ,/ ~ ~ ' ~i ~ , / '-,,~ ~ O w Name Phone ( ) ~ " %' 7~~ N E R ~" i Address ~ ./ ' _ ~ ~,i City - C State ( /~ Zlp Code S~ Site Address `"J,~,J /~ ~. P R Assessor's Parcel No. Lot Size (sq. ff./acres) O P E Subdivision Lot Block R T v OR Short Plat No. Block Existing Structures, if any: °,,,.. N o ntact C Name _ ~=~- -^~m• ---~-...i ,,.. Phone ( ) A ~ ~ ~/Jy Address •-~ ~_•,-,1 -r CAF-~-^fE_ ` - ~ r~.~ s•,r.a+•ge-•----State-..»., .qGi~.........~,.;?~~p•('vdg^~'a J~~J'~~ ~ R License No. ' ~~ f ~ (d ~' f / Q - Exp. Yelm Bus. Lic, No. Description of Work OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial "~ Other '!ty Water Private Well Private System Shoreline Permit Y N neat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N 2 Building Value ~> v+: 7 c ~ - .°" Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) ''jj Mechanical Permit # TOTAL FEE ?,t~ ~ ~~ } '~~ Plan Check By (? ~•r _ Minimum distance of structure from property lines: Issued By !~r . C_.:..~-~ Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within t he application and know the same to be true Submitted / / and correct. I also certify at the roposed structure is in conformity with a ll applicable City of Yelm regulations including those governing zoning d Ian subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contrac r,~r ertify that I am a currently registered contract in the State of Washington. ~ _-- ,~^- ~~` -- ~'"~ '` ti ~ Quarterly Reports ( Signature / ~ ~ ..~' ~"'" '~ ....~-o•^"""~^~ Date ~•--°'.!~'~ / .~" Assessor / / Firm: ~ ~ ~ TRPC / / Cit~of Yeim -Permit Fees Site Address: Theater 201 Prairie Park St. NE Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee Sin a Famil $145.00 805 Sewer Inspection Fee ultiFamil /Comm./Industrial $145/ERU $2992.80 2 ~J ~, Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca aci $2480.00/ ERU $51187.20 ~~/~' ~~ 20.64 ERU Sewer ERU in the LID+LID Assessment $2480.00 Sewer ERU lots outside the LID boundaries $4850.00 Site Plan $ 3175,00 / J ~~`~ ( j Water Latecomers 712 Water Meter $300.00 $300.00 ~ /~31~ ~ ^. , Water Meter LR.R. /~ ~ + l 76U Water ER 's inside ci limits $1000.001 ERU $20640.00 ( p J ~~~~ 20.64 ERU 760 Water ERU's outside ci limits $1200.00 740 wtr 742 swr Consumer Deposit $90.00 $ 90.00 j37 100 Plan Review $11949.43 S-3 032 Building Permit 6472 $18383.75 ! ~`2J.f 0 160 WA Building Code Fee $4.50 $ 4.50 /S ~7 y 032 Mechanical Permit 5725 $ 216.50 1 s3~~a 032 Plumbing Permit 5614 $ 333.00 , ~3 :J G 030 Yelm Business License# Total $ i 09272.18 420 Transportation Facility Charge School Mitigation Fee 410 Open Space Fee uUE AIVU PAYABLE AT TIME OF PERMIT ISSUANCE! r~~~ ~ CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 '~"~ Fax: (360) 458-8417 r,, - . Building Permit ~ : ~ ~ ~ Date ~ ~~/~~ ~~ (Work must be started wffhin 120 days) O N/ Name . /~ L ~ ~ ~~ Phone 3 N R l l ~,// w Gr P Address ~ U ~ I r~ N / I`I / ~ f A ~ City ~'/1rc-+-ti1 State L.~ ~ ZIp Code J / ~ Site Address ~ / /I.~ / ~( l °/J O/~ ~/ ~' P R Assessor's Parcel No. Lot Slze (sq. ff./acres) O P R Subdivision Lot Block T v OR Short Plat No. Block Existing Structures, if any: ...~' Name ~ ~7w /j Contact Phone ( ) A Address ~ City ~io State L J~ dip Code g J3' ` D Ucense No. .-r ~ ~- Exp. Yelm Bus. Lic. No. r ~" Description of Work J h Pv ~2 OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial ~~ Other Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value UU ~ Q i U . 75 Sets of Prints ~. Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) c S"~ i Mechanical Permit # ~ 7.~ 5 TOTAL FEE ~ ~ 3 8 U ~ ZS > ~_ J ,/~, ! ~ ~- Ptan Check By Minimum distance of structure from property lines: ~~ Issued By /7' r CA.i Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form 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 wffh 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 a currently registered contract in the State of Washington. Assessor Floor Plan and Permit Submitted / / luarterly Regorfs Signature Date Assessor / / Firm: TRPC / / ~ CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 `- Fax: (360) 458-8417 0 N Name ,? eJ ij ~ ~'` ' ~ ~ - ~ R Address ~ (.,~ ~ ~ '~ N / I i L"~ f-~p ~r' I Site Address ~ ~ / y~,~1,? / y~ ,, /J,~,~ ~.~ P R Assessor's Parcel No. n P E Subdivision R f ~ .>' , Building Perm+ it ~ ~ •~ ~°' '~'. Date ./ ~~..~~.~~~ -~~ (Work must be started within 120 days) v l~ City ~`~z~ VYt State ! ~~~r Lot Size (sq. ff./acres) Lot Block T ~ OR Short Plat No. Block Existing Structures, if any: N s' ~ Name ~ ,~ ~,,w c" ;~ ~~,{~r Contact Phone ( ) Address r' -=< ! t~~` ~ ~ ~ r. ~;;-~ City C - ~f State (. ~i,s~ Zip Code J ~ f,~; ~ `-~ ~ ~~ ~ Ucense No. ~ r~ /= ~ r r Exp. Yelm Bus. Lic. No. `'< y Description of Work ! ~ ~f, ~ [ OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other 'ty Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~ ,~ G' U cr`-) ~ ; C ; ~ ~ Sets of Prints ~--1, Other Plumbing Permit # ~~~r ~~ WA. ST. BC. Fee (4.50 -New Const. Only) ~, <~ i~ Mechanical Permit # ~ f-,7 y_. ~ TOTAL FEE ~ ~ z~ `J~ , ~~ Plan Check Bye j ~!il r ~ .~< r:; Minimum distance of structure from property lines: Issued By ~~ ~ C`r~~ Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the Information contained within the application and know the same to be true Submitted / / and correct. I also certify that the proposed structure is in conformity with all applicable City of Yefm 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 a currently registered contract in the State of Washington. ~ 1 Quarterly Reports ~ `~ ' Signature / ~,/ ,~ Date Assessor / / fl Firm: f ~ffr'~, ~~ ,fir; TRPC ! / Code Phone City of Yelm -Permit Fees Site Address: Theater 2d1 Prairie Park Ct NF. Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee Sin le Famil $145.00 805 Sewer Inspection Fee MultiFamil /Comm./Industrial $145/ERU $2992.80 ~~ ~~ ~~' Sewer Latecomers $02 Sewer ERU approved under 1994 Sewer Ca acit $2480.00/ ERU $51187.20 ~ i ~ >~ ~ ~ ,, / ,~ 20.64 ERU Sewer ERU in the LID+LID Assessment $2480.00 Sewer ERU lots outside the LID boundaries $4850.00 Site Plan $ 3175.00 ~~~G~ Water Latecomers 712 Water Meter $300.00 $300.00 /j ~ ~~~ Water Meter I.R.R. 760 Water ERU's inside cit limits ERUO 00J $20640.00 ~~~ ~ 20.64 ERU 760 Water ERU's outside ci limits $1200.00 ~4~ ~r Consumer Deposit $90.00 $ 90.00 a 3 100 Plan Review $11949.43 ~7 ~ ~~~? l 032 Building Permit 6472 $18383.75 ,- 160 WA Building Code Fee $4.50 $ 4.50 /S ~-7 ~ / 032 Mechanical Permit 5725 $ 216.50 / 1 7 l ~~1~/ 032 030 Plumbing Permit Yelm Business License# 5614 $ 333.00 ~, ~~ ~ ~~ r Total $109272.18 420 Transportation Facility Charge School Mitigation Fee 410 Open Space Fee T7T a 1T11 T .~~.. r.~.,~ rr~ z nvt.r. t~ a i 11Y1L' Vr YL~ KMl l" 1JJUAN(:E! CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 Building Permit r~, °"• ~` Date ~ ~ ~ ~ C.l~ (Work must be started within 120 days) ~' ~,~r ~r/1 I ,~ o w y ,~ Name ~ ~, ~ . Phone (.~~ ~~2$ `/t ~ ~ d~'~' l~ N , E R Address ~~ ~ ' ~ city ~~"~ ,- state l . i zip code ' ~ " ~ - "~ ~~ Site Address ~~ C ~ P R Assessor's Parcel No. Lot Size (sq. ff./acres) O P E Subdivision Lot Block R T y OR Short Plat No. Block Existing Structures, if any: /.~~ ~y Name ~; ~,; ,~~ ,. l.~~g ,,: Address ~~~~ ~°~,! j(' ~ ~~// ~ ,/ Contact ,~",i(.;~~ /1"c- ~_cJ,n,..~~ Phone(IPU) ``~U'" i /~~~ City ~ ! ~~-~., State +:,~/~/' Zip Code `7n 4" Ucense No. l'~ ~ /~l ,~.f ~ ~ ~ ~ ~ Exp. Yelm Bus. Lic. No. '(j Description of Work ~ J ~ , /,~ ,l - r' ,~ ~ ,~. ~~,~ OFFICIAL USE ONLY ~` x Permit Type; Sq. Ft, per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial ~~ " Other "qty Water Private Well Private System Shoreline Permit Y N seat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~~ 1/ _ ~t/ ~ ,, t~~ °) "~ Sets of Prints ~ ~ ~`/~ Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE ± ~ fl °"'~ Plan Check By I ~ ° ' Minimum distance of structure from property lines: -~..... ssued By / - 7. Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. _ ,-ry /`~ •~ _ Quarterly Reports Signature "'."- % ~ r _ Date ' ,~~ "-0~ Assessor / / Firm; TRPC / / r ~,, CITY OF YELM Building Permit ~'~ ;~ ~:' "~" BUILDING DEPT ~ ~ . Phone: (360) 458-8407 , Date`' ~~ ~ ~' ~ ~c'_ .f~- ~ FQX: (360) 458-8417 (Work must be rted within 120 days) ~~ ~~ ~ ~'' ~~ -4 ~. N/ Name ~t v ['( c, % ~ /~`~ t /~y~ ~t /l Phone (.., ) r f~,/ R Address ~,~+ ~ ~ City ~ ~~"i e.-„ State Zip Code ~~~ Site Address j ~ -2 / ~ P R O Assessor's Parcel No. Lot Size (sq. ff./acres) P E R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: r ~ . i+`/~, ~"' C o Name r ,d Contact Phone ( ) T R ~ Address City State Zip Code License No. Exp. Yelm Bus. Lic. No. Description of Work (,~ dr p ~ /{ OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential `°~ Sign Sewer Septic Approval No. Commercial Other -"ity Water Private Well Private System Shoreline Permit Y N seat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value C ~ °.~ C ~ ;~/ ~~~ `j Sets of Prints ~'~ Other Plumbing Permit # ~ ~' WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE -~L~ f1, r'J ~ ~~ Plan Check By /"7. t.: ti-° Minimum distance of structure from property lines: Issued By ~` 7 . ~---~-•- Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form 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. f 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 a currently registered contract in the State of Washington. ~ Assessor Floor Plan and Permit Submitted / / uarteriv Reports rr '' ~ Signature ~ ~ %~ * i ~ ~~ Date / _ ,).. l . {,t Assessor / / Firm: TRPC / / ~vr` City of Ye1m -Permit Fees Site Address: 10317 3rd St SE Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee Sin a Fami $145.00 0 805 Sewer Inspection Fee ultiFamil fComm.lIndustrial $145.00+ $35.00/hr Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca acit $2480.00 0 Sewer ERU in the LID+LID Assessment $2480.00 Sewer ERU lots outside the LID boundaries $4850.00 Site Plan Water Latecomers 722 Water Meter $300.00 0 Water Meter I.R.R. 760 Water ERU's inside cit limits $1000.00 0 760 Water ERU's outside ci limits $1200.00 740 wtr 742 swr Consumer Deposit $90.00 0 100 Ptan Review $ 286.70 15;3 032 Building Permit 6475 $ 441.08 ~ ~r--,~~-~ '~~ 160 WA Building Code Fee $ 032 Mechanical Permit $ 032 Plumbing Permit 5613 $ 4i .00 1 ~~~?' ` ~1 030 Yelm Business License# Total $768.78 ~~~~~ 420 Transportation Facility Charge School Mitigation Fee 410 Open Space Fee DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE! CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 ~Y7ie1'Gc~~~cl,~~•/L ~C~~-~i U~ _S ~ r` wt ~~ ~ ~ r1 ~.~ ..l r'1, Contact o `N ---~ Name ~ ; N E R Address ~~~ Site Address ~' ~ ~' P R Assessor's Parcel No, O P ~ Subdivision r Y nR Shnrt Plnt Nn Existing Structures, if Name ~ ~~Y: ~C Address r~( Ucense No. Clty I f Phone .~ y-, t" Building Permit ~ p'~ ~=' a. a r~, Date ~,~~~~~t~' -~ (Work must be started within 120 days) `'.~ ` ~ ~~ 1; ~ ~; I State ~~.-~~ ZI de yr Lot Size [sa. ff Lot Exp. Block Block Phone (fie G~ State ~ l./ ,il Yelm Bus. Lic. No. e Description of Work ~ n p ,~y~~ ~,~ ~ / %,~~- / OFFICIAL USE ONLY Permit Type: V-. Sq. Ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other - pity Water Private Well Private System Shoreline Permlt Y N .,eat; Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~~ ~ < t J -~ ~~/ ~ ~ ~ ~_ Sets of Prints c~ Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) ~- s ~ Mechanical Permit # TOTAL FEE ~' / ~t Plan Check By ~T! ~"~-~""~ ~~ Minimum distance of structure from property lines: Issued By t~~• / •.. Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. Quarterly Reports Signature .~ ~ ~, - ~"c_ - ~~ .., Date - Assessor / / Firm: 1''fl j='r~ d :I T'1'~; 1 . ' _ ~' p C- TRPC / / ~~ City of Yelm -Fermit Fees Site Address: 8945 Mountain View Road SE >J~4_ ~i ._'.J CITY ~ ~ YE L~N1 ~~~~~~ Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee Sin a Famil $145.00 0 805 Sewer Inspection Fee MultiFamil /Comm.llndustrial $145.00+ $35.00/hr Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer C aci $2480.00 0 Sewer ERU in the LID+LID Assessment $2480.00 Sewer ERU lots outside the LID boundaries $4850.00 Site Plan Water Latecomers 712 Water Meter $300.00 0 Water Meter I.R.R. 760 Water ERU's inside ci limits $1000.00 0 760 Water ERU's outside ci limits $1200.00 740 wtr 742 swr Consumer Deposit $90.00 0 100 Plan Review $ 627.47 ~~ o~a 032 Building Permit 6474 $ 965.34 ~~-~~~ 160 WA Building Code Fee $4.50 ~ ~~~ 032 Mechanical Permit 5724 $ 84.90 /J ~~Z 032 Plumbing Permit 5612 $ 104.00 ~~~ 030 Yelm Business License# confirm Total $1786.21 420 Transportation Facility Charge School Mitigation Fee $650.00 Confirm 0 410 Open Space Fee DUE AND PAYA BLE AT TIME OF PER MIT ISSUA NCE! CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 O / ~~ `N Name ~- ~ f" N ~/ r2 Address ~-! / ~ ~ Site Address '~ ~' .~ P ,,. R Assessor's Parcel No. <' ~ S ~. O P ~ -i R Subdivision (Jn ~ T V (7R Shnrt Plnt No. Building Permit ~ ~' ~• ~' `~ _ 1 1~~° f Date ~~~ ,o ~ ~ ~, I ~, (Work must be std ed within 120 days) t 4 mw~.~~ Phone (y,,,~) C/~-~T- ;! ~frY~,~/%~ State / 2 )/1 ~Zlip Code ~%~K,'~' ~ ',' O ~ Lot Size (sq. ff. Lot Block Block Existing Structures, if any: /" Name ~ !~-° G /! / r' ~ ~- Contact ~ i -~~,,~ ~' Phone (,~°;,/) C. ,/ ~- ~ ` (~ 5 Address L ~~~% ~.~ ~ (y p~~~•l •~- ~ City c'• t ;1~ ~~rJ/11 State t . t1%p Zip Code r° ~f'.S,J ~~ License No. ,-- ~ j` d1 ~ C '- Exp. Yelm Bus. Lic. No. / .ri 7r. ~ Description of Work ~ ,~ ~ ,.~ ~ ~, f C~_ ~ ~ OFFICIAL USE ONLY E~ Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential '~ I Sign Sewer Septic Approval No, Commercial Other "qty Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~t ~--.c ' " 7, , ""' Sets of Prints Other t:.~G"+ /~ , ~~C") ~~ ~'~ S Plumbing Permit # ~ WA. ST. BC. Fee (4.50 -New Const. Only) *~, ~""~(..1 Mechanical Permit # TOTAL FEE ~.` --~~~ ~°' Plan Check By Minimum distance of structure from property lines: Issued By Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. ~ ~r~ ,., ~' Quarterly Reports Signature ..~%~' .cy-- ~-~- ,~ `'' ~,,1~-r~,~> ~~ Date'~,~/~ ~~~ t°-~r`~~ Assessor / / Firm: r „~.s . '°~..~.F C.i /c..,/~ ~ /4 t1 e_, AG /gfr TRPC / / ~~~ - DI-222 ~, City of Ye1m -Permit Fees I.3 Site Address: 15325 & 15327 Berry Valley Drive SE, lot 13 of 2~1~ ~~ Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee Sin a Fami $145.00 $145.00 805 Sewer Inspection Fee ultiFamil /Comm./Industrial $145.00+ $35.00/hr Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca aci $2480.00 x2 $ 4960.00 Sewer ERU in the LID+LID Assessment $2480.00 Sewer ERU lots outside the LID boundaries $4850.00 Site Plan Water Latecomers 712 Water Meter $300.00 $600.00 I - Water Meter I.R.R. 760 Water ERU's inside cit limits $1000.00 ~ $2000.00 I~ 760 Water ERU's outside cit limits $1200.00 740 wtr 742 swr Consumer Deposit $90.00 x2 $180.00 100 Plan Review $52632 1~ 1 032 Building Permit 6473 $ 1245.75 `- '~. 160 WA Building Code Fee $4.50 ~ \J~~ 032 Mechanical Permit 5723 $ 149.80 _ 032 Plumbing Permit 561 I $ 188.00 ~~1 1 030 Yelm Business License# OOI279.0 Total $9999.37 I~ y 420 Transportation Facility Charge School Mitigation Fee $650.00 Confirm 410 Open Space Fee DUE AND PAYA BLE AT TIME OF PER MIT ISSUA NCE! CITY OF YELM r. Buildin Permit ~ ,.. ~ '~• /' g ; BUILDING DEPT. ~ , Phone: (360) 458-8407 , ~f~ ~.~ ~. Date ~ r f ~: ~~~~ Fax: (360) 458-8417 (Work must be started within 120 days) ~ ,~ ~~~ O N Name ~7 r ~ LL ~ Phone -~ ,~ ! 't"R ' v c rIC_ ) r1 Address ~ ~~ / '~ City j ~ .~ %) State ~ uL1~ ~ Zip Code Site Address ~ "" l ~ ~ `~` ,~ <~ ~ "~ '"1 P R 0 Assessor's Parcel No. "~; 'r"~ ~E '~~ ~ ~ "~ Lot Size (sq. ft./acres) P E R Subdivision ~)"", Lot ~;?/; Block T v OR Short Plat No. Block Existing Sfructures, if any: 7 r , ~~ Name ,~ ,~,~Q ~ ~ `'i ~~ Contact ,,j ~ ~ Phone (~~j/~) ;y~ Address ~ , - n ~ rr '^°" City C,. ~ ~ State ( ~ Zip Code ~ ~ ~ 2r 7 ~ Ucense No. ~ 7 ' Exp. Yelm Bus. Lic. No. L• -r,r~ ,~, Description of Work OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential ""~ Sign Sewer Septic Approval No. Commercial Other 'ty Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value jd)1i1,v U ;~ / x rrdr"t.~ •'~'v~c 7-'' - SMd Sets of Prints ~-'~~/t 7 Other Plumbing Permit # f WA ST BC Mechanical Permit # . . . Fee (4.50 -New Const. Only) ~ ' .'~ TOTAL FEE ! S `.J " Plan Check By ~~ ~ ~~-^"`" _ I ~' ~ Minimum distance of structure from property lines: ssued By ~.-- .,.r,..---•-- Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. Quarterly Reports `, Signature ~ , ~ ~ ~._ `y; l ~ Date ' " , ~-,~_- i , ~,_ ~- Assessor / / Firm: `-~`°'~ TRPC / / Q CITY OF YELM Building Permit : ~ ~ ~~ ~' `~ BUILDING DEPT. ~-~ ~' r ~ Phone: (360) 458-8407 Date c% ~~ ~~ , r~~(i'L~ Fax: (360) 458-8417 (Work must be started within 120 days) ~~~~~9 0 `/~ N Name ~ ~> ~ ~--~"Y~ ia' ~ /> ~ Phone ~:` ~[.)) ~,~/i S'` " '' ~ / E R -- Address ~~ ~ ,' ~ `~ ~ `/.- - City ; ! ,mot State { , i fr' Zlp Code ~ > ,`'~ `~ ~ ., ~ Site Address -~" `~~f h-i., j .''~ i l`-- ~ P R O Assessor's Parcel No. Lot Size (sq. ff./acres) P E R Subdivision Lot Block T y OR Short Plat No, Block Existing Structures, if any: N Name ~ , /~' ~. ~~,,, Contact f~, yt fp,. ,~ ;~ Phone ( ) T Address s ~~. ~ ~_! . ~ ~i ~~ `~,1, _ City ~ j ~ State ' ~r~rti~A, ,~ -~/ Zi Code ~ _''` p ~ `"`5 I`7 ~ Ucense No. `~ ' S ~, Exp. Yelm Bus. Lic. No. , ~ ~ ~< ,~ Description of Work i OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other ,.,~ °ity Water Private Well Private System Shoreline Permit Y N -cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value i, ~ ~ ;~ ~ ~~ ~° Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE `~, ~ ~ ~f Plan Check By Minimum distance of structure from property lines: Issued By Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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. It applying as a contractor, I further certify that I am a currently registered contract in the State of Washington. Quarterly Reports __._ . Signature j,,,w p:..~~1~,--•--~---~--- ~' Date ~?" ~•~~ ~~:,~,~~~- Assessor / / Firm: TRPC / / i r~~ CIN OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 0 w Name ~~ U 'ri i,.%,,/ N E R Address '~ I ~ Site Address ~ {~ ~ c P R Assessor's Parcel No. Building Permit ~ ~~ Date ~.~ 1.~ 1t ~'~ ~~`~' ~,~~ ~ ,,`~ ~~ a (Work must be started within 120 days) Phone ( ) w~ L~,,,, .5~~ /, P Subdivision Lot Size (sq. ft Lot Block T v OR Short Plat No. Block Existing Structures, if any: Name ~` ~~ „r ~ ,c~ ~;,.~ ~ Contact (~t~ ~ ti,j' o,.~ Phone ( ) ,~ ~~r ~•~ ,~' G,; ~ R ~ ° ~ City ~ f',.-~-,.. State 4.4:~j Zip Code ` ~- } ' ;~ Address r~ r j ~ t ,. ,~ ~ License No. ~ ~. C U ~ ~' ~ ~ ~~ Exp. Yelm Bus. Lic. No. Description of Work ' ,p, ~ ,. ~. P~ - OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential ~~ Sign Sewer Septic Approval No. Commercial Other "ity Water Private Well Private System Shoreline Permit Y N '-neat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~; - , a.~-- ~ } ~ - Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE `t,' ;`/~ ~ Plan Check By f 1 ..J~% _..r~' _ ` Minimum distance of structure from property lines: Issued By :' .f `~ ... / Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form 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 a currently registered contract In the State of Washington. Assessor Floor Plan antl Permit Submitted / / uarterly Reports l Signature """"~~'", '"'"" ``~ Date ,~ ~ yM ~ ~ Assessor / / Firm: TRPC / / State +__.._? ~'1 Zip Code ~ cy { /~ 1 ~.. , CITY OF YELM Building Permit `'' `~ "4 `' BUILDING DEPT. ~ ~~ ~~ Phone: (360) 458-8407 Date Fax: (360) 458-8417 (Work m st be started within 120 days) ~~~/~ o ~ ~- `N Name ~- ~" N. ~ Phone ( ) N ~} R Address ~ /. - ~ City e 1 State ,J Zip Code / ~~ Site Address ~1(~ ~ !Cdt~.~. P R Assessor's Parcel No. Lot Size (sq. ff./acres) 0 P E Subdivision Lot Block R T Y OR Short Plat No. Block Existing Structures, if any: { ~ ~ jrl ~` Name ~°/ Contact Phone ( ) T Address City State Zip Code R Ucense No. Exp. Yelm Bus. Lic. No. Description of Work ~' ~ ~ `= ~~• ~ ~,, ~'~ OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign ~...-. Sewer Septic Approval No. Commercial Other "iJy Water Private Weli Private System Shoreline Permit Y N ..eat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~) ~>~ Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE ~ 1~:~' Plan Check By /~, '' Minimum distance of structure from property lines: Issued By (-? c '-°'~ Front to of Road Final insp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. Quarterly Reports Signature ~ .,,~,-- k~/~ _._. `; _ .-- ~~~ t''. Date ~ % .T', ~ ~ Assessor / / Firm: ~ 1, .` - ~ TRPC / / /~ CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 Building Pey~'nit ~ ~ "~ •~~~ ~~~ ~~~ ,/ " 11 r r~,~ ~ ~,,r~, Date ~ (Work be started within 120 days) ! ~--_ o w -° Name J19 r~f1 "'f-~ rYr ~ r<~_ _ rr) ~` Phone _ ~ ~) ~`- - i .` ;' - N _ R Address ~ ~ C~ 1 E v ~ __: I `~ City J rtl r ~ • ~ • ~a State ' ,.) !¢ Zip Code ~' 4'~ r/ tl ! Site Address ,% ~) ,,S ' ~ ~J ~ s~ l~ t" f ! - P R Assessor's Parcel No. ' ~ ~' ~ ,> Lot Size (sq. ff./acres) O P E Subdivision , • „ 1 t „ ~ ~~ ~ °' I Lot ! ~ rr Block T l/ v OR Short Plat No. Block Existing Structures, if any: Name / ~ ~ ~~ . ti ! ~, y-~ 'C.. Contact ~ / Phone ;~ %.cj _ lt~ "` Address > L~ '`,,% ~ City ` ,~ . _ State ! Zip Code ~ ~ ~=; ~ J }' C Ucense No. Z k- a ( Exp. Yelm Bus. Lic. No. ~~ j - ~ , 1 / ~ ~, ~~ ~` + ~ Description of Work <_ J r r" / ~ ~ ~+e i c'~< ~~ ~G, ; Lc OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential ~ Slgn Sewer Septic Approval No. Commercial Other "`qty Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ;! - ~ ~.~ - '7 Sets of Prints ~ Jr ~ ~ ~~ Other Plumbing Permit # ; ~ fir/ P WA. ST, BC. Fee (4.50 -New Const. Only) G ) Mechanical Permi S ~ .., t # ~ `~~=~` TOTAL FEE / - <~ `' ~ Plan Check By .. ~-• /SG' f //~ t Minimum distance of structure from property lines: ~ Issued By ~', ~• l ~--~^_- Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form 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 a currently registered contract in the State of Washington. Assessor Floor Plan and Permit Submitted / / uarterly Reports Signature ~`~/ ,~ , ?~.._ Date -• „),~ . (:,w Assessor / / Firm; !~ TRPC / / CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 w Name li(wt~ N E ~ R Address ~ ~. ~~ Site Address ~ ~~t ~~ P o Assessor's Parcel No. ~ P E Subdivision R T Y nR Short Plat No. Block Existing Structures, if any: 'C ~" ~,? j Name ,~~ Contact Phone (:>~S ) .~ ~~~ ~~ / ~? Address ~ City State Zip Code ~ Ucense No. /i ~ ~-' 4z. j' - Exp. Yelm Bus. Lic. No. /~~~} ~~ ~'~/,r'~ Description of Work % 7. ~ ~ ~ ~ r ~ ~' ( ~ OFFICIAL USE ONLY ,~ Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other amity Water Private Well Private System Shoreline Permit Y N neat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ .- t ~ 7 , ~ ,~ Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) [ ~"~ Q1 Mechanical Permit # TOTAL FEE ~ ~ ~ Plan Check By Minimum distance of structure from property lines: Issued By Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form 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 a currently registered contract in the State of Washington. Assessor Floor Plan and Permit Submitted / / uarterly Reports Signature ,~ (' tf ~~` Date !''~ ~ ~"~ Assessor / / ~ Firm: TRPC / / Building Permit r~ ~ ~ ~"'. ~- ~' Date ~ ~~~`~'~~~~ (Work ust be started within 120 days) o~-~~ Phone ( ) J Y~. l~ State i a } ~ Zip Code Lot Size (sq. ff Lot Block City of Yelm -Permit Fees Site Address: 10548 Farwest Ct. SE lot 18 - l~l Permit # Fee List Fees Dne Recei t # Comment 805 Sewer Inspection Fee $145 AO $145.00 Sin e Famil 805 Sewer Inspection Fee $145.00- ultiFamil /Comm./Industn7al $35.00lhr Sewer Latecomers 802 Sewer ERU approved under $2480,00 10160 $1000.00 Prepaid 1994 Sewer C aci Sewer ERU in the LID+LID $2480.00 Assessment Sewer ERU lots outside the $4850.00 LID boundaries Site Plan Water Latecomers 712 Water Meter $300.00 $300.00 1521D Water Meter LR.R. 760 Water ERU's $1000.00 $1000.00 inside ci limits ~~2 760 Water ER11's $1200.00 outside cit limits 740 wtr Consumer Deposit $90.00 $ 90.00 742 swr ~: 100 Ptan Review $433 20 . ~ 032 Building Permit 6467 $1025.33 160 WA Building Code Fee $4,50 $ 4.50 ~\ 032 Mechanical Pernut 5722 $ 91 40 . ~ 032 Plumbing Permit 5610 $ 111.00 030 Yelm Business License# 99-02383 Total $ 3200.43 420 Transportation Facility Charge School Mitigation Fee $650.00 $650.00 n L + Confirm 410 Open Space Fee 117TL~ • niT T a ~~ ~ rr r. yvr. t~i~L rtiIHDLZ'. Al i1lVlli Vl' YY;HMl1~ ~S~UAIVC)~~ CITY OF YELM Building Per ~' ` ~ ~^ ~~" ~~ BUILDING DEPT. ~''~ ~ ~~' j f. ~ `~ Phone: (360) 458-8407 Date ~ /L FQX: (360) 458-8417 (W 'ust be started within 120 days) / -. '- ~ `/~/ Name x i2 ~ U , ~° ~ "" <~ Phone .,~i ~^) `~.>~, ' ~ ...~ N R Address 'i (j ~" ~p/(y t. C"-^"' City /W f ,.y;r'ri State L,o ~1 Zip Code `7 ' ~/ ~ c r Site Address r' r /,. ' ~ ~ .r P R Assessor's Parcel No. / (~ ' ' ' ,;i ,,''; Lot Size (sq. ff./acres) O P Lot , `~ Block E Subdivision I S ~ ~~ , l 1 a- ~~ R Y OR Short Plat No. Block Existing Structures, if any: Name ~ ,~ r? i1~ ~, - Address 7 ) ~ ~ ~ ~f'La ~` License No. ,~~~ c'~1 r ~ ~f Contact 1r ~. ~ ~,+,l, n City j/y~, E~p. 3 ~' ~~ ~j~ Zip Code `j ~~ f/l,/ ! % Description of Work `~, c / ~ ~ ; (- , ,~ P~ ° l` OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other ^ity Water Private Well Private System Shoreline Permit Y N ,.eat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE N Floor Plan V -' // tt ~~'' /~ < t 'J ! Value Buildin ~? a .,.., ~ f7~ c ~ T Sets of Prints g Other Plumbing Permit # J ~'' ~' `j `~ "~=~ / WA. ST. BC. Fee (4.50 -New Const. Only) ~. ~ ~~ Mechanical Permit # ~ TOTAL FEE f, r~ t /~ f Plan Check By ._) . i"rh~,f ~~~ °~~ Minimum distance of structure from property lines: Issued By (~7 ~ ~--~! Front to of Road Final insp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. Quarterly Reports ,/ ' i .~ ~ ' v~ Date G ' Si t ~~/ ` Assessor / / .. gna ure f ,,, _.k't Firm: TRPC / / Phone State ~ ,,~ Yelm Bus. Lic. No. Ci , of Yeim -Permit Fees Site Address: 10523 Farwest Ct. SE, lot 22 .~1~=_~~ 80S Sewer Inspection Fee Sin a Famil Permit # Fee List $145.00 Fees Due $145.00 Recei t # ~~~~ Comment 805 Sewer In ti F spec on ee uitiFamil /Comm./Industrial $145.00+ $35.00Ihr Sewer Lat ecomers 802 Sewer ERU d approve under 1994 Sewer C aci $2480.00 10160 $1000.00 Prepaid S w ERU i h e er n t e LID+LID Assessmern $2480.00 Sewer ERU l i ots outs de the LID boundaries $4850.00 Site Pl n a Wat L t er a ecomers 712 Water Met er $300.00 $300.00 Water M t LR R e er . . 760 Water ERU' s inside ci limits $1000 00 $1000 00 ~ I 760 Water ERU' s outside ci limits $1200.00 740 wtr Cons D i 742 swr umer epos t $90.00 $ 90.00 100 Plan Review $ 370.49 032 Building Permit 6466 $ 876.92 160 WA Building Code Fee $4.50 $ 4.50 ~~ ~ 032 Mech ni l P i a ca erm t 5721 $ 84.90 l 032 030 Plumbing Permit Yelm Business License# 5609 $ 97.00 Ic ` 99»02383 Total $2968.8 i 1 52 2 42b Transportation Facility Charge School Miti i F gat on ee $650.00 $650.00 Confirm 410 Open Space Fee nYTT. A T-TT if 1 t~ ~ t f~r rr . r......~ ~~ .~.~ ___ _ ___.... L~l h;`~`1D, .-....a......n-1'~Ya~L' 111 iurar, Vr CL'KLVlll l~`.lUA1VC;L'': CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 0 N Name ~~ // E R Address ~ U. f Site Address -" r / P ' R Assessor's Parcel No. 0 P E Subdivision ,/, R T Y OR Short Plat No. Building Per It `~ `''' ' ~ ~' /) r ~ ~. Date - (Wor must be started within 120 days) State Phone ~ 1 ~) 5 :.: `t ~-' I ~~ ~ ~.~~/~ Zip Code ~'f ~j ~,JUfNI R~ Lot Size (sq. ff. Lot ;~, Block Block Existing Structures, if any: ..-' __ Name ~~d~'~ '; , , .- Contact ~ ~ - l , u 4'f Phone '` '~) { - . 1 ?~j „7_ Address "~ ' ! r~ - City ~ State i ~ A Zip Code ~-' ~~ d`Jt/ l ~ License No. ~ . ~' ~ (- Exp. Yelm Bus. Lic. No. (-(~ j , ~? Description of Work ~ e . 1 ~"~ .' ~ ~~--~ ~ OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor; (1st) (2nd) Residential .,. Sign Sewer Septic Approval No. Commercial Other 'qty Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value <~ -~ ~t ( ~. r^ Sets of Prints ~~-. Other Plumbing Permit # ..Sw U ~1 WA. ST. BC. Fee (4.50 -New Const. Only) Z ~ Mechanical Permit # ~~ ~_-~ TOTAL FEE "~~ ~ Plan Check By Minimum distance of structure from property lines: Issued By ,l-r. ~~`,... Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form 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 a currently registered contract in the State of Washington. Assessor Floor Plan and Permit Submitted / / uarferiy Reports ,i Signature ~' ;/- r . ,. Date ~~-~ ~~' ~ _ `-x% Assessor / / Firm: TRPC / / C~ of Yelm -Permit Fees Site Address: 10541 Farwest Ct, SE, lot 20 _ 805 Sewer Inspection Fee Sin a FanrW 805 Sewer Inspection Fee MultiFamil IComm./Indust, Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer C aci Sewer ERU in the LID+LID Assessment Sewer ERU tots outside the LID boundaries Site Plan Water Latecomers 712 Water Meter Water Meter I.R.R. 760 Water ERU's inside ci limits X60 Water ERU's outside cit limit~ 740 wtr µ Consumer Deposit 742 swr 100 Plan Review 032 Building Permit 160 WA Building Code Fee 032 Mechanical Permit 032 Plumbing Permit 030 Yelm Business License# Total $3352.52 420 Transportation Facility Charge School Mitigation Fee 410 Open Space Fee ,,,.,___._. 1 _ Fee List Fees Due $145.00 $ I45.00 $145.00+ $35.00/hr $24s0.oo $2480.00 $48 005 00 $300.00 ~ $300.00 10160 I $1000.00 Prepaid $1000.00 $1000.00 ~ f~ $1200.00 $90.00 $90.00 1521 $ 631.73 '~ 6465 $ 971.89 $4.50 $ 4.50 I. 5720 $ 91.40 5608 $ 118.00 ~ ~ ~ , 9902383 $650.00 ~ $650.00 ~ ~ ~ ~ `~~~ 0 DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE! CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 o N Name ,Q ~ ~ --' J E R Address ~` Q Site Address G ' ~ ~-- O Assessor's Parcel No. 5 // tt~~ C1 (0 5~v S C> ~ R Subdivision % ~ G / f ~i. T (/ ~' Y (7R Shnrt Plnt Nn Building P~rmit ~"~ '~ Date 1 ~ ~ (Work st be started within 120 days) Phone ~-1 ,. s c.,. i ~ Code `~,~;~ ;/ ~ f; State Lot Size lsa. ff Lot Block Block Existing Structures, if any: Name ~,,~ , '~ , , Contact ~~~ =" / Phone,(,).] ) ~ ~~-r ~ ~ ~ Address ;~' ~~ ~ City State Zip Code Ucense No. / ~1~~/1 ~:""~ ~ ~~ ~~ Exp. Yelm Bus. Lic. No. .~ ~; ~;;/,',?; ` Description of Work ,~,~ ~ ~~, ~ ~; ~ OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential ~'~ Sign Sewer Septic Approval No. Commercial Other "'Ity Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value / 1 r' - ~ '"~ /~. ~ ~- ~ Sets of Prints ,~--*; Other Plumbing Permit # ~/s~h /~ WA. ST. BC. Fee (4.50 -New Const. Only) ~ ~ Mechanical Permit # ~ ~ TOTAL FEE / ~ ~ ~ ~;; ~ Plan Check By ,1 L'~c+~~~'.' Minimum distance of structure from property lines: Issued By ('=/, ~~ Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form 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 a currently registered contract in the State of Washington. Assessor Floor Plan and Permit Submitted / / uarterly Reports Signature `~~/ i' _ 4.,;; -.,r ,~ Date ~ 2 ? ~-t`~ Assessor / / Firm: TRPC / / City of Yelm -Permit Fees Site Address: 10530 Farwest Ct. SE, Iot I S ~~~ ~~; oq-~~C~ID (~ Permit # Fee List Fees Due Recei t # Comment 80S Sewer Inspection Fee Sin a Famil $145.00 $145.00 ~~ v 805 Sewer Inspection Fee ultiFamil /Comm./Industrial $145.00+ $35.00/hr Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca aci $2480.00 10160 $1000.00 Prepaid Sewer ERU in the LID+LID Assessment $2480.00 Sewer ERU lots outside the LID boundaries $4$50.00 Site Plan Water Latecomers 712 Water Meter $300.00 $300.00 Water Meter LR.R. 760 WaterERU's inside cit limits $1000.00 $1000.00 ~, 760 Water ERU's outside Cit limits $1200.00 ?40 wtr 742 swr Consumer Deposit $90.00 $ 90.00 6- J 100 Plan Review $ 433.20 032 Building Permit 6464 $ 1025.33 (~ 160 WA Building Code Fee $4.50 $ 4.50 032 Mechanical Permit 5719 $ 91.40 032 Plumbing Permit 5607 $ 111.00 ~~~ 030 Yeim Business License# 99-02383 Total $3200.43 1. 420 Transportation Facility Charge School Mitigation Fee $650.00 $650.00 t ( Confirm I 410 Open Space Fee DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE: CITY OF YELM Building Permit BUILDING DEPT. ~~ , ~ ` Date ,: ~ Phone: (360) 458-8407 a ~ Fax: (360) 458-8417 (Work~must be started within 121J days) I' I ~~, _ _ ~ /' ~ ~, ~, '' i« 1 } `N -_. [,~ Name L~~~h :, &~ (~xJj1 ~ E~;~~ Phone (:'aGe-y) ~~~_~ C~". ..~ :<<~: ~.-.. N R _ Address ,~=J ~%ci ~ ,~)~~~ ~1 ~!!,~(.f .~!~ l Z'`" City ~ ~l,~t State ' j Zip Code `fem.? ~ ~,~ Site Address t.. ! ~ " `fir', ~ /" P R Assessor's Parcel No. eJ `rsr~% 1 c"' Lot Size (sq. ff./acres) O F Subdivision ~- r ,~ ,~ , C ~,II' ~ Lot ~'~ Block R T s~ y OR Short Plat No. Block Existing Structures, if any: C o Name Q ~,,,,1 .,/ ~~ Contact Phone ( ) T Address City State Zip Code Ucense No. Exp. Yelm Bus. Lic. No. r~ Description of Work n ~~ j U l b,( OFFICIAL USE ONLY Permit Type: Sq. Ft. perfloor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other "ity Water Private Well Private System Shoreline Permit Y N neat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ t""~~ ~"" / ~ ~ J b, Sets of Prints "'t. Plumbing Permit # ,N if/} Other WA. ST. BC. Fee (4.50 -New Const. Only ~ j Mech nical Permit # ~ a TOIAL FEE ?gip ~ 5"'~ rr ~~ Plan Check By ~~ ~~ . . :~ C ~ Minimum distance of structure from property lines: ~ Issued By t~....~°^ Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. ~ r., ~ Quarterly Reports ~ ~: t~ ..: ' Signature ~(~" ~ ' /~,/f i,~ ~ i --"'I~~y'`~.. Date ~ 0 /r ,~GGY7 Assessor / / Firm: TRPC / / City of Ye1m -Permit Fees Site Address: 15344 105th Ave SE ~~~y~ Permit # Fee List Feea Due Recei t # Comment 805 Sewer Inspection Fee Sin a Famil $I4S.00 $145.00 SOS Sewer Inspection Fee ultiFamil /Comm.lindustrial $145.00+ $35.00/hr Sewer Latecomers 802 Sewer ERU approved under 2994 Sewer Ca aci $2480.00 $0 10160 $1000.00 Prepaid Sewer ERU in the LID+LID Assessment $2480.00 Sewer ERU lots outside the LID boundaries $4850.00 Site Flan Water Latecomers 712 Water Meter $300.00 $300.00 Water Meter I.R.R. 760 Water ERU's inside ci limits $1000.00 $1000.00 760 Water ERU's outside ci limits $1200.00 740 wtr 742 swr Consumer Deposit $90.00 $90.00 100 Plan Review $ 460.94 032 Building Permit 6462 $ 1091.00 160 WA Building Code Fee $4.50 $4.50 032 Mechanical Permit 5718 $ 91.40 032 Plumbing Permit 5606 $ 111.00 030 Yelm Business License# 98-001389 Total $3293.84 420 Transportation Facility Charge School Mitigation Fee $650.00 Confirm 410 Open Space Fee DUE AND PAYA BLE AT TIME OF PER MIT ISSUA NCE! CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 Building Permit ~~ ~~'~ F ~.'. Date ~ ~~~ ~~~'t.-'" (Work must be s/ta[rt`e~ d/within 120 days) A.J/ ~j o N Name A ~ ~ .--~ i'-/r /!1l ,f ~ YY7 ~ Phone (~j ) ~j - ( Yj ' E R ~ ~ rJ 5 Address ~ ~ T ~ City r/ r C cT/-a~ State ~~ Zlp Code ~ ~/ ~ ~ Site Address f ~i ~- /',~,$ p ~'~ ./i/ /f' S f P R Assessor's Parcel No. - ~ ~ (i ~ " ~ Lot Size (sq. ff./acres) O P R Subdivision /`~i S f ~, Lot ~ Block T ,' v OR Short Plat No. Block Existing Structures, if any: C o Name ;~,~,,~ r/~.r f',,p y, t ~'r Contact ~ r~~ . %%~;, ~ Phone ~~ - ' ;~C- ` T _ Address ~ °"~ LS J'° .,.~ ~ '" ~%~ City ~ r ~ State l..(,~/~ Zip Code ' ~©4~r~ Ucense No. ~ lr~ C. ~ - ,~ ( Exp. Yelm Bus. Lic. No. ~~ ~'1 ,Z~ , Description of Work ~'~! r Y--- ,/d P .,t-,aly ~; ! /'r- // j~' jt-% ~.i-.~~ a.. OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential ~'" Sign Sewer Septic Approval No. Commercial Other ^ity Water Private Well Private System Shoreline Permit Y N .,eat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value <~ , `~ J l~ ~ ~'~~~ / Sets of Prints f Other //~~ ,~9// ,A, Plumbing Permit # a? S! Ti.'<1.~s WA. ST. BC. Fee (4.50 -New Const. Only) ~ ~~~ Mechanical Permit # ~ ~ ~ `/'] TOTAL FEE / S^ , r`~? <,; ,-~ -~ Plan Check By --/ ~~ ~ ~~' `~, ... , Minimum distance of structure from property lines; ~ j Issued By l ~:~ ~•~.__ Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form 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 a currently registered contract in the State of Washington. Assessor Floor Plan and Permit Submitted / / uarterly Reports Signature a< _.,,._~ Date (s° ~ ~~~~~t.? Assessor / / Firm: ~.-' ~ G' ~ TRPC / / 4~ ~~`~ ~. CITY OF YELM l:; e", Building Permit ~ t BUILDING DEPT. r ~ ,, _ ,i ~ ~ ~ phone: (360) 45E-x407 Date ,.,~~~ . ~ , ~; ~c Fax: (360) 458-8417 (Work must be started within 120 days) ~~ ~ ~~- N/ Name ~^I~M to4 1 ° ¢- c~J,.y Phone(jc~c~) ~ ~ ~ N E R ~" et Address i ~ I l ~,,,~ r ~, hr ~-,` -~ -~~ _. City ~ ;- G State ( Zip Code Site Address / ~ > ~~ / ~ r,j fYr ~/~ P rt r, Assessor's Parcel No. S~ ~ ~) - ~~ /~ !i Lot Size (sq. ff./acres) P - E Subdivision Lot Block R T y OR Short Plat No. Block Existing Structures, if any: r ~ I~ Name i Phone ~ ) y'~r - /~ ~ j"~"~ ~ Contact C~ " ~ { n -v ,rte , ,~ ., g r . i „ T Address ~~(j , jo~ `~~ City F a~., State (,,U ,a4- Zip Code License No. t t Exp. Yelm Bus. Lic. No. ~ (r`.~i ~~-~ ; ~,~ ~ . .. Description of Work r~ ,1 r - l K~o OFFICIAL USE ONLY t {,~, y , i > zr t Permit Type: Sq. Ft. per floor (1st) (2nd) Residential '° Sign Sewer Septic Approval No. Commercial Other `'ity Water Private Well Private System Shoreline Permit Y N .eat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ,~~ ~ ` .~ "'~ Sets of Prints...---- ''v' '/°F Other Plumbing Permit # i WA. ST. BC. Fee (4.50 -New Const. Only) L{ j ~ Mechanical Permit # ~' .9- ' r ' '' / ~ ~ TOTAL FEE ."; {~' ~ S °~. _ Plan Check By e' i ? Minimum distance of structure from property lines; Issued By ~ t~ ~" Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. y i' Quarteriv Reports Signature ,.~.~ .! ~"" ~ 't~.~ Date ~ ~;~ ~ Assessor / / / P ~ ~ ~ ~ Firm: % ,o! . TRPC / / «+ .. /~` ~~ 1 CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 o t'p-,^~ e< ~ c .h Ije ~^/ Name R Address 0 $ `~~/'d, ,u ? ~.~ ~/~ `~' ~ Lot Size (sq. ff Lot Site Address r ~ ttD~- O Assessor's Parcel No. ~p,~~^ ~ ~ ~/ ~~ ,~ ~/~Q e'~ R Subdivision r Y (~R Shnrt Plnt Nn Block Existing Structures, if any: ~ X, 1 ~,~ Name ~; ,C,y~ Contact Phone ~~S ~) `~ ~ C' .. _~~„ Address ~ J ! j l '~~ ,/~1 ~ (' ,.~ City State Zip Code License No. ..-- .`~ / y Exp. Yelm Bus. Lic. No. ,~~,,, ~/, 4 Description of Work ~ •Y ~ ~ ~,~ b,~e OFFICI L USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential ~ Sign Sewer Septic Approval No. Commercial Other ~IN Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~~i ~ ~ ~,- ~,r Sets of Prints -~ Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) ; J ~ Mechanical Permit # TOTAL FEE ~ ~'` <' c° Plan Check By (~'y • ~ `-- Minimum distance of structure from property lines: / + Issued By <~ ` • ~--°- Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form 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 a currently registered contract in the State of Washington. ~... Assessor Floor Plan and Permit Submitted / / uarterly Reports y Signa e l ,~ ~ Date ~,) "'""' ~,/ Assessor / / Firm: _ j TRPC / / ~/ °.,.,, Building Pe,,Cr~tit "'~ ~ `~ '~ Date t--~ ~/(.'~.( rcf l t~ ~~ .•~ -~~ ~ La1 State xlglmust be started wittiin 120 days) '~ . / ~~~ r ~~ Phone ( ) • Block CIN OF YELM Building Permyl"' ~ . ~` `~ ~°, ~~ BUILDING DEPT. ~-•°~ ~ , f '-~ ' ' ' ~ ; ' j Phone: (360) 458-8407 Date ~,~ ~ L j ~ ~~ .r' ~ - ~~ ~' Fax: (360) 458-8417 (Worl~lj/iust be started within 120 days) J i ~ ~^/ `7 Phone ( Name ~, ~~~ ~! ) • N __ ~ R Address (,~ • 7 ~ Y ,a /y ' City ~~ State j Zip Code `l ~~~~ Site Address r' u' ~,~ - ~ ~) r'" ~' Y'! R Assessor's Parcel No. Lot Size (sq. ff./acres) 0 P E Subdivision Lot Block R T Y OR Shorf Plat No. Block Existing Structures, if any: C o Name -~. y" ~" ~~ ~ I ~ Contact ~' _t Phone ( ) (_. ~ ' ~~ J ~.~ T Address ~ /~( p,q ~ City State Zip Code ~ License No. Exp. Yelm Bus. Lic. No. Description of Work ~_. ~ ~ ~ ~ ~ ' ~ ~- OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign ""'~ Sewer Septic Approval No. Commercial Other "qty Water Private Well Private System Shoreline Permit Y N f cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N - ~~'~~-- Sets of Prints Building Value ~ Other b Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # '""r TOTAL FEE "~ ~;, ~ Plan Check By _ , '. 7 / ,/ !~r ' '~`'~'" Minimum distance of structure from properly lines: ~ Issued By ~ _~ Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 applyjpg•dsaoac~~ractor, I further certify that I am a currently registered contract in the State of Washington. t ~ / -:"-. Quarterly Reports ~, ,1 . SignatureP`i'; 1 ;h J ~ ~~, ~ ~I~, `i ~~ '~` ~ ~,, Date ~'~~~ ~ ~. (-y Assessor / / ~ ~ ` ./ ' ' 1"~_'"'~~^' Firm: ~/}' (' / + ) TRPC / / , ~ 1 ~ ..j t_, CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 - Fax: (360) 458-8417 o - N Name~Lb'.I~LCt1 r' _ ~ E R Address >!~, ."~ Site Address ~ /!J P R Assessor's Parcel No. Building Permit ~ ~"~ ~~~ '.' Date T ~ `` „~~' ` t /~' (Work must be started within 120 days) Phone ~>i . I /ri f. ay.~~ State r~ Code Lot Size P E R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: C o Name ~~~t1,~,1 ~~ (~ Contact Phone ( ) T Address r' 2 ~ t~. ~ ~ ~t v ~ City ,~~,-~ , ;• j/~~ State ~ '1,,~ ~~~ Zip Code ~~'r~ ,~3 °~ /~~ ~r Ucense No. ~ ~} ~ - ~~~ Exp. Yelm Bus. Lic. No. ~ ~ / ~-1, Description of Work "~ r / ~ ~ ,„ ,~" f OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign ~ Sewer Septic Approval No. Commercial / Other `pity Water Private Well Private System Shoreline Permit Y N -- ,9eat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value a ~: Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE Plan Check By Minimum distance of structure from property lines: Issued By Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form 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 contra r, I further certify that I am a currently registered contract in the State of Washington. Assessor Floor Plan and Permit Submitted / / uarterly Reports ~. Signature ,~~,e~~.~;. ~.~--..+-^- Date ~ ~~ Assessor / / Firm: .C~. i~`, -~ ~'~ !1 P'..~ ' ~ /_ ~• r2~ _,, t_! ~ TRPC / / n ' ~ -- ~` f~ ";~ P / .5 // '~( f`.~{' r/)~ I~~ C,/ . ~r~J t ~'7a-~, --, ~j".rt~/ri b~' ~ C 0 CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 o I v~ Name l ~ , N E ~) _ _ R Address /~ j) , - Site Address ~ ~"" ~y,~ i~~{ t~.0 P R Assessor's Parcel No. 0 P E Subdivision R T y OR Short Plat No. C Existing Structures, if any: o Name Contact T R ~ Address Lot Size Lot City Block Block Phone ( ) State Zip Code R Ucense No. Exp. Yelm Bus. Lic. No . / Description of Work ,,- ` OFFICIAL USE ONLY Permit Type: Sq. Ft, per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other _.-- ^;ity Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~ (; ~~; Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE ~ i ~ LJ ~ j Plan Check By Minimum distance of structure from property lines: i ' '1 Issued By ~'..~Jr Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. -- -- ' •. " Quarterly Reports .- i Signatur Dat ~ i jz (~,~_ «.,,,~ ~ Assessor / / Firm: TRPC / / ,~ . ~~ ~ ~U ~/ ~ ~'r~ ~ ..+.i ~ lam.--' Building Permit ~° " ` Date . °`' ~" ~ ~~ ~ ~., ,:a (Work must be started within 120 days) a M ,- -,.~ ..- ~ (J .~,.f _~ ~r, / J Phone ( ) ~ - ~;y ~~~ ,/ t~ ~'- ~ State ~ ,~ Zip Code ~-7~'i~ : 7 CITY OF YELM Building Permit BUILDING DEPT. ~~, f ~,~~~ :'r t C Phone: (360) 458-8407 Date _ - Fax: (360) 458-8417 (Work mu be $f ed within~120 days) -...~ (• f W Phone ( Name ~ ) ~- ~ ~ N R _ ~ ~ , ' /'~ City ~`~f r ~"~"~ State ~,,'1'ti Zip Code -~~' 4~~ ~~' Address ` (v J ~i1 ~ l Site Address ~ / (v i e, ~' J~~' + n ~ P R Lot Size (sq. ff./acres) Assessor's Parcel No. O P E Subdivision Lot Block R T Y Block OR Short Plat No. Existing Structures, if any: Name G r-. ~ Contact Phone ( ) T Address City State Zip Code Ucense No. Exp. Yelm Bus. Lic. No. / Description of Work j'~l„? r' f~ Ic i~-/ ~ }~ /G' s. OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential `" Sign Sewer Septic Approval No. Commercial Other ~ry Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value / -~~~ ~ r~ 11 ~ Sets of Prints Plumbing Permit #_~ ~ ~! Other WA. ST. BC. Fee (4.50 -New Const. Only) rt/ 1 ~ Mechanical Permit #_~~~/"1- •~ /~ Plan Check By (~ i ~~».- TOTAL FEE ; ~, ~~ _ Minimum distance of structure from property lines: Issued By ~` ~' .----- Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 certiry that I am a currently registered contract in the State of Washington. 9uarterly Reports / Signature U (.,~,. _ ~+~ ! ~,~%i ~~" ~~~ ~•.-~--•-- Date Assessor / / Fi TRPC / / rm: City of Yelm -Permit Fees Site Address: 912 Crystal Springs Rd. Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee Sin a Famil $145.00 805 Sewer Inspection Fee MultiFamil /Comm./Industrial $145.00+ $35.00/hr Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca acit $2480.00 Sewer ERU in the LID+LID Assessment $2480.00 Sewer ERU lots outside the LID boundaries $4850.00 Site Plan Water Latecomers 712 Water Meter $300.00 Water Meter I.R.R. 760 Water ERU's inside cit limits $1000.00 760 Water ERU's outside cit limits $1200.00 740 wtr 742 swr Consumer Deposit $90.00 100 Plan Review 032 Building Permit 6456 $ 54.00 160 WA Building Code Fee $4.50 $4.50 032 Mechanical Permit 032 Plumbing Permit 030 Yelm Business License# 98-001389 Total $58.50 420 Transportation Facility Charge School Mitigation Fee $650.00 Confirm 410 Open Space Fee llUt'; ANll YAYABLL A'1"I'1M)N; UN PERMIT ISSUANCE! ~,~TY OF YELM ' BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 o t `/~ Name v7 ;Z N E R Address F~~J Site Address / (• I P ~ Assessor's Parcel No, P R Subdivision T Y C1R Shnrt Plnt Nn Building Permit i : ~,: ~- ~~ ' 1 Date : ~. (Work st b~ Carted within 120 days) '~ ~ ~ Phone C. :a ~~1 • ~ ~ `'! _1 -' City j rt l " d. , .r State ,.1/t Zlp Code ~~~ ,~ `/ `/'/ -~ e~ `~ ~~ ~ Lot Size (sq. ff./acres) ~~ ~ Lot ~ f~")_ Block Block Existing Structures, if any: C o Name !~'~~J ~ , ; ~ z +r , ~ Contact ~ t ,! -,/i; ~'~ Phone > ~ ;_ i) r _ ~ T C Address Ej" ~ i ~ City "` State ~ ~ , Zip Code t c T ~ Exp. Yelm Bus. Lic. No. License No. ~~ f ,% ~ L_ `'~~~' _ ~"~ L) j ~ ~? Description of Work `~ ~ ~ .-- ~ OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential `~ Sign Sewer Septic Approval No. Commercial Other `°~{ty Water Private Well Private System Shoreline Permit Y N i '~ ...,~6at: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N . • - - Sets of Prints Building Value x , ~~~, '' O ~ - , n /' _ -~ ~'« Other Plumbing Permit# ~ WA. ST. BC. Fee (4.50 -New Const. Only) z-,~, ; ~ ~ Mechanical Permit # •~ ~/ '"" 11 11 ~=~ P'1 • f TOTAL FEE J ,~ -^+ / ~ i,, C,. Plan Check By -- F ~"t = Minimum distance of structure from property lines: ~-t, l„•'.....- Issued By c Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. Quarterly Reports Signature `~ Date c ~== ~'~ t~ L~ Assessor / / ~ ~ Firm' ~,~/ TRPC / / ~rL , City of Yelm -Permit Fees (~~ _ l~~_ Site Address: 10404 Brighton St SE, Lot 102 Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee Sin le Famil $145.00 $145.00 805 Sewer Inspection Fee MultiFamil /Comm./Industrial) $145.00+ $35.00/hr Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca acit $2480.00 $0 10160 $1000.00 Prepaid Sewer ERU in the LID+LID Assessment $2480.00 Sewer ERU lots outside the LID boundaries $4850.00 Site Plan Water Latecomers 712 Water Meter $300.00 $300.00 '~~~ Water Meter LR.R. 760 Water ERU's inside ci limits $1000.00 $1000.00 ~~~~ 760 Water ERU's outside cit limits $1200.00 740 wtr 742 swr Consumer Deposit $90.00 $90.00 ~ ~~' 100 Plan Review $ 465.94 032 Building Permit 6455 $ 1102.83 1. ~I 160 WA Building Code Fee $4.50 $4.50 n 032 Mechanical Permit 5717 $ 111.00 / 032 Plumbing Permit 5605 $ 91.40 030 Yelm Business License# 98-001389 Total $3310.67 420 Transportation Facility Charge School Mitigation Fee $650.00 Confirm 410 Open Space Fee DUE AND PAYABLE A'>t' TIME OF PERMIT ISSUANCE! . CITrY OF YELM Building Permit '~~ ~' BUILDING DEPT. j ~' ~ ; ~~~ .r) i) J Phone: (360) 458-8407 Date ~ r Fax: (360) 458-8417 (Work~'nust r started within 120 days) V ____ ~ / ~~~ ~ ~ O - `N Name ~- ~ ~ Phone ... ;j - A „~ r' N E """.-. R Address ~ i ~ ~ ,. ii r City ~ /J! ~.;~.-~ State C,.I,/g Zip Code I~L~ ~ Site Address t ~./ - ~~' N~~ L` ~ C. P -~ o Assessor's Parcel No. +p.~ i~ Qj Lot Size (sq. ff./acres) E Subdivision r r {~~ J'" Lot ;: Block R T v OR Short Plat No. Block Existing Structures, if any: Name ~ ~ ~ ,(~ f Contact ;~'r ~-) f f; ; ~'` Phone ) ~; ~ ~' _ ~ ~. T / _ Address ~~ -~ j /` ~~° ~, ~ City / ,. State L~ Zip Code ' ~'t,"' t J td + / ~ Ucense No. r Ex Yelm Bus. Lic. No. r A n. ~ ~/ Description of Work ~ j f OFFICIAL USE ONLY , i Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential ~'~ Sign Sewer Septic Approval No. Commercial Other t•-City Water Private Well Private System Shoreline Permit Y N /\. ,~at: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value (~} •' J ~ ~ ) i ~ ~ ~ ~~ C Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) ~,~ Mechanical Permit # ~ °. ~~~' ~G''~ TOTAL FEE ~ ~! 1 Plan Check By ,. . -°• e ' - Minimum distance of structure from property lines: Issued By x. ~--- Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. Quarterly Reports .,-,,y, Date '~j .~ ~ ~ ~ Signature Assessor / / /~ ~ !f Firm: ( TRPC / / i C> City of Yelm -Permit Fees Site Address: 14945 105th Ave SE, Lot 26 -~~:~.~ n~.-~ Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee Sin le Famil $145.00 $145.00 805 Sewer Inspection Fee MultiFamil /Comm./Industrial $145.00+ $35.00/hr Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca acit $2480.00 $0 10160 $1000.00 Prepaid Sewer ERU in the LID+LID Assessment $2480.00 Sewer ERU lots outside the LID boundaries $4850.00 Site Plan Water Latecomers 712 Water Meter $300.00 $300.00 ~ (~ `'~ Water Meter LR.R. 760 Water ERU's inside cit limits $1000.00 $1000.00 760 Water ERU's outside cit limits $1200.00 740 wtr 742 swr Consumer Deposit $90.00 $90.00 I , ~ / 100 Plan Review $ 409.66 ~:~ai 032 Building Permit 6454 $ 969.61 160 WA Building Code Fee $4.50 $4.50 ~~I` 032 Mechanical Permit 5716 $ 84.90 r-• ' ~ 032 Plumbing Permit 5604- $ 97.00 G ~ J~I 030 Yelm Business License# 98-001389 Total $3100.67 420 Transportation Facility Charge School Mitigation Fee $650.00 Confirm 410 Open Space Fee DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE'. CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 Building Permit ~' Date :-~' ~_ ~~ -' / (Work vnust started within 120 days) r l w Name ~' A i sJ ; ~ c ~ ~ s? ~ '7 Phone ( ~' + G, _ N rt Address ~ 1) / ~~N ~(/ ~`" ~'" ~ +C City ~~E ~! nn State t.-.J~ Zip Code ` ":> !'`" Site Address ?rl e / ~/'+ RYv~ a " % ~ ~ P R Assessor's Parcel No. Lot Size (sq. ff./acres) O P E Lot Block Subdivision R T y Block OR Short Plat No. Existing Structures, if any: CC y , ~ o N Contact / ;~ Phone ( ~ - ~ Name ) r Address City State Zip Code ~ Ucense No. Exp. Yelm Bus. Lic. No. ~, f OFFICIAL USE ONLY , ~_ ~ Description of Work ~ Permit Type: Sq. Ft, per floor: (1st) (2nd) Residential Sign Commercial Other Sewer Septic Approval No. -pity Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N ~ ~ ~ Sets of Prints Building Value -, <- ~ ~ ' Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE '%~; ~ Plan Check By L %'"'~-+^'~ B ~~7 Minimum distance of structure from property lines: . Issued y + Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / and correct. I also certify that the proposed stuucture 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 a currently registered contract in the State of Washington. ~, Quarterly Reports Signature--~.._f-1 1., ~ ~. ~ : r i. '~. `t r >; '+,_ Date ~:; ( ~ (r.,; l ;(~~ Assessor / / ,~ ~ , Firm: ~ ~l ~ (~.. w~~. ti-~ - / .~ TRPC / / CITY OF YELM Building Permit <~ .:'' BUILDING DEPT. ~~ _~~ Phone: (360) 458-8407 Date I '~ ~ ~ - , ' Fax: (360) 458-8417 (Work mu be ~'t rted within 120 days) C r ~~ 0 `/~ Name C.. (~/"ti yj Phone ) C- '~' '._'~ N rt Address l ~ rlt-~ ,, ~ `~r~ ~ City (; ~ ~`~ r"' ,~~,g State /`j Zip Code ` ~1 :'' Site Address ,~~ ~ ,~ ~, =, ; v (,' p t r2 Assessor's Parcel No. r ~, ~ Lot Size (sq. ff./acres) O P a Subdivision ~ ~,. ; , ~; l r, ! -'` ` !d; Lot ,~,~ , Block r y OR Short Plat No. Block Existing Structures, if any: Name l.._ > ;~`1~,,~ ~ Contact Phone (_~r I)) ~ ~ ' r Address ~ f `~`,~ ~ 7 ~,~,.-~ Vf , f, ~ ~ City ';; / 'y ~,~~, ~,~,~j State ~ ,~h Zip Code ` ~ ~ ~ ~ / ~~' Ucense No. ~ ~~- ,~ ~ " !/~ } ( Exp. Yelm Bus, Lic. No, /,.) f Description of Work ti OFFICIAL USE ONLY Permit Type: Sq. Ft, per floor: (1st) (2nd) Residential ~~ Sign Sewer Septic Approval No. Commercial Other Jty Water Private Well Private System Shoreline Permit Y N neat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~ ~ ~ f.I~ ~ w7 { ..-^" ~ ® Sets of Prints `~ Other Plumbing Permit # --=' fi't' a WA. ST. BC. Fee (4.50 -New Const. Only) ^~ ~~/, t~'~w'J Mechanical Permit # ~ % f t. ~.. -' ° '"' r %~ ~r * ~ TOTAL FEE j ~ < ~~ Plan Check By _ ~xr ~.~ ~~ Minimum distance of structure from property lines; Issued By k=;~ ,~~.- a Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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~l at I ¢~ a currently registered contract in the State of Washington. f J / ~~ / ;~ `~ Quarterly Reports > ~' / ,/~, ' /' Signa ~ ~~~~ Date ~ ~; ~/ ~~ Assessor / / _~ , ~ Firm: ~ TRPC / / City of Yelm -Permit Fees Site Address: 15331 & 15333 Berry Valley Drive SE, lot 12 Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee Sin a Famil $145.00 $145.00 (i ~ (~ `~ L 805 Sewer Inspection Fee MultiFamil /Comm./Industrial $145.00+ $35.00/hr Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca acit $2480.00 x2 $ 4960.00 '~ 1 Sewer ERU in the LID+LID Assessment $2480.00 Sewer ERU lots outside the LID boundaries $4850.00 Site Plan Water Latecomers 712 Water Meter $300.00 x2 $600.00 Water Meter I.R.R. 760 WaterERU's inside cit limits $1000.00 x2 $2000.00 ~~~~ 760 Water ERU's outside cit limits) $1200.00 740 wtr 742swr Consumer Deposit $90.00 x2 $180.00 ~ ~ r, 100 Pian Review $526.32 ' n ~~ 032 Building Permit 6450 $ 1245.75 160 WA Building Code Fee $4.50 ~ (~~ f 032 Mechanical Permit 5714 $ 149.80 ` ~ ~ 032 Plumbing Permit 5603 $ 188.00 ('j F~) `~ L 030 Yelm Business License# 001279.0 Total $9999.37 420 Transportation Facility Charge School Mitigation Fee Confirm o D 410 Open Space Fee DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE! CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 0 w Name ~~ N R Address ~~ Site Address P R Assessor's Parcel No. O P E Subdivision R T Y (~R Shnrt Plnt No. Building Permit ~~ ~' Ma. ~'~ r~+ Date (Work~iust b started within 120 days) Phone ( ) t City ~i1 ~/ •, i' r ~~.N State i . Lot Size (sq. ff./acres) Lot Block Block Existing Structures, if any: ,~ _ ~r ,+J! ~y'' 2 l ~ '. f / 1T~ Name ~~~10 fy1/~~1f ~+r~,i^~ Contact ~~lri) ~- ~t~,~1 `/7f PhoneC3~(.?) ~`~~° ~~~'~~~ Address (n ~ ~T ~~~(,~ ,~ /1~ f,,~/ ~~~~ r ~" City '~~ rr ~'~ J State ~,,~'^'~ Zip Code `1~J_S ~' Ucense No. ~`;- `j(~ ~ ~ Exp. Yelm Bus. Lic. No. r!? / ,~ "z , "_ OFFICIAL USE ONLY Description of Work ~ Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign ~'~ Sewer Septic Approval No. Commercial Other ,qty Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N - ; ~ Sets of Prints Building Value ~ ; Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE ";~1 ~ Plan Check By ~ i~ 1..~-'-' Issued By ~ % ~ ~~.- Minimum distance of structure from property lines: Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. r QUarterlV Reports i Signature ~. ,;= r ,I,~~ .~ Date ~ ~~,~". J~~~~%'~ Assessor / / - -~ r ss,~, ,. .. Firm: F ~i [` ~/ : _' ` ~ ~ ~ 5 BC ~ TRPC / / ~ . . t . ~ .. t! l P N Code `1~ ~'~ `~ ~r CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 ~, Fax: (360) 458-8417 0 w Name ,r f ~ C N R Address Site Address ; 3 P R Assessor's Parcel No. ~ 0 P R Subdivision ~,.• ~ ti~ t y OR Short Plat No. Building Permit ~ ~"^ 1" ~?' Date ~ ~v ~T~ (Work must e started within 120 days) A~ Phone ~,> l ~j) ~~ ~x~cJ "- !,i -~ -7_(l .. ~~i a n State . a ~ Zip Code (Y r ;~ 7 Lot Size (sq. Lot /.. Block Block Existing Structures, if any: Name ~_c,; C;,~ ,.;> ~~ i,/~ ~K- ~..,~, , rr_ Contact ~ ~ .~ ~: Phone ~ ~ ~ ,~ ~. ,; ~; i _ a "' ~ City ~h ~/JI Late Address ;_,i ~ /J ~ •.,~ ' c1J ~ ' . Zip Code ~ ~ 7 T ~ ~ Ucense No. ~" ~~A / /q~l'" / ` ~ ~ Exp. Yelm Bus. Lic. No. ~ ~ < ~ ~~ _~ ~/ ~ / OFFICIAL USE ONLY ~ , ~ Description of Work _, C ,~ ~~~, Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential j-' Sign Sewer Septic Approval No. Commercial Other Private Well Private System qty Water Shoreline Permit Y N \'- -r(eat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~~) ~~ ~ ~ j~ ~ ,er -~ ~`~ u Lv• J !,~ Sets of Prints •~"" Other Plumbing Permit # WA. ST. BC. fee (4.50 -New Const. Only) = ~ S [? Mechanical Permit # TOTAL FEE -~~ - ~ Plan Check By Minimum distance of structure from property lines: Issued By Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / and correct. I also certify that the proposed stuucture is in conformity with all applicable City of Yelm regulations including those governing zo ' and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a c rac urthe certify that I am a currently registered contract in the State of Washington. 9uarferiy Reports ''"'~ Signat e N `'-~....__._ Date ~ ~ ~, ~,,. ~ Assessor / / Firm: TRPC / / r City of Yelm -Permit Fees Site Address: 14831 Prairie Vista Loop, Lot 26 Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee Sin le Famil $145.00 $145.00 805 Sewer Inspection Fee ultiFamil /Comm./Industrial $145.00+ $35.00/hr Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca acit $2480.00 10215 $1000 prepaid Sewer ERU in the LID+LID Assessment $2480.00 Sewer ERU lots outside the LID boundaries $4850.00 Site Plan Water Latecomers 712 Water Meter $300.00 $300.00 Water Meter I.R.R. 760 Water ERU's inside ci limits $1000.00 $1000.00 760 Water ERU's outside cit limits $1200.00 740 wtr 742 swr Consumer Deposit $90.00 $90.00 100 Plan Review $ 744.90 032 Building Permit 6448 $ 1146.00 160 WA Building Code Fee $4.50 032 Mechanical Permit 5712 $ 91.40 032 Plumbing Permit 5602 $ 111.00 030 Yelm Business License# 00379.0 Total $3632.80 420 ~ Transportation Facility Charge School Mitigation Fee 410 ~ Open Space Fee $650.00 ~ ~ Confirm DUE AND PAYABLE AT TIME OF PERMTI' ISSUANCE! CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 ~,,...^ ra y, ,~.~ Building Permit's Date J! ~.~'jj~~/~ l: (Work must be started within 120 days) w Name /.~IO r2 IG ~ s'' . Phone `) ~' ~ ,/j ~"~ ( N E R Address _ U/ ~ ~~ NI rI/~ ~ ~~ ~~,c City ~ '; i.. State s`.,! /'(`' Zlp Code ~ ~ J J ~ .. ~ Site Address .~~iP - ( - ! ~ dam'! I'` P R Assessor's Parcel No. Lot Size (sq. ff./acres) O P E Subdivision Lot Block R T v OR Short Plat No. Block Existing Structures, if any: C o Name Contact Phone ( ) r A Address City State Zip Code License No. Exp. Yelm Bus. Lic. No. Description of Work ~ ~~ JJ /t`~Gi ~ ~ T ,'t ~ 'Vd ~l OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign ,.r Sewer Septic Approval No. ~ Commercial Other ':ire "'7ter Private Well Private System Shoreline Permit Y N Feu,. electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N ~ Sets of Prints Building Value ~ ; _~ , Plumbing Permit # Other WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE r' ,} Plan Check By ~ ~~ f"'T Minimum distance of structure from property lines; ~ ~. Issued By Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 contra or, I further certify that I am a currently registered contract in the State of Washington. ,,., ~ F-~ ' 9uarterly Reports ; ~J~~..~a-z-,,~'' {.=--^.,,,,,,~,,.-- Date ~"G`Z-~-~%~ll~ Signaturq Assessor / / JJ ~ ~ ~ `~ - ) ~~ ~ ~ f~/ t 9 ~ b ~ ' ~ I TRPC / / ~ . ! i ~ Firm; i ~ Gl~ I ~~ + » : l[r f ~ (j CITY OF YELM Building Permit ~< ~~~ ~~ ` BUILDING DEPT f `,_~~ l i~ ~ ~ . Phone: (360) 458-8407 Date / t`_--~ ~ ~ .~' - ~'~ Fax: (360) 458-8417 (Work ust started within 120 days) ~! `' o `~/ ~ Name r~i J 11 " ~~ ~~ 9 G ~ Phone ~' ) G,/ ~ ~ r' N E R ~ / , Address /1~( <• -•i 1 City ' y r z. State ~_ Zip Code ~/" ~` Site Address •` - ~ c-,~ /~ ~Q P rz Assessor's Parcel No. Lot Size (sq. ff./acres) 0 P R Subdivision Lot Block r v OR Short Plat No. Block Existing Sfructures, if any: rF.kl ~ ~ y1 ~ ~ r. C ~ o ' r,„~ tr ontact Name Phone ( ) T Address City State Zip Code License No. Exp. Yelm Bus, Lic. No. ~ ~ ~ - Description of Work j , ~ ~ OFFICIAL USE ONLY ~a, ~ , ~, ~ . , , Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial -' Other - ~ ~City Water Private Well Private System Shoreline Permit Y N . _ =Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~` j. e:,~ ~ _~) <' v; Sets of Prints ~' Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE ''~ '' Plan Check By Minimum distance of structure from property lines: Issued By '~7 ~ ~ _ ~- Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / and correct. I also certify that the proposed stuucture 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 a currently registered contract in the State of Washington. Quarterly Reports Signature ,~ ""'"'~ _--„__ Date ~~ `. („s+-f„~ Assessor / / Firm: TRPC / / CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 O ~`/ Name P N E R y Address LG•G Site Address j P R Assessor's Parcel No. O P E Subdivision R T V (7R Short Plat No. S Lot Size (sq. ff./~ LOt ~_? Block Block es, if any: Existing Structur / II / Name Jf`.114 ~,rl t~ '' T r ~ / ~ C Contact .~ r/ / / r ~ L/ Phone (,~~~ ,•`~ '" j ~ ~'-- Address ;~t" ~J c"' ~~~p -~ ~,~~ ~ City ~,~ ~ . y,Y, q State ~,e0 ,rent Zip Code ~~ ~'4'~`'~ Ucense No. r ~ ~ """~ Exp. Yelm Bus. Lic. No. ~ ~ r'~~) ;1 ~ ~ C.~ Description of Work "r r% r ~' s. 7 P [~, ~ OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (lst) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other Water Private Well Private System Shoreline Permit Y N meat: Electric Gas j , ;, f Other Sepa Exempt Y N ITEM BASIS FOR FEE ~~ FEE _ Floor Plan Y N ~ U ~ ~ ~ Z $~ /~') ~ ~ ~ ~ Sets of Prints ~'" Building Value .. ~ Plumbing Permit # ~ ~~%~ Other JI + w ~ Jr MechanicalPermit# ~ WA. ST. BC. Fee (4.50 -New Const. Only) ~ {„J ~ ' / ~ 1PP 1 • TOTAL FEE r,~ ~~, r r Plan Check By a ' J ~ Issued By ~ ~• `~` ~r'l~SL%~~ Minimum distance of structure from property lines: Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. Quarterly Reports Signature Date ~1= ...~ ~- c;a cJ Assessor / / ~;,,,.,. TRPC / / Building Permit ~ r, ~"~~ `~ ~, _ / r ~~ ~ Date (Work ust be started within 120 days) ~~~~i~ Cti Phon 7~ ~') ~J ,° ~ C r a, '~ j ~ ~~ City ~efi ;• - ~,~,0 State ~/(,,~/~" Zip Code ~~~~ o~ r ~~~~~ -~e>~~~li~ ~~~ ~~~e ~ddre~~. ~~~„~ 1~~«~ Hve ~E, iot 2~ ~`~ I j P"ern~~t # j fee ~.ist j iFees P~,e j ~iecef~t # j C:om~retrt ~ ~~ Sewer ins on Pee pe~- $ 145.OU ~ $ i 45.t~0 j f yin lePamil ~ ' £05 ~ Sewer fn~~e~tion gee i i ~~~s.oo+ I I I (~iiiitiFl J~c~~, .fir~uiisirial} $3~.OOr'{r ' I ~~-,~~r ~..ar~c~rs i 1 1 I I j xrZ I Se..~er FIi~ anrroved under ,.~A ~_ /~ I I W2u801.00 I $i,° 11i;1~01 I w1010~01.010 rre~aid .. f C____._~i'nTT L.TTT\iT TT I JGWC! S:Ri 1 iii iilr_. ~ .!irrL il~ Nr1A0 l111 n6.v(?ti t~~~ I ~°.~~;.~smcnt I j f i Seti:er ERLT lots outside the egQCn nn T TT) hn~rnTlariac ~ . I j j I fi1tP. PlAn --~~ - -~_ i f i I i f Water Latecomers I ~ I I i 1 I ~ 7L2 Water Meter ~ X300.00 $300.00 1~ i Water Meter ~.R.ft. I j j I I t 760 water 1/~2u's j inslue Cit ' uraits` i I $1000.00 I $1000.00 /~ y j ~. 760 I i'date~' FK;J's I x1200.00 I I I I -....` ..~~ ..~ ~ ~ 1 740 v~*u I f'- G ~ansumer iseposit I I $90.0°i; I s~:~~l.vi; j ~ F 54V! I n ! V`J I Flan !~CV1V'~! i I I n '-!'?V. ~V I' ' I 03Z I Building Permit 1 5~~5 I , e 10Q0.85 160 I wA BlJliding f ndp FPp i I X4.50 ` i X4.50 ~ ~ ~i 032 Mechanical Permit 5709 $91 40 I I ~ . 03Z f 030 i Plumbing Permit ~Ct;im Business ;i n # ~ 56III i I { $1 I I.00 ~ ° I~~1~ 1 ee se I j ~ 1 98 130 1 389 I j Total ~ ~ i $3Zi9.4i I i 4Z0 { Transgorta#iarrPaciiity £harge I I I I I Ssl~ie~i~tP'ee I $F54:04 {~ ~ I ~_L`~ ~ Cc~ftrtn 41u I U.laen .Pee t I I t I t I I ~:,~~: A:~~ YA?'":~l~i.~: ~~' T'I:I~TE rJF ~'EIt1~I~T ISSL~~~i~EI CIN OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 0 w `/ Name NNY2 ~- N E R Address Z Z i~ Site Address P a Assessor's Parcel No. O P R Subdivision r Y (~R Short Plat No. Building Permit Date ~~ (Work fnust be started within 120 days) ~~ r._ _.._t~ f Phone r;~~ti 3) ti 7,~i ° I ? ~-r Z. _ •_,I Code -; S=. ~-I ~] r,\ ,.;~;~ cif ~(.7 l~., f-~ fl ! ,`•bw~ q Lot Size (sq. ff Lot Block Block Existing Structures, if any: Name y ~ `z r rt vY~ e ( !~ ~ _ ~ Contact ~,: ~ C ! + ~, ~" Phone ~ r) ~; ~j ~; ; •z Address -r , S" ~ ~` ; j <;~, City ~ , ~ ~ „~. State j,.(j.~ Zip Code '-f"~it)(1`~ Ucense No. !? K' ~ Exp. Yelm Bus. Lic. No. ~- ' - ~~ - Description of Work ~";' ,~ ~.z_ ~ ~ !- ,,•1 b r r : ~ , t,i' . <, , ~ (_, z„_ OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential ` `~ Sign Sewer Septic Approval No. Commercial Other Tiiy Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~ `~ V ~ Z ~; ,- ~ ~ Sets of Prints ..~ Other Plumbing Permit # `` W ~-'7% WA. ST. BC. Fee (4.50 -New Const. Only) ,~ I ti; ~ Mechanical Perm it # =~ ~i C) t') TOTAL FEE '^~ ~ ~ ~~,°~ Plan Check By ..1 . ~-'~~ ~ t.r_w'i'. Minimum distance of structure from property lines; Issued By !fir, ~ _o Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form 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 a currently registered contract in the State of Washington. Assessor Floor Plan and Permit Submitted / / uarteriv Reports Signature / ....~ Date ~ - ~ J- C~:~ Assessor / / ~ ~ Firm: TRPC / / ~__ ~t~_of Ye~~ -Permit Fees Site address: 15=+3 1G~th lave SE, iot 74 ~~ L."`_~ _ ~%~ ~~ . ~ermi~ # ' -wee List fees tae # -Ceminent 805 i Sewer inspection Pee I ~ ~ 145.{1(1 I $ i 45:00 j i {Si le Fa~ii } 803 i Sewer lnspeetio+~ Fee ~ i $t45.4II+ ~ I ` ' (1k1i.~itiFau~i1 lC~nri~.Jlhdustrial $35.00/hr ' } j SEU%Er iatecomers I i I i 802 i Se~verricl;~ approved under i 1 S24is0.00 i i il~ibV i Si000.00Prepaid ~_ 1994 ~ewei Ca acii' n___. rr1 i n. ,,cover ~R~ 1n the ~I,. T-LID ~ ~~n n ~ ,~~,~8~,.0^, I ~~o~~ t ~~.,~~mer. I j , 1 I S er ERLT lots outside the $~l850.00 I ILI T hniin~l~nec i i I } , 1 Sire P13n 1 I i i I } 1 i Water Latecomers i i 1 i i 1 i i Tit I Water Meter j j $3fl0.00 $3110.00 ~ ~ i WaterMeteri.~:R. I I I I I i } i ~ Tb0 1 w~~~RU°$ i i $~~,.~; { ~1~.~ i ~ 4 i } inside cit - liiuits Tr~tl i w.ater~u,S i ~ ~i211c.;)cl I i ~ ~flil?Sit1P. ~.' iim,rS~ I X40 ~:~tr ~ %ansum r ileposii i i $90.00 i S90.OU i ' -- i 1'iL SW! ~ ~ ~ i rnnn - ~ VV i i nl_._ nn r1iAl1 i\r'V1eiN I I I m~^rc in 1_ SG .n i ,. 1 ' ~_ - i } 032 ~ I l;uild:ng Permit ~ - I I $887 8T ~ i - - - j 1 f,,Q , W!1 wilding Code Fee i .~+~$`_;- , (~5~ j X4.50 , 1 P4.5n 1 - _ _ j 032 1VIechanical Permit ~ 36ff1 $84.90 ~ i S~c~B I i ~ ~ i 1132- j 1 f'iumhing Permit j _- ---~ ~5U3 s ~do__~ I _-_ -__ 1 $97:00 j ~ l!- ~ 11 ~ i L f (~3t1 i Yehn $usiness Li~ense## I I I _ _ I _ _ _ _ _ i 98-0(?t 389 ~ i Totai I i i j i I ~~9~4.3~ I I ,, I i ~ }x#20 ~ Transport~tiorrFaciiity eharge I I Schoo~~ti~n Fee I I $~i50:00 ~ -- 2 L~ fonf~ 41 U. I ~ Upe~ Spac~Fee_ I 1 l I I I l I i I i~vE giaiD PA~'ASLE 4T TIME ®g' F'ERl+vviiT "aSaLi~Iv%r.: CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 O ~(/ ~`/ Name ,,~ x~ N R Address ' ~ (~ Site Address P R Assessor's Parcel No. 0 P R Subdivision r Y OR Short Plat No. ~ ~~ ~ Phone ~~//~ City ~',/,L Z ~ State (.ti,J, Lot Size (sq. ff./acres) Lot Block Block Existing Structures, If any: Name ; } - Contact Phone ( ) .,~ Address City State Zip Code Ucense No. Exp. Yelm Bus. Lic. No. Description of Work OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial "`~ Other ''ty Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~~,. ~ r;i~ " J~~ ~~ Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE ~ /~J [~ /~ ~ ~ Plan Check By Minimum distance of structure from property lines: ,~ Issued By ~~ ~-~J~.....~'' Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form 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 a currently registered contract in the State of Washington, Assessor Floor Plan and Permit Submitted / / uarterly Reports Signature Date Assessor / / Firm: TRPC / / C Building Permit /~ ~ `~~ '~~ '~ Date ,~ ~~~/-' " ~Gf(! (Work must be started within 120 days) /~'/~~~ '4 n - Code CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 - ~. Fax: (360) 458-8417 ;'' p ` ~ ; `N Name ~ ~' t` ~ c,' ~ . l N E ~ - , .._ R Address ~ ~~~ ~ ~` ~ Gi Site AddreSS f ~J / r~ ` 4,/~i~f ~~ P R Assessor's Parcel No. ~ ;~ i O P ~ E Subdivision ~'~ t l R T Y pR Short Plat No. ~_. f ~_ 1 ,, , Building Permit ~' `'. Date (Work must be started within 120 days) Ci State ~ ~~ ~ J ~ 1. ~ `~ t"' ~ ~ ~ ~~ Lot Size (sq. ff./acres) Lot / -rl ~ __ Block Block CC Existing Structures, if and O Name ,~~ r _ A Address ~`"~~ ~. Contact // `/ t _ U, Cr,.: /'Vi,r_. ~ Phone( ~i ~f! " ~~ rl J City State Zip Code ~ Ucense No. j u~. ~, ~' ' '~' Exp. Yelm Bus. Lic. No. ~:%C.> / `y' (~ ~ / Description of Work <, n r-~,;x , ~~ ';~-" ~,•~~ ., per. OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential `" Sign Sewer Septic Approval No. Commercial Other Water Private Well Private System Shoreline Permit Y N \'- Aeat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ J~ ~/ , !.%~J r' S`~; ~ (,,/ Sets of Prints ~~- yl Plumbing Permit # ~_> ~' ! ' Other ~ j U Mechanical Permit # ~ ~~ .~ WA. ST. BC. Fee (4.50 -New Const. Only) ~ TOTAL FEE ~ j ~ ~ ~ ` ~ , Plan Check By .~~ + L-~L, ~ ~~ ~t.` , J^' '1 ' ~ Minimum distance of structure from property lines: Issued By (7 ~ -^+- Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / and correct. I also certify that the proposed stuucture 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 a urrently registered contract in the State of Washington. ~..-~__.,, QuarterivReports ~--~. Sjg atur ~ .,,j ~ Date ~ ~ Assessor / / ~~~ ~~.. Firm: TRPC / / Phone ~(,i(~~?) ~° ~ (e _ ~ ~~.5 _~ ~ of Yelm -Pert~,ir Fcc~ Site Address: X612° ~'anc;l Lp SE,1©t lv -Pt # lE~ee ~,ist ' fees 13~e -lti -# Ceinfl~ent 8115 ~ Sewer ~spection Fee "Sin le Famil ~ i 4 x:00 ~ $145 ~0 ~ ~ ~ ' {X . X05 Sewer Inspection Fee ~~ulti€'amil -;(:onun.Ilnt'wstrial' ~ $145.~i0+ ~ $35.ODJ.I~r i ! i i 1 SEWEF l .afiPr~ners I ! f 1 802 J Sewer ERU appra~~ed under 1944 S~VtF~r C a~~ac:sty f , i $2480.00 i ~ 101 ;1 I $i00u.v0 preFaid Sewer 1Rr._' sn the T.II~ ! l,Il~ ?lssessment i . ~24R0.00 I ~ ~ y i~ i Sewer ERU lots outside the i LID t~cunda.+ies 1 ~48~~ ~~ i ~ ~/ ~, ~ 1 . Site Plan ~ I i 1 Water Latecomers i 1 1 ~ TI2 1 Water lvleter I -$300.00 $300.00 i i log ~ i 1 Water Meter I.R:R. ! ! ~ + i 760 1 W ater ERli's i~aide cit -limns) i j $1000.00 ~ $11000.00 1 ) i ~ I ~ V 760 i Water 1IZU's 'outside cit -limn. i i $12i1t3.OL' I j ' ~ '•40 sv~r ~ -,.,, _ Cot.umer T'eYC3it I i $90.00 i $ 90.00 f ~~ i Plan Revie:~ i i i ~ 401.37 ~ ~ ~~ i ! ~~ 032 , 1 Building Permit i 6443 ~ , 1 , $ 950.00 ~ , .~ , ~~G.: i 160 I W.4 Building Code Fee I , 1 $4.50 j ~ 4.50 1 ~ (~~G ~ I D32 i ]Mechanical Permit 3'70'7 i $ 84:90 , ;~ ~ ~ () ' 14 03Z Plumbing Permit 1 i 5599 _~. i j $ 90.U0 ~ {330 ~ Yeim mousiness i.icense# ! i i I ~ 001426 1 Total ~ $3(365.77 ~2C1 1 Transportation Faciii#y Charge 1 f ~ ~.l~xil ~F!iigat+on>ee i X650.00 iyone 1 ~ ~ space Fee i 1 lll;v AitiU PAS"ABLE 4T TP1~~E r3F PERlIiIT ISSLL~N~'E CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 o w ~. Name t_ L N E R Address /~ Site Address P rt Assessor's Parcel Nc O P E Subdivision R T Y (7R Short Plat No. Building Permit ~' ~ .'`, •'' /~ ~° Date ~1(Vork must b sta d within 120 days) t'~cr~1 ~wmiJ C 1Ff~,~ ~/~~ ~ .nf ~ ~ `~°' / Phone CALM i) `> f.~ " ~~ ~3ji +d (~ ~ City ~/f ! /1~f State ; : i ~,Q Zip Code ~711~1~~7 r' Lot Size (sq. ff./acres) Lot Existing Structures, if Name Contact Address City Block Block Phone ( ) State Zip Code Ucense No. Exp. Yelm Bus. Lic. No. OFFICIAL USE ONLY Description of Work r ~ ,~- ~,~ ~ /ll~ - PermitType: Sq. Ft. per floor: (1st) (2nd) Residential Sign Commercial Other ~.-' Sewer Septic Approval No. ^ity Water Private Well Private System Shoreline Permit Y N .eat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N ,) Cam. Sets of Prints Building Value ~ Plumbing Permit # Other WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE ~ ~ i9f Plan Check By C r ~ ~/~, I d B Minimum distance of structure from property lines: , ssue y Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. Quarterly Reports f(Z~ ~C'} Date '~~ -° Assessor / / „ Signature _ T~,,,~,,,,, ., 4~~~ Fi TRPC / / rm: i, ,.~ :.-~1 b, N" ! ' 4/ ~ 1 ~ ' ,~ 4 W ~„F b '~ e:.' )` ra ~~ t f' i /Y7 ~ ~y `. ` ~ ~ iv ~ iG' CITY OF YELM ~ (® :J ~ ,6 Building Permit ~ ~--: BUILDING DEPT. ~ / % rs ~ ~~~ Phone: (360) 458-8407 Date fi_ Fax: (360) 458-8417 (Work must be started within 120 days) 0 `/~ Name s<'.pal f ~..r/ ( ~ J w("~ r ~ h ~ C Phone (.>+L~) `f a j~~a (-~ N rt ~/ _ r~/ ~~ .~:/ frPl Address ,// f ~ r~ .~ ,,f -/1~ City ~`~ State /~ 7JpCode ~ ~` ~^ / i Site Address ~/ ~ C Y t s (!1 8 ~..! / r// ~ ~ ~ fi P R Assessor's Parcel No. Lot Size (sq. ff./acres) O P E Subdivision Lot Block R T v OR Shorf Plat No. Block Existing Structures, if any: Name `~iC. q ~ ~ C rp G% Contact ",~ ; G. ~~ i F<~ ~ ~t' Phone C,1.1 ~) `~ ~- ! ~/ a ~~._ n Address '~ f1 . kJ~ 1< ~ ~' ~ -~n City uh ~ ~~~,J~) U State i Zip Code ~!' <- ~ License No. ~ FYI 1 n ~ ^" Exp. Yelm Bus. Lic. No. Q CJ - ~ ~. ? ~ OFFICIAL USE ONLY Description of Work !' el C Permit7ype: Sq. Ft. per floor: (1st) (2nd) Residential ""' Sign Sewer Septic Approval No. Commercial Other "t"Jty Water Private Well Private System Shoreline Permit Y N ,,eat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N ~~ ~ ~~ ~ ! ~ " ~ ~ '' ~ Sets of Prints ~~ ~..~t Building Value 7 ~ ~ % ~ i Plumbing Permit # /~' ~/ ~) Other WA. ST. BC. Fee (4.50 -New Const, Only) Mechanical Permit # hJ .'~" TOTAL FEE (~, ~ ~, ~ ~ ~•- Plan Check Bye /~ Issued By (~ ~~ Minimum distance of structure from property lines: Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. / ` ,,, ~~ ~~ 9uarterly Reports ," Signature' ~",l ~ ~•~ / i~ ,~'" ~ Date i /' ~. Assessor / / Firm• TRPC / / .«_ CITY OF YELM Building Permit ~'' ~~~ ~ ~~~ BUILDING DEPT. _ /~rG~~©~ Phone: (360) 458-8407 Date i ~' FaX: (360) 458-8417 (Work must be started within 120 days) /~l ~-,~ ~~^/ Name R' Fi ~ ~ l "~A v9 C ~..- ~.J ~ ~ j i L Phone ~' fir) ~ ,• j ~ .:=, L N ~ R Address ~- ~ / '"~/1 /1~7 ~ "~ r~ City ~/~"i ~ State ~ Zip Code Site Address -~ /U ~ / ,;,7 ~ ¢'~,-~..~~ r P rz Assessor's Parcel No. ~ r ' ` r') -"v ' ; ~" "f~ ' _ ~ '_%G~i lr.k~ Lot Size (sq. ff./acres) 0 P E Subdivision Lot Block ~T Y OR Short Plat No. Block Existing Structures, if any: '-i F ~` Name ; I, ;, t r:. .~) ~~ ~ Contact Phone ~ - /~? Address r ~, ~~ ~ r . ~~ City n-',~ , State Zip Code ` j~ ; "~ ~ License No. ,., '~ ~ r t ~~ Exp. Yelm Bus. Lic. No. OFFICIAL USE ONLY Description of Work ! ,~r y ~ ? K y... ~° Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other "~ City Water Private Well Private System Shoreline Permit Y N -Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Buildin Value 9 ~ ~" ,. - c`f ~ , t.t ~ ~ ,A ~ ~J~. i Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE f~,G~ -~" Plan Check By ~'~ Issued By t' 7 , "..ti Minimum distance of structure from property lines: Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 contr tor, I further certify that I am a currently registered contract in the State of Washington. ~ Quarterly Reports t Signatur. ~ ~ s~ ,- ~r'~""-- ~~ ~/Ll~ rai r " a'De~} f. ate +~ - y~r "~-[.~+~ Assessor / / Firm: ~ ' TRPC / / i~'~ ~~. J~ ~~ ~-- C~t~ ~f ~e~ -~e~~ ~~es Site Address: l 4225 Prairie Heights Sf ! limit # ' ;Fee List Fees due # ' Cemfnent 8c?5 j SewerinspectianEee ' Sin to Fan~l ~ 0 , 1 ~l~}~:GO , ~ ~ ~ I , X05 Sewer Inspection Fee ! (b2ultiFaxnil 1Comm.!Industriai) ~ ~ ~ $145.00+ !_535.!!0%hr ~ ~ ! ! Sei~:er Latecomers 1 ! 1 I 802 ~ Sewer Ei~U approved under 11354 Sewer Ca acity ! ~ $2480.00 ~ ~ !Sewer ERU in the LID+LII3 ~ Assessment ~ $2480.00 ~ 1 1 , ,Sewer ERU lots ou±side the LID boundaries I , $4850.00 ~ 1 , Site Plan I I ~ I ~ I I fi I Water Latecomers I ~ 1 I ~ X12 ~ Water ivleter ~ ~ $300.00 I 1 l Water c~ieterI.R:R. ~ ' ~ I 1 60 I ! ~b'ater ERU's f inside-rat limits ~ ~ $ i 000.00 ! ~b0 ~ Water:El~U's I (outside cit Iimits) I ~ w1200.00 ~ ! ~ ! i~i f %40 wtr ! '42 sw-r ~ Consumer Deposit ~ ~ ~ $50,00 , 100 ! Plan Re~~iew ! ~ ~ ~ ~ i $ 208.81 I i ~7 I ~ ~ ~ I 032 , Building Permit ! 6433 , $ 32l 25 , 1-60 I WA Building Code Fee I ! ( 1 $4.50 I I 1 I 1 032 I l~Iechanical~ermit ! 5706 i ~ ~ 3b.00 j i ~ ~ ~ ~ 032 ~ Plumbing Permit i 5538 I ! $ 55.00 ~ (( ~ I~~~~ 030 1 ~ eim Business Lieense# I I I I I i ~tal j ! ( ~ ( $62l .06 ~ ! ~ 2o- ~'Fr~sportat3an it~~ha~ ~ f f Schaal 141itigatiart Fes, 1 $650.00 f 410. Qpen Space Pee llUl+: AIVll YAYABLI: A'I' TI1~iE OF PERi'~1IT ISSUANCE? CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 0 `N Name N E a Address ~ Site Address ~ ~ P R Assessor's Parcel No. 0 P -~ ~ R Subdivision t T y OR Shorf Plat No. Existing Structures, if a r Phone ( ) ,, ,~ , w: City f ~ „ f fg ,.„• ~ State ~.! /~ Zip Code -~ Lot Size (sq. ff./acres) ~) ~ v~ i- Lot Block Block Building Permit ,d ~• ~~ `°-'~ Date _ / ~ ~~~~ (Work must be started within 120 days) ,~~~ ~~ Name ~,~ y j , Contact Phone ( ) `'~ y ~! _' 7 7 `>""E ,~ t ~~) °' ~ ~ /'~ ,~/,, t` `y ~ City '° 1 l~ State ~ Address ,~ Zip Code `'j~ l ~t '} , License No. a (, /%~ ~~ ?~~ ~ ~ Exp. Yelm Bus. Lic. No. r'~~"R,,.~,, Description of Work ~pE ~ 4 ~ ,~ / G ,~ OFFI IAL USE ONLY , Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential "' Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N neat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ , ,~„ (. ~~~ ~ -- ..~ ~.r ~ ' , ,~ Sets of Prints z" Other ~, Plumbing Permit # ~ ~`"1 ~'] Mechanical Permit # '~ ~/~ ~' WA. ST. BC. Fee (4.50 -New Const. Only) _ TOTAL FEE ti? ~ ! ~ ~ Plan Check By `mil C~,.~"' / < r ? ~ Issued B ''°"~-d'~" Minimum distance of structure from property lines: y .. Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. Quarterly Reports Signature Date ~ ~ +~ ~ Assessor / / Firms TRPC / / CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 o ~ __ ~ N Name %" ~/ ~r~ ,. / ,r ~f , R Address ~ ., !rf,,r, ~ K~~- C Site Address """,/; ~ i ~ " ~'~ c' P O Assessor's Parcel No. '~~ t„ (~, ~.~ .:-z ~ c'~ P R Subdivision ~t4- ~, ,: , f ,~ T ~ / Y CSR Shnrt Plnt Nn- Building Permit ,~ , Date .. ,_,~ ~ ~ (r (~~ (Work must be started within 120 days) f_~1 Lot Size (sq. ff Lot Phone ~1 ~) -~7 1~~rr~~.1.. State ,'~ ~~ Zip Code ~'r'~ ;f ~~ ~, Block Block Existing Structures, if any: C o ) 4 ~ Contact r > / , (A Phone (~1 ~ ) ~~ ~' ~ ; Name ~ ~ ' - ~ . r Yf i, i r ., T __ Address 'i i"- i ~ G ~ fCsr ~, City ! , State r ~_ ~ ~ -~ ~, Zip Code ~ r f l R .w License No. /~ ,~ ,~ "` ' „1 % ( Exp. Yelm Bus, Lic. No. ~ ~ O O ; 5 `i =''. ~.~ Description of Work `, ~ ,, ~_. f / ~~,'1 , P7~ ~., ,t ~-~' ~,~~, tom' OFFICIAL USE ONLY Permit Type: ~ . Sq. Ft. per floor. (1st) (2nd) Residential •~ Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N Neat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value --' r-f L ~ , (~ ~' ,! l.~ ~~ , )'•` Sets of Prints ~'~.- Plumbing Permit # ~-e~>~ ~~~ Other y WA. ST. BC. Fee (4.50 -New Const. Only) i~', ~ ~ Mechanical Permit # ~ fit' S - TOTAL FEE l, j C~~` :~~ Plan Check B ~~~ !_: Se% f ~~+'' Y , c _ Minimum distance of structure from property lines: ,~ Issued By (? ~ 4= `/ Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. ~ Quarterly Reports Signature fir, -'""~~~~~ Date Assessor / / Firm; / ~ TRPC / / ~itx of Yeim -Permit Fees Site Address: 15019 145th Street SE, Iot 31 Nisqually Estates y/o-zoa~ C~ 's0~iz~9 Permit # Fee List Fees Duc Recei t # Comment 805 Sewer Inspection Fee Sin a Famil $145.00 $145.00 ~~ 805 Sewer Inspection Fee ultiFamil /Comm./Industrial $145.00+ $35.00/hr Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca aci $2480.00 $0 10160 $1000.00 Prepaid Sewer ERU in the LID+LID Assessment $2480.00 Sewer ERU lots outside the LID boundaries $4850.00 Site Plan Water Latecomers 712 Water Meter $300.00 $300.00 ~% Water Meter I.R.R. 760 Water ERU's inside cit limits $1000.00 $1000.00 / / 760 Water ERU's outside cit limits $1200.00 740 wtr 742 swr Consumer Deposit $90.00 $90.00 % i /~,.~ -~ ~" t 00 Ptan Review $ 456.66 ~ ~ L 032 Building Permit 6434 $ 1080.85 `~~~ 160 WA Building Code Fee $4.50 $4.50 / (~~ 032 Mechanical Permit 5705 $91.40 /CISZC 032 Plumbing Permit 5597 $111.00 / /,L7 030 Yelm Business License# 98-001389 Total $3279.41 420 Transportation Facility Charge Schoo} Mitigation Fee $650.00 Confirm 4l0 Open Space Fee DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE! CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 0 `N Name (1 ~ N ~ E ~` R Address ~-,-~~ Site Address ; P R Assessor's Parcel No. O P R Subdivision T y OR Short Plat No. Existing Structures, if truer, ~ 1,., ,~./,,-~ ~ ~ (~, --~ // lJ ~~! ~ - , ^, ~' ~, ~ , Building Permit ~ ~ ~ ' ~' ~' Date ~!l/ ~ ~~~~ (Work must be started within 120 days) c ~.. City ;' y ~, ;; Na,x•, A! State Lot Size (sq. ff./acres) Phone (r; T)~ `~.3`~7 C.~,)~ Zlp Code Block Block Name j~y r?r? ~ /1 r1?~ t = ~ v~~ f Contact ` ~ //, ,y ~~ Phone ~r ~) '; =;r' - ; '; ;~ ~ r ~ ~ ~ City ,°,,oi {~~-i.z.~ State %,,~~, Address ~ % "i ~ ~ ~~ ~~I ! l C~ Zip Code License No. ~1 i'; ~" ~„ (~' Exp. Yelm Bus. Lic. No. ~ ` ' r ~ ~ ='~r i~~ Description of Work ~ ~ ~, ~,,~/ ~€~ f~ r OFFICIAL USE ONLY ' Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential `'~ Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~,~ ,",! "~~ ~,Ir f» --~ / c~ i`'(~ ~ ~~,~ Sets of Prints G- Plumbing Permit # .:: L~ ~~.~" Other WA. ST. BC. Fee (4.50 -New Const. Only) ~~ , ~!_? Mechanical Permit # ~- ~:- !~ ~ -' f L~`r~ TOTAL FEE ~,! ~~ < Plan Check By ~.f t.- ~ ~ t ^~- ^~^° Minimum distance of structure from property lines: Issued By ~ .~ • Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 l am a currently registered contract in the State of Washington. Quarterly Reports i i " ' Date Signature ~ .. *-' Assessor / / Firm: / TRPC / / ,~ CitX of Ye1m -Permit Fees Site Address: 10408 Brighton St SE, lot 100 Nisqually Estates y /a--zoo Ck ovZ~z~ Permit # Fee List Fees pue Recei t # Comment 805 Sewer Inspection Fee Sin le Famil $145.00 $145.00 //.. I~s ~"~ 805 Sewer Inspection Fee MultiFamil IComm./Industrial $145.00+ $35.00lhr Sewer Latecomers 802 Sewer ERU approved under 1994 Scorer Ca cit $2480.00 $0 10160 $1000.00 Prepaid Sewer ERU in the LID+LID Assessment $2480.00 Sewer ERLT lots outside the LID boundaries $4850.00 Site Plan Water Latecomers 712 Water Meter $300.00 $300.00 J~l~-Z / J Water Meter I.R.R. 760 Water ERU's inside eit limits $1000.00 $1000.00 f j /J ~O /`~ d 760 Water ERU's outside cit limits $1200.00 740 wtr 742 swr Consumer Deposit $90.00 $90.00 ~~ J~ Z ~` 100 Plan Review $ 456.66 ~ ~~Z~ 032 Building Permit 6433 $ 1080.85 f, /~ ~(/ /7 d i60 WA Building Code Fee $4.50 $4.50 ~~ 032 Mechancai Permit 57Q4 $91.4 U ~0 032 Plumbing Permit 5596 $111.00 i ~~~r/ y 1f 030 Yehn Business License# 98-001389 Total $3279.41 420 Transportation Facility Charge School Mitigation Fee $650.00 Confirm 410 Open Space Fee DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE! CITY OF YELM Building Permit ~:4 ~" ~ ' b BUILDING DEPT. .~`<_ ;1 _ ~; ~ ~ ~ r~ ~~ Phone: (360) 458-8407 Ci Date FpX: (360) 458-8417 (Work must be started within 120 days) / ~ ~ ~ '~ o ~". ~ ~ N Name .. ,1 . Phone ( ) R Address ~% ~. City State ; Zip Code ~~ "~ ' ^ '~} Site Address ~ ' ( ~ f~ P R Assessor's Parcel No. Lot Size (sq. ff./acres) O E / Subdivision Z j I `~ ~ r/ f Lot t Block R T y OR Short Plat No. Block / Existing Structures, if any: f~ ji ~ e9 l -~ 1 `~ N Name ('; , ~ ~' Contact ..;.a Phone (L1 -~-~% , ~; ,y,/ - L~rj .:, ~ T Address City State Zip Code Ucense No. l ~. r ~ / _ J ~' ~' ~' Exp. Yelm Bus. Lic. No. Description of Work " ~ ; ~' ~.i far n OFFICIAL USE ONLY r Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No, Commercial Other City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ,~ -r ~ . ~~~^ . - ^" ~ Sets of Prints ,~ Other Plumbing Permit# ,~..lT~? WA. ST. BC. Fee (4.50 -New Const. Only) """~ Mechanical Permit # N ~ "s° C ~ TOTAL FEE f~ ~ ?(a .. Plan Check By !-r ~ _ n Minimum distance of structure from property lines: Issued By ,'-r, ~~-•- Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / and correct. I also certify that the proposed structure is in conformity with al l applicable City of Yelm regulations including those governing zoning and land subdivision, and in addition, all covena nts, easements and restrictions of record. If applying as a contractor, I further certify thc7t I am a c~rently registered cont ract in the State of Washington. r ~; __ `,' ~ /~ ~ QuarferlyReporfs / ~ r !` _ Signature '~, , ,~ - r ~ ,, '"~ Date •! / ~ ~ Assessor / / _ '1 Firm: ' TRPC / / CITY OF YELM Building Permit ~ ~ ~ ~~~ BUILDING DEPT. ~'`~ ~ ~ '~ ~' ~ ~~ ''~ Phone: (360) 458-8407 Date ~ ° , .~ ~ . `' - .~ Fqx: (360) 458-8417 (Work ust be started within 120 days) ~~ ~~ / "7 ~ P `N Name j - /n/DC r7 ~/ !v "c4C !"> v~ Phone ( ~ " -r/ ~~' N / R Address City ;! / ~ .ti1 State 1~ / /^} Zip Code "l~ .1 `.~ Site Address /~ Lr ~ ,~1~' P R Assessor's Parcel No. Lot Size (sq. ff./acres) O P E Subdivision Lot Block R T v OR Short Plat No. Block Existing Structures, if any: Name J r~ Contact ' ~,`~ ~ `~rC Phone ( ) T Address City State Zip Code ~ Ucense No. ,~,~l ~j ~' %% % }-~ Exp. Yelm Bus. Lic. No. Description of Work OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial :-'"~ Other _ ~ Ci Water Private Well Private System Shoreline Permit Y N ~, ,. i Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~.~ ~ ~ ~ F ( 'f/ N ~+ ~ Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # i -' TOTAL FEE J "~"~ " ~ ,. Plan Check By~~„e-~~°- _ ~ i ~. ~ Minimum distance of structure from property lines: Issued By ~-- .l W--'"~ Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. Quarterly Reports l Date %, ~ .~ " ~~/ Si nature / Assessor / / - ~,,~„ g f 'y ~ f ~. , ~ Firm l= ^' ' ~ . TRPC / / ~ f , : ~r ,4 r'u ~'r' ~G.~ ~" .5 D~ / CITY OF YELM Building Permit ~ ~ ~ '" BUILDING DEPT. Date /~~~ , a Phgne: (360) 458-8407 Fqx: (360) 458-8417 (Work must be started within 120~d`ays) o v/ ~ - Phone ( t~ 5 P ) - '~s ,~ !' c a t me x N E r2 ~ ...' .- Address ~ it/T City ~~ ~ State Zip Code ,Z ~ ~" Site Address ~ ~ ~ ,~l ~ / /~iQ P ~ % ,! <~~ -) ~ ,~ Lot Size (sq. ft./acres) Assessor's Parcel No. P E Subdivision Lot Block R y OR Shorf Plat No. Block Existing Structures, if any: ~~ U Name j ~,~ Contact Phone ( ) T Address City State Zip Code ~ Ucense No. Exp, Yelm Bus. Lic. No. OFFICIAL USE ONLY Description of Work Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential "'~ Sign Sewer Septic Approval No. Commercial Dther --`'=City Water Private Well Private System Shoreline Permit Y N :cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Value Buildin ~/ ''Y ~r ( Cj ~ ' 4 .~~ °> .t Sets of Prints i~ g om Other Plumbing Permit # .~~.~ e l O Mechanical Permit # ~~!/Zi - WA. ST. BC. Fee y) (4.50 -New Const. n TOTAL FEE / ~ ~ ~" ~,, Plan Check ByTT ~ t -~`~' ~ Issued B ~" ,~> ~°'"~'~ Minimum distance of structure from property lines: y Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington, Quarterly Reports Signature ~, 6" c~'1 Date - % ~ • L;y Assessor / / Firm: ' ~ TRPC / / CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 Building Permit N° 6 4 3 5 Date (Work must be started within 120 days) `N Name ~~ KOM O / Phone ( ) N E / 1 R Address City State Zip Code Site Address 3 P ,/ R Assessor's Parcel No. ~p7 Qj Q BQ a Lot Size (sq. ft./acres) 0 P E Subdivision Lot Block .T Y CSR Chnrt Plnt Nn Block Existing Sfructures, if any: i h Name Contact Phone ( ) Address City State Zip Code Ucense No. Exp. Yelm Bus. Lic. No. Description of Work ~ C(O'~ ~Gjo-,J OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential // Sign Sewer Septic Approval No. Commercial Other Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # ~ ,, -- TOTAL FEE ~ / ' / Plan Check By C >, t~~ _ Minimum distance of sfructure from property lines: nn Issued By~`~ Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form 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 sfructure 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 a currently registered contract in the State of Washington. Assessor Floor Plan and Permit Submitted / / uarteriy Reports Signature Date Assessor / / Firm: TRPC / / CITY OF YELM Building Permit ~ `~ ~~`~~ `~ •' BUILDING DEPT. ~ ~~~~~~ Phone: (360) 458-8407 ~ Date Fax: (360) 458-8417 (Work must be started within 120 days) ~~~ ~~ `N Name t M t i. ~. t iC a<`~ Phone C ` ) '~f.j f~ .~ ~ `'('>_.~l N E R i y Address CD~.3 tl~ ~ v C ! ~ .1 ,~. -'~ City ~ L.641 State / Zip Code ,~`, ~,` Site Address ~~ t ~ , , • ~y ~ ~ ~ ~-r~ P a Assessor's Parcel No. Lot Size (sq. ff./acres) O P E Subdivision Lot Block R T Y OR Short Plat No. Block Existing Structures, if any: _, N Name ~ ~.-,~. ~ -, ! Contact Phone ( ) Address ._ ~~',r y - ~ '', City ~~_;i r j~~,c.-,,;,,p~ State ~~.i.:%~li~ Zip Code i ~^~ ~, ~, ~^ ~ License No. t~.'•U,- y [. ,~ ~!' (_ Exp. Yelm Bus. Lic. No. '1 r'C,J . ! ) -~ "c. ,-f ~,- ~ Description of Work / ? f ~( OFFICIAL USE ONLY , ~ , ~; , r-- Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N , Neat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ '~ ~= ~~L1 ~ ; c ~ -; ~ ~,} Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE p? ~.;? ~ ~~? Plan Check By Minimum distance of structure from property lines: IssuedBy <'; ", ~'~-•--~-^' Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 covenan ts, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contract in the State of Washington. 9uarterly Reports Signature Date Assessor / / Firm: ~ TRPC / / l~ CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 O .I.,-- `N Namerr N R Address ~ ~ t~ Site Address / S~U (s= P o Assessor's Parcel No. _> ~ P E Subdivision R T Y OR Shorf Plat No. Block Existing Sfructures, if any: Name ,, , ~.~~ ~,;a - Contact Phone ( ) Address City State Zip Code Ucense No. Exp. Yelm Bus. Lic. No. Description of Work j c'" r ~ OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign `~ Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ `~~ } r ~ ~ ~1 ~) G Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE Plan Check By Minimum distance of structure from property lines: Issued By C ° . r ~-~^"` Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form 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 a currently registered contract in the State of Washington. ,;,~, ,> Assessor Floor Plan and Permit Submitted / / ZuarterlY Reports Signature ,~ . -~ ~ E fir`, ~ ~ ~, ..~,~ ~ - Date f j'',~`~~'1,~'-''X ~`1 `~ Assessor / / Firm; ~ TRPC / / . ~~,..! ;-y-~ n, Building Permit /' "~ F~ =. Date eT k~~ (~ ~ I ~ y~l~~ ~ L .,sue (Work r'hust be started within 120 days) •, ~~; b%' Phone ( ) 1 _ `) . City ~~+ ? i -~-'~ State ` ~_~X1`1' Zip Code ' ~; 1 7~/ ,,.v /~ } ~,~ Lot Size (sq. ff./acres) Lot Block ~- CITY OF YELM Building Permit ~"' ~~~ ~ '~ BUILDING DEPT. /,Z /` f ~ ~ ~ ~ t Phone: (360) 458-8407 , o Date •.. FqX: (360) 458-8417 (Work must be started within 120 days) .~ ~ ...) `.__~ ~ ~ ~ ~ ~, w Name ,-~' 4- o L - ,~; '"° ` Phone %~<) `) `-~. - ; ~' ~"! ~' N - R Address ~' ~ ~ / ¢"~~ '" ~ `~ t L- ~ State .~„ City ~ Zip Code ` ~i ;~ ~~ ~ Site Address ~.; ' ,~,.; CL' ~m'.-'r ~"-•l r ~~ `~ l~ ,.-- P R i r^1 Assessor's Parcel No. (~ ~%. yY~~'`-: ` '. ~L~l c,..,.~ Lot Size (sq. ff./acres) O E Subdivision fi ~ ~ / ~~ ~ Lot ~ fa Block T ~/ y v OR Short Plat No. Block Existing Structures, if any: r Name ~,r,~ r ~~ ; ~n e-y Address ~ " , ! .• v / f(? ^,~ ~. Contact ~1 (ll,,<<, tf ./-~--- City /li' f' Ucense No. f V N K` !~ a= 1 ~ i ~;),a t- Cr Exp. Phone (,1 `a ) ,~> ~~':' , '~ r'c~' ..t State c ~,.~ r`~ Zip Code "' ~J C~ Yelm Bus, Lic. No. `~c~ ' ~-~ ~~ %-`~~~~~,1 /~~ Description of Work '~ ~ ~,/ r 11 ~~ f~ji•3' % ! f~ .7 ~ ~~=- C.2 OFFICIAL USE ONLY Permit Type: Sq. Ft, per floor. (1st) (2nd) Residential ~ Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value • C> , ,/G;, a~ ~~ ~~ ~~, , ~ ~. Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Lt j ~' ~? Mechanical Permit # r TOTAL FEE ~ ,. ~j ~ "~' ~, Plan Check By •..ir, ~a• ~f y P''j Minimum distance of structure from property lines: Issued By :!,7 . f~~~ " Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form 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 a currently registered contract in the State of Washington. Assessor Floor Plan and Permit Submitted / / uarterly Reports Signature ,~ ~~~.~,_,_ Date ~ ~ ~ / p G~ Assessor / / Firm: ~•~ - TRPC / / a City of Yelm -Permit Fees Site Address: 10406 Brighton St SE, Lot 101 ~~~i D~~ Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee Sin le Famil $145.00 $145.00 ~'~~~° 805 Sewer Inspection Fee MultiFamil /comm./Industrial $145.00+ $35.00/hr Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca aciY $2480.00 10160 $1000.00 Prepaid Sewer ERL' in the LID+LID Assessment $2480.00 Sewer ERU lots outside the LID boundaries $4850.00 Site Plan Water Latecomers 712 Water Meter $300.00 $300.00 ~ ~~~~ Water Meter I.R.R. 760 WaterERU's inside cit limits $1000,00 $1000.00 ~yy,< ~' 760 Water ERU's ooutside cit limits $1200.00 740 wtr 742 swr Consumer Deposit $90.00 $ 90.00 / ~/"~/%G 100 Ptan Review $ 650.17 ~~~ ~~ ~ 032 Building Permit ~ ~y3~ $ 1.000.25 ! ~/`, ~,, /L ~ 160 WA Building Code Fee $4.50 $ 4.50 032 Mechanical Permit 5703 $ 84.90 t i ~> 7 /I/~~ 032 Plumbing Permit 5595 $ 97.00 >/ 030 Yelm Business License# 99-02383 Total $3 3 71.83 420 Transportation Facility Charge School Mitigation. Fee $650.00 $6S0.00 Confirm 410 Open Space Fee uu~ AtVll YAYAKL~ A'T 1"iME t)F PERI~ITI' ISSUANCE! CITY OF YELM Building Permit BUILDING DEPT. ~ ~ / Phone: (360) 458-8407 ~ ~~ Date _~ L Fpx: (360) 458-8417 (Work must be started with in 12 0 day s) / } / ~ ' o `N Name ~~ ~ - ~. Phone ``~,~~^-^ (c~c" - N E i2 -- --~+ Address c-. -~ 1r CPL J / ~' City /~~ c~ . -•'~ State ~,~ .~ Zip Code `7 `/ ~~ ` Site Address ~ '- / ~ T.o~1 > ~ }'' ` ~d P R ..+ ~.. Assessor's Parcel No. ( ( > ' Lot Size (sq. ff./acres) O P E Subdivision , • /f ~' p+ Lot f ~ Block R T Y OR Short Plat No. Block es, if any: Existing Structur C o // // Name ~(i4 K rt. .~" ~ ~ , rr ,tyq f' Contact ~ r'! ~ !i , ~ Phone ~ ~ ~) a ~~ r C Address - ~_'"~ U ~ ' ~,/'^ S _ City ? --.,~ ~ State L,.i Zip Code `- ~ ~~ l~ t ~ Ucense No. d yr r~ ~ .. G ,r ~ ~ ( Exp. Yelm Bus. Lic. No. `7+ - / ~ ~~ Description of Work - ~ - ~ i -~ a ~ ~ Y ( ~ /.~1. ~_ . OFFICIAL USE ONLV Permit Type: Sq. Ft. per floor (1st) (2nd) Residential "" Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value '~ ~ ~ C%~ ~ Sets of Prints ~-- Other' Plumbing Permit # i '.~~'( ~j Mechanical Permit # ~`> WA. ST. BC. Fee (4.50 -New Const. Only) TOTAL FEE ,f ~ in ~ j ~+ Plan Check By ~-I d%' E~ / Lm~ 1 ~, ~ 7 ~ ~ Minimum distance of structure from property lines: Issued By ~ +---- Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. Quarterly Reports Signature i,.----~--- Date -~ ? r . b 4-~ Assessor / / Firm: TRPC / / City of Yelm -Permit Fees s ~ s~-4 Site Addxess: 15044 Farwest Ct SE, Lot 17 Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee $145.00 $145.00 ~/ ~ ~ Sin le Famil 'T f ~- 805 Sewer Inspection Fee $145.00+ MultiFamil /Comm./Industrial $35.00/hr Sewer Latecomers 802 Sewer ERU approved under $2480.00 10160 $1000.00 Prepaid 1994 Sewer Ca aci Sewer ERU in the LID+LID $2480.00 Assessment Sewer ERU lots outside the $4850.00 LID boundaries Site Plan Water Latecomers 712 Water Meter $300.00 $300.00 i / ~/~/1.I Water Meter LR.R. 760 WaterERU's $1000 00 $1000 00 ~ - , inside ci limits . . ~ ~ ;~ '~ y~_ - 760 Water ERU's $1200.00 outside ci limits 740 wtr Consumer Deposit $90.00 $ 90 00 ; ?42 swr . , ' ~y~ ~ , 100 Plan Review $ 498 81 . , 032 Building Permit 6428 $ 1180.62 •~.~_~ 160 WA Building Code Fee $4.50 $ 4 50 . _,; l y~~' ~ ~ 032 Mechanical Permit 5701 $ 91.40 +~,~ ~~~~'- ~ 032 Plumbing Permit 5593 $ 111.00 ~~J,~ / /- 030 Yelm Business License# 99-02383 Total $3421.33 420 Transportation Facility Charge School Mitigation Fee $650.00 $650.00 Confirm 410 Open Space Fee DUE AND PAYA BLE AT TI ME [~F PF.RMTT rccrre rrr~r CITY OF YELM Building Permit " '~ ~' n' BUILDING DEPT. ~' ~ , ~ ~ ~ ~ ~ Phone: (360) 458-8407 ~ ~ , Date ~ ' • ' ~ Fax: (360) 458-8417 n 120 days) (Work must be started withi // ~r~~~~~ w Name ~%~'' , ~n ry i 1`"~~. Phone (I ~ ~) 5 ~" p Z r N rt Address ' ~ CV p dr" .5 ~ J{' City ~rr C , ~r State ~ , Zlp Code ~ '~ ~ Site Address ° ' / ; ,:i ~ ~` d J t- P R Assessor's Parcel No. ~-~f~ G~ ~~>~") •" c Lot Size (sq. ff./acres) 0 P R - Subdivision ~ S dJ ,~ - '`""S ~~+ ` Lot ,~,. " Block T Y OR Short Plat No. Block Existing Structures, if any: N ,.. Name .~ yj , -,~ Contact 1i'" it bs°^ J (`c. r ~ - ,~% Phone . ' ~.) `~ c' 4 + c T Address ;> 2 ~,,, S _ _ City ,~ _ ~., State (,,) Zip Code ~ c >yll. I License No. ~ ,~ ' ° ;% ~" Exp. Yelm Bus. Lic. No. ` ~" •?~; 1 ~ _ Description of Work ,%' / v"l~. /! r ( ~ OFFICIAL USE ONLY ., ~ ", ~ C ~ G( Permit Type: Sq. Ft. per floor: (l st) (2nd) Residential ~,, Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value / ~~~ ~ =~~ ' 1 ~ ~ ~~ -~ ~ _~ Sets of Prints f Other ~ Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) '~, , `~(,~ Mechanical Permit # ~ ' "" I ~~ ~ ~ ~~~ C TOTAL FEE P,~ ~ ~ cam. ~ heck By .J Plan r ."~ ~ ' Minimum distance of structure from property lines: Issued By . l ' ~X ~ ~--- Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained with in the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. Quarterly Reports ,,pA Signature /L y-.--M Date ~-~' ~ p ~ ~-~ Assessor / / ~ Firm: ;;~ TRPC / / City of Yelm -Permit Fees Site Address: 15007 105th Ave. SE, Lot 29 Permit # Fee Liat Fees Due Recei t # Comment 805 Sewer Inspection Fee Sin e Famil $145.00 $145.00 , ~~ 805 Sewer Inspection Fee (MultiFamil /Comm.tlndustrial $145.00+ $35.00/hr Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca acit $2480.00 10160 $1000.00 Prepaid Sewer ERU in the LID+LID Assessment $2480.00 Sewer ERU lots outside the LID boundaries $4850.00 Site Flan Water Latecomers ?12 Water Meter $300.00 $300.00 /~~J~~ 7 Water Meter LR.R. 760 Water ERU's inside ci }imits $1000.00 $1000.00 ~~LI~'~' 760 Water ERU's outside ei }imits $1200.00 740 wtr 742 swr Consumer Deposit $90.00 $ 90.00 ~~~j~~ ~ 100 Plan Review $ 498.81 ~~/~~ 032 Building Permit ~ $ 1180.62 /; f, /~~ 177 160 WA Bui}ding Code Fee $4.50 $ 4,50 , ',1'f ~ ;~ 032 Mechanical Permit 5682 $ 9 } .40 032 Plumbing Permit .6592 ~ $ 111.00 ~~~~~ 030 Yehn Business License# 99-02383 Total $3421.33 420 Transportation Facility Charge School Mitigation Fee $650.00 t~ ~D•ap Confirm 410 Open Space Fee UU1S; A1VL YAYAIiLl: A1" "lIML~' OF PEKMIT ISSUANCEI CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 Building Permit ~ >? ~' Date ~ ~ --x - (Work must be started within 120 days N Name .~ U N tf ~ f ? 7~ / Phone ,(k~ ) ~_ ~ jam, ° ~ ,. R Address / ~ ~ / ~~ (~ , r ~: ~ ~ City ~ ~ E r , State ! /~ Zip Code ~ ~ ~ -~ . r "' Site Address c / ~'i ~ l" ;~' ~7 ~ r l / 1` ! ' ~~ L`" P O Assessor's Parcel No. ~1 i ~ ,~~ ~. ~~`, ~ Lot Size (sq. ff./acres) P R Subdivision / ~~ f f'/i, ~~. / _) ~,.~ /'t Lot ~~ ~ ~ Block T v OR Short Plat No. Block Existing Structures, if any, Name r ;.~ ~i .,1 L~/T 1 ~- Address /` ~? ~~~ / ~, ,!~,/j ~~ Ucense No. ~`f, f~ y,~ ~ fv' /; f'~S ~~,~;~/ Contact ~: Phone f,~' t ~j) c, 6 ~o - ~f% 7 (7 City I-~I, ; /,~ 11Z, ~ State ~, ~ '/`} Zip Code ~~~ V Exp. Yelm Bus. Lic. No. ~~ ~, ~ ~f t~ Description of Work ~, ~ , ~ ~ e r ~~ ' ~' r a,- OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ,i > '~ ~ r ~ ' ~ '~ ~ -~ ~~~ ~,~ ~ Sets of Prints -."'F- C. ~ `~ Other Plumbing Permit # ~ C` ~ Mechanical Permit # '~'~ ~ ~ /;, WA. ST. BC. Fee (4.50 -New Const. Only) ~ ~ ;!, l TOTAL FEE / ^~ ~ C Plan Check By '~8 ~7 Minimum distance of structure from property lines: Issued By c ~:^,.~_ Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / and correct. I also certify that the proposed stuucture 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 a currently registered contract in the State of Washington. ,,. Quarterly Reports Signature i;~~ ~ !'~~ Date ,~ ~ j d ;~ Assessor / / Firm: TRPC / / ~~i~ City of Yelm -Permit Fees Site Address: 1483 Prairie Vista Loop, Lot ~ 2~ MAR 1 5 2000 CITY OF YELM /~~ ~~ Permit # Fee List Fees Due Recei t # -~ Comment 805 Sewer Inspection Fee Sin le Famil $145.00 $145,00 / / ~`~ ~9 845 Sewer Inspection Fee MultiFamil lComm.lIndustrial $145.00+ $35.00/hr Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer C aci $2480.00 10215 $1000 prepaid Sewer ERU in the LID+LID Assessment $2480.00 Sewer ERU lots outside the LID boundaries $4850.00 Site Plan Water Latecomers 712 Water Meter $300.00 $300.00 /, %3~ `~ Water Meter I.R.R. 760 Water ERU's inside cit Limits $1000.00 $.1000.04 //~~;~J~ 7 760 Water ERU's outside cit limits $1200.00 740 wtr 742 swr Consumer Deposit $90.00 $90.00 ?~~ ~Y 100 Ptan Review $ 509.53 j/!~ / j 032 Building Permit 6426 $ 1206.00 ; J~G~~ / 160 WA Building Code Fee $4.50 ~/, ~~ 'j 032 Mechanical Permit 5699 $ 84.90 ~J ~~/ 032 Plumbing Permit 5591 $ 11 t.00 // jj y~~~ 030 Yelm Business l.icense# 00379.0 Total. $3450.93 420 Transportation Facility Charge School Mitigation Fee $650.00 //~'~/3 U Confirm 410 Open Space Fee DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE! ~ / _. .. ,l ,.rz~,,, CITY OF YELM Building Permit ~ ~ ~?'~ `' BUILDING DEPT. ~ ~ "~ ~~~ ` =~~'~~~~ ~/ Phone: (360) 458-8407 Date FC1X: (360) 458-8447 (Work must be started within 120 days) o `~`/ - Name )t/~'• .- ~`~~l ~ ! (~. ~, Phone .- ~: ~ ~5 - r.,, f, °~ N , R ,-- Address ~~c;,1 ` ~ l:i ~+ C~~ ~ City ~ ~ State Zip Code i°1,'~ /-7 Site Address it ~ t-' 'ter ~ P R Assessor's Parcel No. ~ ~ -''(~ _ ~ E. ~` "• ~ Lot Size (sq. ff./acres) O P R Subdivision },' "s, {~,1 . ! L ~7 Lot G-f~ Block i y OR Short Plat No. Block Existing Structures, if any: Name ~ ~ ,,,, f_j Contact Phone . %(?) ,~ ~;~{~ • 7 (_~~ Address ~ `) ~ '. ~'` r i~ ,.., i /" .. ~ yc.'` City ~;"~ , / ;. ~ . ~ State ~ Zip Code ' ~ ~ , ,-~ :,' License No. ,.4~; ,,,U ; ; y;~ < ~""` Exp. Yelm Bus. Lic. No. ,: ; (J =' ~. •~"•~ Description of Work ~•y ,l - , , Ii; ~ -r^ .,~ ~ OFFICIAL USE ONLY ,f Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential ~ Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N eat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan ~Y N Building Value C.~ ;G+~ °' ° ~? L~ ;~ Sets of Prints ~°~ ~L~ Other Plumbing Permit # v)._, ~! ~ WA. ST. BC. Fee (4.50 -New Const. Only) !~ ',~+'"~ Mechanical Permit # ~- ~=' ~ ~ ~"- TOTAL FEE ,~~ / ; ~' ~ ~' Plan Check By ~~ ~ r~ ,-~ ,t~'l~~a u_ Minimum distance of structure from property lines: Issued By ~" ~-,.- Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form 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 zoni a d land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a c or, further certify that I am a currently registered contract in the State of Washington. Assessor Floor Plan and Permit Submitted / / uarterly Reports '.~ Signatur '°~~-- Date ~ ~ ,;:.~u~ Assessor / / Firm: TRPC / / Cit~of Yelm -Permit Fees ~~ Site Address: 14831 Prairie Vista Loop, Lot ~ / ~ ~~ ~~' MAR 1 5 2000 CITY OF YE~M Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee Sin e Famil $145.00 $145.00 ~y~ ~~- 805 Sewer Inspection Fee MultiFamil /Comm./Industrial $145,00+ $35.00/lu Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca aci $2480.00 10215 $1000 prepaid Sewer ERU in the LID+LID Assessment $2480.00 Sewer ERU lots outside the LID boundaries $4850.00 Site Plan Water Latecomers 712 Water Meter $300.00 $300.00 //f~ l~ / 7 Water Meter LR.R. 760 Water ERU's inside ci limits $1000.00 $1000.00 /, /~~~ `~~, 760 Water ERU's outside cit limits $1200.00 740 wtr 742 swr Consumer Deposit $90.00 $90.00 i~3~~ 100 Plan Review $ 466.43 //j3~~ 032 Building Permit 6425 $ 1103.98 ~~~~~ 160 WA Building Code Fee $4.50 ~y~~~- 032 Mechanical Permit 5698 $ 91.90 J/,3 G?Z 032 Plumbing Permit 5590 $ 111.00 /~/~~ / 030 Yelm Business License# 00379.0 Total $3312.81. 420 Transportation Facility Charge School Mitigation Fee $650.00 ~/~ `~ Confirm 410 Open Space Fee / vu~ r~i~U rri i tvsi.~ t~ 1 111V11~. Vr Y~K1V111 l~5UA1V(:1:: CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 ~~ Building Perm/,it ~: ~,. Date .~J/..~ 1~~-~~~ ~~ (Work must be started within 120 days) o --~ ~ w Name ~ Phone (~ ~ ) `,~; - . -~ . J r ~, N %s"i I'~ J,~~ E R Address ,~ ~.~ ''" ~~ ~ %~- `~ ~- City ) / State Zip Code ° ~ ~ f Site Address ~ `,' I - ,-,: ~,;- , ~'~ ~ '~a~ P R Assessor's Parcel No. ; ~ ~ ;T;i~7 : ~C~ ~ u~ ) C' t~ Lot Size (sq. ft./acres) P ~ Subdivision ~ r r"/'~'~ -; 1 tr~ ' ~ Lot a Block T v OR Shorf Plat No. Block Existing Structures, if any: ~ ' T ) " `. ~, - - •~ ~ , . ., - e Contact Phone ( ; ~ Name t ,, , B, ~~ ~ ~ v Address ` ; ~, , State i; ~ ^ City 't ~i"J ~ k' ~ Zip Code -~ j~' '~ , , :,,, ~ • ~ rh . l r ~t~ Ucense No. (-< , ~ zr y.- i Exp. Yelm Bus. Lic. No. ~, ,i ~; ~ - ~' 1 Description of Work "~J ~ OFFICIAL USE ONLY t Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential ~"~ Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N at: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Y N Floor Plan ' ~ ~ rr'~ Sets of Prints /-'i ~ Building Value , i ~fj ' ~ '~ , ` ~,i(e~,~,1..S - Plumbing Permit # .` ~:~ G~ `~ Other __ WA. ST. BC. Fee (4.50 -New Const. Only) ( "' ~ C" r"-' 7' Mechanical Permit # _ ,w ~ TOTAL FEE f , ~ 4a 1 , t Plan Check By ~~ ~~~=_ ~ ~ j - ~ ~;'' (~ Minimum distance of structure from property lines: ~ ,. Issued By Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 contr urther certify that I am a currently registered contract in the State of Washington. Quarterly Reports Signature Date d _ ~~ Assessor / / Firm: TRPC / / City of Ye1m -Permit Fees Site Address: 14827 Prairie Vista Loop, Lot 27 Permit # Fee List Fees Due Reeei t # Comment 805 Sewer Inspection Fee Sin a Famil $145.00 $145.00 ~~ „~ 805 Sewer Inspection Fee MultiFamil /Comm./Industriai $145.00+ $35.00/hr Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca aci $2480,00 10215 $1000 prepaid Sewer ERU in the LID+LID Assessment $2480.00 Sewer ERU lots outside the LID boundaries $4850.00 Site Plan Water Latecomers 712 Water Meter $300.00 $300.00 ;/3 ~3 J Water Meter I.R.R. 760 Water ERU's inside ci limits $1000.00 $1000.00 /j j~ p~ `7 7 760 Water ERU's outside cit limits) $1200.00 740 wtr 742 swr Consumer Deposit $90.00 $90.00 /, l~ `~~ ~j 100 Plan Review $ 448.92 /~z ~~ 032 Building Permit 6424 $ 1062.54 /7-3~~ 160 WA Building Gode Fee $4.50 , `~ '~~ y ~ 032 Mechanical Permit 5697 $ 8490 /l ~7~~~ 032 Plumbing Permit 5589 $ 111.00 / j/~~3 7 030 Yelm Business License# 00319.0 Total $3246.86 420 Transportation Facility Charge School Mitigation Fee $650.00 ~~~~ Confirm 41 D Open Space Fee DUE AND PAYA BLE AT TI ME OF PF.RMTI' rccira NrFr CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 ~^/ Name f..c ~ ,,y~ Phone ) '~:t!r%' 7 N _.._ a Address /.,1 `r / ~ ~/I , ~ ~ - k' - City t! ~ , , I State Zip Code `~ J~ ~- '-a ~ ~ Site Address r, { `'~ '° r~'~; ~ , s r ~! - `i P R Assessor's Parcel No. ~ f %`i ~, ~:;,'>L, j" S fjf_~ Lot Size (sq. ff./acres) I t 1 f ..~ ~,~' r,~+, Building Permit ~}~ ~~ a`' x Date '~-~'~~`~ ~[~ (Work must be started within 120 days) P E Subdivision ~' j~ ~ -r - (~ ) ~, ~ .~ ) Lot )= '"~ Block .T - Y OR Short Plat No. Block Existing Structures, if any: Name ~>E,.~r r~ ~ ~„ ,, % ~-f.,,, ,rc Contact Phone~(~ ) ~~-~•~; _ Address f.-,rt ~ ~h P., r' - + ~~~' ~ ~"- City f ~~° i- f1-~ ~ State (~, J.df Zip Code s =~ ' ?' Ucense No. 4? ,7 ,> I {" Exp. Yelm Bus. Lic. No. "-.~, Description of Work ° , OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N at: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan V N Building Value ~ . •-; ~ ? ~ , i ~ i~ ~ ~ ' 0 ~ ~~ Sets of Prints ~ r. Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) ~ , ~( ('~ Mechanical Permit # ~t-F'~J'(~' TOTAL FEE 1~ ~~,? ~r 4 f; r~ Plan Check By .~ , ~L' t ~~''~ Minimum distance of structure from property lines: Issued By '- ~~ l.i-~..._ Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form 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 co c r, I further certify that I am a currently registered contract in the State of Washington. Assessor Floor Plan and Permit Submitted / / uarteriv Reports Signatu .._------ - Date ~ ~ ~U~~ Assessor / / Firm: TRPC / / f~k~ /`~' ~ v' ~' e City of Yelm -Permit Fees Site Address: 14835 Prairie Vista Loop, Lot 25 iy3~~ PAt D MAR 1 5 2000 ~~~~1,3 (~ I TV r'1 C vr- ~ ~ . Permit # Fee List Fees Due Recei t # Commen 80S Sewer Inspection Fee Sin e Fanul $145.00 $145.00 ~ ~ ~ yJ ~~ 805 Sewer Inspection Fee MuhiFamil fComm.findustrial $ i 45.00+ $35.00/hr Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca aci $2480,00 10215 $1000 prepaid Sewer ERU in the LID+LID Assessment $2480.00 Sewer ERU tots outside the LID boundaries $4850.00 Site Plan Water Latecomers 712 Water Meter $300.00 $300.00 /~ j3 ~./ 7 Water Meter I.R.R. 760 Water ERU's inside ci limits $1000.00 $1000.00 /~3 ~` 760 Water ERU's outside cit limits $1200.00 740 wtr 742 swr Consumer Deposit $90.00 $90.00 ~~/~ 9~ 7 100 Plan Review $ 471.93 ~7 3 ~/ 032 Building Permit 6422 $ 11.17.01 ~~~~ ~~ 160 WA Building Code Fee $ 4.50 //`3 ~,` 032 Mechanical Permit 5696 $ 84.90 ~ 73 ~~ 032 Plumbing Permit 5588 $ 118.00 `~ /3 ~ / /7 030 Yehn Business License# 00379.0 Total $3331.34 .~~, 420 Transportation Facility Charge School Mitigation Fee $650.00 ~~~~3~ Confirm 410 Open Space Fee Lvc. r~L.i, rri z A1sLr. t11 t urix, Vr rL~ 1i1V-1"l iJ~UANC;I:: CITY OF YELM Building Permit " '' ' ~~' ~r'' ` R~ BUILDING DEPT. Date '' %° ~-~ /~ '~'~~~ Phone: (360) 458-8407 Fax: (360) 458-8417 (Work must be started within 120 days) l~/ 3 ;~ o ~, _ `/~ Name 'Sr ~, ~ :; h? - Phone (~ `" ``, " ~~r' ~ (~ N ---~ _ E ~ ~ PV City , ~.~ State Zip Code ~t `^ ~ ~ , ;~ R Address Site Address 'e` ~ -,r ~~%r~ r..l !f°` ' / rJ ~. ..`_''~. P ~ Lot Size R Assessor's Parcel No. ` .r ~ { (sq. ff./acres) O P E Subdivision .''~~~) f~"~r~,i,; ~ t Lot ~_ `~' Block R T y OR Shorf Plat No. Block Existing Structures, if any: Phone ~ j ) `.=) ? , ' Contact Name /,_~G , ,r / ~ + ! ~! :,/~ , ~~ // 1 Address ~~ ; ~ ~ ~ r(~`L' ~ ~f~L ~ City ~ ~~, ~.,~ ~ ,/l,,' ~ ~;.~ State ± ;_),~~ Zip Code • j ?; ,~'~ /~ ;~ Ucense No. ~'/' ' (,(~~ Exp. Yelm Bus. Lic. No. , ~ 7 ~y~. Q Description of Work r r r ~ ~,- , ~~ OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor. (1st) (2nd) Residential '"' Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N gat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N ~' r ~~~ Building Value f~ ~•, r~~d t ~ Sets of Prints Other Plumbing Permit # ~` `~ ~~~~ WA. ST. BC. Fee (4,50 -New Const. Only) , ~ ~~ Mechanical Permit # TOTAL FEE "' ~•-j ' ~ ~ ~' ~ ~'~ rt'._ Plan Check B ~ c~ ~( ca y ,.,, - ~ ~ ~ ~ {~ Minimum distance of structure from property lines: Issued By ' ' ~-- Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submiffed / / and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm regulations including those governing i and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a c r, further certify that I am a currently registered contract in the State of Washington. Quarterly Reports Signa r -~-~-'~,.,,....,~~'~'~~ Date / '`~~ L Assessor / / Firm: TRPC / / ~(~, l ~ c ~.e..f r'ci f ~ ~ I°A I D City of Yelm -Permit Fees Site hddress: 14823 Prairie Vista Loop, Lot 28 MAR 1 5 2(l0U CITY OF YELM ~ i/.~ «,~ Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee Sin le Famil $145.00 $145.00 ~~,~ 805 Sewer Inspection Fee MultiFamil /Comm./Industrial $145.00+ $35.OO/hr Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca aci $2480.00 10215 $1000 prepaid Sewer ERU in the LID+LID Assessment $2480.00 ;~, ., ~~ '~~,._ Sewer ERU lots outside the LID boundaries $4850.00 Site Plan Water Latecomers 712 Water Meter $300.00 $300.00 j~~~/ j r Water Meter I.R.R. 760 Water ERU's inside ci limits $1000.00 $1000.00 /y3 ~~ 760 WaterERU's outside cit limits $1200.00 740 wtr 742 swr Consumer Deposit $90.00 $90.00 /`,3 7 100 Plan Review $ 471.93 ~7~ ~~ 032 Building Permit 6422 $ 1117.01 jU3 9y 160 WA Building Cade Fee $ 4.50 /y3 d 032 Mechanical Permit 5695 $ 84.90 /y3'' 032 Plumbing Permit 5587 $ 118.00 ~3 ~~ 030 Yelm Business License# 00379.0 Total $3331.34 420 Transportation Facility Charge School Mitigation Fee $650.00 ~j/~/3~ ~/ Confirm 410 Open Space Fee Lva Htvu rt~xAifLr. Al 11ML~ ur re:xM1~1 iS~IJANC;E: CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 ,., Building Permit ~ ~ ~~ s Date ~~ l`~'~~ ~ ~~ .. '~ ~_f ~ ~..' (Work rnUSt be started withirS 120 days) F `N Name 1 -~ r C Phone ( ) N rz Address u C~ ,~ ..:, ~; ~ ~'~ rte", ,~, f .,; ~~,~ City ~ +` ^~ Grt State t_~,/,~f Zip Code ~5~,, Site Address ,' (,) ~ `„z/ r7 ~ P R Assessor's Parcel No. ~~ f ? r f ~ ~~~ Lot Size (sq. ff./acres) O P E Subdivision Lot Block R T Y OR Short Plat No. Block ~~ Existing Structures, if any: (_ ~ r/ r , 1 ~.,~~~ ~ ~~k ~'~ f` _.-e Name / -" r ,:° ~ ;~ , ~ /, ~~~ Contact / v l ,~', I ~ 7 Phone ( ) `=%r ~ E;, ,; '~~ Address ) '" ~ r1 / I )` f, ~ C "`- City ~, ~ / /~ -,- ! l) State ! ,,; ,~~ Zip Code J,~ S / :,~ License No. /~'pr; ~~ ~ y- ~~ Exp. Yelm Bus, Lic. No. ~ ) , ~ ~ ~ / ~! Description of Work ~ . (/~ j' e~ ~ J P OFFICIAL USE ONLY ~ , Permit Type: Sq. Ft. per floor (1st) (2nd) Residential Sign Commercial~_ Other Sewer Septic Approval No. City Water Private Well Private System Shoreline Permit Y N :at: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value 1 ~ , ~ . U ; r C ' , Sets of Prints ~,~--- Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) ,:s- ~ ~~'~ Mechanical Permit # TOTAL FEE ~ y t ~, ~ Plan Check By Minimum distance of structure from property lines: Issued By Front to of Road Finallnsp; / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. Quarterly Reports Signature ~.' Date ~ ~ p ~ ~ Assessor / / Firm: TRPC / / "`~,~.4e c ,~t,'il a~~a~~".r~'' dry ~t s/~~ c ~~e,~ Vic' . City of Yelm ,Permit Fees Site Address: Diana Blang Daycare expansion, 203 Solberg Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee Sin a Famil $145.00 .--' 80S Sewer Inspection Fee MultiFamil /Comm./Industrial $145.00+ $35.00/hr $145.00 $ 70.00 2 hours Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca aci $2480.00 ~-~ %J Sewer ERU in the LID+LID Assessment $2480.00 Sewer ERU lots outside the LID boundaries $4850.00 ~/ Site Plan Water Latecomers 712 Water Meter $300.00 Water Meter I.R.R. 760 Water ERU's inside cit limits $1000.00 760 Water ERU's outside ci limits $1200.00 740 wtr 742 swr Consumer Deposit $90.00 100 Plan Review $ 481.77 ~: l 032 Building Permit 6420 $ 741.19 -~q 160 WA Building Code Fee $ 4.50 i } 1 032 Mechanical Permit 5693 $ 52.75 I \ lO JJ 032 Plumbing Permit 5586 $ 62.00 030 Yelm Business License# Sub-Total $1557.21 `~~ )~ 420 'T'ransportation Facility Charge ~ $ 6750.00 School Mitigation Fee 410 Open Space Fee mAm ~ r rV rl'1L ~Iisu~,zl DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE'. CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 `~/ Name ti N E R Address ~~ C.)v~ ~ ~ Site Address ~ ~ , "~ P rt Assessor's Parcel No. P E Subdivision Building Permit _ "~ "~ ~ '` ~~ r Date _ ~7,`~~ ~ ~~~ (Work muss' be started w/ithin 120 days) Lf~t 1.61 State S T Y OR Short Plat No. Contact Existing Sfructures, if any: Name i:'~U ~ fC/ ~-; r , A Address /} License No, ~~,_, ~ ~C ;~ Block Block Phone ( ) Zip Code ~~' n,'j ,,~ ,~ Lot Size (sq. ff. Lot City i r'c ,1(~ r~,~,,,/y State i.,. ~ s EXD. Yelm Bus. Lic, No. ~ / ~ OFFICIAL USE ONLY ~ Description of Work r, Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N at: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N ~ ~ ~ ~ Sets of Prints Building Value , Other Plumbing Permit # WA. ST. BC. Fee (4,50 -New Const. Only) Mechanical Permit # TOTAL FEE -,!~" ~~~" Plan Check By .~~ ~fo~ J Minimum distance of structure from property lines: .___.._ Issued By (', (,- Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true SubmitFed / / 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 a currently registered contract in the State of Washington, Quarterly Reports Date ~ ~ `~ -,,~+..) ..~~ Signatu~~~ ~l ~l N"\a ~~ ~n~ • ~ Assessor / / ; „ 1 Firm: '~ ,, ',~` i ~ .-~ _ !i ,,~•! ~~~` ~,::, TRPC / / J CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 w `'~ Name l~/~ t ' ~ ~ l {7r: R Address ~~ , /~ (a r Site Address ~ t/p ~/~ P ~ ^' Assessor's Parcel No. P E bdi i i S ~' ,r ~ R v on u s A! t t / `+ T Y OR Short Plat No. ,~^q~ <City ,,~ ~; ~ f; /~~~ Lot Size(sq ANT ~ "'T~ Lot ~ Block Block Existing Structures, if any: C o Name ~ t~ ~ Contact `~~• u c Phone (,~(~{J) ~~il/ "'..'~ (!b ; r Address f~ (,~ , f °/ p (,~ City ,~~, ,.~, / ~-'- ( State t _ Zip Code `;~~7 ~`? 7~0 ~ Ucense No. j~,c, I ,,~ -i ° ~ Exp. Yelm Bus. Lic. No. ~(~ - (j C) s%.3 ~j Description of Work r„~ ~, J f OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential `j Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N f5t: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N ~ ~ r ~ Building Value ,~ Z, %) / `~ ~ / Sets of Prints t - Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) ' --~" , ;~ ~3 Mechanical Permit # TOTAL FEE /~ 2 %, .,I 1 j Plan Check By ~ ~,,~uh aA/~._ Issued By f'7 t°~°"1r- Minimum distance of shucture from property lines: Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the Information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. ,,,. _ -. _.. Quarterly Reports SignPfure f ~.= /~~ ^~J .. Date Assessor / / Firm: - ~ TRPC / / e Building Permit ~~ ~~ Date ~'~ RUC. (Wor~ st be start d within 120 days) Phone ~n~) Y ~1~ ' .,~~rl? . i~ Y.J State (..~ /~~ Zia Code -1 ,~1 J ~~ X12 ~~-1~~ 0 ('tlf~- 15~. ~ ~ 3 iy o ~ -11~~i0.0 P~ tc~ - \~~ City of Yelm -Permit Fees Site Address: 16312 6314 Birkland St. SE, Lot 15 Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee Sin le Famil $145.00 $145.00 805 Sewer Inspection Fee (MultiFamil /Comm./Industrial $145.00+ $35.00/hr Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca aci $2480.00 2480.00 1.0204 1. ERU $1000 prepaid Sewer ERU in the LID+LID Assessment $2480.00 ___ _ . Sewer ERU lots outside the LID boundaries $4850.00 Site Pian Water Latecomers 712 Water Meter $300.00 x2 $600.00 ~~~~ Water Meter I.R.R. 760 Water ERU's inside ci limits $1000.00 x2 $ 2000.00 760 Water ERU's outside ci limits $1200.00 ?40 wtr 742 swr Consumer Deposit $90,00 x2 $ 180.00 ~ ~j~ 100 Plan Review $ 560.49 ' ~~ 032 )3uilding Permit 6419 $ 1326.61 ~~ ~ 160 WA Building Code Fee $ 4.50 I~ 032 Mechanical Permit 5691 $ 123,30 032 Plumbing Permit 5585 $ 190.00 I 030 Yelm Business License# 99002303 Total $7609.90 ~~~, ~~~~ 420 Transportation Facility Charge School Mitigation Fee $ 650.40 no 410 Open Space Fee DUE AND PAYABLE AT 'T'IME C)F PERMIT ISSUANCE! CITY OF YELM Building Permit ~~ ~~~~ ~ BUILDING DEPT. ~ ,~r ~/ ;~ z, Phone: (360) 458-8407 Date ~ ~ ~ ~~r`~%' FpX: (360) 458-$417 (Work must be started within 120 days) a~ ~~~ f ~~ o i^/ Name /"~ C- ~ f`+ ~ v ~ Phone (~'~ ) ,_~~ .~ t~ ~~ N R `~ Address f ` r 1' • Z •`%~ i'~' City ^`~ < pv ~~ State i ,~,y Zlp Code 1`,'~ />I Site Address ~Q) i f e ~~~ !~ v ~"~ a Assessor's Parcel No. j ~' _j i ~'- C_. i : T;. Lot Slze (sq. ff./acres) 0 P E Subdivision Lot Block R T Y Block OR Short Plat No. 1 Existing Structures, if any: ` `ea ~-? Y ~ ~ • / / Name (~. C ~~r? C ! A~ ` ~ Contact ~" ,~~ ~ f~ ~ ~ ~r ~ nJ Phone ~:G C') ~ ~ ;; Address ~"'~ !~ . ~fJlC ~ ~ ~ City (f~ ,~ ''r / ~ State (~~ Zip Code '-f ~~ ~~~ License No. ~ ~.1 ,0~^ ~ • • ~ l ~ :k ~ ; Exp. Yelm Bus. Lic. No. Description of Work / ~ _ ~ , } r ,;~ ~ ~ OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign ,- Sewer Septic Approval No. (. Commercial Other City Water Private Well Private System Shoreline Permit Y N at: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~~-~ i`'' 'f`? ?~ - ~^ ~'~ Sets of Prints ~--- Other ~ `u~ Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE -, -; ~ of Plan Check By~f - (_js. f 1.~ r f.~ Minimum distance of structure from property lines: Issued By i~~r. ~;,;~ Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true SubmitFed / / 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 a currently registered contract in the State of Washington. Quarterly Reports ~,.. Signature /~ Z/ /.~. ~i'-~• ~>,~. Date '2 - ~ ~ ~~ -zr' Assessor / / i'i'' ~ r Firm: ( ~ C.r r / ~r.~iN~ ~ Sc''S,~ i ._ ~ ~r~,/r... TRPC / / ~3~ City of Yelm -Permit Fees Site Address: Mama Dots 307 Yelm Ave E Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee Sin le Famil $145.00 805 Sewer Inspection Fee MultiFamil /Comm./Industrial $145.00+ $35.00/hr $ 145.00 $ 140.00 J~z/~ // J 4.0 hrs. at $ 35.00/hr Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca acit $2480.00 $ 4464.00 i/i~~/ ! `T W 1.8 additonal ERU's Sewer ERU in the LID+LID Assessment $2480.00 Sewer ERU tots outside the LID boundaries $4850.00 U~~} Site Plan $ 325:00 ~~~ %~n 5.0 hrs. at $ 65.00/hr. Water Latecomers 712 Water Meter $300.00 $300.00 r/~~// 5~' Water Meter I.R.R. 760 Water ERU's inside cit limits $1000.00 $1800.00 ,/~~/~ 1.8 additional ERLJ's 760 WaterERU's (outside cit limits $1200.00 740 wtr 742 swr Consumer Deposit $90.00 $90.00 /, `3% i ~" 4~ 100 Plan Review $827.93 ~~~ 032 Building Permit 6418 $1273.75 /~3/~ 160 WA Building-Code Fee $4:50 $ 4.50 G//// ~7~ /~ 032 Mechanical Permit 5689 $ 83.25 - /y~/~ 032 Plumbing Permit 5584 $ 139.00 _///~j~ Y 030 Yelm Business License# Confirm Sub-Total $9592.43 420 Transportation Facility Charge $8250.00 ~/i~~~~ School Mitigation Fee T 410 Open Space Fee i oca~ 517842.43 DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE! CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 O f w 1, Name N R Address r Site Address P ~ Assessor's Parcel No. P E Subdivision R T Y OR Short Plat No. I f /vi lJJ ~''/~ ~~ /e~c Ey-, l~ ~r ~i, Lot Size (sq. ff./acres) Lot Block Block Existing Structures, if any: y`, r"` / ~ ~~: (• ~ ,/q ::~ -~ _. Name •~.- ~r ; /r ! ,~ Contact ,;~~,~~ ~ r ;- Phone A" ) t; ~ - ~,; ,7 Address ~ - ~ City '~ ~ vyh State r ; Zi Code ' ~' ~~ License No. r ~, -, L i ~ Exp. Yelm Bus. Lic. No. - (~~ <'/ ~ ,;,~ "~ ~ ~~ ~ Description of Work ~~ ~ ,~,,/ U,!~r ..,.- ..- /~ i)J •~~' ~ ~ ~"`iI ^' .~,'' ~~.~: ~i s' y'../ OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor (1st) (2nd) Residential Sign ` Sewer Septic Approval No. Other Commercial `~ City Water Private Well Private System Shoreline Permit Y N at: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ?' ~ j ~ ~~ h~ / a ~ c "^~ Sets of Prints Other Plumbing Permit # .~ •~'~ - WA. ST. BC. Fee (4.50 -New Const. Only) s. A' ~ ,~ ~ rr Mechanical Permit # ~..> ~ ~ l~ TOTAL FEE _ "i f ; w ~-~ Plan Check By .../ L~~i ~~*! i ~ Minimum distance of structure from property lines: ~T ~ Issued By (;_, ~. Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form 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 a currently registered contract in the State of Washington. Assessor Floor Plan and Permit Submitted / / uarferly Reports d ii Signature ): (,~., .~ ~~ ~ E ,~.'{ ~.~::~~., ~•.-~- Date i.'` T ~ ~ ~-?~ Assessor / / Firm: _~; .~ ~' ~ ~' r ~~~~`-~ ~' TRPC / / .., ~ - t, Building Permit ~ ~ ~~ ~~~ Date -.~ ~~~1~~ (Work must be stcirted within 120 days) ~~~~ ~ ~i'~'I`Y7l r" K l~J ! ~ .~ L !/ __ Phone ( ) n 1. ~,? State r , f /~ ZIp Code `f,~1_;~,/ ~ t eit~of helm -Pe~rnit Fees Site Address: 802 Yelm Ave W Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee Sin le Famil $145.00 805 Sewer Inspection Fee MultiFamil /Comm./Industrial $145.00+ $35,00/hr $ ].195.00 / ~ j ~ G~ / Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca acit $2480.00 Sewer ERU in the LID+LID Assessment $2480.00 ©Z, Sewer ERU lots outside the LID boundaries $4850.00 $20855.00 ~ /I2 2 ~j 7 J/ / 4.3 additional ERU's Site Plan Water Latecomers 712 Water Meter $300.00 Water Meter I.R.R. 760 Water ERU's (inside ci limits) $1000.00 $ 4300.00 / Z~ ~ / J 4.3 additional ERU's 760 Water ERU's (outside cit limits $1200.00 742 swr Consumer Deposit $90.00 $ 140.00 ~// 2 ~ G~ 7 J / 100 Plan Review Civil Review $ 1373:93 $ 890.00 ~f -- /% ~~ 032 Building Permit 6414 $ 2113.75 ~z G 160 WA Building Code Fee $4.50 $ 4.50 l ~/3~ 032 Mechanical Permit 5688 $ 42.65 ~~~3 032 Plumbing Permit 5583 $ 111.00 ~~~ 3 030 Yelm Business License# 99-003150 Sub Total $31025.83 420 Transportation Facility Charge $10290.00 ~' x/33 School Mitigation Fee T 410 Open Space Fee r oia~ 541315.83 DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE! CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 Building Permit ~ '~ ~ ~'' i ' fr ~~ Date ~-,~' ~+~ - ~..~ - (Work must be started within 120 days) `~' Name ~ v1 r~ i ~ ,~! D .'r-~ ~~ H f ~ ~+ ,} .-~J t' .. !~"~ ~ ~ n s t ~ Phone ( ) • N rz Address ~y ~ ~ ~ r'~ N v <~ ,'`. ~ City , „ ~ / State 1 ~ ~~~ Zip Code Site Address T`; (~ Z- ~l ~ - ~-1%v~ I~ 4' ~ ~1~ P R Assessor's Parcel No. ~ a "-,,;1 <r ,1 (f ,. t Lot Size (sq. ff./acres) O P E Subdivision Lot Block Y I OR Short Plat No. Block .~-- ~ ~ Existing Structures, if any: ~~-'~ ~ , ~ 1 /,~' /' ~ ~ ~ ,~ ~ ~ / Name ~ l , Contact ~,~'~,~. ' %s ~ <r" Phone ( ) `/ ~r`~ •~ ,,) J Address -; ff !'` - City '~j i rv-, State ~`,J,~ Zip Code ~ ~, ~ ~' ~~ License No. ~~~ '~L,( _~, T -~ = ~' -~, f .. Exp. Yelm Bus. Lic. No. ~~~`~ f, 4 ~` .~- ~` / Description of Work ~ / d ~r' &) ~' te : K '~ / ) ' OFFICIAL USE ONLY t ,. .~,/.. i r, `~ : .- , _ ; f /u., .~ 7 / may, / i ~ ~ ?! Permit Type: Sq. Ft. per floor (lst) (2nd) Residential Slgn Sewer Septic Approval No. Commercial `~'`~ Other City Water Private Well Private System Shoreline Permit Y N at: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints K--- Other Plumbing Permit # WA. ST, BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE /~ + - ~ ~( ~ F ~= Plan Check By `~ ~1/ P l~rC ~ ~ , ~ , ~ , / ; -- Minimum distance of structure from property lines: - '7 /~- ~` .. iJ~ ~ !',1~fi/ , ~ Issued By l~ ~ , ~i+,. _ Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. Quarterly Reports /~ _.. = Signature; ~''~ "'"' ~~ `'`~,v-~-__-.-.,.._._.---° Date ^' " / r~ - ~. U Assessor / / Firm: TRPC / / v'' CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 (~"` Fax: (360) 458-8417 Date (Work must be started within 120 days) O .-~ o Phone C ) ~S1 ' e2 `N Name c- ~/ ,!7 p ¢ e ~7 R Address Z~ J 7 ~~~+~+ /r ~^^ City ~ State ~A Zlp Code 7 C7~ Site Address ~ ~Ci'Y1 /r U ~ P ~ Assessor's Parcel No. Lot Size (sq. ff./acres) P E Subdivision Lot Block ~T - Y OR Short Plat No. Existing Structures, if any: ~ Name F~ „/ S Contact ~/~ ~/ Phone ( ) T J - Address !/L~L~'-'l ~ ~/ t City `~ State Zip Code Ucense No. Exp. Yelm Bus. Lic. No. ~~ ~ ~ ~ - OFFICIAL USE ONLY Description of Work Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N ~ Sets of Prints Building Value _ Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Perm it # TOTAL FEE ~D U~_ ~ + LJ ~ ~i\i Plan Check B y' Minimum distance of structure from property lines: / + Issued By Cs. Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. Quarterly Reports Signature Date Assessor / / Firm: TRPC / / Building Permit iV" b 4 ~ b U ~~~ Block CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 N/ Name ~~ o71c~ ~ ~ ~ "~Y~/~~ R Address (,~ f/ /4` l r~ S y/ f C ''__ t ~~ Site Address i • !C p ~~ c ~ ~. , ,~/ P R Assessor's Parcel No. P E Subdivision ~ ~. ~ R T Y CSR Shnrt Plnt Nn Lot Size (sq. ff Lot Block Block Existing Structures, if any, ~ ~, u,. m C~ f Name "~ ~"~ v ri>' .roc •ontact w..rr ~_ PhoneC~;~~~}) `~~`'._v...~,._} Address j~~ ~; - ~' c 0 _~ City ' ',r'i 7~y7 State ! . ; /•} Zip Code ~, t 5' ~' r~ License No. ~ , '~~~' ., f ~r Exp. Yelm Bus, Lic. No. Description of Work /' -• ~!` OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential ~~ Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N at: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~='~ /,~ ~ ~ .~ .~. ," ~1 ~ "~ Sets of Prints Other Plumbing Permit #~~/t- WA. ST. BC. Fee (4.50 -New Const. Only) ~ ~~~~ Mechanical Permit # ~ J TOTAL FEE r ~-} , ~ "~ i ' Plan Check By C-~7~'-..-~-~ _ Minimum distance of structure from property lines: Issued By fa .c'~,~'°~ Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form 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 a currently registered contract in the State of Washington. Assessor Floor Plan and Permit Submitted / / uarterly Reports ,. S nature !Date ~ - !/ / '- v~ ~3 " Assessor / / i Firm: . X ~ ~ °}' "" ~ . ~ ~ ~ ~~ TRPC / / Building Permit ~ ~°~ ~' '7 Date ,~~i µ ~ ~ - U G%~ (Work must be started within 120 days) Phone (jv~) 4-~' l ,~- ~~/~ t'+ a~,~ State !~/'~ Zlp Code CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 O w Name ~ ,S ~[ /)' L ! ~- N E R Address ' ~~ A'' ~ /c` ~ ~ Site Address ~~ ~ "' /~j C-( /f ~ • r~ P rz Assessor's Parcel No. Lot Size (sq. ff P E Subdivision Lot Block T v OR Short Plat No. Block Existing Structures, if any: `!-/r,~ t I i ''~ C~ r Name ~,~ -1 ~ j ,~ ~•~ - Contact T A Address ; ~ r '*~ ~ Phone ~,?,~ j) ,E. ~ c>/ State %q,~ ~~ Zip Code o License No. ~ <, ~ /?: " Exp. Yelm Bus. Lic. No. Description of Work ,,; ~/~^~ G! r f ; J r ~' ~ ~.• ~~ ,. OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign ` Sewer Septic Approval No. Commercial Other „ City Water Private Well Private System Shoreline Permit Y N ~a't: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~~;, '~~` Sets of Prints ~---• Other Plumbing Permit # ~" .~`~ WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # . ~e~yfi TOTAL FEE „~ ~) ~ '~'")- Plan Check By~~~''}- _ Minimum distance of sfructure from property lines; ~ // Issued By ~~'', i ~_~--.-- Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / and correct. I also certify that the proposed sfructure 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 tractor, I further certify that I am a currently registered contract in the State of Washington. applying as a con t !{` F ' ; '/ f ~ - /.. ~~ ~ t I ,.~t .. / • ~ Quarteriy Reports Signature Date Assessor / / Firm: TRPC / / t f City ~ r ~ Building Permit r F~, ~ .~ ' ib ~ Date' `.•.. T, ~ ~ ''1 ..>. ~.~ %.-r -f~ ,t ~ ' ~`_~ `- (Work must be started withi~/f20 drays) ~ ~` ~ Phone ( ) ' ~~/ .~ `"~ ~•'i State ~ . tip' .~ Zip Code ;"~"5: ~~ ,~ ,. CITY OF YELM Building Permit ~'~ ~• °~ BUILDING DEPT. d° '' Phone: (360) 458-8407 Date ~" .~'`'c'7 '?~'`"~'~"f-~ Fax: (360) 458-8417 (Work must be started within 120 days) .--. t w Name i2 P.° r!'~ f ~"`~~ - r~ per' Phone ) `3) ~-,?` t .? N _ a Address v1c~ G / / f-~ `''~' City ~ States, ,/ Zip Code y~ ~-r~`~/c Site Address / /~` C/fG n ' y`,~' ~ r~ ~ ~ P o Assessor's Parcel No. •~ -' ~'; T` '~^ ~ ~ T'. '~ Lot Size (sq. ff./acres) a Subdivision / ~ ~ 4 ~~ r!~ Lot ~ 'r Block r Y OR Short Plat No. Block Existing Structures, if any: Name y?~( - ry~r ~ . " '~ Contact ~~~1 '`/ ~ u f Phone , ~ ) _ l Address 7 ~-Q ~j ,/ ~~• S City ~- ~-,~: ~ State ~~ Zip Code %~ <.//,~ License No. ~ ~ ~' "~ ~ ~ ~~ Exp. Yelm Bus. Lic. No. -~,J /~; ~' .--^' ~ Description of Work ~ / ~~,.. y y~.l ~" rl ,, OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential r " Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N iat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value / ~ ! l , ~ ~ ~ ~- Sets of Prints--- Plumbing Permit # ;D ~~ Other ~ Mechanical Permit # ~~ ~ ~%~~ WA. ST. BC. Fee (4.50 -New Const. Only) ~ ~ ~ TOTAL FEE r ) -~ 57: !j Plan Check B 4~ a ~/fC'rC' Y + ~~ r , , f i Minimum distance of structure from property lines: Issued By Cr. (~.,.,.~ Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. Quarteriv Reports Signature ,,-- -ti '~'i,~.~,.~ Date f, " ~~ t~ ~' Assessor / / Firm: ~ ~' TRPC / / City of Yelm -Permit Fees Site Address: 10409 Brighton St SE, Lot 85 Permit # Fee List Fees Due Recei t # ~umment 805 Sewer Inspection Fee i $145.00 $145 00 Sin le Famil ~ ~ ~ . 2 ~ ~~~J ' 805 Sewer Inspection Fee $145 00+ (MultiFamil /Comm /Tnd?istriall I . I $35.00/hr I Sewer Latecomers 802 Sewer ERU approved under $2480.00 10160 $1000.00 Prepaid 1994 Sewer Ca acit Sewer ERU in the LID+LID --- ---- 00 l $2480 ~`__ _ 1----- -- -- -~~- -°--°-- Assessment . Sewer ERU lots outside the ( ' $4850.00 LID boundaries Site Plan Water Latecomers ( I 712 Water Meter ' $300.G0 I $300.00 ~~ I L~'ater Meter I.R.R. 760 Water ERU's $1000.00 $1000.00 ~ inside city limits I ~ ~~~ J 760 Water ERI J's $1200.00 !outside city limits} ~ 740 wtr Consumer Deposit $90.00 $ 90.00 742 swr ~ I I ~~/ 100 Plan Review $ 433.20 /~~~~ 032 Building Permit ~ 6411 I I $ 1025.33 2 /~~ J, 160 WA Building Code Fee I $4.50 I $ 4.50 I ~ ~j~ ?~, 0 032 Mechanical Permit ~ 5682 ~ $ 91.40 0 ~~0 ~~ G32 Plumbing Permit 5582 $ 111 00 ~~~ 030 Yelm Business License# I ( I ~ 99-02383 Total $3200.43 ! 420 Transportstion Faci}ity Charge School Mitigation Fee $650 00 Confirm 410 Open Space Fee T7TL` A 1~TT r ~ ~> a Y~~ ~-•~••~ =h~nn,..~, rii iuvir, yr r~xmit 1,~UANGE! CITY OF YELM Building Permit ~ _~~ ~ ` BUILDING DEPT. ~~ ~~~ /~ 7 ~ ~ ~ ~~'' ~/ ~'~ Phone: (360) 458-8407 Date / Fax: (360) 458-8417 (Work must be started within 120 days) ~.. ; G% tf~r ~" o `/~ -'' -~.. Name ~ „~ f nl r l I -7' '~~'°~7a' t. .~.c~' t ~ Cs f9'~ ~rrJ T"~ Phone (, ) ~ ~/(,v " %! ~4 N _. R Address ~"~ ~' • J ( ~, Clty ~< ,~, I ~..~ O f % <' State Cn~ ry^ Zip Code ~ ~ % l; Site Address ~'~ ~ ~~ `~~ ` % ~~ r ' ~ P o Assessor's Parcel No. (- 1 - ~` °' - '~ `~ ~' Lot Size (sq. ff./acres) P E Subdivision Y, <-',a~ ~ ~~ r' r ;r ~ /` ~ ~ ? / ~;..! Lot Block R ' T Y OR Short Plat No. Block Existing Structures , if any: C o 7 Name ,C / i Contact ~'~~~; ,~ Phone C~ (,,C1) c,Jl ... <{, -' a {' ~ ! . C,S~, ,~', . ~ "" Ci , State ~ Address r ~ tY ~ s-, /¢.. 1 /"r ! Zi Code > :x- <~' ~! P ~ ..~ License No. ,r ..~. ~ ~ ; • ~! } ij ~ ''' Exp• Yelm Bus. Lic. No. - s -~ ~ ~ ` Description of Work ~, ~ ~ , ;, ~~' ~~ OFFICIAL USE ONLY ~ Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential ° Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N ;at: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ;_ ,~ j ~~; ,r, . rJ ,~ --. `~ tia / Sets of Prints ~' C-a" Plumbing Permit # r ~ ~ d Other WA. ST. BC. Fee (4.50 -New Const. Only) ~' <" ~~ ' `~'~/,~~ Mechanical Permit # ,J !~;~" TOTAL FEE ~/: , ~ , ~ °'~ ~ ii,u / dJ r 1 Plan Check By / , ~~ ~ Y~ Minimum distance of structure from property lines: Issued By -- Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. Quarterly Reports Signature w __~„~ . ,~ Date Assessor / / Firm: ~ TRPC / / _~; /(fi'r'' f ~`r. C lj ~"~~r .~ PAID City of Yelm -Permit Fees Site Address; 16133 Vancil Lp SE, Lot 9 JAN 2 4 2000 CIT1(OF YFLM Permit # Fee List Fees Due Recei t # Co meet 805 Sewer Inspection Fee Sin le Famit $145.00 $145.00 ~~ ,` Y 80S Sewer Inspection Fee ultiFamil /Comm./Industrial $14.5.00+ $35.00/hx Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca acity_ $2480.00 10204 1 ERU $1000 prepaid Sewer ERU in the L[D+LID Assessment $2480.00 ----- _ Sewer ERU lots outside the LID boundaries $4850.00 Site Plan Water Latecomers 712 Water Meter $300.00 $ 304.00 ~ `; (~ Water Meter I.R.R. 760 Water ERU's inside cit limits $1000.00 $ 1000.00 / ~-~ `7 760 Water ERU's outside cit limits $1200.00 740 wtr 742 swr Consumer Deposit $90.00 $ 90.00 /~ l„/%Q L~'T 7 100 Plan Review $ 378.45 ~~ ~ i~ 032 Building Permit 6409 $ 895.75 /J `~~ 160 WA Building Code 1~ee $ 4.50 /~'/ - 032 Mechanical Permit 5681 $ 71.65 % 2~ i j (~ J 7 032 Plumbing Permit 5581 $ 104.00 ~~~ 030 Yelm Business License# 9902383 Total $2989.3 5 420 Transportation Facility Charge School Mitigation Fee $ 650.00 Confirm 410 Open Space Fee llu~ ANll PAYABLE A'T T'IME OF PERMIT ISSUANCE' CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 Building Permit a "~ ~ ~' Date ° (Work must be started within 120 days) ~~~ ~.~,~ o W / Name ,,,,~ ~~~ r ~ / t`~ C'T o Y I`Y? f' r ~ Phone fit, c%) ~~:~ ~ " ,a / w% - N R 1 Address / ~G' ~ ' „~ V' +; ' T City ~` ~c~i p State 7 Zip Code `~ ~ `a Site Address ~ % ~ ~ ~ ecl c P R Assessor's Parcel No. Lot Size (sq. ff./acres) O P E Lot Block Subdivision R T Y OR Short Plat No, Block Existing Structures, if any: C o N ~ t ~ Phone ( Name j ,r=' ~ ~ ~L d^a Contact ) T Address .~Jr~ > ~-. ~ ' `p City~(„~~. State ~ Zip Code ~ 4%~ License No. ~~h<'A ~ J -7 = Exp. Yelm Bus. Lic. No, "l ~ !~ ~ ~) ~ ~" OFFICIAL USE ONLY ~i~~;~~~; Description of Work ~~~ Permit Type: Sq. Ft. per floor: (1st) (2nd) ..- Residential "''~ Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N at: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value G,T ~.'~C.~ Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE ;j L'^ ~~-~-"` Plan Check By r ' `~ Issued By ~..r ~ ~^~-~-- Minimum distance of structure from property lines: Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submiffed / / 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 a currently registered contract in the State of Washington. ,~ Quarterly Reports Signature., .~,~~!3...'LS~x~~ ~ ,~,. ~-~-~_ ~^°----.~_. Date C~~ ~ ~ ~a~) Assessor / / Firm: TRPC / / ,, CITY OF YELM i3uiiding Perm(`' ~~ " ~ ~~ BUILDING DEPT. {,.,--y'~ r~ ~~ f ~,,.,f,~ ~i;,.~;,,.~.`~~. Phone: (360) 458-8407 Date Fax: (360) 458-8417 ~,(~Ggfk mu be started wit~n 120 day's) // ~~` 0' .,.~t~ a ,r 0 ~ ~. ~, _ -~~ ~ ~ r , Phone ) c_~ e : ,' ~ ( ~ ~^/ Name Q S ^ ~ ~ fl . ( !fJ fi''``r!'!`' ~ r f- N , E ~ ~ R Address l ~n U~ ._~ ~, 7 !~ `.~. ~- City ,'~ ,/.~ p> ~ ,~~ State ! ~ r Zlp Code `~ ;/~ a (~ ~ Site Address ~ U " ~~t"! /~ t w~ '•^~ ~ I P o Assessor's Parcel No. r.:' J ~~ 2 3 "~ ` G- ` Lot Size (sq. ft./,acres) E Subdivision '; ~,~ ; < e < ~ ~ 1, i ~ n Lot / Block R T v OR Short Plat No. Block Existing Structures, if any: (~ ~ r~ to 7 r Name ' °; ~, r ' ap~~ ~, ;r ~ Contact Phone ( ) Address J ~ ~ ~,i ~' ~ d ~ f E- ;,; ,"J ~ , City State Zip Code Ucense No. 4 / ~ ~ 'S ~ ~ - c. Exp. Yelm Bus. Lic. No. } / i j Description of Work j..~ r ,r ~+ ~. ->! ~ C1 c~ ~ +f !J s l~r~ r'l ~ !~ ~ env c, Yr•i eF° OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential -- Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N of: Electric Gas Other Sepa Exempt Y N ITEM BA$IS FOR FEE FEE Floor Plan V N Building Value l~,~~ _' ~ . ~_. Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE a j ~ f• j ~ Plan Check By Minimum distance of structure from property lines: Issued By l;r~ ~~-^--- Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form 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 a currently registered contract in the State of Washington. Assessor Floor Plan and Permit Submitted / / uarterly Reports ~` Signature ~~ .~ ' --!~- .. --wP ~ Date Assessor / / Firm: TRPC / / CITY OF YELM Buildin~~'Permit BUILDING DEPT. ;~' "~ ~ ~~ I s +~~~~ ` Phone: (360) 458-8407 Date i.. , i ! " A ~ ~ `# ~ ' ~ '~ ~ ~ -' Fax: (360) 458-8417 (Wo must be starte ithin 120 days) ! ~ i, r ~ ~ ~• ~.- - ~- o N Name ' r Phone ' ~;) , ~~ v E R Address +~ >! ,!' (~ L~ City ` t C c y,, State ' /; Zip Code ~'' >f..~ ~aJ~- ~' . Site Address P ~ Assessor's Parcel No. Lot Size (sq. ff./acres) P E Subdivision Lot Block T y OR Short Plat No. Existing Structures, if any: if y ~ / v~ Name ~j ~,~' , _%,` ~ , T R A ' Address ,~ `, ~~ ~,-t ,/fj ,. "~ `,Z License No. Exp. Yelm Bus. Lic. No. /,~;,~ Yr ~ / "~ . s ,,i ° fir. ~•- Description of Work ` / i f9 r~ " ~V OFFICIAL USE ONLY . « Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign `~ Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y / N at: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value .~ ~, ?;? r) ~'~- Sets of Prints Z"" Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE ~-' ~ ~"~'°~~`~ Plan Check By / Issued By f~.~ ( J-"~ . Minimum distance of structure from property lines; - ,..~. Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: r I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. Quarterly Reports -._ ~-^""_~Y Signature ; '" ';- :J _ ,-'"f ~•" .',.. Date ~ E ~::% - Assessor / / Firm: TRPC / / t Block Jac- h Contact City State Phone ( 1 U) <;fi ~ - Zip Code CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 Building P ti~it ~/ ~ ~`~~ ~.~ Date ~. ~ ~ ~ (Vya~ mu be started hin x2 days) O `N Name ~' ~:',•r ~ ~ u, 1~7, ;tJ ~~ Phone ) Jl1 '. N E a Address ~ ( ~~K (~ J _l City ---; iC ,R, ..; / ~`"rZ State ' , ~~ Zip Code `;/ ~ :) 7 ~~ , Site Address / ~ it ..r • (_U ~ ' ~ P ~ Assessor's Parcel No. ~ ~ • - ~` ~ ~~ t1 °> Lot Size (sq. ff./acres) E Subdivision ~!~J r% f1P`~ C 7/'r ~' . ~ Lot `~>~ Block R T y OR Short Plat No. Block Existing Structures, if any: Name l <~ ~-p Contact ' ~ t ~ ~, Phone (;~ F f ~~ ~ ~;'/ ; ~ ~ T _ Address fJ ~ " ~ City %.vi,,./C%C State ~ r ~ Zip Code - 7~ v / ~ , „ „r ~ Exp. Yelm Bus. Lic. No. License No. 1 c~f~a ~ rJ i .r L) ~~~~ ; ~' `~ -i Description of Work <, / ~,~; .P ~ , ,, ' ~,/~~-- ~ OFFICIAL USE ONLY f Permit Type: Sq. Ft. per floor: (1st) (2nd) ~,~~ Residential Sign Sewer Septic Approval No. Commercial Other y Water Private Well Private System Cit Shoreline Permit Y N yt at: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan V N Building Value 1 ~-~ -'s 4 •' J ,.~"` Sets of Prints ~-- Plumbing Permit # .~.5 7 Other L / y Z.J Mechanical Permit # .~ ~ ~%}s~ WA. ST. BC. Fee (4.50 -New Const. Only) ~ TOTAL FEE ~= ~ j~~ ')~ Plan Check By ti~ ~ .1y'`p_~~~-f-t~. Minimum distance of structure from property lines: Issued By ~ ~I ~-~-'-'~• Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the Information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. ,...______.. _ r_ ~_. Quarterly Reports . ~~ - _- , Signature ,,~,^~'•. ',~,,,w ''~,.~' '`% ;r'_~°""""""°-~~-. Date Assessor / / .:.; ,.~ ~ Firm; ,/ TRPC / / ~~~ -~2~L~ .~~ City of Yeim -Permit Fees Site Address: 1 b 137 Vancil Lp SE Permit # Fee List Fees Due Recei t # Comment R05 Sewer Inspection Fee Sin a Family $145,00 .9',,145 00 805 Sewer Inspection Fee MultiFamil /Comm./Industrial $145.00+ $35.00/hr Sewer Latecomers 802 (Sewer ERU approved under 1994 Sewer Ca aci $2480.00 110204 1 ERU $1000 prepaid Sewer ERU in the LID+LID Assessment ~ $2480.00 ( ~ Sewer ERU lots outside the LID boundaries $4850.00 Site Pian ~i'ater Latecomers ?12 i jh~ater Ageter $300.00 `$ 300.00 11'Vater 1`vleter I R R C ` , 760 Water ERU's {inside ci limits) $1000.00 $ 1000.00 . 760 Water ERI_l'c (outside cit limits $1200.00 740 wtr 742 swr Consumer Deposit ~ $90.00. ~ $ 90.00 ~ . 100 Plan Review I I $ 378.45 032 Building Permit 6406 ~ ! $ 8y5.75 13 i o0 ~ WA Building Code Fee I ! ' $ 4.50 1' 032 ' l~Iechanical Fern;it ~ 580 I $ 71.55 i . 032 Plumbing Permit ~ 5579 I i $ 104.00 i I 030 Yelm Business License» j 9902383 Total f $2989.35 ~ ~ 420 I Transportation Facility Charge , i School Mitination FeP I $ 650 00 ! i Confrm 410 ,Open Space Fee ~ ~ 1)UN: AIV1) PAYABLE AT TIME OF PERMIT ISSUANC»! CITY OF YELM ~ Building Permit ~u ~ ~ " ~~~ ~ `~~' BUILDING DEPT. (' `~} Phone: (360) 458-8407 Date Fax: (360) 458-8417 (Work must e started ithin ~ 20 days) ~ ~. ~~~ o w _., /~ Name ~ r1 i ~--~1 L (A /~~e. `%irl c'~.~-^ ~ Phone ~) 7`t ~"".~v i N R Address ~ n ) _ City ~~,%; - '/', State ~ /~ Zip Code ~7J `'~ w Site Address j` ? ~ '~ ' ~, !' P R 0 Assessor's Parcel No. (,~~ !~ ~ ; '" r' ;Z} Lot Size (sq. ff./acres) P R Subdivision ~(~ p r7 t r" ~! ~ Lot ~,~ Block T v OR Short Plat No. Block Existing Structures, if any o Name ~~ f7 ~ Contact ~U r ,c Phone (~~~ ~)) % '~ / , `~,: ' ' A i.~ Address ~'~ ' ~~,,., - "' 4r City r~,y; ~„~ , ,y State ,,)~ Zip Code cj . ,~~ ,~(~ Ucense No. ._'~} t ~,~ f f ~ r;_ Exp. Yelm Bus. Lic. No. ~ l Ll „.~~ U 3 Description of Work ~) OFFICIAL USE ONLY r Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential "'"r" Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N at: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N ~ ...--y ~ i ` Building Value `" ~ ' ~) ~ ~ ~ ~ Sets of Prints f E. Other Plumbing Permit # `~_ ~ ~~L WA. ST. BC. Fee (4.50 -New Const. Only) ~ ~ "L j Mechanical Permit # J ~a ~ / ( j TOTAL FEE "~ --•~ ;~,._. Plan Check By ~~~ - rE.rr~ r l .;;~ ,.., ; ~ ' ( ~ Minimum distance of structure from property lines: Issued By j , - •- Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. .~-~ _ Quarterly Reports '`/, ~ j ~. Signaturer~ ~! r" ~~ ~ `. ~ =~ Date A ~ . ,~ . .. ...,,.,.,...._____ ssessor / / Firm: TRPC / / City of Yelm -Permit Fees Site Address: 16327/16329 Birkland ~~P~ ~I ~~ ~~-152 ~ ~~ ~~4-~~'~ I ~ ~1-15~ . ~ Permit # Fee List Fees pue Recei t # Comment 805 Sewer Inspection Fee Sin le Famil $145.00 $145.00 805 Sewer Inspection Fee MultiFamii /Comm./Industrial $145.00+ $35.00/hr Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca acit $2480.00 2480.00 , 10204 1 ERU $1000 prepaid Sewer ERU in the LID+LID Assessment $2480.00 Sewer ERU lots outside the LID boundaries $4850.00 Site Plan Water Latecomers 71.2 Water Meter $300.00 $ 300.00 ~. Water Meter I.R.R. 760 Water ERU's inside cit limits $1000.00 ~ $ 2000.00 `, 760 Water ERU's outside cit limits $1200.00 740 wtr 742swr Consumer Deposit $90.00 x2 $ 180.00 100 Plan Review $ 560.49 032 Building Permit 6405 $ 1326.61. 160 WA Building Code Fee $ 4.50 ` 1 032 Mechanical Permit 5679 $ 123.30 032 Plumbing Permit 5578 $ 190.00 n L 030 Yelm Business License# .gg~}~}g~-- O Total $7309.90 420 Transportation Facility Charge School Mitigation Fee $ 650.00 Confirm 410 Open Space Fee liu~:.~~vli raYatsLr: A~r ~1'tME OF PERMIT ISSUANCE! CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 w Name ~~ N E R Aririracc r;~ Building Per,~rSit ~ ~~• Date ~ fi, _~~ ,~ %~ ,r r (Worl~~must be started ithiri 120 days) ` ~~ ~ ,) i Phone ('f; !n) ~ ' l=l' ~~zJ ~' ~C'N7/,l P Code Site Address = i _ +~~ ~i.c^ ~ ~` f`t ~ ~ ' P R Assessor's Parcel No. Lot Size (sq. ff./acres) O P E R Subdivision Lot Block T y OR Short Plat No. Block Existing Structures, if any: ~ ~ ,1 "~ ' Name ~ ,~ r J ~ ~Y Contact Phone ( ) T _ Address j`"~~a , ,~~, ~;, r{ City ~ ;., ~~° State ? ~,,,,~ Zip Code "~ 'C ~`^ License No. ~ (~ /~~ (" /`' ~ ~ ~ "'' %~ Exp. Yelm Bus. Lic. No. Descri Lion of Work \~ ~, , - -,~ .~ r p )f.' y, ~ S rya r : ~ J C ~ /' F {i.i ;. ; , 1 ~ ..: ,h..- OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N at: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value t°~ (p.'.:~ Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # - ~ TOTAL FEE , {. ~~ Pfan Check By Minimum distance of structure from property lines: Issued By t,". r~. ~~'~~..-- Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: I certify that I have read and examined the Information contained within the application and know the same to be true Submitted / / 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 a currently registered contract in the State of Washington. 6~uarterly Reports r,: Signature ~~ ;; ` {~~ -%~ ~ '( .-~_ Date - -~ G ~"~' ~; Assessor / / Firm: TRPC / / CITY OF YELM Building Pe ~iit `~ `' ~~ BUILDING DEPT. , ;'~~. ~ ,~ ;?; ~~ ~~~~, Phone: (360) 458-8407 Date ~.. . ~~ ' Fax: (360) 458-8417 (~Idgrk mu be started Ithin 1 0 days) + /~/ f ~ ~ ~ t t , _ ' , ~ ~- ' -~.,i _ w Name J~ r2 ,2. iP ,rY' /Y1 < Phone - . ) . `~ ' c _ ~c-, _ N R Address ; ~ r '~ ~~" ~~ __ City ,~'s, - ~-pry-~ State Zip Code ~,1~' +~~ r Site Address /rC~ ~~(..~ ~ i1,r- , ' ~ ~j ~" P ~ Assessor's Parcel No. ' '(j ~ f rY_%~1 ~ ~,% C,1 /,,,,,? Lot Size (sq. ff./acres) P E Subdivision x ; c~ ,~ ~~. ~=7s ~.~ Lot r~ Block T G y OR Short Plat No. Block Existing Structures, if any: Name A2 / ~ : rat f' -.~ Contact tr~.rl F~,/i/` s e"C Phone,(,i ~ ) ~C~ ~~ .. ~ ~ ,, ~--' Address ~~ (.j ~ j r C'L „S~ ,S City 17 A<'~:-,~,q State '~i,' Zip Code ` "' r%4'/ ' Ucense No. ~?e l ~''.,r~ :~ / ~ Exp. Yelm Bus. Lic. No. ~- ~-~ - (~ ~~-, ''f / + Description of Work ~ ~ y, , +~F r'-r - ~ OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (l st) (2nd) Residential ~`~ Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N ~1t: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value f ~ ~ , ~ ~1 ,~ ~ ; ~ .~, - Sets of Prints Other Plumbing Permit # ~`~ ~ ~ WA. ST. BC. Fee (4.50 -New Const. Only) ~f', S , jl U„ Mechanical Permit # ~~,C'` +/ / TOTAL FEE + f'+.;! ~~} Plan Check By •..% ~-~'~~I~!-' ~ Minimum distance of structure from property lines: ~~ (/`' Issued By <'~r+~ `ti%ry Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form 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 a currently registered contract in the State of Washington, Assessor Floor Plan and Permit Submitted / / uarterly Reports Signature .-~ Date / '~'~ ~ ~ Assessor / / I Firm: ~r ~ TRPC / / `Q -~ ~~~c~. b ~lt~% ~'f Yelm -P~r~riit ~'~e~ ~~~U~ Site Address: 104.0? Bri~tar~ St S>', Lit 82 ii'ea~~C+it # ;Cep List Fees ode Reiei t # Camment 805 Sewer Inspection 1" e2 ~ $145.00 ' $145.00 'Sin lc Famil ~) 805 i Sewer Inspection Fee ~ $1~45.00~ . . ~~4ultiFamil /Comrc~.llndustrial ~ $35.00,'hr~ Sewer bateccmers 802 Sewer F.RU approved under $2480.U0 ~ ~ 10160 $IOIN.:}.!x) Prepaid 1994 Sewer Capacity i Sewer ERU in the LID+LID ~ $Z480 00 ~ ~__ ~ Assessment ~ Sewer ERU lots outside the ~ $4850A0 LID boundaries ~ Site Plan- i ~ ~ Water Latecomers i .712 Water 1vleter j ~ $3p0.ij0 ~ $3!}O.f10 I f. I Water ;vletei I.R.R. ~ ~ 760 tNater ERL's f e i nnn n,~ W l V V V. V V Q i n00 nn W l V y 1 t ~ifiGide r'it I~In~tul ~ j ~ ~ li 760 water ERT"s ~t?00.00 i outside Cit limits) 740 wtr Consumer Deposit $90.00 $90.00 742 swr 100 ! Plan Review $ 464.62 032 i Building Permit ~ 6403 ~ ~ ~ $ 1099.70 ~ ~ 1.3~ 160 ~ .. WA Building Code Fee $4.50 $4.50- 032 Mechanica.11'e :*nit i 56';'8 ~ $ 91.40 ~ i 032 ~ Fiumbing rermit 4 I 557i ~ ~ a i i i.u0 v3v i'CUii Fusitiess L%etisir++ ! I ' 99-02383 Total $3306.22 ~ ~ 420 Transportation I'acitity Charge ~ h S _ __ c ool ?etitigation Fee i $650.00 M Confirm 410 Qpen Space Fee I vv c. Yl\Il iA I HI3Lr, A I 111Y1L' yr rr:xml'i' i~~UANCE: