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Building PermitsCITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 ~~ ~~ ~ ~~~~ ~ la .I~, O w Name N _ E ... ~ (~..~ ~ v R Address r Site Address ~ ~^~~+ ~ } P ,+~ R Assessor's Parcel No. !/ O P E Subdivision Building Permit (.., ~~ ~ ~ Date i.._ _.'w. (Work must be started within 120 days) ~l1f+r /~~~~`~~ r.{~ .t Phone ( ) ~~. fY3 C;.l~~ F"~ City " ~ ~ ~ !~'f ~~t~ ~ State , Zip Code /~ k f .! f..r' lr4 Lot Size (sq. ff Lot ~< T Y (~R Short Plat No. Existing Sfructures, if any Name ~,~~ f/~~,~,(__ Address ~~' /~ ~ 1 Contact City Block Block Phone State ~--~- Zip Code License No. Exp. Yelm Bus. Lic. No. j_) ~ ~ ~, ..~~ ~ ' OFFICIAL USE ONLY Description of Work l 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 Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N 1 .~`(~ t~~°~~ Sets of Prints Building Value Plumbing Permit # Other ~ ,... WA. ST. BC. Fee 4.50 -New Const. Onl C Y) ~ Mechanical Per #~ti °" ~ TOTAL FEE ~'~ - r ~!~ Plan Check, p _ ~ 1° Issued By ~` ~ Minimum distance of sfructure 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 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 certit I am a currently registered contract in the State of Washington. ... ^ ~::.-~•" .~^ - Quarterly Reports , _ ..t' ~„ r ~ j ~ ~~ ~~ D t a e Signature - ' Assessor / / Firm: CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 O w Name ~ I N R Address ~ Site Address P R Assessor's Parcel No. O P E Subdivision R T Y OR Short Plat No. Block Existing Structures, if any: Name "~`~, ~ ,~' ,{- '~"*w. Contact Phone ( ) T - A Address City State Zip Code ~ Ucense No. Exp. Yelm Bus. Lic. No. ~'t y ~ ~ , 4;. ~' ,.~ ~ "1 • ~- ~y Description of Work +~ ~" A- ~ f~r~i ~..-w, ~ ~* ~. i~' '-•s f .t, 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 ~~7 ~"'~ ~} ~ Sets of Prints Building Value . .~,. •~- ' . •" Plumbing Permit # ~~ Other WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # "° TOTAL FEE ` 1 (~' r ~~ Plan Check Bye ~ . A'~ .^~, ~' 1.~ )1~ f `J'r ~ :' J~ ~ .. ~ Minimum distance of structure from property lines: - - •, f , , ( 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. °;o d.;!' ~'' ~ ~ r , o' 9uarterly Reports Signature - ,, (•' ~?- Date /~f ~ ~e~ " ~~~ Assessor / / Firm: - ~ "~ TRPC / / ~`° Building Permit . ~ ~~~ .. ~~`` ;, ~ y 4`•~y S ~i4, 1~ 7 7ppr i " wJY~ 4 i Date i { (Work must be started within 120 days) ~~ `t ' ~ 7 -1' l k~ ,. ~~ ,~, r;: City ~"~".~~ (~'/ ~.-f -"~ State ~ ~ ..Yt~ Zip Code r ~~ ~.. i1 <T ~u'~ - "~~`. ~ /'~D !'~~ ~ ~ °~'' ,+ Lot Size (sq. ff./acres) a.._ Lot Block CITY OF Y~ELM Building Permit ~ ~~ ~ ~~ ~~ ~~ BUILDING DEPT. ~ ~ ~~~' ~ `~~ ~ '~ ~ phone: (360) 45a-5407 Date -°~ ~ -+ (Work must be started within 120 days) r..,, »H 71~ a,,^. ,~ ~r ,.~ W '~ (,. / ~ me t~ '~ } ~ N Phone ( ~), j S ~f / a y~ ~ ~} ~ Clty \ ~ State ( ~ ` ~;7 .~ Zip Code ~ ~~~ ^~ R ~ / Address ^ , L .. Site Address C•."F ~~ ,~" ~ .'~'" r ~' ~.°` P R ~ ' ~ -~ f~ ~r~ 1 ~' Assessor's Parcel No. ) f ~ ! C.~,~ Lot Size (sq. ff./acres) 0 P E Subdivision Lot Block T Block Y OR Short Plat No. Existing Structures, if any: "~ /, ~; --a f-, ~ ~`~~,\ _is i ~ ..._-... Phone ( .~` ~ y ~ ) ~ , ) , ~ Contact Name A Address I I.T ~ ~ ~~ t.M l l'~~'~Ie~ ~'y~°~'~ {,.~~ . .~ ~~ / ('ti~ ~ State ~ ~ ti~ Zip Code ` ~ ~;~ r fJ ~ ~' f~ License No. ~ ~ / '~ ~~ 'j Exp. Yelm Bus. Lic. No. ~) -~ ~ ~ ,fit ~~ -~-~, ) { ___-- '+- ;;, Description of Work ~ ' t ^ `~• ~C ~~, "~ .,ifs.. I ~~ ~/ ~.' ~~.~ f -,i~~~.:~,(~'~~~. 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 Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N a {~ .~ '~ ..^~""" ° .' °'°7,r ~~~' Sets of Prints Building Value , ~ " , [ J,, r Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) ~,,.-~°'"'" MechanicalPermit# ~/~ f _ , TOTAL FEE _.., ~,~ F' >"-'"°'^.- ~ ~ ~'~.( ~ R;,~}..... Plan Check By w r~ ~ 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 cert~'fy that I am a curf~ntly registered contract in the State of Washington. ~, °`'~ > d,• Quarterly Reports .. v SignaturA A:~'';^-" ~~~~ ~ ,r`~ Date ~ .,~ ~ ~•°~ J b Assessor / /. Firm: ' f~,,,._-.,~_ .. .~t TRPC / /_ NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address:Jr~7 T ~'~M ~~ mvn~ vFRMTT 3f FF.F. RECEIPT # COMMENTS Sewer Inspection Fee Sin le Famil $145.00 N ~~ Sewer Inspection Fee Multi-Famil /Comm./Indust. $145.00 + $35.00 / hr. N~ ^ /'~ Sewer Latecomers ~ /~ / Sewer ERU approved under 1994 sewer ca aci $2,480 .00 N ~ Sewer ERU in the LID + LID assessment $2,480.00 N Sewer ERU lots outside the LID boundaries $4,850.00 Site Plan ~ /~ ~ A~ Water Latecomers /V /~ ~ /~ Water Meter* $ 300.00 ~ /~ Water Meter I.R.R. ~J f~ u~~ Water ERU's (inside ci limits) $1,000.00 ~ ,t / Water ERU's outside ci limits $1,200.00 ~ /t~ / Consumer Deposit $ 90.00 Plan Review ~ ~ /t~ Building Permit / _ r1 ~ ~" . 7 + /y~ / WA Building Code Fee 4.50 $ ~ ~ Mechanical Permit N /~ /~ Plumbing Permit ~ /A Yelm Business License # Transportation Facility Charge /V/+~ ~ /~ School Mitigation Fee ~ /t~ ~ /1~ Open Space Fee ~ ~ ~(,)/~ ~P~I~D DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:Vviy Documents\building\NEW DEVELOPMENT.doc CITY OF YELM Building Permit ~, ~.., ,,,~ k ~ ~~ ~ ~ ~ BUILDING DEPT. ~. / ~_.-.,( ,__(..-I,_.. Date Phone: (360) 455-8407 l- (Work must be started within 120 days) ~~~ } ~ ~~~~~r W Name ,~ { r~~.P,. .... Phone c., ~'>.; _ r-as i"`v~~ L,',. ` l ~ ~.-°_ , N E R r.,, r^ a,~c;~ r ...~d.`p~~, Address "_y,{~,5;~ C'f'~' -„~-~. City ., i~~.,~"',rL''r.~^~ State ~/'t Zip Code i :, ~ !' d ~e , ff !! r Site Address 6 ;.1 i ~ ~~-% ~ ~ ~ , ~- ~~'~ _.~ * , ! ~ ^ P R Assessor's Parcel No. Lot Size (sq. ff./acres) O E t, SUbdIVISiOn t~'~~ ; c ~,,:r^~ }~+ ~ ~ i''~ ~ i~"~ ~ ~~ ~ i,.._„.C ^v t ~~ "` ,',~ ° LOt '~- ~ ~ ~,. BIOCk R T Y ~. Block OR Short Plat No. Existing Structures, if any: 9 -r^" ~ } ~ ' ~ Contact - ~ ~ _ ~,~ ~ T~ ( ~ Phone C ~~.~+'1 ~. > C`` ~ l Name ;'~ "~~~ ~.,, __ ) r . Address _p,.~ ~' ~,,~ City State Zip Code ~ ~' ``~ -.'? ExP• Yelm Bus. Lic. No. 11 !t)) W ( `~ ~ ' ~ ~y ~ I ~ ~ ( '~ S License No. / _.. . _ i '~' x~J Description of Work ~ ~.. ~ `~ ~~.~ l ' ~ ~ ~ ~~, , ~,;,'il'U, ~~ OFFICIAL USE ONLY '-w. Permit Type: % Sq. Ft. per floor: (1st) (2nd) k f Residential ~x~.. 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 ~°"ti~ ~ ` .a-~ ~`~~;~ R ~ ~ .~ ~"'"F Sets of Prints Building Value ti ~ , ~~ ~ F ~ Plumbing Permit # / ~ ~' Other "ti ~' x ` WA. ST. BC. Fee (4.50 -New Const. Only) ~ Mechanical Permit #_ • ~ TOTAL FEE ~'~ ~_ ~ ~ '"-' C""' > Plan Check By_ ~ ~~~ ~- Z ~ ~ ~'" .~y _- , Minimum distance of stuucture from property lines: J 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 '' ~ ~', Signature ; ;,,/ / ;7 ~'`/ hrr•,_a-' Date `~~ ~ Assessor / / Firm: TRPC / / NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: ~5, ~b ~.lC-~Fi~+`U~ ~ ~'~.,~~~~~-- ~rw~ PFRMTT # FF,F, RECEIPT # COMMENTS Sewer Inspection Fee Sin le Famil $145.00 I n C• , Sewer Inspection Fee Multi-Famil /Comm./Indust. $145.00 + $35.00 / hr. ""~ Sewer Latecomers /• / Sewer ERU approved under 1994 sewer ca aci ~ ~ i~ •~ `~ Sewer ERU in the LID + LID assessment $2,480.00 Sewer ERU lots outside the LID boundaries $4,850.00 ~ / ^ ~`t~ /'~ Site Plan ~• / Water Latecomers ~- ~ _ Water Meter* $ 300.00 Water Meter I.R.R. Water ERU's (inside ci limits) $1,000.00 1 ~ I 1 ~_ _I Water ERU's (outside ci limits $1,200.00 ~ _~ Consumer Deposit $ 90.00 Plan Review ^,1 + 3 t 1 O Building Permit ~ ^' O 1 _ J WA Building Code Fee /„. 4.50 $ Mechanical Permit ^~ lJ ~ ~ 75. Plumbing Permit Yelm Business License # Transportation Facility Charge /, //, School Mitigation Fee ~ ~• D~ ' ,^ Y.J ~ Open Space Fee ~ ~ ~' p~ ~, ,^ DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc CITY OF YELM Building Permit ~~ .~ ~~ ~ 3 BUILDING DEPT. , ' Phone: (360) 458-8407 Date ~ "" l~'~'~"'~ , (Work must be started within 120 days) -~. 1 ,_ W Name ' _ .~_ ° (~ ~ ~ c""° Phone ~7C;~ t ,.~,c., . 1 ~ ~., ) N y R Address ~~'=Y~~~ 4 ~ ` ~~ City { ~~! ' ~~ rub State ~i-~ Zip Code tJ ~ -+ - l ~ { ~~ ~, ~ ' , - Site Address ~ `;:,~>~ ~ ""~ I~1{C {. ~ l` t ~~~,~ ~* ~.~ ~ `~` R Assessor's Parcel No, Lot Size (sq. ff./acres) ~~.. P ~ l"1 "~ 1 C;= ,,,- `a ;k - ~ _ ~. ~ / ~ Lot i .., Block R Subdivision ( - ;!"(~ ~ ~ •.J ti,, T ~ OR Short Plat No. Block Existing Structures, if any: S ... '~... Contact r~ ~ ~~„ t_~-_{ ~1 ~ ~ Phone ( Name { .~~ {~ ~ f ~~ - ._ ) N T . n Address ~ ~`~ ~, City State Zip Code .~ ~{~ ~ f ~~ ~ Exp. Yelm Bus. Lic. No. License No ~ r' ~ -~ ` ~ ~-~- ~~' ~, ~( ";'~, ,!~, R . j Description of Work ~ ' `~, ~-~- ~~'~~ i ' "~ - ;' `r~~ ( j''ti,( r:^ '`~ OFFICIAL USE ONLY , ~ Permit Type: ~~ ~,( Sq. Ft. per floor: (1st) (2nd) Residential ~!"4.. 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 ,~ [ ~) L~ "~ ~ ~-" Sets of Prints Building Value _. ~ ~ , ,' , ~ ~~" r d ,;- ._ ,~~~ Other Plumbing Permit # ~ ~ ''~ '` Mechanical Permit # -,J(t f WA. ST. BC. Fee (4.50 -New Const. Only) ~ 4 j (~~ TOTAL FEE ~~ M,~ ~ tN $ .- Plan Check By~^° % r.-+l-l ~ 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 inconformity 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 11 r_ ~ r" t. x Date : ~' ~ ' r ~ ~ A r / / , ,:T Signature ~ ,,. : ~, ..-,_~ ssesso Firm: / TRPC / / NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: I .r1L ~ ~ <<-'~1~E'it~[D1~F"~~1314~ ~~. ~T` -~ TvPF, PERMIT # FEE RECEIPT # COMMENTS Sewer Inspection Fee Sin le Famil $145.00 , ~ ; J/~ '~-~- Sewer Inspection Fee Multi-Famil /Comm./Indust. $145.00 + $35.00 / hr. .I ~A IV Sewer Latecomers ~ N ~~ Sewer ERU approved under 1994 sewer ca aci $~8@:6b bOD • GO ~ ~Q ~~ ~~ Sewer ERU in the LID + LID assessment $2,480.00 ~ , n (~'T _-- Sewer ERU lots outside the LID boundaries $4,850.00 ~'~ 1 Site Plan ~ ~' _ Water Latecomers ~~ u J~ Water Meter* $ 300.00 r y1~~ Water Meter LRR. ~~ ~ / Water ERU's (inside ci limits) $1,000.00 I ~~ Water ERU's outside ci limits $1,200.00 ~( ~' _ __~ Consumer Deposit $ 90.00 f ~ / / Plan Review ~~ • O Building Permit 1Q2~~ ~~,~ WA Building Code Fee ~• $ 4.50 Mechanical Permit ~ O ~• .~~ I Plumbing Permit ~~ I I • D O [ [ (~ Yelm Business License # +/ ~ -~~cp Transportation Facility Charge '~. School Mitigation Fee / Open Space Fee '/ ~ ~ 'l~ DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc CITY OF YELM Building Permit `' s ~ ~` ~ ~ BUILDING DEPT. ~ ~.~~ ~ ~~_a. Phone: (360) 458-8407 Date within 120 days) (Work must be started . N Name ~§ {~~ li ~ . ~ '" Phone .?l.J ~ -~., e '~.,' ' ~ R Address C~~ ~.~ t'7 ~ ~; .°~' ~ City l y'~, f ~ ~"~.,~ State Zip Code r'~' . A /~ T~ 1, ` t Site Address P R Assessor's Parcel No. Lot Size (sq. ft./acres) o R ~ > Subdivision t~ `~ ~ ~ { ~. Lot ~ ~ Block y OR Short Plat No. ~ Block Existing Structures, if any: JJ,, Name ~ ~ , t L!. ( ~-~ -,i ~-r^' `:.° Contact ~~~ ~--' ~ '`~~ _'.-,- Phone (-..-,^') .,.,,,. Address ~ r ~-- City State Zip Code f L c"1 'v: ~ ti~ License No, ~ ~ Exp. Yelm Bus. Lic. No. - ,~,,,( ; Y -~, -~ i .N-. , ,, t. ' - r ~ ^ OFFICIAL USE ONLY F- Description of Work <-_ , ~ -~,h, t, + t . y Permit Type: ~~ ,r ~~ 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 ~~ ~~, ~'` ~ ( ~ "-'{'" [.. F-yt^"""' ~ Sets of Prints Building Value . ~~ ` ~ ~ r ~ ~ ~~ R . Other ~ Plumbing Permit # ~a ~ WA. ST. BC. Fee (4.50 -New Const. Only) ~,' c~ ~ Mechanical Permit # ~ ~ ' ~M~ !~ ~ ~"Y4 ` ~' ~ ~ ( ~ +'~ ~ ~?~ Ch k B Pl TOTAL FEE . ' an y ec c ~ ) ,. ~ ~J~, ti ."1E! ~` '~ ~ Minimum distance of structure from property lines: ~ _; Issued By t ,o 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,, ,'' -~ Date ... -•~ ~ ~ c~ c~ Signature ,~,...~ ~ ,, ~„ <. s~'_,._.. Assessor / / • Firm: TRPC / / NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: ~~~ ~ y ~Et hl`fA~ ~~ ~~ ~ ` m~rnr, DTi 7?MTT 4! FF.F. RF,CEIPT # COMMENTS Sewer Inspection Fee Sin le Famil $145.00 Sewer Inspection Fee Multi-Famil /Comm./Indust. $145.00 + $35.00 / hr. N / __`., Sewer Latecomers ~ /~ / _.~ Sewer ERU approved under 1994 sewer ca aci '~ tab •~ 'n ~ ~ ~ "'~ ~ n- ~!"c ~~ Sewer ERU in the LID + LID assessment $2,480.00 t / Sewer ERU lots outside the LID boundaries $4,850.00 Site Plan ~~, Water Latecomers ~~. ~ /A j WaterMeter* $ 300.00 i~~ Water Meter LR.R. ~-~ ~ A - -°--~---~-- Water ERU's inside ci limits) $1,000.00 ~ '' Water ERU's outside ci limits $1,200.00 ~ __..._.._ _ .~. Consumer Deposit $ 90.00 ~/ ~ er `- ~ Plan Review p U~~ ~~ J ` C ~Lil.. Building Permit / _2~ n I~ . ~y~ / ~ ~/ I ~ ~ "` . WA Building Code Fee ~.- 4.50 $ ~ ~~ °' }~ . Mechanical Permit ~ ~ D ~ ~ ~ p~~ ~ /~~ ` "J Plumbing Permit ~~ ~, ~ \ Yelm Business License # f~ /~ ~" ~.yv~~ (•~-' ----. Transportation Facility Charge ~ -~ School Mitigation Fee / / _5O. ~ pt Open Space Fee ~/ ~! ~~ n'~ 11 - D UE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 ~^/ r , ; ,'~ Name '~-i ~ . N E rz Address ,~ l,i,' , r,... ,. Site Address P R Assessor's Parcel No. O P ' E i Subdivision / ` ~ r t T ~ OR Shorf Plat No. Building Permit ~ H ~ ~ ~ q Date ~ -. `" _- ~~ +y~,~ (Work must be started within 120 days) Phone (~ `)~ ~ ~ ~ ~ I'T ` ,f-_L 1 !-l I>~/`lf Mfr 1 ~~ J~~ ~.'~y f - l ~~r :~,k, Code `;'`~'~. ~, Lot Size (sq. ff./acres) ,l ~~~1~~1. Lot ~ ...~,~ ~,~,, "' Existing Structures, if any: s ~. N Name i ~ ~~ R ~ Contact State f'.,( ,1, ' ~9 Block Block Phone ( ) C ~, , ° 1 ..- ,.1 City state Address up ~oae o / - ~ Exp. Yelm Bus. Lic. No. nse No Li ~"~~-~~ ~ ~ ~ )~ ( '._ ~ ~~ ;~ "~?/ . , ce ; _,r r-~ .,- ~ f ,-~ 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 Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N V l ildi B / ~ / ~~ /.~ ~. -y "`~~ '?~s r ~ ,7~J ~ ` ~ , 1 Sets of Prints ue ng a u ~ _ U 1 -:° ~ r ~ ~ . , Plumbing Permit # ~~ ~>` i Other r" / , / WA. ST. BC. Fee (4.50 -New Const. Only) t"~ 1 Mechanical Permit # `..? ~ (. _. . TOTAL FEE ~ '1 ~.T r'~ ~t ~ t , , Plan Check By ~ f !~ ( i j~ ~`~"f! _ ' ~ Minimum distance of structure from property lines: Issued By ~(~ h 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 ~.~;~''~ ,, ,~ • r''`~~~.r~..~. Date ". ~~~, ~ ~~ `' Assessor / / Firm: TRPC / / NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: / 5~ a / ~(E'!~'fD~ ~11~ D S~ ~L.aT' ~'--~ mcrn~ ATi T?MTT ~ FFF. RECEIPT # COMMENTS Sewer Inspection Fee Sin le Famil $145.00 ~'~ Sewer Inspection Fee Multi-Famil /Comm./Indust. $145.00 + $35.00 / hr. f~ /A Sewer Latecomers ~ n / Sewer ERU approved under 1994 sewer ca aci ( OC~~ O~ ~ b ~ ~~ ~ ,r1 J.-~ Sewer ERU in the LID + LID assessment $2,480.00 ~ /A Sewer ERU lots outside the LID boundaries $4,850.00 Site Plan ~ N A Water Latecomers ~ N ~~ Water Meter* $ 300.00 I~~ •~ Water Meter I.R.R ~~ N ~ n ll Water ERU's inside ci limits $1,000.00 ~ /-;/ L.J` Water ERU's outside ci limits $1,200.00 Consumer Deposit $ 90.00 ~y~- ~ ~~~ Plan Review ~~ t ~ ~ ~ `~ (~ ~ G._~ Building Permit /„ ~ ~ ~ (lJ TUf~O • Q~ ~ ~,( ~,..~. ~ l 7 WA Building Code Fee /' $ 4.50 I ~ ~/ Mechanical Permit ~~ ~ / _ /~ ~ I oy~ Plumbing Permit ~, /g ~ ")' Q D ~b _ ` ~ Yelm Business License # ~ ~ Q8-Q ~~3g / Transportation Facility Charge ~ ~ ~ /A School Mitigation Fee ~O 00 _ Open Space Fee ~~ ~~~ o ~~'~~ DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 w Name /7 J"° ' "" ~_ ` :' ; r N Y r2 Address c°a ,~ ~ k° ~ /~ 1 Site Address (~,` ' P R Assessor's Parcel No. v P E Subdivision ~ r !~% :, 'L- Lot Size (sq. ff Lot Block i< T ~ OR Short Plat No. Block Existing Sfructures, if any: d ~„ .. Name ~~ ~' ~~:~-~ ,'f.s„~~•t, ' ~ ~,r '1<r°i~ (~ /`Contact h~~1r'r, sL -~f°~j~ d Phone~~~~h.`) ~ ("~~,-- X r,.. ~; Address ~ ~~ rT~ ~ ~'_~ City ~ r";_ ~,(~ ~ State (, .{ ~~ Zip Code ~ I '~' ~~ i ~ ,.., ~ ,-~ r- . - ,.--,t~'~11 ,•i: - Yelm Bus. Lic. No. ~~ ' •_ I ,~~ ~, y ~ ~ _ ~ Exp - . Ucense No. r, ; ~t t f, _ ,~ ,.., ~, ~ .~, t .., , " -^' _ ~.- .~ _, Description of Work .. ~ ~ „ ~ ~ ~ •~, ~ , ... i ;-. ,a~ ( ~ ~~.L_ °- ~ i., i,,,~~ - OFFICIAL USE ONLY PermitType: Sq. Ft. per floor: (1st) (2nd) Residential Sign ~/ f~ Other Commercial A royal No. Sewer Septic PP , ,~ 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 ~ d ,'"^~ ' .~.. ~'- Sets of Prints Building Value '~~ ~ ~-- ~% 1 ~ ~ Plumbing Permit # ( ~ Other 1 ~ ~1 ~~ `• WA. ST. BC. Fee (4.50 -New Const. Only) .. i Mechanical Permit # ~ -'''~ ~ ... _ TOTAL FEE _ ~`~ ,~ j .. _ .., Y~~..I Plan Check By ~ ~ ~ . ' ~' fl ~ ~ ~ l -- 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. ' Quarterly Reports .•"~ y "~ ~, ,.y-, ------ Date ~ _ ,~ _ / ~ Signature ;' Assessor / / Firm: TRPC / / Buildir~ Permit / ' .p ~~~9 Date ,°'~ ~ = ~° 1.~---/ (Work must be started within 120 days) Phone (~`~~~.) ~, /~~ State 1'-r ).~ .~Ff, ~,._. ,,(..~ ~~ Code ,~ ~`` CIN OF YELM BUILDING DEPT. Phone: (360) 458-8407 ~~ ~~ _ .,~... Building Permit ~'' „ ~~~~ Date ,/ -~ ~~ °~~a - ~~ `~ ~ ~^/ Name ~~cC' r '°'~ ( t N R E ~ ~ 1' ~" ~ ~ 1 i! ~ ~ t ~ ~d Address , , ,_ Site Address ~ ~~ ~,~~ ~ ~ ~'., , ~ ,~ i "~~ P R Assessor's Parcel No '~ .._, ., ~ d ~•° -- ! • 1 ~ • 1 ~. -- e O . . P Subdivision T Y nR Shnrt Plat Nn. / ~ a `1; . 7 GP4~ ~:~ Zip Code dl ~ Existing Structures, if any: ~, Name ~~;~~ ~ i~-1~` l Jf..~~~~ ~ jg Address '% f° ~ License No. ~C.+t. i;.~i' t..~,..L t~" d i D t' f W k ~'' ~~ ~°.~'~ , Contact ~~1 City ~)I" t~0 y yt ~' ;' ~,~ State Lot Size (sq. ff./acres) Lot Block Block Phone C ) ~~~; .~1._ f ~,1 r'~/~ ,::~.~~ city ~:4~~. ~I''~'1,~! d-^~ state (v~(. l~- Zip code `~~ ~ .7-~.'~ ~% Exp. (Work must be started within 120 days) Yelm Bus. Lic. No. escrip ion o or 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 ~,. :~ ,°'"°` ~'. ~ Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) ,..~•~""~M Mechanical Permit # ~_~ •,, ~ / TOTAL FEE YI fP ~ (,~ ~,a Plan Checl~Bv ~'~ ~... ' r _~ C - ~. ~ Minimum distance of structure from property lines: Issued By ) F ~r` j• 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. QUarferlV RepOrfs _..-~.__ r,...-.,._... G..~.. Signature ~, ~,,~._ ,_._._e"~~^---- Date /~-,,;.',,e7 ° `~ '~ Assessor / / ~ ,/'' Firm: 1~~l~ _-- ~"~ :~ a d~ ~.~' c` ., ~~ 1 , TRPC / / CIN OF YELM Building Permit ~ BUILDING DEPT. ~ -` ,. ~ ~ ~ ~ Phone: (360) 458-8407 Date ~ ' ~ `~; ~~ ~ C ~' ~' (Work must be started within 120 days) ~ ~tf'" . ~ ' " ~ Phone ~ ~ . ,^ !~~''(. w Name rt Address ,/ '~~ l / 7 ~ City ,~ ~ ~ State ~~ Zip Code `'~^ ~!~' ~^`~~ Site Address 't~ / /` ~ f,r" "`Sa _.-y ,R P x s, .~` Lot Size (sq. ff./acres) R Assessor's Parcel No. 0 P E Subdivision Lot Block R T v OR Short Plat No. Block Existing Structures, if any: o ~ ~' (,~R` ~-~ / ~ / Phone CN Name ' / Contact C ) r A Address City State Zip Code License 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 City Water Private Well Private System Shoreline Permit Y N 1. Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS F ~ FEE FEE Floor Plan Y N ~' `~ ~ ' f / Sets of Prints Building Value I Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) ,,ff~•"" Mechanical Permit ~ ' d ~ ~ f ~ TOTAL FEE ' ~ Plan Check By ' ' t ~ ~ .ti f, .,~',~.,~ 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~tead and examiFled,the information contained within the application and know the same to be true Submitted / / and correct. I ai~o c~erfify that t~'e proposed structure is in conformity with all applicable City of Yelm regulations including those governira'g zoning anc~.•~and subdivision, and in addition, all covenants, easements and restrictions of record. If applying as acontraCtor, I farther certify that I am a currently registered contract in the State of Washington. ~r i 9uarteriv Reports Signature ,p;~~ _.(,,f~-~.... _~ ' ~^~'~ k' < ~ Date ~..._ ~(~ -~~`~ Firm: Assessor / / TRPC / /_ CITY OF YELM Building Permit ~ ~ ~ 2~ BUILDING DEPT. ~ ,~ ,- ~%.. ~ ~ ~ ~; _ }6. ~ ~ Phone: (360) 458-8407 ~ Date •-~ ~ ~-~ ~ / . , (Work must be started within 120 days) / w ~, ~~ a j ~,, ~ ~ ~~ j ~' , (r ~ Y b w Name ~ ~~ ~ 3 ~' ) t ~ o /~/~ Phone (~,C/flL) •--^~ ,,,~ ^ . N rt Address ~ ~ ~ ,~, 4 1 ~ ~ ! City + ~ State s ~.. ~ Jy Zip Code r ~ , ~~~C Site Address ~ ~ O Assessor's Parcel No. ~ (~ ~_.•' {::~~ ~~ '~% Lot Size (sq. ff./acres) P E Subdivision Lot Block R y OR Short Plat No. Block ~ ~ ~~ ~ ~+ ~ .' '-"" _ S ' Existing Structures, if any: a C o Name ~ +._.~l1lV ,;yf~ { ~ Contact r,~ ~ Phone f ~~ °° ~^'~..s(' a Address ~' l~ ~ = ~•. ,) ~ .,~ City ~..1 ~ ~ .Oh ~ ~ ~. State ~ Zip Code ~ ,~ X ~ ~......_ R License No. '~~,,, /" "ti Exp. Yelm Bus. Lic. No. ~ ~~ mom! '•, ~' ~^• ' ~ • l ^ ~ ) ~,. 'Y "`' •w• *, ~ ~ ~ '" ; < •~ '~ ~ ~~ ~ ) n f Work ~ ~ - D i ti OFFICIAL USE ONLY ~ ,g i g . ~ , ~ escr p o o Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign Commercial~~y Other Sewer Septic Approval No. ~ 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 V l e B ildi ;r ""~ Sets of Prints ng u a u ~~ Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) i .,,~ i 1~t Mechanical Permit # ~ f ~ _` ~ r~ t J ~ TOTAL FEE l ~ I? _ Plan Check By;~}. ~ L~ ' ~ ,.., ~f l C ~~ `4 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 `~^ '(, ~ ~ o~.-•.,-...,,,, Date ~d ~ i' ~'<'? ~r' Assessor / / oo r` ~ d . Firm: 1it1,.'',~` /~'r'~~ t~r,~' L..-.~ro/ S' ~i.° rJc"~ ~r rJ'a°~~ ,....~..~s~+'~. C TRPC / / a; .. NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: ~~/~ /7~C7~ ~~ ~ ~> mw~ pTi uMTT if FFF. RF,CEIPT # COMMENTS Sewer Inspection Fee Sin le Famil $145.00 '~ Sewer Inspection Fee Multi-Famil /Comm./Indust. $145.00 + $35.00 / hr. ~ IU Sewer Latecomers Sewer ERU approved under 1994 sewer ca aci $2,480.00 n ~ 1 v Sewer ERU in the LID + LID assessment $2,480.00 Sewer ERU lots outside the LID boundaries $4,850.00 Site Plan Water Latecomers Water Meter* $ 300.00 Water Meter I.R.R Water ERU's inside ci limits $1,000.00 A (i1 Water ERU's outside ci limits $1,200.00 Consumer Deposit $ 90.00 Plan Review Building Permit / „~~ ~ , WA Building Code Fee $ 4.50 Mechanical Permit Plumbing Permit Yelm Business License # . ~ '' r, V Transportation Facility Charge School Mitigation Fee Open Space Fee DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc CITY OF YELM Building Permit ~ ,, , ~~ ~~ BUILDING DEPT. '+=+' '~,~f ~ g `" '` " Phone: (360) 458-8407 Date ~ '"' ~ (Work must be started with in 120 days) ~ ~~~ ~~~~~~ ~ "" ~iP~ ~ W Name ~ Phone "t ' G -! ~ R Address (..» ^~ City State ~ 1 -r Zip Code ~ ~ Site Address ~, ~ r` ~~ P R Assessor's Parcel No. Lot Size (sq. ff./acres) O P E Subdivision Lot Block T ~ OR Short Plat No. Block Existing Structures, if any: .^~ Name ` ~~ ~ C~ Contact Phone ( ) Address City State Zip Code Ucense No. Exp. Yelm Bus. Lic. No. ) Description of Work ~ ~ ~ ' '~ f OFFICIAL USE ONLY ~ n /(1 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 has ~ Other Sepa Exempt Y N ITEM -° BASIS FDR FEE FEE Floor Plan Y N Building Value '" ' ~~~ J Sets of Prints Other Plumbing Permit # ` WA. ST. BC. Fee (4.50 -New Const. Only) f,,.--~''' Mechanical Permit --~~''~~, ; TOTAL FEE C i r ...~ ?~ Plan Check By ~~" ~ ~'~i Minimum distance of structure from property lines: Issued By ~ (.~~~t.m, ~° 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, ali 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 r Assessor Floor Plan and Permit Submitted / / uarterly Reports Si nature ~ - •'t-~ ~ Date Assessor / / Firm: TRPC / / ~.... y«, CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Building Permit Date -$• _.~ ~,~' (Work must be started within 120 days) .., o N Name ~, ~ ~~~jj~~~$`~ `ry Phone -- °~`C~~( ~ ~% ~ rt Address ' ~ n ~~ `~, 4 City ~ (: State ~ yy Zip Code ~~ f ~~ ~ ~~ `~ \~ Site Address V P R Assessor's Parcel No. ~ ~ Lot Size (sq. ff./acres) O P ( i i i ~ ) ~ ~ -~ ~ ~-~ Lot •.~rj Block R v on Subd s J T Y OR Short Plat No. Block C Existing Structures, if any: o Name 7 ~, C? Contact Phone (~ ` ~1 ~"' f L~ ftrr~s _,, ~ ~,~c~ ~' ~ ~~ •'' '"4 Ci ~ State J~ Zip Code ' ~~; °•~`~~ f Address h' .. ~.t~: (.1~ ~ `,? License No. ~;;~ j j ~ Exp. ~ Yelm Bus. Lic. No. Descri Lion of Work !' , , t_ ~ + ~) P "~~ ~ ~ ~. ~ { (fi 1 L 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 B ildi V l C`" T° '~. ~., t ~ ~ ~ ' ~ ^~ ~ ? Sets of Prints ng a ue u „ , ,~. .,,a ,d . - r Other Plumbing Permit # ~ ~`~~`~~~ ~'~ WA. ST. BC. Fee (4.50 -New Const. Only) d Mechanical Permit# TOTAL FEE ~~~: 4.~ C"~ ~ Plan Che ~ ~ a / Issued By ie l'(~ l~ ~+ !,~, Minimum distance of structure from property lines: __ 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 inconformity 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 ~ Signature ,~`:=----.,._.,__..~..~. „! -• Date r ~ Assessor / / Firm: ~ TRPC / / NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: Q ~,~ ~ ~~ ~~ ~~ ~rvpF. PF.RMiT # FEE RECEIPT # COMMENTS Sewer Inspection Fee Sin le Family) Sewer Inspection Fee Multi-Famil /Comm./Indust. Sewer Latecomers Sewer ERU approved under 1994 sewer ca aci Sewer ERU in the LID + LID assessment Sewer ERU lots outside the LID boundaries Site Plan Water Latecomers Water Meter* Water Meter I.R.R. Water ERU's inside ci limits Water ERU's (outside ci limits Consumer Deposit Plan Review Building Permit WA Building Code Fee Mechanical Permit Plumbing Permit Yelm Business License # Transportation Facility Charge School Mitigation Fee Open Space Fee $145.00 $~ $z'~8fr68' '~ , I;OOC.CO t W ~!~ $4;856-69 $ 300.00 I ~C~`~~ ~ ~~~~~ 7 1? , ~~66-66-- $ 90.00 ~ ~ -~ I~ ~J $ a3e- _~ ~ ~ ~~~, ~~, 1 f 7~F• -75 E~~e+~+ i ~~,iaD ~-1~nnE, ~l ~~%~~ l DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc CIN OF YELM Building Pe~mit ~ ~~ BUILDING DEPT. Date ~ ~ '' `~ phone: (360) 45a-5407 ~.. . ~._~ ~ (Work mus{be started within 120 days) 1F / 1a r,% '~ ~ ~ ~ w / Name ~~~ t'~ .L~ ~?~~ ' ~~~-( t~~ ~ Y- ~~'J~t! ~ _, s~~-~ rl -~ ~ . Phone (~'~" <.:~~~,,~.~ ._ ~ ~' ~ ~ ~a . N E rt ~ r) °` ~ ~ ~ Address ~ ~ )/,C /~°/ /~ ~l ~`~~(!-=l ._. C ~.. f4'~-~. City ~ =~C` ~{,,!-( State t~,f _~ , ..' Zip Code ,r` Site Address ~ ,! i j r?~ ~-'"~ ~'C~} f } R Assessor's Parcel No. W ,~~'..~ ' j i~ -,~~ ~ hi Lot Size (sq. ff./acres) O P % ' E Subdivision Lot ~ Block R T Y OR Shorf Plat No. Block Existing Sfructures, if ~._ Name Address ~~~ Ucense No. '-1~,. T~ _.---- Contact City ~/;~,< Exp. '-''I Phone (,x State ,( ,~ Yelm Bus. Lic. No. Vii" - /~' ~~ `7 Zip Code ` ~~~ "'"') ; ~ Description of Work"" n ~) f '~" ~ ~ f "' ,~ ~ ~ ~" ~ ~ ~ ~l OFFICIAL USE ONLY -f ' I ~ ~ ~ ( i/ -~ ~ ~~ I l ~ ~~ t' ~ Permit Type: . ~ Sq. Ft. per floor: (1st) (2nd) . Sign Residential 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 f`T/~ ` ~ L ~"~! ~~~~ Sets of Prints Building Value J Other .. ~ ,~ Plumbing Permit # ~ WA. ST. BC. Fee (4.50 -New Const. Only) l ' ~ (~ ~~ Mechanical Permit ~ ~ TOTAL FEE =' r ~ ~ Q % (". Plan Check By, +Y ~ ~r -- ~ ''r _ 1 ~~~ Minimum distance of stuucture 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 ~-__ - ''~ .- Date ~;~ '~~ Assessor / / Firm: ~,~:..,..- . _ _ _ ._._ ,, TRPC / / NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: /~~~~ /~ ~~ 1~~.~-C~ ~~ ~~ ~ /~ TYPE PERMIT # FEE RECEIPT # COMMENTS Sewer Permit 125.00 /~ Sewer Latecomers Sewer/Septic* 1,000.00 ~ i l Site Plan ..-- Water Latecomers Water Meter* 300.00 f ~ ~ 1 Water Meter I.R.R. Water Service ERU's 700.00 ~_ l ;n l ~ IV Consumer Deposit 90.00 Plan Review ----, Building Permit 1_~D6 ~~ WA Building Code Fee 4.50 Mechanical Permit -_ Plumbing Permit Yelm Business License # a/ ~~ Transportation Facility Charge _ Open Space Fee ~~~ 3 School Mitigation Fee f r b~ *D UE AND PAYABLE PRIOR TO FINAL INSPECTION BY YELM BUILDING DEPARTMENT! CIN OF YELM Building Permit ~ ~ ~ ~ BUILDING DEPT. -~~ .. ~~.~ ~, ~ b ~ t Phone: (360) 458-8407 Date f , ,. _- (Work must be started within x120 days) ~, ~ ~ ~ ` ~ 1 S w Name .;,,) Phone N E R Address City ,.State Zip Code ~ ~~ Site Address P R Assessor's Parcel No. Lot Size (sq. ff./acres) 0 P E Subdivision Lot Block R v OR Short Plat No. Block Existing Structures, if any: t d~ ~~ )+ Name / Contact Phone T .,, Address '~ ~ ,,~ ~ City State Zip Code ~ License No. l Exp. Yelm Bus. Lic. No. ,~ ~ J _ /t ~ /d t..~; "' OFFICIAL USE ONLY Description of Work ice'" "~~ ~ .~.,, C'_? 4 f"` ~.....~ Permit Type: ~d ~ E 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 ~~, t ,` ~, ~"+ .~ "~ '` Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) ~'"? ~ ~~~,.% Mechanical Permit A ~ ~ TOTAL FEE ~ "'°' Plan Check By ~~ n~~J _` Minimum distance of structure from property lines: Issued By ~ -'' Final insp: / / Front to of Road 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 zo g and land subdivision, anCJ,.1n,-addition, all covenants, easements and restrictions of record. If applying as a cont or, I further certify thatl aRi q curreiliiy.registered contract in the State of Washington. " ' ' 9uarterly Reports Firm Date „ r Assessor / / TRPC / /_ CITY OF YELM Building Permit *,.," '~ ~ ~~ ~ ~ ~ BUILDING DEPT. ~~ } ` ~' ~ Phone: (360) 458-8407 Date r~"` ~i ''`" ~~ (Work must be started within 120 days) O ....,-~-.- i -, ~ ~ Ph ,,,, r r'' ~ "~ „- ~ ~ j~' ~^/ Name _ one ( N a Address ` ~ ~ '~ C'7 City State Zip Code ` ~~'! ' ~ ~ Site Address I • ~ R Assessor's Parcel No. C i Lot Size (sq. ff./acres) O P E Subdivision Lot Block R v OR Short Plat No. Block Existing Structures, if any: C o "` '~'" ry ~~ N Contact Phone ( ) ~ ~ -.. '~4~%' *, ame T Address ~ r ~ ~ City State Zip Code ~ License No. ~ _ ~, ~ ~ ^~ Exp. Yelm Bus. Lic. No. ~ - ~,j ~ ,_) {,, ;i Description of Work "' ~ ~~ i ~s~k'~- 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 °• p ~ ' '~ 11 C'" ~ '' !"'•~ ~ Sets of Prints Building Value ~ t ( , 1 c, r ~ t ~~~ ~ ~ Other Plumbing Permit # . WA ST BC Fee 50 -New Const. Only) (4 '~~ Mechanical Permit # . . . . ~ TOTAL FEE rf ; ~' Plan Check B ~ u. - ' ~ ~ Minimum distance of structure from property lines: __. (,Y ~ 1 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 struc ture 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 / / NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: t d ~ ~' pr~~ I~el~ ~./~l~ N' ~, • 'rvPF. PERMIT # FEE RECEIPT # COMMENTS Sewer Inspection Fee Sin le Famil $145.00 /n~~ N K Sewer Inspection Fee Multi-Famil /Comm./Indust. $145.00 + $35.00 / hr. N Sewer Latecomers ~ t, S Sewer ERU approved under 1994 sewer ca aci $2,480.00 A' , v Sewer ERU in the LID + LID assessment $2,480.00 ~ / / Sewer ERU lots outside the LID boundaries $4,850.00 ~ n ~'i Site Plan J Water Latecomers Water Meter* $ 300.00 ~ /t ~1 Water Meter I.R.R. /' A r Water ERU's inside ci limits) $1,000.00 q ~~~ ~ " Water ERU's (outside ci limits $1,200.00 /t^ (K-~' Consumer Deposit $ 90.00 ~ /~^ Plan Review (~) 7. ~, Building Permit ~~~ ~ r l• WA Building Code Fee $ 4.50 Mechanical Permit Plumbing Permit (~ T1 • Yelm Business License # Transportation Facility Charge ~r ~~ School Mitigation Fee ~ ~~ Open Space Fee .~ DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc CITY OF YELM ~ Building Perrr~lt ,~ , - ? ~~'~ BUILDING DEPT. ` + 1 ' ' ~ ,l ~ ,~:,~' /'` Phone: (360) 458-8407 ; ~ Date `'~ , (Work must be started with in 120 days) ~^/ Name ~ 1,i ' ,. e"+ Phone (c7t,~~ G~' C~ ~~_ N ^ ~ ~ ~ r` ~ ~ "~ n ` ~ State Cit t ~ - Zi Code?1~~~ `` '/ -' i f (~ ~i R Address y ! 1. p a 11 hh Site Address (~V ;,, _., _. _., ...) ~~° ~ ~ ~~.-i~.~ ~'~• ~,1 t".. ,. ~1 P R Assessor's Parcel No. Lot Size (sq. ff./acres) 0 P E {~'~R ~~ Subdivision ~~'~" E ~~ _..~.. ~ ~1 'f'" Lot "°~., Block R v OR Short Plat No. `"' Block Existing Structures, if any: N ..-. ~ ~, Name >~ ~, 7 ~~~. i ( ~ ~~ ti ~ ~,~ Contact ~~. 1L.a'~ ~ _ j ~ ~~(~ Phone (~~~ ~ ~ ~~~~ ~ y ~ T Address City State Zip Code * J ~ ~ ~' ~ ~ _.»- ~ Yelm Bus. Lic No`s ~~~ ~~, ~~-~'r ~ Exp N ~~ ~ U . . cense o. ~ Description of Work (-~ ' ~ ~~ ~ / ~Y `~'~ ' i ~ /~-~, j ( OFFICIAL USE ONLY ~,,,,. Permit Type: Residential i~ Sign Sq. Ft. per floor: (1st) (2nd) , 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 ~ "~ -:;,k C.. ' j ~ ~ t~~r''., /°'~%'~S / tf/ 1 Sets of Prints ; .-, > .~._ . Plumbing Permit # ~~i ~~ t ~`~~'_;, Other WA. ST. BC. Fee (4.50 -New Const. Only) ='~~ ~~ ~ ~ Mechanical Permit #`Yr 1 `' _~1T - TOTAL FEE ~ ~~~ - - '°'~ 1 ...-- °~ Plan Check Byy,~~}~ f __~ r~, , Minimum distance of structure from property lines: Issued By ~ ~ ~1V~.~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 r .-.., Signature ' ~ ~'' - r' Date ~ ~'+~ / `I .,. Assessor / / ' Firm: r'' TRPC / / NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: /.~i n -~[~ ~IF'~fil`/'J Del ~ /J ~rvn~ PFRMiT if FFF. RECEIPT # COMMENTS Sewer Inspection Fee Sin le Famil $145.00 Sewer Inspection Fee Multi-Famil /Comm./Indust. $145.00 + $35.00 / hr. / f /~ (% Sewer Latecomers ~~' ~ 1~ Sewer ERU approved under 1994 sewer ca aci $2,480.00 Sewer ERU in the LID + LID assessment Vie" L~' D~ ~~l ~ ~ Sewer ERU lots outside the LID boundaries $4,850.00 , / /~ /fit Site Plan ~ ~ `~ Water Latecomers ~ ~ /~ Water Meter* $ 300.00 .~ .. j Water Meter I.RR f " ~(( /~ Water ERU's inside ci limits) .00 $1,0% Water ERU's outside ci limits $1,200.00 ~ /~ Consumer Deposit $ 90.00 Plan Review ~p Building Permit ~aa5 7l~8.s'a ~ WA Building Code Fee $ 4.50 -~ ~ "' _ Mechanical Permit / ~ ~ //I ~~ Plumbing Permit ~ () Qb, M ~ Yelm Business License # ~ '~ ^ ~~ Transportation Facility Charge '~. f,. ~ / / ^ School Mitigation Fee ~~ ~~ ~. j']. Open Space Fee 1 Cp~ ~~.-~~ ~~~Q DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc CITY OF YELM Building Permit ~ BUILDING DEPT d``P ~ / ~ ~ ~ ~ . Phone: (360) 458-8407 Date ~ " ~ ~ , (Work must be started wit in 120 days) _ , ° r` ~..... / r'~/~ ~ r `/~ Nam ~ ~~ J---~L ~ Phone -..I . ~ `~ • /~ ~` %~ N R Address ~- City ..,~. >>~ .~ State ~ Zip Code ~ / / n •-, .r., Site Address `~ ~ ~f~ ~~i P R Assessor's Parcel No. Lot Size (sq. ff./acres) E -~ ,, Subdivision C~ / ~• `~ ~ ~ 1 ,r Lot F Block R v OR Short Plat No. Block Existing Structures, if any: -.' Name -' ~~' "~1 ( t f ~"~ _ ; . ~ . c''. Contact ..•~ ~J~. ~ /, Phone [~~j ~~. ~~ ~,~~r ~. Address ~ City State Zip Code License No. ~ }' ~ ~ ' Exp. Yelm Bus. Lic. No. ~ ~ / Description of Work ~ ,~ ( ~ ,~'-' J~ ,' ~~ '~ OFFICIAL USE ONLY l...f Permit Type: 1 ~ Sq. Ft. per floor. (1st) (2nd) Residential i - . 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 ~: /~ ~ (~ c~a ` ~"~ ~ Sets of Prints Building Value r , Other Plumbing Permit # _- WA. ST. BC. Fee (4.50 -New Const. Only) t" ^~ ~ ~~ J ~~ t Mechanical Permit# . ~? ~'~'~.•' _ TOTAL FEE ~~ ~ `~ ~) ( Plan Check By<J ~Lf ~ ~'~~?_~.- , ~, ` r Minimum distance of structure from property lines: ' Issued By e ~ . 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 ~a ~ Signature `;..r~/_...,,~~ ~ F r.`_.k: g;;. rn Date .,~ ~ ?`.. ~ 7 Assessor / / Firm: ~ TRPC / / !~/ NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: Tvnr PERMIT # FEE RECEIPT # COMMENTS Sewer Inspection Fee Sin le Famil $145.00 ~ Sewer Inspection Fee Multi-Famil /Comm./Indust. $145.00 + $35.00 / hr. /`~ Sewer Latecomers ~• ~/A Sewer ERU approved under 1994 sewer ca aci ~- DO b . / ~~ /~ ~(/ Sewer ERU in the LID + LID assessment $2,480.00 , I /~ /V Sewer ERU lots outside the LID boundaries $4,850.00 ~ J ( N Site Plan / ~ 1 n /'~ Water Latecomers ~ ~ Water Meter* $ 300.00 Water Meter I.R.R ~ ~ / /~ /J' WaterERU's inside ci limits) $1,000.00 ~ ~~ Water ERU's outside ci limits $1,200.00 Consumer Deposit $ 90.00 Plan Review C,Y~ ~~ J ~ ~, Building Permit /~~ (! ~~ /I ~ D / WA Building Code Fee 4.50 $ '_ Mechanical Permit L_J~(/~~ t/~. ~~ Plumbing Permit ~ //~. Q O ~~ r Yelm Business License # / ~ ~~ n Transportation Facility Charge ~ ~!~ School Mitigation Fee / /_~t~b~-• ~ ` ~"') Open Space Fee '~ O~ ~tlJ D UE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc CITY OF YELM Building Pec-mit BUILDING DEPT. `, ° ~ ~ l t::~''~ phone: (360) 458-x407 , Date ~_. ,~~--..~-T ~ f ,~_ (Work must be started with in 120 days) -w 1 / ~'. ~^/ Name ~ Phone ( ) ,-, ~ G~ , ,~~-~ E / ~//~ ~.^~ ~~ .~ -~ `~' t ' / R , Address City C.- State Zip Code l ~~ Site Address R Assessor's Parcel No. Lot Size (sq. ff./acres) O E Subdivision ~ ~~ + 1 r~ ~ --ti Lot ( f Block R ~ , v OR Short Plat No. Block Existing Structures, if anv: ~( .--' Name ~ °~Contact '^i ~- ~ Phone, ~ ) 1 ~~+ `~! Address City State Zip Code 1 L" ` - License 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 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 ~ ~ '~ ~~'~ C'~ `r7 Sets of Prints Building Value . ~ j P bi P t `~~ ` Other lum ng ermi # `'""` WA. ST. BC. Fee (4.50 -New Const. Only) ( ~ ~ Mechanical Permit # --~-u-=~-~- TOTAL FEE C" T~ 'yam ~1 ~~ Plan Check By~ ~~~ ,~_ , ~ , ..., Issued By '.1~ ~ ~,~~} ~ ~ ~` ..~ : 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 i~, ,r,~,/ ~"" ~, ~ ,. Date ~ • ~r ~/' `~ Assessor / / Firm: TRPC / / NEW DEVELOPMENT/CONSTRUCTION CHECKLIST ~~ - ~~ ~C -~ 'I 15 `~~ ~, ~ ~ ~i ~ q0 Site Address: D ~~ T~ro~ UTi T2MTT 3f FF.F. RF,CEIPT # COMMENTS Sewer Inspection Fee Sin le Famil $145.00 Sewer Inspection Fee Multi-Famil /Comm./Indust. $145.00 + $35.00 / hr. ~ { ^ f ~c Sewer Latecomers /' / Sewer ERU approved under 1994 sewer ca aci ~ ~ ~ ~ b ~ ~ O Sewer ERU in the LID + LID assessment $2,480.00 p ~ ~ ^ ~ `~ f~ Sewer ERU lots outside the LID boundaries $4,850.00 Site Plan /' Water Latecomers ~ ~, In (f 's Water Meter* $ 300.00 Water Meter I.R.R ~ ~) n ! Y' Water ERU's inside ci limits) $1,000.00 1 Water ERiJ's (outside ci limits $1,200.00 ~ )~ Consumer Deposit $ 90.00 Plan Review ~~~• ~O Building Permit ~ ^ ~ rt (S ~ a}~~ U ! d~ ~- WABuilding Code Fee ~~ $ 4.50 Mechanical Permit ~ ~ ~ ~ ~ ~ , ~~ 1 Plumbing Permit ' f ~ ~ . O O Yelm Business License # n /^ . Transportation Facility Charge /~ ~ ~ / ^ School Mitigation Fee ~ ~~~Op ~ Open Space Fee ~ ~ [)~~ 1 ~ ~ ~D DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:Vvfy Documents\building\NEW DEVELOPMENT.doc CITY OF Y~LM Building Pe[mit ~ ; - ~ " , ~' ~ ~~ , BUILDING DEPT. f r~ ,, ~ phone: (360) 458-x407 Date (~„~„ ~ , ~ (Work must be started within 120 days) , .,~. - a . -. ..._~ ~ ~,' y / i w Name ~ - ~ _ Phone r...-. ,. ) ~~ 5 ~ , ~ ~ ~ Z C (~ ^ '~ ""` ~~ J f R City ` f i T Address State ip ode t { .. r t"'° ( _ ~~ ~ ` ~/ .. Site Address ,,,;,~ p rt ~. Assessor's Parcel No. Lot Size (sq. ff./acres) O E , ( ~, Subdivision ( ~ ~ ~-~ `" .. i i( ^'~ Lot ~! Block R .._. v OR Short Plat No. Block Existing Structures, if any: C ~ N p", . i ~' , r Contact ~ Phone ) (P ~~~ -- N ame ~ T C Address ~-~ City State Zip Code ~ Ucense No. ~ ;~,~, ~, Exp. Yelm Bus. Lic. No. '" ~ -~ ~~~ C`o j ~'' /'rt' ~' `~ ~'~ ;/'~ Description of Work '~ ~+ ~ L ~ ? OFFICIAL USE ONLY C , , , . , ~ 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 ~( 7 "~ Sets of Prints Building Value Other Plumbing Permit # .-J ~ ~ c~ ~ _~ .- WA. ST. BC. Fee (4.50 -New Const. Only) ~ , t Mechanical Permit # r ~? ~i~' ~ '6 1 ( ~ ~ ~~ (~ TOTAL FEE Plan Check Byr•a == ,_ - ~ "° 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. Quarterly Reports :. , Date ~~ ~~ t-' %~ Signature `. f "' : `~ ~~ ~ ~ ~ Assessor / / ~ , , _ ~ , _ .r. Firm: TRPC / / NEW DEVELOPMENT/CONSTRUCTION CHECKLIST -~ ~~~ l~~ ~~ Site Address: ~ ~~~~o ~Rl~ ~ • S~ ~~ ~l~`Y~ TYPE PERMIT # FEE RECEIPT # COMMENTS Sewer Inspection Fee Sin le Famil $145.00 Sewer Inspection Fee Multi-Famil /Comm./Indust. $145.00 + $35.00 / hr. Sewer Latecomers ~ ' ` /~i Sewer ERU approved under 1994 sewer ca aci $~;4~89:96 ~ bbD ~ ~ Sewer ERU in the LID + LID assessment $2,480.00 Sewer ERU lots outside the LID boundaries $4,850.00 ~ f t Site Plan /' Water Latecomers ~ ` t Water Meter* $ 300.00 Water Meter I.RR. ~ ~ ~ t' Water ERU's (inside ci limits $1,000.00 1- Water ERU's outside ci limits $1,200.00 ~ J~ Consumer Deposit $ 90.00 Plan Review ~ , j~' Building Permit ~^~ c,~ N / , ~{~-- / i ~~ /'1 I (// WA Building Code Fee 4.50 $ ~t Mechanical Permit ~` ~ ~ ~~ , ~~ Plumbing Permit --~n h • ^„~ f 1 Yelm Business License # yI Transportation Facility Charge / ~ School Mitigation Fee / ~.~ O'0 Open Space Fee ~ ~ 00 t ~('~ M ~ p'" ~t ,~^~ 1J D UE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 N Name - ~~~ E R I Address Site Address ~~, ' P R Assessor's Parcel No. O (. R Subdivision T Y OR Short Plat No. Existing Structures, if any: ~/x+' V~ V 4 Name ;_~ ~.+~,..~.~...~. .Y ~s-+ -} c Jfli Building Permit .. Date _ . (Work must be started within 120 days) i~ ~ ~ .._ , Cr -~ _~ I,, ~ p Phone (,~~ ~ ~::~,~ , ! ~~ f .:~+ City ~,'°"~ c' f'~`l`4~ ,~. State ~..E ~ r-'1 _ Zip Code ~ ~, i q ~ ~-~,_{ j ~• Lot Size (sq. ff./acres) f Lot -~~. ~'~ Block Block Contact Phone ( ) T n Address City State Zip Code R ~1. 1 ... ,,r. License No. T ~ , " ~ ~„ '~` (~~~ 4-,...~" Exp. Yelm Bus. tic. No :_ ' ° ;^' . ,^' '~.- ~ } Description of Work ~ ~,~,~ '~;, ~ <~ ~ /'i% ~, OFFICIAL USE ONLY Permit Type: Residential Sign Sq. Ft. per floor: (1st) (2nd) 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 ~~` ~ ~ ~ / ~ Sets of Prints Building Value r-- ~ d . Plumbing Permit # ~" Other r~• WA. ST. BC. Fee (4.50 -New Const. Only) , ~4. ) Mechanical Permit # ~~- ~~ r ~ ° >TOTAL FEE r Plan Check By .~3 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 `r;~ji'~ / f ~ Date ~ - Assessor / / Firm: TRPC / / NEW DEVELOPMENT/CONSTRUCTION CHECKLIST ~~ - I ~,~~ Site Address: ~ ~ ~ ~ ~ \ ~'~ mw~ PFRMTT # FF,F. RECEIPT # COMMENTS Sewer Inspection Fee Sin le Famil $145.00 C Sewer Inspection Fee Multi-Famil /Comm./Indust. $145.00 + $35.00 / hr. Sewer Latecomers ~ t / ( y ' Sewer ERU approved under 1994 sewer ca aci $'~ ( ~ ~ ~ /h ^~ /'~ V ~ v Sewer ERU in the LID + LID assessment $2,480.00 Sewer ERU lots outside the LID boundaries $4,850.00 ~ / ~V' Site Plan /` / ~ / /~, t j'1 Water Latecomers Water Meter* $ 300.00 \- C Water Meter I.R.R. / ,~ f ~ u Water ERU's (inside ci limits) $1,000.00 G' Water ERU's outside ci limits $1,200.00 A v ~ Consumer Deposit $ 90.00 Plan Review c c.~CJ ~ ` ~ Building Permit ~/1 OC. ~ ~. ~~ (, d WA Building Code Fee 4.50 $ Mechanical Permit / I ,^ ((~ ((~ ~ ~ Plumbing Permit Yelm Business License # n '~ Transportation Facility Charge / ~~' School Mitigation Fee ~~ Open Space Fee ~ ^ „ I"'~ ~~./ DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\My Documenu\building\NEW DEVELOPMENT.doc CITY OF YELM Building Permit BUILDING DEPT. - _ ~~ ~ ~ ~ ~ ~ Phone: (360) 458-8407 Date ~~~ ~ ~ `~~~' (Work must be started within 120 days) o t N/ Name Phone ( ) R Address City State Zip Code ~ r Site Address +' j 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 Sfructures, if any: C o Name ~ ,~" Contact Phone ( ) T R Address City State Zip Code ~ Ucense No. Exp. Yelm Bus. Lic. No. ~* ~ Description of Work C'• OFFICIAL USE ONLY Permit Type: g~ ~" ` Sq. Ft. per floor: (1st) (2nd) Residential Sign , ~ Commercial Y~... Other Sewer Septic Approval No. - _ 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 ~,..~•"""~ ''°~ ~ Y '~~~ Sets of Prints ~~ Other Plumbing Permit # ~~"" WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit TOTAL FEE ~ Plan Check By ~ ~ ~ r r Minimum distance of stuucture from property lines: Issued B 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 / / ~ _.-. ' ~ ,,r Firm: TRPC / / CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 (Work must be st~rted within 120 days) ~.__ ~^/ /! Name ~ 1^~ ~ )~ Phone r , ( ) N R Address ~~, ~~'' ~J -K. ~ ~ ~ ,,~- ~ ~C.- ~ Cify i State Zip Code ' `'+{~ "~ ^~`T ~' t' Site Address R Assessor's Parcel No, C ° 7 .•y ~ '°r" ~'~ ~ ~1 Lot Size (sq. ff./acres) ( 0 . P E Subdivision Lot Block Y OR Short Plat No. Block Existing Structures, if any: II^^11 ~ %s~~ ~~ ~ ~ ~ '~~ Ph ~ ' / ~ `~ ~ ~ "" ~ ~~~ one ~ ,~ ~ ~ Contact Name .,~„ G ~1''-'~ ~ +~ ~' Ci a , j State r tY . ' Add ~ ~ Zi Code ~ ! r_;~ a- P ~~ ress ..a! ~ ~ , ~-_, Ex Yelm Bus. Lic. No. License No. ~ / i P• ~ / ~ " ~ ~ ~ ~. /~ Description of Work x'r^'+ '~.~ lV~~Y OFFICIAL USE ONLY Permit Type: : ~~ Sq. Ft. per floor: (1st) (2nd) Residential Sign ,•~ °` ~ ,/ Sewer Septic Approval No. Commercial vim-. 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 ~ ~- ~ ~ ,~~ ry y ., ,~~ ~.,i ~'~ Sets of Prints ''°~ Other Plumbing Permit # ~ WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # ~ TOTAL FEE ~ ~) '~°1 i Plan Check By ~ y~+, r~~ r~~~ • I d B ) i ~~ ~ Minimum distance of structure from property lines: ; y ~. _ . ssue ~ , ° 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 Building Permit Date` ~. ~ f±? ~,~ ~~,~~~;~,~ Signature °~ !, Date ! ' ,'~ ~° `,.~, Assessor / / Firm: TRPC / /_ CITY OF YELM Building Permit ~ s BUILDING DEPT. Phone: (360 458-8407 Date (Work must be started within 120 ) /` G ~V ~ ~ w .. Name ~ 1" Z yYl Fd~., ~ ~ +r'+ { .:.. (~ ~ Phone (_ 'o ;) ~~ ] _ ~s- !c-~ ! ,~ N R Address ~ ; ( ~' ~~ Z c'avi ~- r' i r f ,, i City ~ (° ;' ss. t State r._vf ,d{ Zip Code /, i' ~ `r Site Address ~~ i ~ P R Assessor's Parcel No. Lot Size (sq. ff./acres) O P E Subdivision Lot Block R v OR Short Plat No. Block Existing Structures, if any: Name ' ~ (~ .' ,* ~ " GonTacT rnone h .Y'y - •_~ Address -"~ ~,~~ ° ~ >v} r ~l ~ ., ; ;'r1 r~ _!' ~ City ~.r+l I ~ State !,,wjl~{ Zip Code ,, ~~~ Y r w~~,i/,,. License No. ~~ - J r-~ G.) `'- 1: ~ Exp. Yelm Bus. Lic. No. ~ 1 Description of Work ?,,~.t; ~~~ ,r 4~ ;, y:1 ~ : / /~ ;~ - /:, f, ~ OFFICIAL USE ONLY Permit Type: 4 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 yam` ! Sets of Prints Building Value Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permi t # ~--' ~:, ~- ~ '~ TOTAL FEE , / f (' ~.~` Plan Check By Minimum distance of structure from property lines: Issued By t~rl: ~,~:~~ >~` / _> 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 Assessor / / Firm: TRPC / / CITY OF YELM Building Permit ~.~ F r i ~w "~ u~ iL ~ ~~ ~ ~ BUILDING DEPT. ~ i,, ~ ~~ ~ w . Phone: (360) 458-8407 ' Vi Date `~ °°" ~"" within 120 days) (Work must be started ` v...:s ~ ) .. ~ ~ d , '~ s"~ «-- f ,~ ~.. w Name Phone ( ) N (~ ~ ~~ ( { ~ r% R Address City State Zip Code Site Address ~~~,,. P ~ R Assessor's Parcel No. Lot Size (sq. ff./acres) O P E R Subdivision Lot Block T v OR Shorf Plat No. Block Existing Structures, if any: -.,. ~ N 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 w.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 ~ ~ ! ~ ° ~` ~ ~ Sets of Prints Building Value I , Other Plumbing Permit# ,..--~""`~ ~~,V..- WA. ST. BC. Fee (4.50 -New Const. Only) ~ ~ f Mechanical Permit # ""~ L E ? '~ ~~ Pl Ch k B ~ TOTA FE ~~ or r an ec y . Minimum distance of structure from property lines: Issued By ~ ~ ~. ~.., ` Front to of Road Finallnsp: / / • Side Side {;;ear Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: ~ I certify that I have read and exam~ed'fih~ information contained within the application and know the same to be true Submitted / / and correct. I also certify that fhe 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 ~ ~ t ~? •, ~ '` Y ' Assessor / / Firm: TRPC / / NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: ~I ~~,M ~~CI~ ~~-~ r~ ~~1 I ~~ ~ ~~~~ ~i ~~ ~rwF PF.RMiT # FEE RECEIPT # COMMENTS Sewer Inspection Fee Sin le Famil $145.00 '~' Sewer Inspection Fee Multi-Famil /Comm./Indust. $145.00 + $35.00 / hr. /~' Sewer Latecomers ~"~ Sewer ERU approved under 1994 sewer ca aci $2,480.00 ~/ Sewer ERU in the LID + LID assessment $2,480.00 ~~,,.-- Sewer ERU lots outside the LID boundaries $4,850.00 ,% " Site Plan ~/~ Water Latecomers ~"'l Water Meter* $ 300.00 / Water Meter I.R.R i' Water ERU's (inside ci limits $1,000.00 ~ ~` ~~ Water ERU's outside ci limits $1,200.00 ~ -~~ Consumer Deposit $ 90.00 / Plan Review Q ~ i\ J '/r~ Building Permit f ,~ ~1 ((~ CJ~ ~,!~ `X ~ ~ ~~ ~} C/ WA Building Code Fee 4.50 $ Ill~~ Mechanical Permit Plumbing Permit Yelm Business License # Transportation Facility Charge '' School Mitigation Fee Open Space Fee DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Building Permit ~ %`-`," f Date R..:'`""~._ _;~ '~ (Work must be started within 120 days) o `/~ - --; ,, Name iq, , ~'~ ~. i ~ ,(~'1`'.; .~ r• i •;~,i Phone( ) c ( v ,„ "~ N R ,..: -._ - .. Address ' r~. U) /` C rr' .'Yr City ' ~ t i;. ~'~,~ State ~- u' Zip Code './ ,r; ,-"`' Site Address f ~ <_ (/( . i- j~'' ~ ..•-• ` 'I''~l b 1 P R Assessor's Parcel No. '~ ' - ) `,r,~;~°~ Lot Size (sq. ff./acres) 0 P E Subdivision Lot Block R T v OR Shorf Plat No. Block Existing Structures, if any: ~ , i ; .- ~~ c'~ Contact Phone ( Name d ) T Address .-~~ -. •7 i' ~, City ,,'`r- State ~ ,r~ Zip Code `' ~S ~`o ••" ~ License No. -z.:,"-"' r~ 'w~' /'~ Exp. Yelm Bus. Lic. No. ^ ~ . Description of Work '~ T ry . OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (lst) (2nd) Residential Sign s,~~. 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 ~. . fry ~.~. Sets of Prints 1F Other Plumbing Permit # ~~ '~ ~~ WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # ~ TOTAL FEE ,~ ,- Plan Check By ~ i . t` ;4' Yl.`.,f !•r'W` Minimum distance of structure from property lines: f ,r, ~ Issued By c~ ~. i? p1 `~1° 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. ~, ~^~• Quarferiv Reports F Signature f ,,~~ ~ .~y~ Date ~ - Assessor / / /,el Firm: ~ d(e~ ~,~ ~ ,~~i°rt l~,i`~!'.+'~; (`~;,i..~e~ f''~ TRPC / / CITY OF YELM Building Permit BUILDING DEPT. ~ ~ .; ~~ Phone: (360) 458-8407 Date (Work must be started within 120 days) '?~„may ~~,':.- r~~~ "' ~',~.` {/'", d , ,..,~ 0 ~^/ Name ~~ l ~~ ~ r• ~ ~ .y ;' i ~ ` ~; S - r ~ o? Phone (~ ~ i" ~ ~- ~ ,:~ ~,,; ~ ~7 N 1 R Address ~ , ~ "'h ~"!~ r ~ % r' ~ ~ City ~! r`lt~ !_} State Zip Code Site Address ` `~ ~'l ' (;, ~ 1' µ"~ ..,~ 1. 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 Existing Structures, if any: C ' " O - ~ ~-; Contact Phone ( Name ~ ~ ~ - '' ) T 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 ~x~0ity 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 a Other Plumbing Permit # %'~% ~ r WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permi t # ,W I TOTAL FEE rrJ~ : ~ •^, Plan Check By Minimum distance of structure from property lines: ,, Issued By ! ~ ~~*f /,(t`,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 Signature ~' - c~. ,~.. %%r~ ',_ Date ~; `~ , _.' , ' ,' Assessor / / j Firm: TRPC / / ,= a CITY OF YELM Building Permit ~, ~ , , ~~ ~ BUILDING DEPT. ° f ~ ~ f '~" ' ~- ~~ ~ ~ ~~ Phone: (360) 458-8407 ~v ~ Date r z ' ` ~'" (Works ust be started w ithin 120 days) ~~ .~ =.~ .~. ~ i -;- i - .~.. N Name _ ~' Phone (/ "- ~~ '~~ R _ Address ~'~ ~ ( +~~ City ~ State ~ .. Zip Code Site Address ~ ~ - ~ 4 R Assessor's Parcel No. , ~ ~ ~ (~ Lot Size (sq. ff./acres) O P E Subdivision Lot Block v OR Short Plat No. Block Existing Sfructures, if any: r~ --~ Name ~~ ~..~`'.~~... Contact 1 ~~ ~ Phone ) ~.( "` ~. °~) Address ~ ~ ~} City State Zip Code License No. Exp. Yelm Bus. Lic. No. ~ '' Description of Work ~` ~ !-"' ~ ~- ~ ~, ~ ~~~"~ °°~ OFFICIAL USE ONLY i 1 ~ ~~ t'' Cam' Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign r~_ 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 '~) ~ v ~ Sets of Prints Other Plumbing Permit # ~'~~~~ WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Per it ~ yy TOTAL FEE ~ ~ %~) ~ Plan CheclcBy ~ ~ "J ~-~ Minimum distance of sfructure frorri'pibperty lines: Issued By + P 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 applying as a contractor, I further certify that I am a currently registered contract in the State of Washington. Quarterly Reports .,._ Date ~ ~d,~. ~~" Assessor / / Signature ~.~ ~'',,,.t„~.1.K-E' .> ,.a.?-~,.,~.f -P Firm: TRPC / / ,~ ~; . y, CITY OF YELM Building Permit , ..~ ~ ~ ~ ~ BUILDING DEPT. } ~ r ~,.~ ~, Phone: (360) 458-8407 Date . (Wortc,~nust be starte d within 120 days) ~. ~~ i s/ N Name Phone ( ) ;,,1 -` E '°p ~ r2 Address City State Zip Code ~ Site Address ~ P rt Assessor's Parcel No. Lot Size (sq. ff./acres) O P E Subdivision Lot Block R T v OR Short Plat No. Block Existing Sfructures, if any: Name ~~ Contact Phone ( ) T Address City State Zip Code License No. Exp. Yelm Bus. Lic. No . ~ "~ Description of Work ~" OFFICIAL USE ONLY Permit Type: l Sq. Ft. per floor: (1st) (2nd) Residentia Sign C i l Oth Sewer Septic Approval No. ommerc a er ,: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 B ildin V l e ~,~ '"~ ~ ~ Sets of Prints g u a u f V . e Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) ,, ./~ Mechanical Permli ~ ~ j ~ ~ TOTAL FEE ` `~ F ~ Plan Check By ` ~ ~ ~ ~ ~ Issued By~~ ~~~i~. ~ Minimum distance of stuucture 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 i ,~ Signature ~~~'~`"t , . ~~`~ ~; ~z Date - L '~ Assessor / / _ Firm: TRPC / / CITY OF YELM Building Permit ~. ~ ~ ~ ~ BUILDING DEPT. ~'~ ~ ~~~ ~;~~'~~' ~ ~'r`~; , Phone: (360) 458-8407 Date (Work , ust be started within 120 days) Y. . fr ~ { .....x~,.,.r ~ ~ /)T ~~'" ~~~~ j~' ~ a "~ ~ ,.r ~{ter' a r~ !!! ~`/ Name /l< ~ t' ~ f' Phone ( ) E C' n a Address ~ City State Zip Code Site Address /~ ~ ~ ~ ~j ~. P ~ /'y r r., R Assessor's Parcel No. ? Lot Size (sq. ff./acres) O P E Subdivision Lot Block y OR Short Plat No. Block Existing Structures, if any: Name ~f ~j ~ ~1 Address ~~/~ 6yY~ License No. ~ ~~~ / ~ Contact ~~ . Phone ( ) City r ,T State Exp. Yelm Bus. Lic. No. Zip Code / ' T ~~ ~ ~ OFFICIAL USE ONLY Description of Work r - ~-" ``""" ,~ __•-~- ~. ~ ~ ; , / Permit Type: ; r 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 «~ , / r'~' Sets of Prints Building Value ,_,,,,,. ~ Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # ~'' TOTAL FEE ~ ;~ / Plan Chec~ ~~ '~ / ---~r t li f Issued By r s y nes: Minimum distance of structure rom proper 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. ' ,,,- -°' "" ~ h~,,,,,.r~'' Quarterly Reports Signature ; ,. , , Date ~- ~'` ~ a Assessor / / Firm: d '~ TRPC / / CITY OF YELM ~ Building Permit ~ ~ ~ C ~ ~ BUILDING DEPT. " ,.. ~ ~. ~'-,t phone: (360) 45a-x407 Date ;,~` ; ~ (Work must be started wi thin 120 days) w `/~ Name .~' ~ ~ ~ 7 ~ Phone ( ) ~ ~ ~' ~ ~ ~ ' >f` N R Address ~ , ¢~ M City State r i Zip Code //~~ ~ ~ "" Site Address t ~ 1 R Assessor's Parcel No. ~ ~ a Lot Size (sq. ff./acres) O P E Subdivision Lot Block ~T v OR Short Plat No. Block Existing Structures, if any: " , ~ ~ ~/ ~~ ~ o •°~, Phone Contact ~ Name ~ ~ t .,",) Address ~~..~~ ~ ~~~~"~ ~ ~ City - (,?' ~~/ ~~ State r Zip Code ' , t License No. I'! '~ Exp. ~ Yelm Bus. Lic. No. ,I , ~, ~ /' ~ ~ OFFICIAL USE ONLY ~ Description of Work ' ~-.~' Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign . ~ Sewer Septic Approval No. ° Commercial Other Y . y. 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 x~ ~~~ ~~~ -~ ~~ Sets of Prints Building Value Y . Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # , TOTAL FEE ,-~ .`~~ / ~ Plan Check By - t 9 "" a.. ~ -yp r` 4'~ °'` n~` ~ 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 6luarterly Reports ~~ ~'° O ` Si nature ~~ `'' f~" j ~e''~ ~"~;%'''- ''~ P Date !'-°' Assessor / / ,, g ,, Firm: ~~ TRPC / / Y~~ NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: TYYL+' YE1c1v1r1 iF rL~L' r;~~,r.ir1 ~ l.V1V11~11',1\1~7 Sewer Inspection Fee Sin le Famil $145.00 Sewer Inspection Fee Multi-Famil /Comm./Indust. + $35.00 / hr. Sewer Latecomers Sewer ERU approved under 1994 sewer ca aci 0 Sewer ERU in the LID + LID assessment 0 Sewer ERU lots outside the LID boundaries 50.00 Site Plan Water Latecomers Water Meter* 00 Water Meter I.R.R. Water ERU's (inside ci limits $1,000.00 Water ERU's outside ci limits $1,200.00 Consumer Deposit $ 90.00 Plan Review ~ ~~~ ~ ~ ~ ~ (~ ~~ Building Permit ~ c ~- WA Building Code Fee $ 4.50 ~ ~ ,~'~~~ Mechanical Permit _ _ ~`/ Plumbing Permit Yelm Business License # Transportation Facility Charge School Mitigation Fee Open Space Fee DUE AND PAYABLEAT TIME OF~!EBMi~T-LSSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc ~ ~~ ~~ `\ r j 5 ` / CITY OF YELM Building Permit ~ ~ ~ ~ ~ BUILDING DEPT. Phone: (360) 458-8407 Date ~--~ ! (Work must be started ithin 120 days) ~'•~ ~~. o W ! / 3 -' rj~-' Name f - Phone ( ) N ~ , j ~ ~ ~~ ~ ` -~ ~ ~ ~~ ~~~ i N ~-, r• ~ ~ ~ ~ '~~ R State ~./ City ? ~ Address ' Zip Code + ~~ ,. G..-- ~ ~ Site Address ~ .~ ~ ~ ~ ~~ ~ R -.., Lot Size (sq. ff./acres) (.r` Assessor's Parcel No. ~, O P E Subdivision Lot Block R T Y OR Short Plat No. Block Existing Structures, if any: C o Name ° '~ ~ Contact Phone ~ )) ~'° c°~C t T Address ,~'~, `~ ~-- C ~ City State Zip Code license No. L~ .-~ ~ Exp. Yelm Bus. Lic. No. ~ } Description of Work `~~ y- ~ `'~'~ ~ ~'~~ ~ OFFICIAL USE ONLY .~ ~ -"' ~ ~ '~n .t~~i ~' 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 REM B SIS FOR FEE FEE Floor Plan Y N ~ ~ - A*~~ ~!~ ~~ ~ Sets of Prints Building Value ~, Other Plumbing Permit # J~ .~,» WA. ST. BC. Fee (4.50 -New Const. Only) <'~~~,~ ..' r,,,,.,e, Mechanical Permit # '+ TOTAL FEE `~ ' '~~ .~~"~~ Plan Check By , ,- ~.. ~~~ ~ y~} ~ ~~~~, ` T; Minimum distance of structure from property lines: _,!~ Issued By >, / / /1t f,.. 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 / / NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: TVPF. ~~~~~~-t ~~~r~~~~ ~ /rj,~, 1~~I ae~~~~~~~~ PF.RMTI' # FEE RECEIPT # COMMENTS Sewer Inspection Fee Sin le Famil 45.00 Sewer Inspection Fee Multi-Famil /Comm./Indust. s $145.00 -~ $35.00 / hr. Sewer Latecomers Sewer ERU approved under 1994 sewer ca aci $2,480.00 _. Sewer ERU in the LID + LID assessment Sewer ERU lots outside the LID boundaries 4 850. Site Plan Water Latecomers Water Meter* $ 300 ' Water Meter I.R.R. ~ Water ERU's (inside ci limits Water ERU's outside ci limits Consumer Deposit Plan Review / c ~~ Building Permit ~ t WA Building Code Fee $ 4.50 ~ I~ ~~ / Mechanical Permit Plumbing Permit Yelm Business License # Transportation Facility Charge School Mitigation Fee Open Space Fee DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc ~~ ~- ~, -; ~_1 CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 ~~ , Building Permit ~~ Date ,~ ~. ~` . s (Work rrrust be started within 120 days) r `/~/ Name '~" Phone ( ) ~ ~ ° ~ (~ ~, N R Address ~~''^^~~ `~ ,~j City State ~/'~ Zip Code Site Address P Lot Size (sq. ft./acres) R Assessor's Parcel No. P E Subdivision Lot Block Y OR Short Plat No. Block Existing Structures, if any: Name ~-- Contact Phone ( ) Address City State Zip Code License No. ~°'~ Exp. Yelm Bus. Lic. No. ~" t"~'` 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 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 # , tr"" WA. ST. BC. Fee (4.50 -New Const. Only) ~ Mechanical Permit # _ , ' TOTAL FEE ~ ~ Plan Chec ~ ` o ~ ' r ~ f D ^ ~ 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 contractpr, I further certify that I am a currently registered contract in the State of Washington. _.. __ ~ Quarterly Reports ,._. f ; - , ;' Date ~ :// ~% ``? ~ ~ "~ -~'' ,~ Si nature ~r~'" Assessor / / ,,, , . , g ! ; Firm: '~~ TRPC / / NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: TYPF. PERMTT # FEE RECEIPT # COMMENTS Sewer Inspection Fee $145.00 Sin le Famil `~ Sewer Inspection Fee Multi-Famil /Comm./Indust. ~ +~ $35.00 / hr. Sewer Latecomers Sewer ERU approved under 1994 sewer ca aci Sewer ERU in the LID + LID assessment $2,480.00 Sewer ERU lots outside the LID boundaries Site Plan Water Latecomers Water Meter* $ 300. Water Meter I.R.R. Water ERU's (inside ci limits Water ERU's outside ci limits Consumer Deposit . Plan Review '~ ~ Building Permit ~~/ ~~~ [ ' ( / ~ /7 ( WA Building Code Fee 4 . 50 $ 1 ~ Mechanical Permit Plumbing Permit J ~~ ~~~ ~ ~ I ~ % /~ Yelm Business License # Transportation Facility Charge School Mitigation Fee Open Space Fee DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Building Permit ~, ;, ,~~ - y ~.., 6 Z,~~ ,,-. Date `? f (Work ust~be starte~within 12 days) o w Name ~ r` Phone ( ~. ~.. ,~~ ~ , ) '; N ~ ~~ ~ ~ P~~~~r R City State Address , Zip Code / Site Address f P R Assessor's Parcel No. Lot Size (sq. ff./acres) 0 P E Subdivision Lot Block R T v OR Short Plat No. Block Existing Structures, if any: C o Name `, ~ ~ ~ ~=~ _ ~, '~ ~ ~ Contact =~ ~,. -~, Phone ( ) '~ t'~ `~1 ' ~ °^ ~J T A ~ " ,/~ /~ C "" .,... ~~~~ C Ci 1 State J ty L~ Address Zip ode t T ~ - License No. ~ ~ Exp. Yelm Bus. Lic. No. ~ ( 1 1 ~^° ~ _~ ~ ~~ '~ ` ~ ~ 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 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 °""'~' ~ e ~ ~' 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 ~ ~ Date ~'~ Signature Assessor / / Firm; TRPC / / CITY OF YELIVI BUILDING DEPT. Phone: (360) 458-8407 `/~ Name ~ Phone ( ) ~~ N ~, 1 ,~ ~.....~ E ~~ ~,~ . R Address City State Zip Code ,d Site Address ~» P R Assessor's Parcel No. Lot Size (sq. ff./acres) P E Subdivision R T Y CIfJ Shnrt Plnt Nn Block Existing Structures, if any: Name r~. ~ ~ ~ Contact ~~ r ~~ Phone ( ) ~ ° ~~~ Address ~ City State ~ ~ Zip Code ("' ~„. r~ ... / License No. Exp. Yelm Bus. Lic. No. Description Of Work ~ ~ 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 Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~'~ ts~~ C'ry ~ ~ Sets of Prints /,,.: Other Plumbing Permit # / ~ WA. ST. BC. Fee (4.50 -New Const. Only) c Mechanical Permit # `"°'~_ ~ ' TOTAL FEE (~~ ~ !~~f Plan Check B ~; ~ ' Minimum distance of structure from property lines: Issued By ~ ~ Front to of Road r 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 dn'd Permit Submitted / / uarterly Reports 1 t ( -, Signature d` r / ,, ,~~, f r ~ ; a -, ,t ~ ,~ ,~ ~ Date ~; ~-~ ~ 1,~~ • `~ Assessor / / Firm: _ _.! TRPC / / ~ , Lot Building Permit , ~~ ~: w° r ~ . ~ ~ . Date ` (Wor ust be arted within 120 days) ~ ./ _ ,,~ Block NEW DEVELOPMENT/CONSTRUCTION CHECKLIST 2 ~,~-~ / I Site Address: ~ ° )~C .C~7 `~ ~ ~~ ~ ~ ~ c> l,. ~rvpF. PERMIT # FEE RECEIPT # COMMENTS Sewer Inspection Fee Sin le Famil $145.00 Sewer Inspection Fee Multi-Famil /Comm./Indust. $145.00 + $35.00 / hr. ~,.~ Sewer Latecomers Sewer ERU approved under 1994 sewer ca aci $2,480.00 Sewer ERU in the LID + LID assessment $2,480.00 Sewer ERU lots outside the LID boundaries $4,850.00 /~ Site Plan Water Latecomers Water Meter* $ 300.00 Water Meter I.R.R. /,.~ Water ERU's (inside ci limits $1,000.00 '~ Water ERU's outside ci limits) $1,200.00 / / Consumer Deposit $ 90.00 Plan Review ~} ~~ ~~ Building Permit ~ t' ~ "~ i 1 L WA Building Code Fee $ 4.50 Mechanical Permit Plumbing Permit -'' Yelm Business License # Transportation Facility Charge School Mitigation Fee /~ Open Space Fee DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc CITY OF YELM Building Permit ~~~r~ BUILDING DEPT. .~--~ Phone: (360) 458-8407 Date ~; ' ~' `~ `"'1 ,r (Work must be started within 120 days) ~ ~ ~~ t f ~^/ Name Phone ( ) E ~ ~J ~k j~' f ••r'~ ~'7 ~ ~ a Address ~ ~a. ~ City State Zip Code ~ Site Address ' ~/ ~ ~,- ~- .~ ff /acres) L t Si R s Parcel No. Assessor ] . ze (sq. o C~ O P E Subdivision Lot Block R Y OR Short Plat No. Block Existing Structures, if any: . ~'~~'~. .~.. Contact Phone ( Name ~ ) ~-~ T .. ~ .~s Address -~ •~'~,~, J , p ~, City ~~" State J ~...~ Zip Code ` ?C'- ` ` ~ f~' , ~ License No. ~ l~' ~ .A Exp. Yelm Bus. Lic. No. ' ~' OFFICIAL USE ONLY ~ Description of Work 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 - 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 Coast. Only) Mechanical Permit # rp /~~ ~ f ~ !, ly'" ~( TOTAL FEE ;. ~ ~ ~ Plan Check By 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.thB 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 thdY I am a currently registered contract in the State of Washington. %~ 9uarterly Reports '~ Signature A` f ,. //'li~+"'"'1 Date // irC" ' Assessor / / ?' ~ 1~ Firm: ,` ,,:?d~4/~`! ,/~ _.f(_... ~~.`~.'.';, TRPC / / CITY OF YELM Building Permit BUILDING DEPT. " °'` Phone: (360) 458-8407 Date (Work must be started within 120 days) i; ~~ l ~,+ .. ~ i ~tf. i o w Name '!~ ~ ~ ~ s Phone ( ~. ~ ~' j ) ~~ ..7 ! `~ N R Address r ~~ ~ r~ h ~ y c City 1. State ~ i .r '-t Zip Code ~ A ~ ' ~ ~ _ti ~~ ~ )T Site Address - .0 ~ ~ = F ~ '-"Z R Assessor's Parcel No. r 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 ( ) T Address City State Zip Code r2 License No. Exp. Yelm Bus. Lic. No. Description of Work 1 ~ 7 ~ ~ OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other 1 i 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 ~ r F_ '"~`" Sets of Prints Building Value . ® ~~ ~,,,. ~~„~ Other Plumbing Permit # "'" ~ WA. ST. BC. Fee 03.50 -New Const. Only) / 11 !'~. ~ f Mechanical Permit # `~~ ~~~„ ~ ~_, / F ~ ~ ~ ~~ ~Y , ~ ~ ~ TOTAL FEE ` ` e Plan Check gy ~ - _ 4 ] , ~ l ~ ~ •'~~ 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. Quarterly Reports '.Signature ~ ,; .~ ~ ~ ,.~•, ", Date •', i ~ ~ ~ Assessor / / t Firm: ~ TRPC / / NEW DEVELOPMENT/CONSTRUCTION CHECKLIST v _._.--. Site Address: TYPE PERMTT # FEE RECEIPT # COMMENTS Sewer Inspection Fee Sin le Famil $145.00 Sewer Inspection Fee Multi-Famil /Comm./Indust. $145.00 + $35.00 / hr. ~-a Sewer Latecomers ~~ Sewer ERU approved under 1994 sewer ca aci $2,480.00 Sewer ERU in the LID + LID assessment $2,480.00 Sewer ERU lots outside the LID boundaries $4,850.00 _~ Site Plan Water Latecomers ~ f~ Water Meter* $ 300.00 ~~ Water Meter LRR WaterERU's (inside ci limits $1,000.00 Water ERU's outside ci limits $1,200.00 ~~ Consumer Deposit $ 90.00 Plan Review ~q~~ ~ , ~~ ~~, ~ Building Permit ~ 1 ~ ~~ "~ ~ ~ WA Building Code Fee $ 4.50 z ~~ Mechanical Permit _/ Plumbing Permit ,/~~. Yelm Business License # ~.--~ Transportation Facility Charge - ~_---- School Mitigation Fee _'-~ Open Space Fee i-- D UE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc CITY OF Y~LIV~ BUILDING DEPT. Phone: (360) 458-8407 „~. , Building Permit ~ Date /' - r ~ ~ ,,~ . ~ "~ (Work st be starte ithin 120 days) w '' i+ Name ~ ~F ~~~~~ ((-~^'' ~ ~ f.`~ 4 Phone ( J : , ) ~ ~ N R Address ~ Ci tY -T [ ~ f G / State Zi Code ~ P ~ ~T Site Address P R Assessor's Parcel No. lot Size (sq. ft./acres) o P z _~ R Subdivision (_, Lot Block Y OR Short Plat No. ~'~ Block Existing Structures, if any: N ~•i Name `~-- ~, Contact Phone ( ) r A Address ~ City State Zip Code License No. , Exp. Yelm Bus. Lic. No. '`~ ' J C"~ , ~"` Description of Work 'L ~- ( ~ ~ ~ , (,~~~~ ~,~~` ~~ ~,, OFFICIAL USE ONLY + ~ ~ Permit Type: Residential Sign Sq. Ft. per floor (1st) (2nd) Commercial Other Sewer Septic Approval No. 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 ` ~ ~ ~ ~ Sets of Prints Building Value ~ * ( !'_ ~~ Other Plumbing Permit #~, w 4 N C t O l 50 ~ Mechanical Permit # WA. ST. BC. Fee . ew ons . n y) ( - TOTAL FEE Plan Check By a» .,.. ~ 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 Repori'S Signature ,/~ , , -'~'~ `~ ' ~ ,,~ ~4-~ Date Assessor / / i Firm: ;~''r ~ TRPC / /_ NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: .. E..~~ ~1 TYPE PERMIT # FEE KE(;EIY'1' I:uMME1v 1 Sewer Inspection Fee Sin le Famil $145.00 Sewer Inspection Fee Multi-Famil /Comm./Indust. $145.00 + $35.00 / hr. F-t Sewer Latecomers ~ Sewer ERU approved under 1994 sewer ca aci $~ ,4~ ~ On ~~ p~ Sewer ERU in the LID + LID assessment $2,480.00 Sewer ERU lots outside the LID boundaries $4,850.00 ~ ~~ Site Plan ~ ~ r~ Water Latecomers ~ ~~ ~~ Water Meter* $ 300.00 Water Meter LRR. / ~ I n l f-~. Water ERU's (inside ci limits $1,000.00 Water ERU's outside ci limits $1,200.00 n /~ Consumer Deposit $ 90.00 Plan Review ~~ ~` I~ Building Permit r/~ ~s ~~ ! WA Building Code Fee 4.50 $ Mechanical Permit Plumbing Permit (a'~-j'D/~ Yelm Business License # ' ,,,,~ n ~n (,~(~~j Transportation Facility Charge School Mitigation Fee Open Space Fee D UE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Building Permit Date (Work r~ ust be scarfed within 120 days) D ~`/ ~^'' ~ Name '~ Phone ( ) ~' N E R Address c City fh State Zip Code f-' ~ ~ ~ {~ Site Address ,,,, ! R Assessor's Parcel No. . ~ Lot Size (sq. ff./acres) O E Subdivision ~ ~/~ --' i t r ~ ~ ( Lot ~ Block R T Y OR Short Plat No. Block Existing Structures, if any: Name `~~' ~ '~+• Contact Phone ( ) Address City State Zip Code 1 License No. Exp. Yelm Bus. Lic. No . C""'"' ~~ ~ OFFICIAL USE ONLY y ~ Description of Work ~ Permit Type: Residential Sign Sq. Ft. per floor: (1st) (2nd) 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 FE FEE Floor Plan Y N ~~ ~ Sets of Prints Building Value ~rµ Other Plumbing Permit # ~~~~ : WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # - - ~ .-- TOTAL FEE ~} , Plan Check By i ~. ~ ' , ~ ~.. ? 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. J,,~ E. Quarterly Reports ..... `..... .... ~ f - Signature i~ ,~ _. e;;, ~ '" ~ ` ~ Date . _ .- Assessor / / `/ ~ Firm: TRPC / / ~~ ~ ~ ~L NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: ~~~~ ~~~~ ('~~LI~Z l ~~ ~~ ~ ~~ ~rvpr PFRMTT # FEE RECEIPT # COMMENTS Sewer Inspection Fee Sin le Famil $145.00 n i Sewer Inspection Fee Multi-Famil /Comm./Indust. $145.00 + $35.00 / hr. r `~ Sewer Latecomers J/~ Sewer ERU approved under 1994 sewer ca aci $ l ~ ~ , f `-( Sewer ERU in the LID + LID assessment $2,480.00 ~ /~ Sewer ERU lots outside the LID boundaries $4,850.00 Site Plan ~ /~ / d Water Latecomers ~ ~ /~ Water Meter* $ 300.00 Water Meter I.RR. _~ J~ Water ERU's inside ci limits $1,000.00 Water ERU's outside ci limits $1,200.00 ~j~ Consumer Deposit $ 90.00 Plan Review (~~~~ /~ _6 (./ Building Permit ~~ •~ WA Building Code Fee $ 4.50 Mechanical Permit Plumbing Permit J~~~ /,~~~ ~~ "( Yelm Business License # q C~~~~3~ Transportation Facility Charge School Mitigation Fee /n l(~ Open Space Fee DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc CITY OF YELM Building Permit , BUILDING DEPT Y,. ~ ~ ~ ~ ~ ~' . Phone: (360) 458-8407 ~ Date ; (Work mu t be starte within 120 days) `y. ~. } ~ ~ ~ , ~,, ~ ~^/ Name Phone ( ) r{ ~ '"~ T N R /~ Address chi,, { City '"~ State 1(~ ,. ~._ Zip Code ~` Site Address ~ f`, ~ /~_~ R r-~ ~ ~` Assessor's Parcel No. ~~..~. i~ ,~ ©~ Lot Size (sq. ff./acres) O P E Subdivision 4!' Lot Block R T v OR Short Plat No. Block Existing Structures, if any: ~"'.,. Name Contact Phone ( ) Address City State Zip Code License No. C"" Exp. Yelm Bus. Lic. No. ~ Description of Work '~ s ~~ ~,_ ~`'~ ~ ~ r OFFICIAL USE ONLY `~.„ Permit Type: ~ ~ Sq. Ft. per floor: (1st) (2nd) Residential ~~ e.•-„ 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 r ° Sets of Prints Building Value Other Plumbing Permit #~„ WA. ST. BC. Fee (4.50 -New Const. Only) r. Mechanical Permit # TOTAL FEE ~ ~"` ~ ~ Plan Check By r -w~ _ "~ Minimum distance of structure from property lines: Issued By w )~ d '! ~~4~ ~. -~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" ~ -~~ f ~ ~' Date Assessor / / Firm: / TRPC / / 2~~~_~~ NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: ~~ ~~~~ T ~ ~ ~ ~ ~ ~ l TYPE PERMTT # FEE RECEIPT # COMMENTS Sewer Inspection Fee Sin le Famil $145.00 ~~ Sewer Inspection Fee Multi-Famil /Comm./Indust. $145.00 + $35.00 / hr. Sewer Latecomers ~ ~) n (H Sewer ERU approved under 1994 sewer ca aci $2;4899 I Db ~ L b a ~ Sewer ERU in the LID + LID assessment $2,480.00 ~ /~ Sewer ERU lots outside the LID boundaries $4,850.00 ,1 )~ /~l- Site Plan Water Latecomers ~ ~ /~ r Water Meter* $ 300.00 Water Meter LR.R. ~ ~ ~ 4 / ` Water ERU's (inside ci limits $1,000.00 Water ERU's outside ci limits $1,200.00 ~ ~~ Consumer Deposit $ 90.00 Plan Review ~~ c ~~ Building Permit `~~I~ Gb WA Building Code Fee $ 4.50 Mechanical Permit Plumbing Permit ~Vc Yelm Business License # ~'~~~~ Transportation Facility Charge J/~„ /~. School Mitigation Fee /~~~ ,~- ~Lp`J lJ Open Space Fee -~ J,~~ DUE AND PAYABLEAT TIME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 ~-- ~-, Building Permit t A ~ ~ ~ 7 ,,~ Date F.•-~ ~.~;' (Work must be started within 120 days) ~ ~ ~, _~~~ `~/ Name Phone ( ) N ~ `~ ~ `~ ~ _/ ( Z `'" R Address City State Zip Code + ~, ~, ~ ° l~ o Site Address ~ -~ a R Assessor's Parcel No. ~ ~ ~ Lot Size (sq. ff./acres) 0 P E Subdivision Lot Block R T Y OR Short Plat No. Block _.y ~ ~, r,.,.. ~_.., Existing Structures, if any: N Name ~" Contact Phone ( )'~ ,~ " '~ 7 ~ [ ~ ~~ C 1.x1 Address City State Zip Code o License No. ~ W~ ~, Exp. Yelm Bus. Lic. No. f n f W rk D i ti ~, ~ OFFICIAL USE ONLY escr p o o o ~~ Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign 9 e~~ 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 ,,..-~^~•"°` '~~"" '~ Sets of Prints Building Value ~,_ - ..-~-',` •" Other Plumbing Permit # - -""` WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # "'"~ ~ TOTAL FEE "' ~~ Plan Check@v ~x 1 tt ~ Minimum distance of structure from property lines: Issued By ~../ ~ ~,C~~~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 r certify that I am a currently registered contract in the State of Washington. applying as a contractor, I furth e ~ ,~? / ~ ~ fi ~~ ~ r' ~,.._,~ r , r ,. Quarteriy Reports _ °~' ~ , ` f~' f' ~ ~ ~ r Date Si nature • g / i ,i v . Assessor / / Firm: ~` TRPC / / CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Building Permit ~ ~ ~ ~ "_ ,~ , ~~ Date °° ~ f e'~ ~ %~~~ a~ a `° ~ ` '"~ (Work mint be started within 120 days) ,. ~^/ Name ~ ~ '~ ,'l ~) Phone ( ."" v ~ R Address , ~./ . ~ City j w .r° 'Mate Zip Code ~~~ ~ ~ Site Address d~,'1 f,-~ ~~ ~`, P a Assessor's Parcel No. Lot Size (sq. ff./acres) 0 P E Subdivision Lot Block Y I OR Short Plat No. Block Existing Structures, if any: Name Phone( ~_ '"' ! ~ "~ , ~ ~ ~°~ ~ Contact 1 '" ~ State Zi Code ~~'~' ~ry r "r '~ ~~~~~ Cit p y Address License No. Exp. Yelm Bus. Lic. No. Description of Work ~,~ ,. + ~f~ ~ ~-~ OFFICIAL USE ONLY Permit Type: i~ Sq. Ft. per floor. (1st) (2nd) Residential Sign ,~,f/ i l "` Oth C Sewer Septic Approval No. ommerc ? ~.~ er a 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 --°""'~~ ` ~ Sets of Prints Buildin Value g f °'" ~~ ~ ~ C , Other ~ . ~ Plumbing Permit # i WA. ST. BC. Fee (4.50 -New Const. Only) ,.,.-•-"'""° Mechanical Permit # •' TOTAL FEE ~ ~~ ,~ Plan Check By «•"'°'~-~~ ' Minimum distance of structure from property lines: * /} ,r r 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 .., - .. ,." .-- ~ (~.,~ ` ` g ~,- ",,..~ ' . _ ° .. Date " `y ~ Si nature - Assessor / / Firm: TRPC / / CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Building Permit Date /'~ a ~~~'~~ ~ >~ ,. (Work~hust be started within 120 days) a w Name ~ Phone ' ) ' ~~:~ N E ~~ ~ I f ~ r ~ ~ R Address t - - City State 1 .~ Zip Code - Site Address / ' /' r ~ ~ ~ s P I No. Assessor Lot Size (sq. ff./acres) t• P R Subdivision ~~( Lot Block T Y OR Shorf Plat No. Block Existing Structures, if any: C o Name ~ - ~ ~~ Contact ~' "' ~~ Phone ( ) ~ ~ i _ ~`~~ Address ~~ ~ City Yom. State ~ Zip Code ~^ '~~~^~``; ~ License No. Exp. Yelm Bus. Lic. No. y ( j ~('` r •^'` Description of Work P~6 OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential ~ Sign Sewer Septic Approval No. Commercial Other k~,City 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 °~ ~- ~"'~ e Sets of Prints Other Plumbing Permit # [~~~ " WA. ST. BC. Fee (4.50 -New Const. Only) r~l_.' Mechanical Permit # r' l ~,- TOTAL FEE ~ , , Plan Check By- ~ ~'~~. Minimum distance of structure from property lines: Issued By ~--~ r~al ~.L~~f"' '""'.,. Front to of Road r 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 ~ ~ ~y~ CL~ ~~~t e__-~ Date ,~s ' ~ - "') j Assessor / / Firm: TRPC / / NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: TYPE PERMTT # FEE RECEIPT # COMMENTS Sewer Inspection Fee Sin le Famil $145.00 Sewer Inspection Fee Multi-Famil /Comm./Indust. $145.00 + $35.00 / hr. ,~ ~~( Sewer Latecomers ~ ~ /~ Sewer ERU approved under 1994 sewer ca aci $ ,480.00 ~ n ~" /~' Sewer ERU in the LID + LID assessment $2,480.00 K / V~ Sewer ERU lots outside the LID boundaries $4,850.00 Site Plan G~~ p( Water Latecomers f ~ ~y Water Meter* $ 300.00 I Water Meter I.R.R. Water ERU's (inside ci limits $1,000.00 Water ERU's outside ci limits $1,200.00 ~(/ n / ~ ~(' Consumer Deposit $ 90.00 , Plan Review j„ I I~ Building Permit /1 ~L. ~/~/ _ ~~~ ( ( (J ~ , lam'"( WA Building Code Fee $ 4 50 Mechanical Permit ~~~ ~j. / / ~ ~1~ Plumbing Permit ~ / ~ ' i,/`/ (, Yelm Business License # /~, hl ~ ~ ~ (~ ~, Transportation Facility Charge School Mitigation Fee Open Space Fee D UE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:Vvfy Documents\building\NEW DEVELOPMENT.doc ~[~ I ~ ~~ CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 O ' ~^/ Name N E rt Address ~' Site Address P R Assessor's Parcel No. O P E Subdivision R T y OR Short Plat No. (Work rv~ust be started within 120 days) Building Permit Date l l ~`~e ~ . ~i`~ ~3 ~ ~~r~' 5 Y a ~ Phone f,~r1 ., ~ j p ~~ ,f't"~ City (/'~r~' State il~.- ~ ~ , ...y .... Lot Size lsa. ff. Lot Block Block Existing Structures, if any: ,r-^ ~^,° ...--7' " ~ 1'. v C ('^_. N Phone ~ ,,,. ( Name ~ GW Contact -~ ~ ) A Address ~ ~ City i State Zip Code ~ ~ i:% ,~~ r~~ R License No. '~ Exp. Yelm Bus. Lic. No. 1..~ ~ Description of Work o~-~ ~ ~^ ~ ~ ~ ' ~ ~`-~ t ~ ~~ ~ OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (lst) (2nd) 4.. 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 F OR FEE FEE Floor Plan Y N / ~~ - ~} L 1 ~ ,- Sets of Prints Building Value . ~ ; w .. '~ ~ ~ ~~ ~,x, ) ~ t Plumbin Permit # ~ Other ~ , g . ~ ~< ~ Mechanical Permit # ~~~ WA. ST. BC. Fee (4.50 -New Const. Only) ~ TOTAL FEE ~ r ~'? ~,.. /? '~ .~"-.~K.-- ) Plan Check By -`~ ~ ~ Minimum distance of structure from property lines: " ~~.._~ -~... Issued By ~.~ i ( L ~N-. Front to of Road l:inallnsp: / / 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 i ,,_..~ , `-"°-~, .... .~.°.-- Date ;, , t~ 1 Assessor / ~ / Firm: TRPC / / NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: ~~~~~ ~~R~~(~(.~ TYPE PERMIT # FEE RECEIPT # COMMENTS Sewer Inspection Fee Sin le Famil $145.00 Sewer Inspection Fee Multi-Famil /Comm./Indust. $145.00 + $35.00 / hr. Sewer Latecomers ,, 1'u Sewer ERU approved under 1994 sewer ca aci $AB• ~ ~ ~ 1 Sewer ERU in the LID + LID assessment $2,480.00 Sewer ERU lots outside the LID boundaries $4,850.00 n ~ / c ~" Site Plan !~ Water Latecomers ~. A ~ I / ~ Water Meter* $ 300.00 Water Meter LR.R. /~ ~ J~ Water ERU's (inside ci limits) $1,000.00 -~ Water ERU's outside ci limits $1,200.00 ,~ / ] n / ~. (f-r Consumer Deposit $ 90.00 Plan Review /~ , ~ (~ Building Permit / ~~ ~~ ~ ~ WA Building Code Fee $ 4.50 Mechanical Permit -~ Plumbing Permit ~~0~ ~ ~ro ~/~ (,/ 1 Yelm Business License # /~ l ` ! Transportation Facility Charge School Mitigation Fee Open Space Fee D UE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc (~ ~ ~~IQ~. CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Building Permit ' ~. date ~.,~~,~ ~~'~~ ~~ ~d..~'~233 (Work must be sta d wi in 120 days) ~^/ Name Phone ,~ ,,'j N )) R Address f'l' ;.^ City ~ ~ ~ State ,~"'~ ~ib Co e / -"i' ) ~~ ~ Site Address P ~~ Lot Size (sq. ff./acres) ~ Assessor's Parcel No, p~, F ` ,..M E Subdivision .~. Lot Block R T v OR Short Plat No. Block Existing Structures, if any: Name ~ ~ Contact Phone ( ) Address C ~. ,~ ~ ~''~~ ,,..,,.. City ~~~° ~ State Zip Code License No. ~ Exp. Yelm Bus. Lic. No. Description of Work ~` ..~ ~ ~ -^~ (j~ M~ ~_~ ~ 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 ~ d' (_`~" Y Sets of Prints Other Plumbing Permit # ~~ ~~ ' WA. ST. BC. Fee (4.50 -New Const. Only) ~~ - ~ -•, Mechanical Permit # ~ ~ TOTAL FEE l% t r r Plan Check By J ~ ~R~ ~ ... /1 Minimum distance of structure from property lines:" "` ~` {~''''" ~ Issued B'~~,~j ~...~-+~~~ 6~ Front to - of Road F1Piallnsp: /~_/ 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 ,-` ~~9 n1 i,ti ~~ ~ ,t ! f ~, Date ~ _~ ~ ° `'T z~ Assessor / / Firm: TRPC / / NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: TYPE PERMIT # FEE RECEIPT # COMMENTS Sewer Inspection Fee Sin le Famil $145.00 Sewer Inspection Fee Multi-Famil /Comm./Indust. $145.00 + $35.00 / hr. n / I X Sewer Latecomers ~ ~ l Sewer ERU approved under 1994 sewer ca aci $Z 486:6' ~ ) ~ ~ , f ~ ~ rn 1(~ Sewer ERU in the LID + LID assessment $2,480.00 ~ /~ /-I Sewer ERU lots outside the LID boundaries $4,850.00 Site Plan ,~/- Water Latecomers / Water Meter* $ 300.00 ~ Water Meter I.R.R. / /~ Water ERU's inside ci limits) $1,000.00 Water ERU's outside ci limits $1,200.00 Consumer Deposit $ 90.00 1 l Plan Review Building Permit __ ~ ~O~ J WA Building Code Fee $ 4.50 ~ ~ Mechanical Permit J ~ ~ rj a ~ ~5 Plumbing Permit ~~O ( q~~ (( i Yelm Business License # ~ n ~ D~ ,r1 LJ (~ Transportation Facility Charge School Mitigation Fee Open Space Fee DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc I ~,,f ;~.. ~ l , ~-l V .- ~ > CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Building Permit ¢-~ ~ ~ ~ ~ # '~ f Date ~ (Work m t be started within 120 days) ~^/ Name Phone ( ) R Address ~~ ~ City State Zip Code ~`~ Site Address ~, ~ ~ - ~ _ ~ F)' P R Assessor's Parce o. ~ Lot Size (sq. ff./acres) O yy E Subdivision ~~~J r Lot •T~ Block R T Y OR Short Plat No, Block C Existing Structures, if o Name ~` :-ti T Contact Phone ( ) ~ City State Address Zip Code -, r, ~ License No. Exp. Yelm Bus, Lic. No, ~ Description of Work OFFICIAL USE ONLY Permit Type: (2nd) S Ft fl 1 t Residential Sign q. . per oor: ( s ) 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 ~- ""qq ' ~ Other ~ Plumbing Permit # ~' ,//J,,., M h i ` ILA ~ P WA. ST. BC. Fee (4.50 -New Const. Only) an ec cal ermit # . ` f'I Y t TOTAL FEE .w. ~ , P'f Plpn Check By ~ ~ ~ ~+ ~, ,-, ~ Mi i di t f f t f rt li p Issued B>jy ~ f ~ ~ i U ~ 11~•-- ~` n mum s ance o s ruc ure rom prope y nes: . 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 a land subdivisio., nd in addition, all covenants, easements and restrictions of record., If applying as a contrac~r, I furthec'eertify th am a currently registered contract in the State of Washington.>r ~j / ~ ~ ~ ~. 9uarterly Reports Signature ,~.~%'~ t ,~.~ ~ ~' -~~-~"°'""''~'•'~ Date ~7 "=~'~ - Assessor / / Firm: r, ..-- • '~..._. j r~ /' ~ TRPC / / NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: TYPE PERMTT # FEE RECEIPT # COMMENTS Sewer Inspection Fee Sin le Famil $145.00 Sewer Inspection Fee Multi-Famil /Comm./Indust. $145.00 + $35.00 / hr. Sewer Latecomers J ~ Sewer ERU approved under 1994 sewer ca aci $2,480.00 Sewer ERU in the LID + LID assessment $2,480.00 ,~ I / `-~ Sewer ERU lots outside the LID boundaries $4,850.00 ~/ / n y '~" IG( Site Plan d /~ / Water Latecomers / ~ Water Meter* $ 300.00 Water Meter LRR. // ,z / / ~ Water ERU's (inside ci limits $1,000.00 Water ERU's outside ci limits $1,200.00 ,~ j / ~- Consumer Deposit $ 90.00 Plan Review b ~ I J Building Permit 3 ~ m ~ ~~ WA Building Code Fee / $ 4.50 Mechanical Permit C Plumbing Permit ~~ r, ~ c i Yelm Business License # _/ ~ , Transportation Facility Charge ~ / ! fi School Mitigation Fee n/ Open Space Fee DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc ~(~, ~ J1r. ~! ~~ 1~ ~~-~~~ CITY OF YELM BUILDING DEPT Building Permit ~~ (~ ` ~ ~ ~ ~ ~ . ~ __ ~ ~ phone: (360) 458-x407 Date (Work must be started within 120 days) r ~ ~~~_., ,.:,~ f `, o N Name ~~ ~ + _,.L~' t Phone ( ) r C`" ~' '~ T" `~ E R r/ yr Address ,) ~ City 9~ate .P""1e. C_- 1 Zip Code 1, Site Address / ~~~ ~~ I`"`f r P ~ ( ~ l a ~ Assessor's Parc No. Lot Size (sq. ff. acres) P a Subdivision ..,r~~ = ~~ ~:.~~ Lot ~ Block T v OR Short Plat No. Block Existing Structures, if any: r`"`` Name Contact Phone ( ) Address _ City State Zip Code ~ ~*"' f , License No. ~ ~ Exp. Yelm Bus. Lic. No. d~ -~' 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 Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N ` r N ~ '! ~.~~, Sets of Prints Building Value ~ ~,,, 1 ~ Other Plumbing Permit # r /a"' ~" ' ~. ~/ WA. ST. BC. Fee (4.50 -New Const. Only) ,~ ~ , ~ / Mechanical Permit # ~ ~ ~ f TOTAL FEE ~ Plan Che~By + ~ ,... ,. 4 ~ Issued By ~ 1 - 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 subdivisio nd in addition, all covenants, easements and restrictions of record. If applying as a contra~igor, I ~Grther certify th m a currently registered contract in the State of Washington. r°' ~ J „r ( % Quarterly Reports Signature `,~ ,,.~ Date ~w` Assessor / / ~~~+ / Firm: jr ,, .~ .,/ y_ ~ .. p,, ~' ~ TRPC / / . - -- _- ~ ,~ NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: ~rvrF. PERMIT # FEE RECEIPT # COMMENTS Sewer Inspection Fee Sin le Famil $145.00 ~O Sewer Inspection Fee Multi-Famil /Comm./Indust. $145.00 + $35.00 / hr. A / ~ ~1 Sewer Latecomers ~ p( f Sewer ERU approved under 1994 sewer ca aci $2,480.00 /~~ Sewer ERU in the LID + LID assessment $2,480.00 ,, f 1~ Sewer ERU lots outside the LID boundaries $4,850.00 rI ~ X Site Plan ~/ Water Latecomers _~/ Water Meter* $ 300.00 ~~ Water Meter I.R.R ~,~ ~( / Y`~- WaterERU's (inside ci limits $1,000.00 Water ERU's outside ci limits $1,200.00 ,~ / !' ~ Consumer Deposit $ 90.00 I ~~ Plan Review ~ , I ~ ` Building Permit ~ °~ WA Building Code Fee $ 4.50 1 Mechanical Permit ; ~ _ /' Plumbing Permit ~ ~~ Yelm Business License # , Transportation Facility Charge School Mitigation Fee .,_.., ~ (/ n /--( Open Space Fee / ~- DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc CITY OF YELM ~ Building Permit ++ ~ ° ~ ~ ~~ y ~~ f ~ 4J~ ~ BUILDING DEPT. ` ~ ~ c { Phone: (360) 458-8407 _r~,"' Date ~~'~~-~~~N ~ (Work must be started within 120 days) ~~ F .. w Name ~ ~ ~ Phone ( ) ~ ~ ~.,_ 1 r"-..... a j'~~ Address L/ ~', City % ~ -Late Zip Code l?' n ~ Site Address 1 ~ R Assessor's Parce o. t ~ ~ ~~ Lot Size (sq. ft./acres) ~ P n ~` # ! am 3 ` '~ a Subdivision ~ L .. Lot Block " T y OR Short Plat No. Block Existing Structures, if any: C o Name ~ / Contact Phone ( ) T .-. Address City State Zip,Code E No Yelm Bus Lic ~ l ~ C" ~ License No. -+ xp. . . . . , '~ 6 R OFFICIAL USE ONLY ~ . Description of Work Permit Type: `~ Sq. Ft. per floor: (lst) (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 ,~ ~" 1 ! L. ~ ~ ~'~°'"'~ Sets of Prints Building Value ~ ~ t Other ~ Plumbing Permit # ~'"' `~ ~ WA. ST. BC. Fee (4.50 -New Const. Only) ~ ~~ _ Mechanical Permit #, r'~ TOTAL FEE ( - p Plan Check By - ~,6 ? ~~/C i` ` ~ ~ Minimum distance of structure from property lings: .- Issued Bv-. a i ~ ( ~r Front to ~ of Road Finallnsp: / / Side Side Rena Owner L & I Form ' ~ Assessor Floor Plan and Permit Applicant's Affidavit: ~ '• I certify that I have read and examined the informatiorf 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 Ian subdivisio `gFld in addition, all covenants, easements and restrictions of record. If ~ a ;,a currently registered contract in the State of Washington. applying as a contractb'~ I f~rth~ ertify thgf~ ,~( 9uarterly Reports Signature ~° ~ 1 ~~-~~,,,,.~-^"'~`~ --~ - ~ Date J r Assessor / / + ~ ~, Firm: I' , ~ -- ! ,~ TRPC / / NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: TVDTi PTi T2MTT ff FF.F. RF.CF,TPT # COMMENTS Sewer Inspection Fee il l F Si $145.00 I©q am ) e n Sewer Inspection Fee (Multi-Famil /Comm./Indust. Sewer Latecomers $145.00 + $35.00 / hr. / Sewer ERU approved under $2,48 00 ~ ~ ~ I ~ ~~ 1994 sewer ca aci 1 ~ v Sewer ERU in the LID + LID $2,480.00 i ~ assessment Sewer ERU lots outside the ries d LID b $4,850.00 1~ A' ~~ /`~ oun a Site Plan Water Latecomers / pt / J ~ Water Meter* $ 300.00 I~~~~ Water Meter I.R.R. Water ERU's (inside ci limits) $1,000.00 (-J Water ERU's $1,200.00 ~~ / (outside ci limits) ~ Consumer Deposit $ 90.00 L Plan Review ~~ ~(' S~. ~ ~ ` q"~/ ~~(1 Building Permit ~() ~~~ '~(~' ~j~(~~G % WA Building Code Fee $ 4.50 I jl~ Mechanical Permit ~ ~ ) ~ I ~~jr '~"1 /J ~~-~(} ~ )_! Plumbing Permit ~~ Yelm Business License # Transportation Facility Charge School Mitigation Fee i~ / ~~ Open Space Fee h/ ' n D UE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\N1y Documents\building\NEW DEVELOPMENT.doc ,~ ~ ~ ~ , ~~ J n CITY OF YELM Building Permit . ~ ,~ " ~ ~2 BUILDING DEPT. ~ Phone: (360) 458-8407 Date , (Work must be started within 120 days) ..~ ' / t '. ~/ M1~D ~ ~ ~ ~+'~ Phone ~ ~-- 'y~--~. ~^/ Name E ~ r ~' ~~~~~„ry R Address City State Zip Code "' Site Address ` ~ ~.~~ ~ P R Assessor's Parc No. Lot Size (sq. ff./acres) O ~r R Subdivision Lot / ~ Block Y OR Short Plat No. Block Existing Structures, if any: i Name Contact Phone ( ) T - Address City State Zip Code p'' ~ License No. L1 Exp. Yelm Bus. Lic. No. r, 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 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 # c,.- ` ~''~ ( ~~ .. Mechanical Permit # ~ "- 1 WA. ST. BC. Fee (4.50 -New Const. Only) ~, TOTAL FEE f "` - Plan Check By "~. '~... Minimum distance of structure from property lines: Issued By. ~ ;fr Front to ~~ of Road Finallnsp: w / / 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 p oposed structure is in conformity with all applict5ble City of Yelm regulations including those governing zoning an land subdivision, and in dition, all covenants, easements and restrictions of record. If applying as a contractor her a that I am a pur~i)q registered contract in The State of Washington. ~ ~ ` ' ~ / ,~ ~ j ~ 9uarterly Reports ~ 6 t `~ ~ " Signature ~.,..--^ Date -o ~" Assessor / / ,qt _.. Firm: s.~.. ,r(/` ~" v -,l if r TRPC / / NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: TYPE PERMIT # FEE ~~ RECEIPT # COMMENTS Sewer Inspection Fee Sin le Famil -- $145.00 -_ I~ Sewer Inspection Fee Multi-Famil /Comm./Indust. $145.00 + $35.00 / hr. ~ (~' Sewer Latecomers ~" ~ I f y I.~ Sewer ERU approved under 1994 sewer ca aci $2,480.00 ~ ~ ~ I 6 Sewer ERU in the LID + LID assessment $2,480.00 r, I E~~t Sewer ERU lots outside the LID boundaries $4,850.00 ~ 1 ~ n 6 ~l P'r Site Plan _~ ~ J n Water Latecomers ~. ~'~ Water Meter* $ 300.00 J ~~ Water Meter LR.R. / ~ J~ Water ERU's (inside ci limits) $1,000.00 I Water ERU's outside ci limits $1,200.00 ~ I ~~ / ~t Consumer Deposit $ 90.00 Plan Review ) ~(~- /' ~ I ~ p`'r I Building Permit ~ i // ~~1~ WA Building Code Fee $ 4.50 ~` Mechanical Permit / / _ (l,~ ~ ,~p~~- 0 Plumbing Permit ~~~ ~V CJ I Yelm Business License # Transportation Facility Charge ~ I School Mitigation Fee ~ ~ n , Open Space Fee ~ ~ DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\My Documenu\building\NEW DEVELOPMENT.doc CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Building Permit ~, ~ ~ ~,~ Date ~ (Work ust be started wi in 120 days) o ~ -~ 1) Phone l ..• c _ -. ~^/ Name p R Address r G'~` City S to Zip Code `.' Site Address R Assessor's Parcel No. Lot Size (sq. ff./acres) O P ~., I R Subdivision Block Lot - " T y OR Short Plat No. Block Existing Structures, if any: ~~ Phone Name . ~~ Contact ( ) City State Zip Code Address tt~- License No. G.' „- 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 ' 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 "~~ Sets of Prints Building Value !~. ~ e Permit # ,. ` ' Plumbin Other g „..-, ~ WA. ST. BC. Fee (4.50 -New Const. Only) t Mechanical Permit # ^. ^~ TOTAL FEE t~ - ~ ;~ r ~-~ , .- ~.~ 'Plan Check By ~,! . ~~-~~ t ~ f , ~ . . f ~~~ ~ ~ Minimum distance of structure from property lines: N. ,-1~.. Issued By~~ d" Front to of Road Finallnsp: / / Side Side 4 ~~ 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 stru~tute is in conformity with all applicable City of Yelm regulations including those governing zoning and land subct~vision; and in addition, all covenants, easements and restrictions of record. If applying as a contrc~gtor,~l furthe certify that I am a currently registered contract in the State of Washington. , '' f~ ` '~ / `~ ' f ~ ' ~ ;~`", Quarterly Reports ,,~, ,} r ~-~ t ^~`~/ D ' ~ ~` '!'~~~ a e -- Signature i Assessor / / Firm: , 1 :'~ 1/ ~ / J ~f NEW DEVELOPMENT/CONSTRUCTION CHECKLIST 1rr ,,,, ~ 'l Site Address: ! 111 ~~ ~~121~ ~~~K ~~~ ~ ~ a~ mvu~ PF.RMTT # FF,F. RECEIPT # COMMENTS Sewer Inspection Fee Sin le Famil $145.00 ~ Sewer Inspection Fee Multi-Famil /Comm./Indust. $145.00 + $35.00 / hr. AI /~ Sewer Latecomers / n I J Sewer ERU approved under 1994 sewer ca aci i ~ ~ ~, ~ ~ ~~ t Sewer ERU in the LID + LID assessment $2,480.00 ~ A Sewer ERU lots outside the LID boundaries $4,850.00 Site Plan /~' ~ / Water Latecomers /' ~ / Water Meter* $ 30000.00 r7 ~~ Water Meter LR.R. // ~~ J Water ERU's inside ci limits) $1,000.00 Water ERU's outside ci limits $1,200.00 ,~ / / {'~ Consumer Deposit $ 90.00 Plan Review JJ _/ c ~~J~ ~ Building Permit ~~~ ~ Rn ~ `~ ~C ~ ._.~ ~ ` ~ WA Building Code Fee $ 4.50 Mechanical Permit L ~ 0 7~ Plumbing Permit ~„ ~~o ~^ (.,~ Yelm Business License # Transportation Facility Charge School Mitigation Fee _ Open Space Fee DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc _1~2~~.~ ti~ ~2 CITY OF YELM Building Permit ~ ~ ~~~ BUILDING DEPT. +~ - f~~` ~ T"~~ `_ ~ "~ y Phone: (360) 458-8407 Date (Work must be started within 120 days) . j,,~ o `N .-~ ~ Name ! (2 ~ `~'1 (~ t'"t. C"L !>~' Phone __ ') ~~ ~ ` i'~ 2, N E R '°.7 Address ,rj ~1 ~ W . i City ( } ,~, 1 '" State i_„ Zip Code Site Address ~ L~ ``~ P o ~~ ` ~ ' Assessor's Parcel No. ~, Lot Size (sq. ff./acres) P E Subdivision ~` Lot ~ Block R T v OR Short Plat No. Block Existing Structures, if any: N Name ~ ~ ~ r* ~ ~'.~?!1 ` = ~ , Contact Phone ( ) r Address City State Zip Code ~ License No. ~,ta ! jib ~ ( ~' / Exp. Yelm Bus. Lic. No. -- ~) ~ " ~ ~- r ~ .. Description of Work ~~ ~~ OFFICIAL USE ONLY r ~ W d Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential_,L~ 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 Y N Floor Plan Building Value ~ ^!; (,f, C/ ( d ~ , . / Sets of Prints I ~~'''~~-- r ( ' Other Plumbing Permit # J_~ -• t l C O u` ~~ (~ Mechanical Permit # S (A ~~~ WA. ST. BC. Fee . n y) (4.50 -New ons , ~ TOTAL FEE C~`f , u^ ~ Plan Check By~, r ~~'~ f'~ fl/ ~~ ~~ ~ ^~'"' 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. 6luarterly Reports Sigpature a„-•r„ ,.~,. `~l ` ;,~ ~ Date Assessor / / Firm: ,-' TRPC / / (~~7~ NEW DEVELOPMENT/CONSTRUCTION CHECKLIST ~ /~,e ~, -2, f /~ f S 111 Site Address: ~p~eX ~ ~p 33 d ~ D 7 CT ,, L= 1-v1~ /Z TYPE PERMIT # FEE RECEIPT # COMMENTS Sewer Inspection Fee $145.00 ~C z ( ~ I ~ Sin le Famil Sewer Inspection Fee $145.00 + (Multi-Family/Comm./Industrial) $35.00 / hr. Sewer Latecomers Sewer ERU approved under 1994 sewer ca aci ~ b~~ t n ~ Sewer ERU in the LID + LID $2,480.00 assessment Sewer ERU lots outside the $4,850.00 LID boundaries Site Plan Water Latecomers Water Meter* $ 300.00 X Z ~' ~ ' ~ ~Q v Water Meter I.R.R. Water ERU's $1,000.OOXZ (inside ci limits Z.t~OC7 Water ERU's $1,200.00 (outside ci limits / Consumer Deposit $ 90.00 Plan Review ~ } a I , 3 ~ I Building Permit ~a7~ 8~~,so ~ WA Building Code Fee $ 4.50 l Mechanical Permit ~~~ ~/,,~ i~ , Plumbing Permit 5~" D ~'~•Of~ ~~~ Yelm Business License # ~~ V QD~ Transportation Facility Charge School Mitigation Fee /~-- G ~n ~ ~„ . SD, v ~ , Open Space Fee D UE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc CITY OF YELM BUILDING DEPT Building Permit ~ ,.. . _ ~~ i~ ~ . , ; , ( Phone: (360) 458-8407 Date (Work ust be started w ithin 120 days) N Name t ~ ,E'~+!!= C +"" C,- W ` ~ ~ v t.'^C ~;.' f~ ~}`) ~i+~ ;7~.~- Phone ( ) `Y y " .~Cf 1 ~j ..,.;] E R (~ '` Address r City s,,d State (~,,,/'t! Zip Code <~ 7 Site Address ~ ~,!`~ J t ~` ~ ~/ '~~ P R Assessor's Parcel No. ~ ~ !~'~ / CJ ~ ~~.' Lot Size (sq. ff./acres) O P R Subdivision ~~ /' I rc~ /,~'"^ / •,+~t (,,. ~~' ~ r 1, ~ Lot Block r y OR Shorf Plat No. Block Existing Structures, if any: Name f~ d ~ ~' ~ ~~~ , Contact Phone ( ) -~ Address ,f1 /~') ~ i°`Jj , _ City ;~ ,~,, - State ~ Zip Code ' ~ ~ ~:; Exp. Yelm Bus. Lic. No. `~ '~ ~~~J(~ ~~ Ucense No. f ~ nj ~" ~ .,.~^ Description of Work ~~ ~~ ,~0 ,~• ~~r ~ ~Z- ~/ (,~ ,~„( OFFICIAL USE ONLY Permit Type: ~ Sq. Ft. per floor. (lst) (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- rf) ~~ Sets of Prints Other Plumbing Permit # . ``~.`_7 / =e`r} WA. ST. BC. Fee (4.50 -New Const. Only) / r Mechanical Permit # t" TOTAL FEE "' ~^' Plan Check By~,(t"~ ,~ 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 ~~' r,. ~ ~ ~ ! -~ Date ,_.. Assessor / / Firm: °~ f TRPC / / ~/_ --~ ~a~y NEW DEVELOPMENT/CONSTRUCTION CHECKLIST ~~- 2020 ~ PSI 5 - ~ Site Address: ~ ~o ~j D~ /p 7 ~ GT S ~ i 1 u Zf.~ ~-t=' ~ TYPE PERMIT # FEE RECEIPT # COMMENTS Sewer Inspection Fee Sin le Famil $145.00 Sewer Inspection Fee (Multi-Family/Comm./Industrial) $145.00 + $35.00 / hr. Sewer Latecomers Sewer ERU approved under 1994 sewer ca aci $2,480.00 /~ 2 C9 ~/~ Sewer ERU in the LID + LID assessment $2,480.00 Sewer ERU lots outside the LID boundaries $4,850.00 Site Plan / Water Latecomers Water Meter* $ 300.00 1 Water Meter I.R.R. Water ERU's inside ci limits $1,000.00 (~ "I Water ERU's (outside ci limits) $1,200.00 Consumer Deposit $ 90.00 i , ~` Plan Review 3~~a,~75~ ry " ~ Building Permit '7 -73t,bo WA Building Code Fee $ 4.50 1 Mechanical Petrnit Plumbing Permit S~~ G~'vd ~ ~ (I L Yelm Business License # GrO, ~OOZSb Transportation Facility Charge School Mitigation Fee ~~bUO ~ n ~ Open Space Fee D UE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 O w Name N E R Address Site Address P R Assessor's Parcel No. Building Permit ~ ~ ~ ~ Date ~.` l- % f i i~/°.~ (Work must be started within 120 days) ~1 i R"~r fJ ~ J'TI 1"~,~ ~ Phone ~Yai ,~ `Y ~~p ~..`)('.,~ ~ ~i Citv lEr~ 1.. ~ f/d`t State /,,~'~ Zip Code ~.~ .~ sl(;,~, L>ti c_ .r- Lot Size (sq. ff v P R Lot Block Subdivision 7 + ~ ~ i ~ y OR Short Plat No. Block Existing Shuctures, if any: Name ,,,j ~ ,,,,,~",,~h ~~,~,~ Contact Phone ( ) Address , /,~, /~ ~~ ~, City ® ,1 •• r ' State C.Gr ,/~ Zip Code ~`„x;• f R ~ ~~"} p • 2 License No. ~^ ~ Exp. Yelm Bus. Lic. No. ~ "~ !• ` "' ~ OFFICIAL USE ONLY ,~'" Description of Work C ~ f G 1l 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 ~~ A, '"~ f ~ - ! Sets of Prints Building Value ( '~ S Other Plumbing Permit # - - O rr, Mechanical Permit #~ WA. ST. BC. Fee (4.50 -New Const. nly) TOTAL FEE '~' -°"" y ~~ -- C>~ f ~r`k~° Plan CheckB ,~ L^-~'` I d B ~7 C 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 Signature % . ---. y- ,.,,~ `'~ .r'`r j - / r' " ~, Date Assessor / / ~ Firm: ~ TRPC / / '~~ ~~ p~_21 ~~~ ~ NEW DEVELOPMENT/CONSTRUCTION CHECKLIST ~~ r Site Address: 1 ~e Z3 Z 11~~1 ~ CT~ ~ ~ ~ ~ J ~ ~ ~` CO TYPE PERMIT # FEE RECEIPT # COMMENTS Sewer Inspection Fee Sin le Famil $145.00 Sewer Inspection Fee (Multi-Family/Comm./Industrial) $145.00 + $35.00 / hr. Sewer Latecomers Sewer ERU approved under 1994 sewer ca aci $2,480.00 ~ ~ zD`'~ ~~A 11.~ Sewer ERU in the LID + LID assessment $2,480.00 Sewer ERU lots outside the LID boundaries $4,850.00 Site Plan Water Latecomers ~,.<-•'' Water Meter* $ 300.00 Water Meter LR.R. Water ERU's (inside ci limits $1,000.00 Water ERU's (outside ci limits) $1,200.00 Consumer Deposit $ 90.00 I Plan Review !~ 3.8(0 Building Permit ~~7 ~~Pz, ZS WA Building Code Fee $ 4.50 Mechanical Permit Plumbing Permit 5S1 ~,~ Yelm Business License # ~i~-ooL3~3 Transportation Facility Charge School Mitigation Fee USD . p4 __ _ lvN ~i-2~ F~t~rr,. Open Space Fee T D UE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc CITY OF YELM R Building Permit ~ ~ ~~,~ ,~ BUILDING DEPT. f ~) a Phone: (360) 458-8407 Date ""~T ~`~ ~ ~`~' " ~~ . (Work must be started within 120 days) a`r~~ ~ 0f O N Name Phone (~ ~Q~ ` =,~~ ~ ,~ ~ E ,!`J R Address ~T ~ ~~ t,, City ~"~C'` State t.. Zip Code Site Address ,r_'"~~ yy~ pt P '-. R Assessor's Parcel No. n P E Subdivision R T Y nR cr,r,rt oin+ ~i., Existing Structures, if Name ~E',~' A Address ~j~j ~ License No. Lot Size (sq. ff./acres) Lot Block Block Contact ~~~)f ~~~ (~i?f ~~ Phone City Exp. State ~~ Yelm Bus. Lic. No. Description of Work yy7U~. ~'~~ "~ ,~~ ~ ~~ OFFICIAL USE ONLY Y ~~~~ Permit Type: Sq. Ft. perfloor: (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 "' ~_~ ~~ '°) f' -' ,~-° Sets of Prints ~..! Other Plumbing Permit # MJ.~ ~ '+ 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~l . ~'~,!'1 Y~ ~ ~%d~ 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~ f ~ Assessor / / ~' '~_, t n Firm: wl f"t.~."lf,.r f' /V ~~ E C~'yt C~/~ E.+c ~ .~ ~c,s.. TRPC / / Zip Code ~;/~~ ~ , ~~~ NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: L~~ SvL ~j TYPE PERMIT # FEE RECEIPT # COMMENTS Sewer Inspection Fee (Sin leFamil $145.00 Sewer Inspection Fee (Multi-Family/Comm./Industrial) $145.00 + $35.00 / hr. Sewer Latecomers Sewer ERU approved under 1994 sewer ca aci $2,480.00 Sewer ERU in the LID + LID assessment $2,480.00 Sewer ERU lots outside the LID boundaries $4,850.00 Site Plan Water Latecomers Water Meter* $ 300.00 Water Meter I.R.R. Water ERU's (inside ci limits) $1,000.00 Water ERU's (outside ci limits) $1,200.00 ~,/'`~ Consumer Deposit $ 90.00 Plan Review i `~ (C% .~ Building Permit a ~~. z~ WA Building Code Fee $ 4.50 I Mechanical Permit Plumbing Permit ~ ~i~ ~ ~~, Yelm Business License # ~ ~~~ ~ ~~ ~~ Transportation Facility Charge School Mitigation Fee Open Space Fee D UE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc CITY OF YELM Building Permit ~, ~ ~.~, ~ ~ BUILDING DEPT. ,~/ '', ~~ Phone: (360) 458-8407 Date - 'F ` ~..~ ~ ,~ f (Work must be started within 120 days) ,, ,~ ~ _.~.- . , f, . , ra W Name ~ ~ Phone ( '~~ ~ t r, ~ec/ 1 N rt ...? Address (fl City f c ~. State ;M.~,.) Zip Code ~ `' ~ "' -~ Site Address % CJ ~ ~' G-.CiC% ~ ~P k+"' ~ R Assessor's Parcel No. } ~ Lot Size (sq. ff./acres) O P R % . Subdivision .~ ! w• ~' ~cio~l~ ~! Lot Block T y OR Short Plat No, Block Existing Structures, if any: C '' o ~ ~ ~ f `,> ~' ' Contact Phone ( Name ) T A d_ Address ~ t ~`;.f~ City y'y'~ ~ State (J, I Zip Code ~ ~ ~a~ ~ R ) ~ ~'~„} ~ ,~„ p~' ~ ~ ~ Exp. Yelm Bus. Lic. No. 1. ' ~ ,(~ License No. Description of Work '7 ' .~ „ /. OFFICIAL USE ONLY f ~ 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 G~,,,,,, Sets of Prints ~J Building Value Other Plumbing Permit #~ /~ WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # /f TOTAL FEE ~ ~ Plan Check By ~.] . t ~ wig f ,~~~ ~ '1 r f,%. . L y ~'L ~'""""' 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. ~ ~ Quarterly Reports J ~' Signature / ` -(~ '~ ~ ~ ;~ _ Date Assessor / / _.., f Firm; TRPC / / ~ ~~ '7,~- NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: ~~~/~~p ~D % ~ ~®C~ ~'~` .+~7 ~ It' t~j-~t ~ ~.<.~ /', f TYPE PERMIT # FEE RECEIPT # COMMENTS Sewer Inspection Fee Sin le Famil $145.00 Sewer Inspection Fee (Multi-Family/Comm./Industrial) $145.00 + $35.00 / hr. Sewer Latecomers Sewer ERU approved under 1994 sewer ca aci $2 ~ ~ l~ ~ ~ S ~~A 1 I7 Sewer ERU in the LID + LID assessment $2,480.00 Sewer ERU lots outside the LID boundaries $4,850.00 Site Plan Water Latecomers ~, Water Meter* $ 300.00 f ~ 61,E I ~J/ Water Meter LR.R. Water ERU's inside ci limits $1, .00 ~ b (~ ~ ~ 11 ~D ~A t ~ Water ERU's outside ci limits) $1,200.00 Consumer Deposit $ 90.00 j Plan Review / Building Permit ~ ~, WA Building Code Fee $ 4.50 Mechanical Permit ~,,,,,.~ Plumbing Permit Yelm Business License # ~ APL /~~ Transportation Facility Charge School Mitigation Fee ~SrD~- r (mow ~i/Iiv1 Open Space Fee ~~~~~ D UE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc CITY OF YELM Building Permit :~ :, ~, ~ ~ BUILDING DEPT. ~ p , ~`' `" Phone: (360) 458-8407 Date ~`~ '~"~ ' ~`"" ~~ (Work must be started within 120 days) ~~~~~.~ N Name J °'t l F ~... ':'UcJ ! . Phone ~ 'V^• h rz Address ~-~, "y `-~'°° 1~J ~'' ~,°,~ City 'f.. P ~lp~,, State Zip Code ~~, =; ~~ Site Address "~ ~' - ~~ P r? Assessor's Parcel No. ''~ ~'~ L- !`• ~- '~ ~ Lot Size (sq. ff./acres) O F r R Subdivision .~/ F~ ! C ~ '. Lot Block T y OR Short Plat No. Block Existing Sfructures, if any: Name J` ! ! Contact Phone ( ) T C -, Address ~ , ~ }~~ City rt /r%~~`'~;a.~ State Zip Code c 1 ,•• ..-~ ";r - R License No. ~ ,~ Exp. Yelm Bus. Lic. No. ;(~. ,~, ~ Description of Work ~ ) ' "° k f ~ r t ? e , ~ ^ ~l~) OFFICIAL USE ONLY , ~, ~ ~ ~ ._~ , y , } , C ., t , d 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 t..'' ~~(..~, Sets of PrintsL--- Other Plumbing Permit # ,``"T r' °`} 7 '-~ WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit #~_ TOTAL FEE 's ' ~-~'' r Plan Check By ~, / C.~_.~- ~/7 L ` ~~~ Minimum distance of structure from property lines: -E f. ; ,...- 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. o„ ,~" ' Quarterly Reports ~,~" ..* ^'~"~ °'' ' ~ ~ Signature , ~.~ -- Date ,/ Assessor / / ~'' Firm: ~,,r.G l"r'_A` / ~'..7 °C ~'~~ro S%r''r.r A , f7~ ~ TRPC / / CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 O p N Name ..,..~' ~ ~ 1 +G ~ l a ~=i I "~ f R Address Site Address j ~~ P ~ Assessor's Parcel No. P - E Subdivision R 1 y OR Short Plat No. Building Plermit ~ r~, .w ~, ~ ~ Date '~"~ ~ ~" ~~ , (Work must be started within 120 days) Phone ~p (,~ City ~~ /E (t^,>j,} /~ State ~/~ f ~"`~ Zip Code .. r' Lot Size (sq. ff. Lot Block Block Existing Sfructures, if Name ~ ~,_ ~~~ !r'~~iL`~ ~A.d ~"'/ g,} ie' Contact Phone ( ) ~M, Address ~ ;~ ~ ~ C.~ ~ ~ City ~-~ ~';rai 6) ~ ~ State (,,r~,l~. Zip Code ~ ~% Ucense No. 6 Exp. Yelm Bus. Lic. No. /~ ~ ; ~ ,e' , Description of Work ~ , p 7 . ; / OFFICIAL USE ONLY ..G.l.+ ~ Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential L'"'~ Sign Sewer Septic Approval No. Commercial Other ,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 Building Value ~ ^- ~•'~ Sets of Prints c~ Other Plumbing Permit # ,r^~i +'' WA. ST. BC. Fee (4.50 -New Const. Only) t ~~ Mechanical Permit # "• TOTAL FEE P ~:" ~• ~ ~ ~ Plan Check By ~-? ~`~- -' ~ ~ ^ ) ~~~ Minimum distance of stuucture 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 re ad 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 Assessor / / Firm; ~~,/" ! ~i l .~~/ s'~~ ~~.~s" ~t"7°` J.~4 1(' _ TRPC / /_ ~zi~~ NEW DEVELOPMENT/NEW CONSTRUCTION CHECKLIST (91uj SITE ADDRESS: ~~~~~ ~~~ ~ ~af ~~ _ /~~~I~ `i1~C~`jC ~/ Zy TYPE PERMIT # FEE RECEIPT # COMMENTS SEWER PERMIT ~ ~~ , SEWER LATECOMERS SEWER/SEPTIC* ~ mss. ~ -~ ~-°' ~ I SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS WATER METER* ?~~j~ WATER SERVICE ERU'S ~ , ~ I CONSUMER DEPOSIT ~~ f ~~ STATE/CO APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT ~ ~Q 'll WA BUILD CODE FEE . ~ ~ 1 Sc.1~~ ~ ~ ~ ,~ C~5 [~ C ~, ~ MECHANICAL PERMIT ~~ PLUMBING PERMIT / GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LICENSE# TFC-TRANSPORTATION FACILITY CHARGE I C~ ~ e'" w 5 Pn L ~ ~'"4~ , ~,~ *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY THE YELM BUILDING DEPARTMENT C:\MyFiles\Document\INSPSHT. WPD ;' CITY ~f HELM BUILDING DEPT. Phone: (360) 458-8407 o W Name N E ~ ,~ A. R , Address Site Address P R Assessor's Parcel No. O r P 7 E Subdivision R T , v OR Short Plat No. Building Permit . ~ ~ +~' ' ~.~. ~ Date ~ ~ ~ v L._., -"~~ (Work st be started within ~ 20 days) ~ r _ ~ ~ i '~ ~1-~7 ff ~~~ u ~'~{>~ ` ~/ ~~ r Phone C ) ~ / ~ ,! ~ / ~~ ,r '~ ~"T plF„ ~~~~~~ City l s~~ ~ ~(~ State ~ ZipCode ~~~~ t'"h a ~'~d ~,~ Lot Size (sq. ff./acres) ~„ ~tr..^a,, f-;,~~~+,~~ ~ ~ e Lot / ~ Block ~ Block C Existing Structures, itany: o Name ~ r'"'° ) T R A Address Contact Phone ( ) City State Zip Code f ~ 2 License No. Exp. Yelm Bus. Lic. No. C " w ~ }~ ~ i ti f W k ~ D ~ ~ •''"~'~} "" ~ "~ d '' '~ '~ OFFICIAL USE ONLY escr p on o or , , / ~r'. C C ¢ ,,. F t ,!{ Permit Type: Sq. Ft. perfloor: (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 rt r ,% '~ .~ ~ ~ ~ ~'~~~ Sets of Prints ~ ~~ f~ Other Plumbing Permit # s WA. ST. BC. Fee (4.50 -New Const. Only) .!~ ~ 'f ~. Mechanical Permit ~ ~ _ TOTAL FEE r, ~ ~ ~ _ ~~ .o , Plan Check By o'~ ~ A , ~ ~ Minimum distance of structure from property lines: , Issued By~e;lt d J/l i'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 r , "Si ature .:, ,- ;> ,, y ,; ~~ ;*,'f-t."_'.., ~._ . !_ lc; ~' ~'.~~ ,,f_' t , Date ,a ~.' o `'Z Assessor / / .fir Firm: %ra,,a=~~+~ f >;:. .» ~ TRPC NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: TYPF. PERMTT # FEE RECEIPT # COMMENTS Sewer Inspection Fee $145.00 Sin le Famil ~ Sewer Inspection Fee $145.00 + ~~ Multi-Famil /Comm./Indust. $35.00 / hr. Sewer Latecomers J~~ Sewer ERU approved under $2,480.00 f~' ' (~r~l~ n ~ " 1994 sewer ca aci ~ l f j c? ~ Sewer ERU in the LID + LID $2,480.00 ~.-_. assessment Sewer ERU lots outside the $4,850.00 ._ LID boundaries ~ ~ Site Plan ~-~ Water Latecomers ~~ Water Meter* $ 300.00 y Water Meter I.RR. ~~" Water ERU's $1,000.00 inside ci limits Water ERU's $1,200.00 outside ci limits Consumer Deposit $ 90.00 i ~ ~i~'~ Plan Review J•f ~ ~~ Building Permit (~ ~ - I WA Building Code Fee $ 4.50 i Mechanical Permit ,.~ ~ / ~~ Q ~ Plumbing Permit ~~ 1 ~ ~' Yelm Business License # Transportation Facility Charge School Mitigation Fee F ee Open Space D UE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc CITY OF YELM Building Permit .' .~ s ' ~ f BUILDING DEPT. ~ ~ ~ ~ "~ Phone: (360) 458-8407 Date ` . ~~, ~%`~ ("~"~ ~ Ord r ~°~ `~ ~ ~ ^''~~ f ~r~ (Work rrfust be started within 120 days) l~ ! ~ Phone ( ) ! r' _ a_~ c^^ ~ z~_.." w Name .~u,. ~ d N R Address ~~ )~~ `~~ City ~~~``f t~p1 State I Zip Code ~-~ ~`-~~: ~~~~ Site Address t ~ 4,~ "~ ~ . `- ~~~' r'", ~ ~ /' - ~ t' e~ ,~ P ' R Assessor's Parcel No. Lot Size (sq. ff./acres) P __ E Subdivision R T Y (1R Shnrf Plnt Nn Existing Structures, if any: Lot Name ~ "~~ Address ~ ~'~ ~~ License No. 1 Contact 4J' ; v,, ~• .~ City `f',~t ti~ State Exp. Block Block Phone ~ Zip Code Yelm Bus. Lic. No. Descri Lion 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 Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~ U_ Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # ~ TOTAL FEE ;,.t- Plan Check By Minimum distance of structure from property lines: Issued By 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. ~ :~ ° =~'" ~ ! Y'- ~ ~!'"" ~ ~-- °' -' rt Q l R rt ..> ~ , + .,c ...r.., -~ er ua epo s y ` Signature ~ Date Assessor / / Firm: TRPC / / CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 0 ~^/ Name _ ~e N R Address 2 Q ~ Site Address P R Assessor's Parcel No. ... _..... _. .......... ...._ .. Building Permit ,r, ~ ~ ~ Date `'~~ ~~~ (Work must be started within 120 days) / City /%ri~,;,~"alJ<d State -,~`LJA Zip Code ;~,$y~y' "'1 ~,!/~,~ Lot Size (sq. ff./acres) P .,.-~ E Subdivision c- ~ ,~ / IL ~ r Lot ~"~ ~ Block R T y OR Short Plat No. Block Existing Structures, if any: N ..r Name ~,~. , y; Contact Phone (l j .~] ' w j ;~' r~ ~ '~ T Address ~-G w "~ c. ~ City ../~ ,( :~ y"! State {_.,..a,I Zip Code ~ /~c/' -.»jt ;7 ~ License No. ~ ~; l " ' (,,, ~ Exp. Yelm Bus, Lic. No. - (~~~~ ~ =' Description of Work ~^ I Y k' ^'~ '` "~-~, i ~' {Y7r c~C.- 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 ~~ ~ C ~'""` .',°.`~ ~ +~ ~ Sets of Prints PlumbingPermit# `.d' ~a~ Other WA. ST. BC. Fee (4.50 -New Const. Only)._, -.- --~ "'~ r "- Mechanical Permit #~~ ~ ~.~' ~ ~ TOTAL FEE ,y;, ~ ~~ ~-~ Plan Check By ~ ~~L< d~`Fr` Minimum distance of sfructure from property lines: !i , Issued By -~, r °,t~r')Lw d 3~-~° 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 applying as a contractor, I further certify that I dm a currently registered contract in the State of Washington. Quarterly Reports ' ' ~ ~ r" i l,., Signature .~,;'~''~„a;, ~" -- ¢ Date - - Assessor / / Firm: ~ TRPC / / NEW DEVELOPMENT/NEW CONSTRUCTION CHECKLIST SITE ADDRESS: ~~/(~~ +~~'1 ~/~%l1~ .5i ~~ /`~'S~vlll~7llGf ~~~ (sr'1 ~~ 7 TYPE PERMIT # FEE RECEIPT # COMMENTS SEWER PERMIT 1+5~~ 'll ~~ SEWER LATECOMERS SEWER/SEPTIC* ~ a SITE PLAN / ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS WATER METER* ~~Q~ U ~ WATER SERVICE ERU'S ~ d ~ ~ , e CONSUMER DEPOSIT C~~, r ~ 1 ~ 7 STATE/CO APPROVAL STREET CONSTRUCT PLAN REVIEW ~ ~ I' ~ ~~ BUILDING PERMIT ~~ Z ~-j ~ ~ -~, ~ ~~ WA BUILD CODE FEE i~ ~ ~~~ ~c-100 I /~ ~'f"i :$'7'itJ/.~ ~'~~ (.~~i ~~e~ ' ~~L?I.3 17 d2~Yl MECHANICAL PERMIT ~~ L ' ~~ •7~ ~~ ~,~ PLUMBING PERMIT ~5~~~ GRADING PERMIT SIDEWALKS/CURBS • LANDSCAPING YELM BUSINESS LICENSE# ~g 'DO i3 TFC-TRANSPORTATION FACILITY CHARGE *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY THE YELM BUILDING DEPARTMENT C:\MyFiles\Document\INSPSHT. WPD CITY OF YELM Building Permit ~ ~ ~~~~ BUILDING DEPT. .,~? ` ~.~ -~;, " Phone: (360) 458-8407 Date (Work must be started within 120 days) ~ ~ 6 ~ .i"'...M.~~f,. 0 w Name ~e) d"c ~ ~ ~.. Phone `~ l ~'~` N _ ~_ 2 Address !~ ti City State i ...)•-~P Code ` ~ ~ ; Site Address ~"- 3 ~` {~. P `1 2 r "'~ C; ~ Lot Size (sq. ff./acres) R Assessor's Parcel No. ~ ~ ~ , , , ~ ~ ~ } 7 ~'") P _ E Subdivision Lot Block v I OR Short Plat No. Block Existing Structures, if any: Name Contact Phone ( ) Address City State Zip Code License No. Exp. Yelm Bus. Lic. No. Description of Work _ O~ 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 ~~~, 1, _ ~ ~ ~~fa rr ~ ~;, .-~ ,~'~ Sets of Prints Other Plumbing Permit # °-~ WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit #~ r ' TOTAL FEE ~,~ ~ . ,~} q Plan Check By~ 1= Minimum distance of structure from property lines: ,/~ Issued By~~ , t ~ ~i E : C. ,~ Jt 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 / / CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Building Permit r. ~; ~ ~ ~ Date `~- '~ ~ _ / r (Work must be started within 120 days) T o `/~ N ;, Name ,,,~ ^ if ~.• /' ~ a Phone ~.,f` `,.~ ;~ _. ;~` a _ Address ~ ~~ G.. ~ S'1 1t t' ~ ~ ~. r.._ City %~~~ /,%1 State ~..' ~ Zip Code Site Address ~"~ P r? 0 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 ~C ~ ~,;~ ,, ~--. y 1 ~~ , ;~ , .' Contact Phone ( ) T R A Address ~~~ {~ j , ~^-~ , ,~ '~ ~ City ~~ ~ ~" , yam, State ,~ y Zip Code O -- License No. '~ ~ ~j ~ "' Ex Yelm Bus. Lic. No. ~ `-~ `~`, f'~ Description of Work ~~ ~ ~ ..p Yb'I -rte= ,t 1 ~ 1 v")~^ ~.-'~.,? r,'r;r OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (lst) (2nd) Residential ;C. Sign Sewer Septic Approval No. Commercial Other y; 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 L~{ 5 it";. ~' ~ =?;~ ~`~ Sets of Prints ~_.. Other Plumbing Permit # i' ~/ ; ~ WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # s"v . %,~ l TOTAL FEE ~~ ~, , ~ ~ Plan Check By [~ r!'? r i r ~ ?.- Minimum distance of sfructure from property lines: Issued By ~/ ~q, 7 " ,."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 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. Quarterly Reports t+ _,` Signature ~, t{ ~ - ~' ~'? 1 ..-',"~,~~ _.~_~~~p_, Date ~ ~^'~ Assessor / / ~ ~'/ `' ~ Firm: TRPC / / CITY OF YELM Building Permit ~ ~' , ~ ~ ~ ~ ~°" BUILDING DEPT. + / '~~ ° .~' ' ~~' f ~ ~ ' Phone: (360) 458-8407 Date ' `~ ~' ~ o ° ° (Work ust be started within~20 days) . g. f ;`f ` ~ ~~; _. ~`r ._... ,e' 4 , o w :-, Name ~' ~ .,• ~`'~"~~ C. .,~..,. !~ f ~,J Ct O ':,t. Phone H ~.) ` 1 ~ l ~ - N R Address ~~ ~~,.~ (, ,~ ' City /"<,~~ l.v t (`oL State i ~ .. Zip Code ~' Site Address / ;%. % - ,~ ~ ~~ ' P ~ Assessor's Parcel No. ~ - - Lot Size (sq. ff./acres) ~'; ~ P E R Subdivision E ~~ ~+ t a:' t ~= - 1 ; ) 1 1' a`2.~ Lot ~ ~ ;' BIOCk T y OR Short Plat No, Block Existing Structures, if any: ~ ' f'~r, Contact Phone ( Name /C ,ar ! r~+ r ' +! ~- , f rs ) R C Address ~ rs^ . - City ' . J ~ ~ .> State x:,,,,; /~ Zip Code ~ ~ , ~ License No. ~ ~'" ,~ ~. Exp. Yelm Bus. Lic. No. `f `~ ~ (~~° , ;~ -~~ ~ Description of Work -~ ~~ ' . 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 `/ ,~ ~ 1 ` /t !1 .J ~- ~' Other Plumbing Permit# ~~ .`'> ~ ~~ WA. ST. BC. Fee (4.50 -New Const. Only) ~=• ~, ~'~i Mechanical Permit # TOTAL FEE f ~> *i wry Plan Check By ~/ ~~Jr:.t ~IINr~. Minimum distance of structure from property lines: ~~ i Issued By ;r'E ,.'19r,f1 ~~•- 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 restrictionsof record, If applying as a contractor, I further certify that I am a currently registered contract in the State of Washirigton. - ~ ~ Quarterly Reports ~~ - ~ ~ Signotute ~'~ f '~ "' Date r ~ :,~ r~a ~ A ; 7 ,, ssessor / / . ~ __ Firm: TRPC / / i /~ n NEW DEVELOPMENT/CONSTRUCTION CHECKLIST D1 ~ ~ ~'1U ~~ _ Site Address: l l~ ~-~ C~ ~' ~U ~~ ~ ~' ~ ~ ~ ~~' i TYPF, PERMIT # FEE RECEIPT # COMMENTS Sewer Inspection Fee Sin le Famil) $145.00 / / Sewer Inspection Fee Multi-Famil /Comm./Indust. $145.00 + $35.00 / hr. Sewer Latecomers Sewer ERU approved under 1994 sewer ca aci $2,480.00 Sewer ERU in the LID + LID assessment $ 0 ~ ~/~ l Sewer ERU lots outside the LID boundaries $4,850.00 / Site Plan / . Water Latecomers / Water Meter* $ 300.00 Water Meter I.R.R. / Water ERU's (inside ci limits) $1,000.00 •~ Water ERU's (outside ci limits) $1,200.00 Consumer Deposit $ 90.00 Plan Review Building Permit 731. GHQ, WA Building Code Fee $ 4.50 ~ (~ ___/ Mechanical Permit _ i ` Plumbing Permit 9~. c~ Yelm Business License # Transportation Facility Charge School Mitigation Fee ~rf`~~ COti,. ~l-~rYl Open Space Fee DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc CITY OF YELM Building Perr.~it ~ ,~ ~~ ~ BUILDING DEPT. ~ ,~ . f'~ . .: ~" ,~- -- Phone: (360) 458-8407 , Date ~._.~~ , (Work m st be started with in 120 days) ,~/' / , `~ ~ .. 1 W N Name 0~ (_" 1'[_ ~! f."rrn L ._ f°' rC' '~ Phone ( ) - R Address l~, " City ,l, I ~ (`~, State ~} Zip Code ~ ~ ~ Site Address '~ r~ P R Assessor's Parcel No. ~-' } ~ t°- Lot Size (sq. ff./acres) O E Subdivision ~~A r ~? i c°"' t'~1'"T ~„~ / ,j- ~ b ~ ? Lot Block R T Y OR Short Plat No. Block Existing Structures, if any: Name . 1 I ~„~ ,+ P', .may (~ j ~'"',,,I ['~pP3? . ~'F'" Contact Phone ( ) R ~ Address ~~ (~ , f'~ City C<~~°s r h., d 1"~° State ;+ Zip Code `-" " ti 7 °p D R Ucense No. ~,@ ~ ~, ~` ~ -~ ~ Exp. Yelm Bus. Lic. No. (' ~' ~ j ~j " ~a c1, ~' ,~^` Descri Lion of Work ."' ~ p ~ .~,.. r •,j' we d~~r'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 (~, ~ ~ :%~ '~ ~ ~'~ , ~~ Sets of Prints ~...~! Other Plumbing Permit # °~~ ~ _~-- C O r"` '~ ~ .T-. Mechanical Permit # ti"~ nt ~ WA. ST. BC. Fee (4.50 -New onst. nly) , ~ c_. ti - ,... ,'1 TOTAL FEE '~7 f 'J S Z«~' Plan Check By ~ /"~' ~fJr.~+'~~~ Minimum distance of structure from property lines: ~ ~~ Issued By `'~ f i'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 - -... ~ . Signafute f ~' Date .~>: _ , Assessor / / „ __ _ e ~ ~ Firm: ~ TRPC / / ~Z~~ 0~-21~c~ . NEW DEVELOPMENT/CONSTRUCTION CHECKLIST ~~~ Site Address: ~ ~ .~C~~ lv 7-tk' ~c'~u,2 ~'`' .,s~ ~ ~I~t .r ~ ~--~ 'rvPF. PERMIT # FEE RECEIPT # COMMENTS Sewer Inspection Fee Sin le Famil $145.00 Sewer Inspection Fee Multi-Famil /Comm./Indust. $145.00 + $35.00 / hr. Sewer Latecomers Sewer ERU approved under 1994 sewer ca aci $2,480.00 ~rl~ Sewer ERU in the LID + LID assessment $2,480.00 Sewer ERU lots outside the LID boundaries $4,850.00 Site Plan Water Latecomers Water Meter* $ 300.00 Water Meter I.R.R Water ERU's inside ci limits $1,000.00 -? Water ERU's outside ci limits $1,200.00 Consumer Deposit $ 90.00 j 2 ( J Plan Review Z~i~ ~`~ Building Permit ~~1=dt~ WA Building Code Fee $ 4.50 ~ Mechanical Permit ~7 ; •~~ Plumbing Permit ~, ~~ Yelm Business License # Transportation Facility Charge School Mitigation Fee ~e 5Z ° ~ Conk ~i ~/-~, Open Space Fee D UE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc CITY OF YELM Building Permit ,~ ~ ~~~ BUILDING DEPT. " ~° . ,: ,, ,~ .--° ~ ' Phone: (360) 458-8407 r Date ~ ~' (Work ust be started within 120 days) -~ ,' ,' - O w ., Name / +~^" x- Phone ?e;~•~",) N rz Address ~ c ~.. ~ ,' ? c. ~ ~ ~ ~ ,`; i.~.~~ ~ City ,' ,.. t l State ~~ Zip Code ,' `. 7 , ` ... , Slte Address ~ ` °~r_ ~ <-_ 1.~ -'r'YJ l+ v ~ ~ ~ ~ '~~ P R Assessor's Parcel No. Lot Size (sq. ff./acres) 0 P E Subdivision Lot Block R T v OR Short Plat No. Block Existing Structures, if any: ~ ` ~ Name ; .,,~ _~. ~ ~ , t ( c-.= r' i 7 Contact Phone ( ) R ._. -, Address ;_~`r"l r -.~,, ,; ~, ..,~, .. City ".,rt r'.:-t~J r' State ;'_,± 'j. Zip Code ,:~'I "+ ~:r ~ License No. `-~, ` (~' ,+) (Ce. {,~~ '• ~„~ Exp. Yelm Bus. Lic. No. Description of Work ~ ? ~ '` r e , , ~ ~ ; ~' f i OFFICIAL USE ONLY , ~ ~ ~/ ~ ~ ~, ,, , ~ ~ , , , .m. ~ ; C. r ~, {c', ~~•! ,, 1 Ol' % ^ ~-~' Permit Type: Sq. Ft. per floor: (lst) (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 .~~~'~ f"~ ~ ,,~~~ ~~. %~, ~~ ~_: ~~„_ Sets of Prints Other Plumbing Permit # i~~' ,f / }" i WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # ~,~..~' ~~'!`. I TOTAL FEE !%'~!, ?; ~ 1 ~ Plan Check By~,' s''~- Minimum distance of structure from property lines: ; _t s Issued By c- ~.--''"ti,_.,_.. 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 struc ture 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 Permit ;~ ~ ~ ~ ~ BUILDING DEPT. ~ ~ ~ ~~ : ~ ""'`~"`~ ~ ~ \ Date '~~ °~" ' Phone: (360) 458-8407 . .. . (Work must be started within 120 days) ~,~ " ~P~d w ~ f ~"ff9 ~' Name /2 1 /v; ~ ~ /L~ ~.: ~ ,_•~ Phone (? 5 ... - r. N R Address ~~ '' c- c. v r ~ ~ City ,~/<' ~'G ~~:~ ,// State t:ro 1 f Zip Code / ~,; `r '~'~ .''~ , `%,' Site Address ,,'` S ~-f / ,'`iuR"' ~ Z'/% rG' r -: r ~ ~ P R Assessor's Parcel No, Lot Size (sq. ff./acres) O R Subdivision ,R~/ ; ~-~ ,E ~~,+ f ! f_" ~>y ~y_.f ,f,~`p y~' e Lot Block T C1 Y OR Short Plat No. Block Existing Structures, if any: / ,• ~,. r Name ~r/f/y Y~ ~ ~``/f ~'k7; !.. rs ,+' .' JrJ C- Contact . d C' ,/ F / c: ~ Phone C ) Address City State Zip Code ~ ~- r Ex Yelm Bus. Lic. No. `,> ~ -- `~ ~ License No. r~ ~ c. i •~"_- ._.- C` p, _. ~` / 5 • 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 Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value _~ - -'"7 (~ / ~'. ~;, ~ ~ )~~ Sets of Prints Other s_ ~. Plumbing Permit # • -> ~ ~ f WA. ST. BC. Fee (4.50 -New Const. Only) '~ ~, _~'~~'1 Mechanical Permit # .~'~~~~,.•~ /'~ TOTAL FEE `;i'a?'; l; ~~ ~~ Plan Check By 1 ~.`'C~ .'"• °f~/~~ ~ ~, !f' , Issued By~7 >~( }f / -: ~ f'"' 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 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 ~~ ~ ~~ ,,~;t-~'r•--c°••~...~~ Date Assessor / / Firm: ! TRPC / / ~2 s~ NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: l ~O ~l ~ie~~yTa~ s~ ~c~ ~-D f 8 TYPE PERMIT # FEE RECEIPT # COMMENTS Sewer Inspection Fee Sin le Famil $145.00 ~ I ~ `. Sewer Inspection Fee Multi-Famil /Comm./Indust. $145.00 + $35.00 / hr. Sewer Latecomers Sewer ERU approved under 1994 sewer ca aci $~;489'd^0'"' ~ ~ b 0 ? ~ ~ ~ Sewer ERU in the LID + LID assessment $2,480.00 Sewer ERU lots outside the LID boundaries $4,850.00 Site Plan Water Latecomers Water Meter* $ 300.00 I Water Meter I.RR. Water ERU's inside ci limits $1,000.00 I I I Water ERU's outside ci limits $1,200.00 Consumer Deposit $ 90.00 ~ ~ I I ~] J Plan Review ~0 ~I~~ Building Permit 8g7i ~~ O WA Building Code Fee 4.50 $ ~' Mechanical Permit ~~• ~~ ~J Plumbing Permit ,/ . O ~ I Yelm Business License # Transportation Facility Charge ,/ School Mitigation Fee S~ ~d 17 //1l77 Open Space Fee /" DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc CITY OF YELM Building Permit ~ ~~ ' ~ ~ ~ _r BUILDING DEPT ;~ ; *~~ . ~ Phone: (360) 458-8407 Date ~~,~ .. , ^~ (Work must be starte d within 120 days) F` _. , /~ :_ f i ;, P ~ ' ls'1 w / > Name f / ~ ~ ~ -7 p~C~ Phone C` .)'~) . ~.,'~ _ i c(. ,7 N R Address ~.. ~. t~ ~ ~ ~~ ~ , City ~~ ! / ~;~ v~ State i . ~ 0~ Zip Code `' ;; ci ~ { .. ~, ,. ~/ (~, Site Address ~ ~~^ ,,t% 'gip"" ~' P R O Assessor's Parcel No. Lot Size (sq. ff./acres) P a // ~_ Subdivision I~pr S /`..~' d",n {f 1? t ~/ ~"' Lot Block r v v OR Short Plat No. Block Existing Structures, if any, Name / ,~ i,,,..- i Contact ~<~ t (` Phone ri;Y c..Of~ a ~ ~ ? `. ~~~ - i ) r T R Address City State Zip Code ~ License No. f ~ ~' p~ F.," '7 J`~~ ~ Exp. Yelm Bus. Lic. No. `7 ~ - r' .~~ ~ .' Description of Work '~`,/ ~ ~ ,~~~. ~ ,_ r ~ OFFICIAL USE ONLY Permit Type: 2 Residential ~ Sign nd) Sq. Ft. per floor: (1st) ( _ _ 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 c.~.. Other Plumbing Permit # ~a a ~ ~~ WA. ST. BC. Fee (4.50 -New Const. Only) ~~`~~ ~ ~i f Mechanical Permit # ~) c~ ._,i `_7 TOTAL FEE z~ ~ ~"> ~? ~~ Plan Check By ~ ~"d~t.r ~ ~4 a , Minimum distance of stuucture from property lines: Issued By ~ I - ~ dJ rYJ(- =~, ,~',~f 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 ' "~ '~ '~~ f f .r" Signature ~- y .~,~ `_i?~~ . Date Assessor / / Firm: / TRPC / / NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: If{_~11C C 9 ~~. TYPE PERMIT # FEE HEC:ElY'1' # C;uMME1v t a Sewer Inspection Fee Sin le Famil $145.00 Sewer Inspection Fee Multi-Famil /Comm./Indust. $145.00 + $35.00 / hr. Sewer Latecomers ~.--- Sewer ERU approved under 1994 sewer ca aci $2,480.00 ~'' Sewer ERU in the LID + LID assessment $2,480.00 Sewer ERU lots outside the LID boundaries $4,850.00 Site Plan .~~~ Water Latecomers Water Meter* $ 300.00 J Water Meter I.R.R. J~' Water ERU's (inside ci limits $1,000.00 Water ERU's outside ci limits $1,200.00 ~- Consumer Deposit $ 90.00 Plan Review ~7a• ~ ~ ) 1 Building Permit `~ Q81 / DO D WA Building Code Fee $ 4.50 Mechanical Permit ~~.~ 2 ~ ' !/ ~ ,~ Plumbing Permit .ar-~1 ~ ///, O ,[' Yelm Business License # ~0 1 Transportation Facility Charge School Mitigation Fee G SQ ~ ~ ~ ~ Il,~'1 Open Space Fee /'' DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc CIN OF YELM Building Permit ~. ~ ~ ~, BUILDING DEPT. ,~. _. ~ C.. „ Phone: (360) 458-8407 Date ~' ~' ~`~ (Work must be started within 120 days) ~~~d~ `/~ Name I/ , ~ J(-' d,y) ;'" Phone '_5 ~~ ) N , a Address ,r f~ ~ t J c-, City .{! , y> ~®/ State a J Zip Code ~;'~ `_ '= ` ~~ `~i ~l - -- ~- _ Site Address f _. ~> ,:;- . _ f r ; c` ~- R Assessor's Parcel No. Lot Size (sq. ff./acres) 0 P R Subdivision ~ ,: ~ , {T ( tU ! Lot ~~ ~ Block T U Block y OR Short Plat No. Existing Structures, if any: / Name ~' ~ f f j . ,! . r ~ (ter,? ~ < Contact f ~ ~ ~ Phone ( ) Address ~~ -t ~ City State Zip Code License No. j~' ' r 7 Exp. Yelm Bus. Lic. No. '-J ` ' (r,~r; ~-'~,: r-- ` ` 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 Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value -~;~- f(~j~ '<< " ~- ;~ C ~' - ~ ~-°'" Sets of Prints Other Plumbing Permit # ~ ?,' z C.~ ~`~ O l ' j; ~; Mechanical Permit # ~ ~~~'~-~ WA. ST. BC. Fee (4.50 -New Const. nly) . ~ , w TOTAL FEE ~ , _y ,~ .~ , G `L+ ~ f Plan Check By ~.~ ~.- ~" l` ! Minimum distance of structure from property lines: Issued By ~ Y- ~ ''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 'i ~,z;,./~..~..,....-- Date ~ ,, ';,~_ ,, , Assessor / / ~' Firm: ~ TRPC / / ~z s~~ NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: /~d,~~ ,~lelcSNTD~ .Sir ~~ ~ ~ ~~ TYPE PERMTT # FEE RECEIPT # COMMENTS Sewer Inspection Fee Sin le Famil $145.00 _- Sewer Inspection Fee Multi-Famil /Comm./Indust. $145.00 + $35.00 / hr. '~, Sewer Latecomers /"' Sewer ERU approved under 1994 sewer ca aci $2,480.00 Sewer ERU in the LID + LID assessment $2,480.00 Sewer ERU lots outside the LID boundaries $4,850.00 ~_... Site Plan /~ Water Latecomers Water Meter* $ 300.00 I I' Water Meter I.RR Water ERU's (inside ci limits $1,000.00 III Water ERU's outside ci limits $1,200.00 Consumer Deposit $ 90.00 Plan Review ! ~ ~ ~9 I Building Permit ~ ~3 ~. 89~, ~S WA Building Code Fee $ 4.50 l'' Mechanical Permit ~~ Zy Lt ,, 7`I I Plumbing Permit ~ sso`f ///- oo ' I I Yelm Business License # Transportation Facility Charge School Mitigation Fee ~~ ~. ~E,~ ~E~~`. Open Space Fee D UE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc CITY OF YELM Building Permit BUILDING DEPT. N~ 6 2 9 7 Phone: (360) 458-8407 Date (Work must be started within 120 days) 0 ^ N Name ~ R Address ~, ~ City ~`~~~ Site Address t P R 0 Assessor's Parcel No. ~ ~ ~ " Lot Size (sq. ff./acres) P ' E R ~E - Subdivision Q^ ((L for Lot r v OR Short Plat No. Existing Structures, if any, Name ~ '~ n act T Address Ci ~ ~ ~ Ucense No. ~f ~fl( Exp. Block Block / Phone (~D) ~~ t~- State ~~Q,~ Zip Code Yelm Bus. Lic. No. Description of Work ~ Z ~ .'L OFFICIAL USE ONLY Permit Type: /.. Sq. Ft. per floor: (1st) (2nd) Residential Sign Sewer Se tic A Commercial Other p pproval No. 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 ~ S! Sets of Prints L- Other Plumbing Permit # ~' WA. ST. BC. Fee (4.50 -New Const. Only) '~ 1 Mechanical Permit # TOTAL FEE ~ / Plan Check By Cam' Minimum distance of structure from property lines: Issued By S. 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 ~,vithin 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 Date Assessor / / Firm: TRPC / / State Phone (~S~ i.19/~ Zip Code CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 N/ Name A~ ~/ ~ ~~~ ;'+i ~Oi~J1~ E R Aririraec Site Address r" '~ ~,1J z''a. P R Assessor's Parcel No. P E Subdivision Contact t ;`,' ~. T v OR Short Plat No. Existing Structures, if any: o ,>~ Name ~"'( ~' J1 h~0'm'+ ~ R Address ~ .~+~~ Gy '~ ~~ U License No. ~ ('~j,~ ,!~ r*` ~,,. ((;~ Building Permit ~ ~, ~, ~ 2 ~ ~ :- (Work must be started within 120 days) ~.~ j y1..,, _. t Phone ( ) City State Zip Code Lot Size (sa. ff./acres) Lot City , a~:+, ~f'~ Exp. Block Block Phone (:."~`iv'f'~ ~r) ~ ~ c'` ~ t! State ti. r~~ Zip Code ~.'~~~"/) ._~ Yelm Bus. Lic. No. Description of Work ~{"'~ / { ~ `' ~• ~ ~ 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 Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ' i ~ ~j a r~~ ~~ ,~.-•- Sets of Prints ,•'1.~' ~~ ~~ Other Plumbing Permit #~rt ~r~" WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE r~~wl ~ ,r~ Plan Check Bye/ " ~~` ~ry~ Issued B ~~ "" "~ ! ` Minimum distance of structure from property lines: y 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 subdivlslon, 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 .r i;~ Signature '~` ~ °-•~«.,~~~ ~ ,~"~{' Date Assessor / / ` ~ Firm: ' . TRPC / / CITY OF YELM Building Permit " - ° ' ~ ~~ BUILDING DEPT. t :~ ~ ,~~, ~ fir: ~ Phone: (360) 458-8407 Date .. r ~'~ (Work m st b~' arted within 120 days) d 0 ~^/ Name 1'J j" ~~ ti..>" Phone (~~ ~ C' ~ j °){~, .,. N R Address d ~ ~ Q''~ ~a City State L'1..~ Zip Code ""~ r ~ Site Address ~ ~ ~. .~ ~ i.. ` _-a 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: C o Name Contact Phone ( ) T Address City State Zip Code ~ License No. Exp. Yelm Bus. Lic. No. Description of Work ~ ~. M ~ °I ~~ 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 J °'~~j~ ~""" ~ - ~ '~~''r Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit #~ ' / - a , 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 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 that I am a currently registered contract in the State of Washington. s ~ Quarterly Reports "~ +~"" Signature ,*~ ~,/,(' /""r i Date ~~~ ~ ,r ~~ Z' Assessor / / Firm: TRPC / / CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Building Permit ~ f ~~~~ Date ~,._ ~ -'~ (Work must be started within 120 days) } ~ N -~"" .~ Name -.,J Cc,~d' / /Mt'! 5' Phone ( ) ." ~.~ R Address ~/ CP .~e~ /~/ ~ ~ I,GI ~ City ~~T'=:d. State ~,,,~/f~ Zip Code ~/ , 1 ~, Site Address /~ ~j ~ /~! ~, R ~~5 Assessor's Parcel No. v~c~ ~ ~ ~ ~ Lot Size (sq. ff./acres) 0 P E Subdivision Lot Block R v OR Short Plat No. Block Existing Structures, if any: @ ' ` '' ) Name ~''j ~ ~ttllr.~, / Contact Phone ( ) ~ ~ 1 ~` ~ ~, t Zi C d ~ +~ ~ } p o e City : State Address ' License No. ` Exp. Yelm Bus. uc. No. ~ <'~ OFFICIAL USE ONLY -~ ~,/ : r ~,~ Description of Work Permit Type: 2 d Sign Residential~ n ) Sq. Ft. per floor. (1st) ( _ 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 # WA. ST. BC. Fee (4.50 -New Const. Only) .~ r j ~ Mechanical Permit # ~ TOTAL FEE /p " ~, e ~~~' Y d +~~~ Plan Check By^~,~ ' 1 / r~ `~ 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. k Quarterly Reports 4 ~" Signature ~~, `'~ ~ ' ~' ` "'~ .,....- --~-~- ~ Date Assessor / / Firm: TRPC / / NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: /D~0.3® /nl ~~ ~c~ ~~ TYPE PERMTT # FEE RF,C.F.iPT # ('()MMFNTC Sewer Inspection Fee Sin le Famil $145.00 Sewer Inspection Fee (Multi-Family/Comm./Industrial) $145.00 + $35.00 / hr. Sewer Latecomers Sewer ERU approved under 1994 sewer ca aci $2,480.00 Sewer ERU in the LID + LID assessment $2,480.00 Sewer ERU lots outside the LID boundaries $4,850.00 ~,,,...~"° .~-~'" Site Plan Water Latecomers Water Meter* $ 300.00 ~,..~' .,.- ~.._ Water Meter LR.R ~,,,.,~-•-""~ ~.~ Water ERU's inside ci limits $1,000.00 ._~•-•~'"' - Water ERU's (outside ci limits) $1,200.00 ,,,,...A-^ Consumer Deposit $ 90.00 ~°"` ... Plan Review s(~i -- _<~ Building Permit / ~ ~ CP ~,~ < ~ ~ WA Building Code Fee $ 4.50 ~_~~ Mechanical Permit 3~ ; "~~ Plumbing Permit 9 ~v~ C-- Yelm Business License # ~~• Transportation Facility Charge School Mitigation Fee Open Space Fee D UE AND PAYABLE AT TAME OF PERMIT ISSUANCE! C:Vviy Documents\building\NEW DEVELOPMENT.doc CITY OF YELM Building Permit ~ -~ ~~~~ BUILDING DEPT. ~_`-•• .~ T~,ry~, 1--: Phone: (360) 458-8407 Date ~~` ~ ,.~ (Work must be started within 120 days) y ~~ ~~ ~ `/~ Name 1(~ Phone ( ) ~ N i-~ R Address ~~ ~ ~ City a` State Zip Code ~ !X ~I ~A ~.. Site Address P R Assessor's Parcel No. ~ ~ to .3 ('"~ljfj~r f~y(`j (~ Lot Size (sq. ff,/acres) P E Subdivision Lot Block Y OR Short Plat No. Block Existing Structures, if any: Name Contact Phone ( ) Address City State Zip Code License 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 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 t Building Value '~ f i1,R~jG _ ~ ~ ~ ~ ~ , Sets of Prints~.~ Plumbing Permit # Other WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE ~ ~ ~ Plan Check Bye ~ j~~ ~ Minimum distance of structure from property lines: / 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 .` -. ct (' P;1. ~ ~x~ \ , ., ~ Date ~ ~j ' ~- 'ej Assessor / / ~ t~'~ Firm; TRPC / / CITY OF YELM BUILDING DEPT. phone: (360)'458-4407 ', Building Permit ~.~, ~, ~~~ ~ Date _ ~ (Work must be started within 120 days) ~ ~^/ ~ ~ Phone Name ~~°;~ ~ / r~ N R yy __ Address ~ ~ Ca U ~l ;> ~ City l.,/1~ State ~ Zip Code ~~~ ~.1 /'3 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: C o Name ,'L,.J Contact Phone ( ) T C Address City State Zip Code 0 license 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 ~~., ~; tCity 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 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 ° ` ~ ~ , ` - ~ ,^ _., Date Signature ,;;;;~ f ;~. ..;~. ~ ~~^1 _/ Assessor / / Firm: TRPC / / =3 CITY OF YELM Building Permit ~ .•~ ~ ~ ~ BUILDING DEPT. Phone: (360) 458-8407 Date (Work ust be rted hin 120 days) ~, r~- W Name ~ Phone (~ , L~ +'-f" - '"" i~..~ ..,7 N R //~~ Address ~{Jd `~ ~ City ~~" State ~,,,,.o" Zip Code ~ ~ Site Address f ~' ~ ~'`~ ~ ~ ~: ~~ {....~ +"~• 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: CC O Name f 47 ~~ Contact ~~ ~ ~, + ~ Phone (.5a<p ~.9 ~.,1 j -- ~,.af c~' ~. T ~^/~ Address / +-y~ ~{':,~, City '' ~~ State Zip Code o Ucense No, '~ - -~ ~ ~ ~ Exp. Yelm Bus. Lic. No. (~ ~') ~~ "' ~- ` "t Description of Work ~ ~ ~ ,~` L~ ~ ~~, ~ L,t, r OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial v ~ Other City Water Private Well Private System Shoreline Permit Y N r Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value "'`~; .-~ Sets of Prints i Other Plumbing Permit #~ .r~ ' WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # .r ~ 7 ~~ ~ TOTAL FEE Plan Check By ~ . ~,--~~ ,/r~ Issued By 4~• ~ ~ 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 Resorts Signature Date Assessor / / ' Firm: TRPC / / } CITY OF YELM Building Permit ~ ~ ~~~~ BUILDING DEPT. ~ r Phone: (360) 458-8407 Date (Work u e st rted within 120 days) ~ ~ N/ Name ~ k'-'rr'. ~ r i-yr~ Phone ( ' R Address ~7 "' "~ ~ ~ City ' f ~ State ~ Zip Code ~ ~ f ~ ~/,~ Site Address P R Assessor's Parcel No. Lot Size (sq. ff./acres) 0 P ._.. E Subdivision r ~~ + t Lot ~ Block R T Y OR Short Plat No. Block Existing Structures, if any: J Name r Contact ~,~~ ( ~ ~ Phone ~ ) ~ - / f 'c7 Address ~,; ''~ ~` S,/ , `~ City ~ State (,,,,~,,~. Zip Code ` ~1~f~/ -~f 1 ~ i~ License No. ~ ~ Exp. Yelm Bus. Lic. No. `-r ~ " P '' Description of Work ~ OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential k--' 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 ~ a~ r" Sets of Prints Building Value (,, PlumbingPermit# .~a*~"7i1' Other WA. ST. BC. Fee (4.50 -New Const. Only) ~~,~CJ Mechanical Permit # ,.~~i ..5~ t TOTAL FEE s j ~ ~` "~ r ~,U Il Plan Check By + ~ l~ ~ t :~^ ~ Minimum distance of sfructure from property lines: r , •- 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 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. 9uarterly Reports r~ / ,/ Signature pJn- ~ Date ._:, '.,.2 ~.. Assessor / / Firm: TRPC / / NEW DEVELOPMENT/CONSTRUCTION CHECKLIST ~ _ D~~ Site Address: ~~~ ~~ ~~ t~ .C~vc! -~ ~ ~ ~j ~ 1~J~~ TYPE PERMTT # FEE RECEIPT # CnMMF.NTC Sewer Inspection Fee Sin le Famil $145.00 Sewer Inspection Fee (Multi-Family/Comm./IndustriaO $145.00 + $35.00 / hr. Sewer Latecomers Sewer ERU approved under 1994 sewer ca aci $ ~~ ~ ~ 6 (~ /~~~ Sewer ERU in the LID + LID assessment $2,480.00 Sewer ERU lots outside the LID boundaries $4,850.00 Site Plan Water Latecomers Water Meter* $ 300.00 Water Meter I.RR Water ERU's inside ci limits $1,000.00 C. Water ERU's (outside ci limits) $1,200.00 Consumer Deposit $ 90.00 Plan Review ,. /`/S. !oD n Building Permit WA Building Code Fee $ 4.50 Mechanical Permit j~3y 175 Plumbing Permit ~~~.' ~ - ~ Yelm Business License # Transportation Facility Charge School Mitigation Fee r - ~/,~ ~ ~, ~ ~ ~^ Open Space Fee ~ ~~~ ~~ D UE AND PAYABLE AT TIME`S PERMIT ISSUANCE! C:\My Documents\building\NEW DEVEIAPMENT.doc CITY OF YELM Building Permit ~ ~ ~ ~ ~ BUILDING DEPT. Phone: (360) 458-8407 Date (Work m t be s ~ ed wit In 20 days) o ~^/ Name Phone ~~ ~. N '~ E R -~" Address ~ `L.C7 ~~` _ > City State Zip Code '• ? C~';~(' % t~' ,/` Site Address _ ° ,~ ~' r f 7 ¢~,r ~, P rz Assessor's Parcel No. Lot Size (sq. ff./acres) O P R Subdivision .. ~ Lot Block i T v OR Short Plat No. Block Existing Shuctures, if any: C o Name Ir.° K` ~` + -~ Contact ~ ~~, ~' Phone ~~S ) -''" ~ /a '- T _ Address ~ / ~_.-- -'° :~- ''` `, City /~rJ (e;yy-l,r State ~ Zip Code ~'I,JC ~- l%~fi ~ License No. Z C,~~• ~~ L Exp. Yelm Bus. Lic. No. - ~ ? l Description of Work j Y ,. e ~ J f.• ~. ~ OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (lst) (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' ~ r Sets of Prints Plumbing Permit # . '~~~~ 3 Other , WA. ST. BC. Fee (4,50 -New Const. Only) .l i ~ ~ Mechanical Permit # ~~i 'r°G' ~ ~ TOTAL FEE '~~ ~""' / !.'~ ~ !~ /+~. Plan Check B y ~..J / ~ n ~ ^ -" 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 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. ~., !~O."> ~ .- 6ZuarterlyReports Signature ,' r Date ~ -:,~~ - Assessor / / Firm: TRPC / / NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: ~S~a fJ`~ ~~! C/~~~ C~c~ ~ ~ ~ l~ ~10~,0 ~ n~ ~I TYPE PERMIT # FEE RECEIPT # COMMENTS Sewer Inspection Fee (Sin le Famil $145.00 Sewer Inspection Fee (Multi-Family/Comm./Industrial) $145.00 + $35.00 / hr. Sewer Latecomers Sewer ERU approved under 1994 sewer ca aci ~9,A0 (Q~ 1 Q q 11D Sewer ERU in the LID + LID assessment $2,480.00 Sewer ERU lots outside the LID boundaries $4,850.00 Site Plan Water Latecomers Water Meter* $ 300.00 ~ - 8 Water Meter I.R.R. Water ERU's (inside ci limits $1,000.00 ~h v Water ERU's (outside ci limits) $1,200.00 Consumer Deposit $ 90.00 Plan Review ~. (~5 Building Permit ~ ~ ~ /off ~ i 7s WA Building Code Fee $ 4.50 ~f Mechatucal Permit ` , Plumbing Permit Yelm Business License # ~-o~i3~9 Transportation Facility Charge School Mitigation Fee 15~~ c.~ ~P 1 /G Open Space Fee / DUE AND PAYABLE AT TIME OF PERMIT'ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc CITY OF YELM Building Permit ~ ~ ~ ~ ? BUILDING DEPT. -~ ~ Phone: (360) 458-8407 Date (Work m be 8 arted ithin 120 days) .. ~ ~`/ ""~ Name ~ Phone ( ~ ' N rt Address ~ ~. ~ ~ ~ ~, `^ City 1 ~ State Zip Code '- - ' C r a. -- j '~,r f `~ Site Address ~ ~.. P a Assessor's Parcel No. Lot Size (sq. ff./acres) 0 P a Subdivision ~ `~ Lot Block y OR Short Plat No. Block Existing Structures, if any: _ ` ~ s Name ~ ,~?_ r*. ~ ~ '. 'kSYYt'C' Contact ~r' ~ ~,+~l~- Phone(," ~ f~~''~~_ Address ~ ~Q.~ i - ~ ~ - ~ `'~ City ~`~• l -3,J~ State t ~;ti Zip Code "`~' i f d.~i _,o ~t ' ~~ Ex Yelm Bus. Lic. No. ~' License No. ~Q~, ~' P• ~`~ ` ~.~~/ i .. Description of Work r 1 `, m.. E• OFFICIAL USE ONLY Permit Type: ' Sq. Ft. per floor: (lst) (2nd) .1' 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 # ~~ ~:~~ WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # ~ ~e.'S off, TOTAL FEE '" ~ s Plan Check By ~..1 ~ .Y? e'.l~1f+1~ ' Minimum distance of stuucture from property lines: t / Issued By `! . (~ rj ~ ~''''' 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 %D' ,i2.~~,_~ Date •-..:.1.y•- ~ Assessor / / Firm: TRPC / / ~ ~~8 NEW DEVELOPMENT/CONSTRUCTION CHECKLIST ~~ / ~~~ Site Address: ~ /l, Y~C` "~~ TYPE PERMIT # FEE RECEIPT # COMMENTS Sewer Inspection Fee Sin le Famil $145.00 Sewer Inspection Fee (Multi-Family/Comm./Industrial) $145.00 + $35.00 ~ hr. Sewer Latecomers Sewer ERU approved under 1994 sewer ca aci $2 I D I ~O Sewer ERU in the LID + LID assessment $2,480.00 Sewer ERU lots outside the LID boundaries $4,850.00 Site Plan / ~ Water Latecomers !/ Water Meter* $ 300.00 Water Meter I.R.R. Water ERU's (inside ci limits $1,000.00 _ a Water ERU's (outside ci limits) $1,200.00 Consumer Deposit $ 90.00 , 1 Plan Review ~SSDo Building Permit / a ~~ (Q ~7(~a, s~b WA Building Code Fee $ 4.50 1 Mechanical Permit ~ ~ 3 ~ ~ ~' 7 S `~ ~ Plumbing Permit s s~-a 1 ~ .o~ Yelm Business License # -off 138 Transportation Facility Charge School Mitigation Fee (oSD . oo C~~Fi,em ~n ym Open Space Fee _ ~_ D UE AND PAYABLE AT TIME OF PERMIT SU CE! C:\My Documents\building\NEW DEVELOPMENT.doc CITY OF YELM Building Permit ~ ~ ~~~, BUILDING DEPT. c- ` `° LC. ~~ Phone: (360) 458-8407 Date (Work m t be s rted ithin 120 days) a _ - -: W Name iw.L.. Q~ t~ ~ 1 ~ I'"~ ~~.., Phone (~:f:l~9 Z 1 ~ "" ~v7~i c N R Address Al I /~ ~ "l _ City ~' #'t.,r..,, State Lti.l~/ Zip Code y r'' ~ ' '" Site Address ,h ~, , 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: c o ^~, Name ,,,L~~ /R Contact Phone ~~(~,)) - -'` d T R Address City State Zip Code ~ ~ ~ Exp. Yelm Bus. Lic. No. ~ t~UY~ License 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 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 # \J WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # . O TOTAL FEE ~rg~, ~,3(~ Plan Check By .~' Minimum distance of sfructure 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 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 applying as a contractor, I further certify that I am a currently registered contract in the State of Washington. QUarferlV RepOrfS ~._._, Si nature -. ,.~, ..^:2~,~ `~ ~`'` <.~1 ~,_.,,\ Date 9 ~* - J -~ fr - ( .... Assessor / / ,, _., ~ ~ ~ Firm: ~ . TRPC / / CIN OF YELM BUILDING DEPT. Phone: (360) 458-8407 Building Permit ~~ ~ ~i~~,~ f - ,~ Date ~ . I / ~ . `"~ (Work m t be rted within 120 days) ~~ O / w o Name >~~ ~ ~ ~-U ) m Phone N R c~ / Address 7 ep (,~ ,~~ / ( /,7 r' /i ~ City ~ ,~ State e. ~ Zip Code Site Address ~y'p1 ~ ~~ P R Assessor's Parcel No. ,~) Q ~~ ~ Lot Size (sq. ff./acres) O P E Subdivision jr .-~ Lot - ~ f Block R T Y OR Short Plat No. Block Existing Structures, if any: Name ~u..{ ~ ~ Contact Phone ( ) ~' ° ~~/'/~ Address L~ City (",f•t°!t /~}~: ~ State Zip Code License No. ~~ ~ l ~ Exp. Yelm Bus. Lic. No. C~ ~ ~ ~(}~ ~ , t'j.! Description of Work f ~ ~, ~ ~ /~, ~ ~ G'')'!'~ ~' 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 .;~ ,~("" ~ ~'' Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) ~ ~ ~ ~ Mechanical Permit #~ ~' TOTAL FEE f S ~,fr ~ ~ /j Plan Check By ~ 'r ~..a... Minimum distance of sfructure from property lines: /~ ~~ '')) Issued By t/+ C.:ti.,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 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. ,, r, Assessor Floor Plan and Permit Submiffed / / uarterly Reports r Signatures ~ -~-1. ,F? ' ~px Date v Assessor / / Firm: (; '<; TRPC / / NEW DEVELOPMENT/CONSTRUCTION CHECKLIST .'? j - ~(~~ Site Address: /~~`~~,~ , jD 7 ~ !~P cs~ ~j ~02,~ ~' _~- " TYPE PERMIT # FEE RECEIPT # CnMMF.NT~ Sewer Inspection Fee Sin le Famil $145.00 t Sewer Inspection Fee (Multi-Family/Comm./Industrial) $145.00 + $35.00 / hr. Sewer Latecomers Sewer ERU approved under 1994 sewer ca aci Q ~ Sr 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 /~ Water Meter* $ 300.00 Water Meter I.RR ~~ Water ERU's inside ci limits $1,09A-00 /1)/7~P ~ j,~ Water ERU's (outside ci limits $1,200.00 .~ Consumer Deposit $ 90.00 Plan Review Building Permit ~~8 ~S-D ~ I' WA Building Code Fee $ 4.50 Mechanical Permit ~ ~ / Plumbing Permit Yelm Business License # boa 8s'3,a Transportation Facility Charge School Mitigation Fee ~ ~ Fr~~ Open Space Fee .3 ~ ~_~, ~~ D UE AND PAYABLE AT TIIGIE OF ERMIT ISSUANCE! C:Vvly Documents~building~NEW DEVELAPMENT.doc CITY OF YELM Building Permit ~ s ~ ~ ~ BUILDING DEPT. //~ ~('" Phone: (360) 458-8407 Date .._..1 y, (Work must be started within 120 days) ,, N Name '~ W jy1~. / Phone (~~) 7u.%G1~ ~%G~' R Address -,"~ ~ /`~'~ r City ~~%t~ State Zip Code ~ ~ ~ - Site Addressf~~ 7 ~ e;~.~` f,~ 1 R Assessor's Parcel No. r Lot Size (sq. ff./acres) P - - - E Subdivision Lot ;' Block R T v OR Short Plat No. Block Existing Structures, if any: Name ~~ ~' '° Contact (~~ yi -;;~ Phone -' ~,/ Address •' City - y,~,~ /jA State (~,j/} Zip Code ` ~~.~~' ~, ~ License No. `~~, i~ y ~. ~; Exp. Yelm Bus. Lic. No. ~ c~LfD ~ j ~',, C.) Description of Work ~fy ,~ ,~1 ' L/ ) ~ ~~~ / <tli1~/ 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 C~ Sets of Prints c~ Building Value . Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) ~ ~ "~ Mechanical Permit # ^ TOTAL FEE ' ~~ ~ y'~ Plan Check By ~- Y r -- .• ':-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 inconformity 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 ~ Dat '' ,~' Assessor / / Firm: TRPC / / ! - ~' s.' ~, NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: /. 5~~3.~ %~ 7 ~ TYPE PERMIT # FEE RECEIPT # COMMENTS Sewer Inspection Fee Sin le Famil $145.00 '~~'~CJ Sewer Inspection Fee (Multi-Family/Comm./Industrial) $145.00 + $35.00 / hr. Sewer Latecomers Sewer ERU approved under 1994 sewer ca aci ~ p ~ Sr ~~~ Sewer ERU in the LID + LID assessment $2,480.00 Sewer ERU lots outside the LID boundaries $4,850.00 Site Plan Water Latecomers / Water Meter* $ 300.00 ~ r Water Meter I.RR '-~ Water ERU's inside ci limits $100 /Z)/71P ~ j~ Water ERU's (outside ci limits $1,200.00 ~~ Consumer Deposit $ 90.00 ~ I,,,~-~-~. J Plan Review Building Permit IIs~ `G~~L ~ /~ /1~',, I I ~~ WA Building Code Fee $ 4.50 '~ 1 ' Mechanical Permit Plumbing Permit Yelm Business License # ooa 8.~3,a Transportation Facility Charge School Mitigation Fee // -- ~~ ~V ~ Ilyl 1'iWh-~ Open Space Fee ~ ~ ' /`~ ~~-/ /,~_ - ;<~ D UE AND PAYABLE AT TI1GlE F PERMIT ISSUANCE! C:Vv1y Documents~building~NEW DEVEL.OPMENT.doc CITY OF YELM Building Permit ~ ~ ~ ~ 3 BUILDING DEPT. ~,.,~ ~ __ ~, ~~~ phone: (360) 45a-x407 ~Mte ~ }~.~ (Work must be started within 120 days) ~ ~~- D Phone (~ J °' ('} w Name L~ ~11~- t,,.,) O ~ N R Address ~ ~`~'' ~ ~"Y7 /- /1' ` City ~,,~ (_ State Zip Code ``~ ~ ~~/ ~' ... Site Address b V...-CS R Assessor's Parcel No. (,p ~ Lot Size (sq. ff./acres) O P R Subdivision t tQ ( Lot ~? j Block T Y OR Short Plat No. Block Existing Structures, if Name G ~'t j Contact ~~~ ~ C 7", L ,) Phone ( L y'' <' Ci. } / y Address ~~ `~ ~jj `--f ('DMZ ~~~',~rs State ~,,,,i City Zip Code `f ~ f~jZ~ License No. ~ V ~ ~. ,/"j l Exp. Yelm Bus. Lic. No. ,- y(jQ ' ,~', ~` Description of Work ~, _a / d9 /?!'dal/r'~''/,; ,i~' .-y+ 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 Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ') ~~ C~°,-7 Sets of Prints Other Plumbing Permit # /~/~1f~ WA. ST. BC. Fee (4.50 -New Const. Only) --~ Mechanical Permit # '~ TOTAL FEE - t . ~~ Plan Check By L7~ ~. . Minimum distance of structure from property lines: t Issued By ~~" , t,,:~^~-.~. 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 ,,~~~ .c- r ,( `~ ~ ~ , ~ 1' ,! Date'- 1 ~ ' Assessor / / Firm: - 1 TRPC / / NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: _ 1s'~/ ~(~ 7 ~ l~d~ ~~ ; 1~' ~ ~/ TYPE PERMIT # FEE RECEIPT # COMMENTS Sewer Inspection Fee Sin le Famil $145.00 Sewer Inspection Fee (Multi-Family/Comm./Industrial) $145.00 + $35.00 / hr. Sewer Latecomers Sewer ERU approved under 1994 sewer ca aci , Q p Sr jJJ~ Sewer ERU in the LID + LID assessment $2,480.00 Sewer ERU lots outside the LID boundaries $4,850.00 Site Plan Water Latecomers /~~ Water Meter* $ 300.00 j Water Meter I.RR /~ Water ERU's inside ci limits $1~99:fl0 ~~ ~ 7 ~ l'i!' ltd Water ERU's (outside ci limits $1,200.00 ~~ Consumer Deposit $ 90.00 ~'~~ j ~(-/ Plan Review Building Permit ~~~ ~SD~ ~ f WA Building Code Fee $ 4.50 Mechanical Permit ~ ~ /~ Plumbing Permit Yelm Business License # ooa 8.~3,a Transportation Facility Charge School Mitigation Fee (~ ~ ~ ryW1^~ Open Space Fee ~ ~ j I ~~ D UE AND PAYABLE AT TfME O PERMIT ISSUANCE! C:Uv1y Documents~building~NEW DEVELOPMENT.doc CIN OF YELM Building Permit ~ ~ s ~ ~ ~ BUILDING DEPT. _ ~ ~~~}t~` Phone: (360) 458-8407 Date ~ ~ w.`~M ' ( 1~ (Work must be started within 120 days) ~ Phone w Name ~) N rt Address (7"~ (2 rr City t..nf_~- State /{- Zip Code "p" Site Address ~ L..{`~C.% P R Assessor's Parcel No. Lot Size (sq. ff./acres) O P R Subdivision ~ r Lot Block T Y OR Short Plat No, Block Existing Structures, if any: Name ~ ~., ,~"'~ t ~, ;~ ~ Contact ~y ~ Phone ( ~ ~ •" ,~,1 • Address ~~ .ti '1i City ~~;•~,~ ~; State i.4r)/~ Zip Code `" ` ' ~~ " License No. ( ~j"'{,,)~ Exp. Yelm Bus. Lic. No. ~ - (1)Z~C% ~ ~ ~~ Description of Work ~ 7 /'~~ ~ k ~~(~,~ a?F~ OFFICIAL USE ONLY Permit Type: (2nd) Ft fl 1 t S Residential~_ Sign . per oor: ( s ) q. 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) L S" ~ 3 Mechanical Permit # - ff '~ ,! s TOTAL FEE ~ < ~~ Plan Check By L~.~.. ~ '~.: -^~- • i 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. 9uarterly Reports Signature ~„ ^' ~ _~ ~ r ~ Date ~- l ~ ~- <-~ Assessor / / Firm: ~ TRPC / / NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: /~~~3 ~ /p 7 ~" ~--- TYPE PF,RMTT # FF.F. RF.C.F,TPT # C'(1MMF.NTC Sewer Inspection Fee Sin le Famil $145.00 Sewer Inspection Fee (Multi-Family/Comm./Industrial) $145.00 + $35.00 / hi. Sewer Latecomers Sewer ERU approved under 1994 sewer ca aci . D ~ S~ ~ !~i¢J~ Sewer ERU in the LID + LID assessment $2,480.00 Sewer ERU lots outside the LID boundaries $4,850.00 Site Plan Water Latecomers '/ Water Meter* $ 300.00 ~) Water Meter I.RR '~~~ Water ERU's inside ci limits $1,099-00 /~l ~7(Q ~~ fit jd Water ERU's (outside ci limits $1,200.00 `~ Consumer Deposit $ 90.00 Plan Review Building Permit / a~ Z LSD WA Building Code Fee $ 4.50 I Mechanical Permit Plumbing Permit Yelm Business License # ooa 8.s'3,a Transportation Facility Charge School Mitigation Fee // -- ~~ ~V ~ /~ JYl ryWY-~ Open Space Fee ~ ~ ~ ~ 1 i / DUE AND PAYABLE AT T~ME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVEI.OPMENT.doc CITY OF YELM Building Permit ~ ~ ~ BUILDING DEPT. '~' ~ ~- tr ~ ~ Phone: (360) 458-8407 Date (Work ust bje started within 120 days) _- .._. ~ ~^/ - Name ~ GsQ Phone "- ~ "' ~ .- N R Address ~~P /~~Z (J / +I ° City ,. /3 State Zip Code r., " Site Address ,,/~~~ ~ ~' ~r;1C> ~ , ~~ P R Assessor's Parcel No. (J C~CJ ~' Lot Size (sq. ff./acres) O P R Subdivision ' l ~ ( Lot Block T ~ OR Short Plat No. Block Existing Structures, if any: Name ~'r,,..f"A ~jd~~1"+'+•'7r Contact t1rf~~ }d ~ Phone ~ `' 1 ~" !/,~ - ~ ' Ci ~ State Zi Code -? ' ~~~f~ Address ty r= „d'. }'} P i) {.~ License No. y~~ Exp. Yelm Bus. Lic. No. - ~ ~ r , ;~. Description of Work ~~, ~i ) ~ ;) fi' j,,t j ~ ~:~ ~ '1~"Y 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` ~~ ~ ~ ~'~ ~~ ~`~ Sets of Prints Other Plumbing Permit # 'u~y%.~,~ WA. ST. BC. Fee (4.50 -New Const. Only) G~~; s ~ Mechanical Permit # J ~r TOTAL FEE ~' +S t' ! ~ / G? Plan Check By Minimum distance of structure from property lines: ,,~~ ) Issued By [3. ~--"`"""~- 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: ,6 ~',~ TRPC / / Y . ~ . NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: ~ 3 ~,~ /!S ~ ~ h~0 TYPE PERMTT # FEE OS-~c~~ ~3 RF.CF.iPT # f'(1MMFNTC Sewer Inspection Fee Sin le Famil $145.00 Sewer Inspection Fee (Mule-Family/Comm./Industrial) $145.00 + $3$,00 / hr. Sewer Latecomers Sewer ERU approved under 1994 sewer ca aci , jj p D sr ~~' Sewer ERU in the LID + LID assessment $2,480.00 Sewer ERU lots outside the LID boundaries $4,850.00 Site Plan Water Latecomers /~ Water Meter* $ 300.00 Water Meter I.RR /.~ Water ERU's inside ci limits $l~gg.p0 /Z)/ ~71.P ~ jd Water ERU's (outside ci limits $1,200.00 ,~ Consumer Deposit $ 90.00 Plan Review Building Permit `5~~. WA Building Code Fee $ 4.50 Mechanical Permit t ' /`~ Plumbing Permit Yelm Business License # ooa 8.s'3,a Transportation Facility Chazge School Mitigation Fee ~' ~yt ~`` Gl~,-~~ Open Space Fee D UE AND PAYABLE AT TAME OF PERMIT ISSUANCE! C:UvIy Documents~building~NEW DEVEIAPMENT.doc CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Building Permit ~ ;~ ~ ~ ~ Date ~~~ (Work must be starte ithin 120 days) _><~'-: 0 N Name (~A~, u3!? Phone ( (c ~ ?, - _ ~ a R Address (~ ~ ( ~~ !1 +`~ I / A ~ City C_ r) State Zip Code Site Address / ir,} ? ~ „~~ P ~ Assessor's Parcel No. ~' Lot Size (sq. ft./acres) P ,,g_ E Subdivision , ,f ~~ Lot ~7 Block R T v OR Short Plat No. Block Existing Structures, if any: C o Name ~"" j" Contact ~~~ ~ ~~-y,~._ Phone (~' T Address r City ~ ~. ~~• State ( /}~ Zip Code ~~ ~ License No. ~ ~, ~ Exp. Yelm Bus. Lic. No. ` ~} t" Description of Work ~. . "/~jZ, r.. ~, ' OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor. (lst) (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 # ~'-'I /.~f WA. ST. BC. Fee (4.50 -New Const. Only) ' ,f ^^ Mechanical Permit # .~ ~ TOTAL FEE ~r M ~ ~' Plan Check By i i'~-w"" + Minimum distance of stuucture 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 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 ~-- l3 - ~ Assessor / / Firm: TRPC / / NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: ~~~y ~ /b 7 ~' ~-p/1 ~~ ~ ~ ~~ r~~C° - 2 TYPE PERMIT # FEE RECEIPT # CnMMF.NTC Sewer Inspection Fee Sin le Famil $145.00 Sewer Inspection Fee (Multi-Family/Comm./Industrial) $145.00 + $35.00 ~ hi.. Sewer Latecomers Sewer ERU approved under 1994 sewer ca aci . D D S~ ~ Tifl~ Sewer ERU in the LID + LID assessment $2,480.00 Sewer ERU lots outside the LID boundaries $4,850.00 Site Plan Water Latecomers /~ Water Meter* $ 300.00 Water Meter I.RR ~~ Water ERU's inside ci limits $,7~9A-00 /1)/ ~71Q ~ jd Water ERU's outside ci limits $1,200.00 ~'~ Consumer Deposit $ 90.00 Plan Review Building Permit ~ Q p LSD ~. ~ 1 WA Building Code Fee $ 4.50 ~ ~ /'~ / ~ Mechanical Permit Plumbing Permit Yelm Business License # boa ~~3,a Transportation Facility Chazge School Mitigation Fee // -- ~~ ~v ~ V'yl 1`y(~liY-~ Open Space Fee ~ 3 I' D UE AND PAYABLE AT ~ME OF PERMIT ISSUANCE! C:~ivly Documents~building~NEW DEVELOPMENT.doc CITY OF YELM BUILDING DEPT. Pholne: (360) 458-8407 Building Permit ~ ~,~. _ ~ ~ ~f ~.. c', '~ _~ ~ 2 ~ g Date ~,~'~ (Work must be started within 120 days) 0 v'/ Name ~ ~ CJ ~ s- r Phone - ~ ~" N R Address ~' /'`~ /a " *- City i-~ ( ~~. :State rti..~.~j Zip Code l~ ~ %~ Site Address ' 3 ~ / G P rt Assessor's Parcel No. ~ ,~ 3/ Cy !j ta~"51 /:~ ~ Lot Size (sq. ff./acres) ~ Subdivision ,y.~ ~ J/ (~,r ~, / ~/ Lot ~ Block ,T Y OR Short Plat No. Block Existing Structures, if any: C o L Name ~" y +~L G ~ ~ ~,~ Contact ~~~il c ,~". Phone (' ~?) ~ T ^ ,~ ,ryE State Address , ~, City Zip Code ~ License No. ~, ~ Exp. Yelm Bus. Lic. No. ~y - ~j ~ ~ o ~ Description of Work ~~j ~.oJ ~ ~~~ ~ ~p~ f~~` ,~~- OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor. (1st) (2nd) ~ r ~ mW 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 # .~.d .~f'~ WA ST BC Fee (4 50 -New Const Only) ~ ~, ~~ Mechanical Permit #. ~! ____,~ ! , . . . . . ~, TOTAL FEE ~t~~ ,' ~/~ Plan Check Bye f />/,~ Minimum distance of structure from property lines: ~ Issued By ~ ~~„`ur 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_ Date ~" Assessor / / Firm: , `, ' TRPC / / ~ a~~ NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: /~;j 3y~ /l~7 ~ ,/J' ~~ ~ PC f TYPE PERMIT # FEE RECEIPT # COMMENTS Sewer Inspection Fee Sin le Famil $145.00 I' Sewer Inspection Fee (Multi-Family/Comm./Industrial) $145.00 + $35.00 ~ hr. Sewer Latecomers Sewer ERU approved under 1994 sewer ca aci D `1~ _ ® 7S ~~ I'~{~~ Sewer ERU in the LID + LID assessment $2,480.00 Sewer ERU lots outside the LID boundaries $4,850.00 Site Plan Water Latecomers Water Meter* $ 300.00 '1 Water Meter I.R.R. / Water ERU's (inside ci limits $.]~98-00 /l~l 7LP ~ j,~? Water ERU's (outside ci limits) $1,200.00 ~'~ Consumer Deposit $ 90.00 "Lj _ J" Plan Review / Building Permit 6a ~9 ~~~ ~.. ' / i WA Building Code Fee $ 4.50 ~ ) Mechanical Permit Plumbing Permit Yelm Business License # Doa 8~D Transportation Facility Charge School Mitigation Fee // ~__ ~~ ~ ~v '~ /' Jyt Pi 6L'Y-~ Open Space Fee - D UE AND PAYABLE AT TIME OF PERMIT CE~ C:\My Documents\building\NEW DEVELOPMENT.doc CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 __ _ _ o ~' N/ Name ~ ~,~ (. /d' ,~ Phone `" (} I N E ~ ~- City [ f +~sJ State Zip Code ~^ ~ r? Address Site Address f Q f ~ ~~ r P R Assessor's Parcel No. ~ '~ Lot Size (sq. ff./acres) 0 R Subdivision , Lot Block T v OR Shorf Plat No. Block Existing St~r-u7ctures, if any: Name iG- ~, ~,q ^~ ~' ,/~. ~''; h} j Contact (C~/'1 V~ ~ L '~) ~'.~~ Phone ( ) ~~~ ~ r Address ` "°'~ City ~`~ ~ h,y State Zip Code (~$ T a License No. {~~".~ ~ ~ Exp. Yelm Bus. Lic. No. ` lid'. ~' ~, ''~ ''" Description of Work ~ ~ OFFICIAL USE ONLY P 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 Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N ' ~" C, ~ Sets of Prints Building Value ~ ~ ~~~ Other Plumbing Permit# - WA. ST. BC. Fee (4.50 -New Const. Only) y ~ ~" Qr Mechanical Permit # TOTAL FEE ~ Plan Check By~~ . ~Lt, ~ !~ +' Minimum distance of structure from property lines: Issued By 'Z~+ ~,~ ~~alP.~/':..~^-F 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 gpplying a tractor, I further certify that I am a currently registered contract in the State of Washington. ' ~ "'~~ ( ~ ~ q t~ Quarterly Reports Signature Date Firm: 6 ~y r a .~ t'~_ Building Permit ~ d f 3~~ Date ~~' ~~ ~'~ (Work must be started within 120 days) Assessor~~/ / TRPC / /_ NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: i ~ /p (/ ~` Pl ~~ ~,,, ~ / Z TYPE PF.RMiT # FFF AF(`FTPT if rnnarr~~rm~ Sewer Inspection Fee Sin le Famil $145.00 _` Sewer Inspection Fee (Multi-Family/Comm./Industrial) $145.00 + ~ / ~. Sewer Latecomers Sewer ERU approved under 1994 sewer ca aci $~$~,~gg~ /~/ ~~ Sewer ERU in the LID + LID assessment $ 0 Sewer ERU lots outside the LID boundaries $ Site Plan Water Latecomers Water Meter* $ 300.00 '' r~ J Water Meter I.RR Water ERU's (inside ci limits $1,000.00 ' ~ y / Water ERU's (outside ci limits $1,20 Consumer Deposit $ 90.00 ~ J Plan Review ~ ~~` ~ I f Building Permit ~a ~ .~ WA Building Code Fee $ 4.50 Mechanical Permit ~ ' /~~ ' Plumbing Permit ~7 ~ n (lam ~ ~ ~~ Yelm Business License # _ 1~-6o Z17s-Q) Transportation Facility Charge ~s-/1 ~ S-D 1 School Mitigation Fee ~ " y~ v ~ l.(.S V ~ ~~?/~ ~1 iG111~ Open Space Fee 97~.a7 i 1 ~ ~3 ~ lY~ D UE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:~ivly Documents~building~NEW DEVELOPMENT.doc _ _ _. CIN OF YELM Building Permit ~, -~ ~.~~~ BUILDING DEPT. ~ ~~~(` Phone: (360) 458-8407 Date - ~ ....~'~ (Work must be started within 120 days) p (~ 6 ~ t f~ X~ `', r7 ~ ~ L4 d Z~ Phone ( ) `/~ Name N E ~~ R Address Y f ~lJ ~ "'~ ~' ~_ City PC ~a... State (_ Zip Code Site Address ~ ,~ ~> ~.'-'~ ~^;, P R Assessor's Parcel No. Lot Size (sq. ff./acres) P E Subdivision Lot ~T Y (~R Shart Plat No. Existing Sfructures, if Name Address Contact City Block Block Phone ( ) State Zip Code License No. Exp. Yelm Bus. Lic. No. ,,-„" Description of Work I:Zit~1 ,~ ~ ~ )P ~ OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (lst) (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 '~~-- Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE ~s ~{} ~.~ -~- Plan Check By } / ~j ~ Minimum distance of sfructure 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 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. Quarterly Reports ,0 Signature ~ ~~ ~ t J~ r ~ ~,,,.,? Dat ~ l ~ ~, ~ .y~' Assessor / / ~ Firm: r ,'?~ lld fi ~t'..~'f%~`~f ~%,1 T= , / `9~ , +~ TRPC / / CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 .~ O ~/~/ Name t N E a Address Site Address P R Assessor's Parcel No. P E Subdivision Lot Size (sq. ff Lot Block .T v OR Short Plat No. Block Existing Structures, if any: Name r ~~ /~ Contact ~~, Phone ( ) ~ ~ - }/~, t ~ Address f,.. "~ ~, ,,i~r,'7 ~ / ,+e"' ~-`~ `µ ~. "~, City . C r ri~'~k' State t L.+,~ Zip Code % ~ /',~ ~, .""~ License No. ~ ,wr ,p Exp. Yelm Bus. Lic. No . ~ ~ ~, , Description of Work ~ , ~ ~ OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign '"r 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 7 ~ Sets of Prints~,~~~~` Building Value ~.~L Other Plumbing Permit # ~LT.~f'~'" WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # eL% ~~ TOTAL FEE ~ Q `::~° J Plan Check By r f e' % Minimum distance of stuucture from property lines: Issued By ~" z., 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: f r ~ TRPC / / _._ _. Building Permit ~ .~ s ~ ~ ~ Date ~ -- ~ ~ `" (Work must be started within 120 days) rtvY~yt 1, d ~ ~ Phone ( ) City State Zip Code CITY OF YELM Building Permit ~~~ ~~ ~.3 ~ 5 BUILDING DEPT. _ `~ ~' .j ~ ~~ `~/ ~`'~ Phone: (360) 458-8407 Date (Work must b started within 120 days) ^~ ~ /~ •_,. `/~ Name \" ~ ,r} ` Yl1( Phone ( ) ~p~J N E rt C_ ~ ~ Address City State Zip Code / / Site Address ~v f/ ~/ ~C ~ P R O Assessor's Parcel No. Lot Size (sq. ft,/acres) P E Subdivision Lot Block v I OR Short Plat No. Block Existing Structures, if an Name (`',~'~/fy; r: ~X/S/~f7R s Contact Address ~ ~} , ~~~ ~ ~~,~ City ~~ t~ State (,J, et~ Zip Code ~~~5 ~ ~7 License No. Exp. Yelm Bus. Lic. No. ~~ Description of Work ~k, 4?L ~ ~ ~ ~_ ~~;~ 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 ~ t r Sets of Prints '~ Building Value . ,~ Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE ~, ~ ~ Plan Check B y ~/,~~ / "~ /'~ ~ 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 contracttn the State of Washington. 9uarterly Reports ~, ~ ~;'~ i'_; i_~ ~ -- ', ~~..- Date Signature Assessor / / Firm: TRPC / / Phone ( ) CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Building Permit . .D ~9~Q~ Date ~U"'r~~ (Work must be started within 120 days) r-~. ~^/ Name t ~ C. ! ~'7 ~ C .fit. G) ,f /7~ lei-:/ r~ ~ Phone ( ) 7 ~~'"' '~' U N R Address (r ~ ~.7 City ~~,y1.c..~ /~``,/( State J Zip Code '' Site Address /`(j ~ ~-^ L`~7'" r P -- R Assessor's Parcel No. =~ f^ C~ . Lot Size (sq. ff./acres) 0 P R Subdivision ~' ~ ) ) % Lot Block T y OR Short Plat No. Block Existing Structures, if any: C o Name (wL9 ~ , ~'~ E, ontact Phone ( ) t ~~ T Address ~(,~, ,~C} "~ City ~ ~ State Zip Code ~~ ~~~ ~ License No. ~, 1 ~ !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 ~. Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value /1 j'~ ~J t,^,~' k"1 t_'~ ~J ~- J,,..,, Sets of Prints c~ Other c,~ ~ [ ~ Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) ~, ~ ~ Mechanical Permit # ~ / ~ ~f~' ~ ~ '°^~ _ TOTAL FEE ~ ~ Plan Check By d + ~ ~ ,. r ~ ~' ~~~ Nl 44 J ~ s 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 contraci~n the State of Washington. ~-;' ~''~~~ _. .- 6~uarterly Reports D t t ~" ~ f Signb ure ~ - a e ' ....~-~--._.__ --~' ~'" ~ Assessor / / Firm: '"~~ TRPC / / NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: ' ~ 31 ~ / d 7 ~ U ~ ~ Lv /~ ~ ,~ ~ J TYPE PERMIT # FEE RECEIPT # COMMENTS Sewer Inspection Fee Sin le Famil Sewer Inspection Fee (Multi-Family/Comm./Industrial) Sewer Latecomers Sewer ERU approved under 1994 sewer ca aci Sewer ERU in the LID + LID assessment Sewer ERU lots outside the LID boundaries Site Plan Water Latecomers Water Meter* Water Meter I.R.R. Water ERU's (inside ci limits Water ERU's (outside ci limits) Consumer Deposit Plan Review Building Permit WA Building Code Fee Mechanical Permit Plumbing Permit Yelm Business License # Transportation Facility Charge School Mitigation Fee Open Space Fee $145.00 1 $145.00 + $35.00 / hr. ~ ~o~ $ ,480.E $4,8 $ 300.00 I j $1,000.00 ~' $1,2 $ 90.00 I `f~1/.yo ~ ~c~ ~~~ I l $ 4.50 ss~ ~ ~~. ~~ I ~ ' ~ r-~ L~ ~~ D UE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 w Name ~ A~ N IZ ~ h N R Address ,~ (J , ~± ~~1?G ~ cr Site Address ~ / d P O Assessor's Parcel No. d , P E Subdivision ~~A / iQ I [` /~^~i`"~ R T V r7R Shnrt Plnt No. Existing Structures, if Name ~~j~ ~ ~ t Address ~~7 ~~, License No. , ~ City 7 ' ~L;, 1` G~ ur"?, .~r~; Lot Size (sq. 1o/1/lr~s r ~„)1 / ~` Lot Frj,,l z,, ~f`/, Contact 7 city J ~~ ~ Exp. Block Block Phone (~7) ~,/(a/~ .. State Zip Code 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 Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~ , ~/ C~ ` ~ ~} Sets of Prints 1 ~~~ Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) ~ ,~`~ ~ ~~'`,~ Mechanical Permit # ~ ~o TOTAL FEE L,/r~ ~,a.~~ ,, Plan Check By^f a ~'fl A +'~~S ~' '^~ Minimum distance of structure from property lines: n ~iU 1 C Issued By ~'7', ~ ~ V°° 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 ~ ~ '` 1 D t ~ ~ ' l ~'="""""`°- ri A a e ature _~,,..- ,~ ;- --~ Sig ;::_ F ssessor / / Firm: ~ '" TRPC / / Building Permit ~ ~ ~ 3 ~ ~ In` 7 ~ A M ~v`. ~. Date ~ ~` (Work must be started within 120 days) Phone ~~/~) ~'~~~fJ`c ""-~~- A,~ f ! t'°-2'_ State ~ ~ Zlp Code 7!~ ~ NEW DEVELOPMENT/CONSTRUCTION CHECKLIST ~'~~- Zv~~O ~ ~' ~3 - ~ Site Address: (~ ~ 1, ~ ~ ~'~ 1'~` G~" ~ ~ } ~~'- ~ '~ ~ ~ ~" TYPE PERMIT # FEE RECEIPT # COMMENTS Sewer Inspection Fee $145.00 Sin le Famil n Sewer Inspection Fee $145.0 (Multi-Family/Comm./Industrial) ~ ~ ~. Sewer Latecomers Sewer ERU approved under ,$z 488.~9- 1994 sewer ca aci - ~ ~ Sewer ERU in the LID + LID $2,4 assessment / Sewer ERU lots outside the $4,8 LID boundaries Site Plan Water Latecomers Water Meter* $ 300.00 Water Meter I.R.R. Water ERU's $1,000.00 I (inside ci limits Water ERU's $1,20 (outside ci limits Consumer Deposit $ 90.00 Plan Review ~~ Building Permit ~ g / ®~7 WA Building Code Fee $ 4.50 Mechanical Permit ~~ ~ L ~ ,S~ Plumbing Permit ~, y~. ~ ~ ~ Yelm Business License # ~9-003$3 Transportation Facility Charge School Mitigation Fee ; ~~ L. ~~ ~ ,-~y ~ ~ ~ tirnt~ Open Space Fee D UE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc CITY OF YELM ~,,~~ ~~ ~ ,~~,,.~ Building Permit ~, ~ ~2 BUILDING DEPT. ~~ ~ ` ' ~' Phone: (360) 458-8407 Date ~, (Work must be Carted ithin 120 days) ~~ ~^/ Name o ~ 1~ 1 L N E R Address ~ ~ "~ ~ Site Address l -.. ~ C7r j P 3 R Assessor's Parcel No, ?.a O P E Subdivision y)) I~~ R T Y OR Short Plat No. j r wu Phone(~~) ~~y~-~ -~ City ~ g < F1.1 State ~ ~ Zip Code Lot Size (sq. ff./acres) Lot ,,;;io ~ Block Block Existing Structures, if any: Name ) Contact ~ Phone Address ~~~ L.r' , ~~ City 4.t ~ ~ State (r,, j/~ Zip Code :ham Ucense No. ~.~- Exp. Yelm Bus. Lic. No. Description of Work , , ~ ~ OFFICIAL USE ONLY (rI t ~ ~ ~, y ~f Lc 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 #~ !"fi WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # te TOTAL FEE } ~~ ~Gd ) ,r Plan Check By C ~ . ~ //''~ Minimum distance of structure from property lines: Issued By ~~- fC._..._ 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. ,~.a 9uarterlY Reports Signatur ~ _.--•y G'" / Date~s~'s~~cs~ ' Assessor / / Firm: TRPC / / t~ ') L~, CITY OF~ YELM Building Permit ~. 01 fi 3 ~ BUILDING DEPT. . . L~ ;~ Phone: (360) 458-8407 ,/s f Date ,. ~ ~' ~'~'~~'-~~"'~`~ f `~ ~ ~~ ,_ (Work must b started within 120 days) / ~.. w Name r Phone ! 7 ~~ .~ N E R Address ~,~ ~- (} '~ "" City t'`l; State '~ Zip Code "`~ -, Site Address Z tX ~ ,~ a i.~ ~ ; ~ - ~ R Assessor's Parcel No. } ~ ~ ~- ~ ~ Lot Size (sq. ff./acres) 0 P ~ ) Subdivision ~ y7 i i ! `` /1 l.. ~" / ( /P Lot ~',, f- Block T Y OR Short Plat No. Block Existing Structures, if any: C o Name ' .{ L CC ~ , ~n Zr ~' Contact ~ y "aw~~ y~ Phone (='~ , C _ r' T Address ~ ~1 ~ City ~~ - State j Zip Code ` ' -4. ~ License No. ~ ~° Exp. Yelm Bus. Lic. No. ~} .2 -` Description of Work y ~ , f !Y' OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (lst) (2nd) Residential ~'`Y~ 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 "7 f ) "~ ` r' Sets of Prints ~.-- Plumbing Permit # A"~!' Other , WA ST BC Fee 50 -New Const. Only) (4 Mechanical Permit # ~ ~,c~,,d:' . . . . TOTAL FEE / / J Plan Check By Cr/ . 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. >' Quarterly Reports Signatur Date - ~'` Assessor / / Firm: TRPC / / CIN OF YfCM Building Permit ' ' ~, ~~ . 6~Q0 ~• BUILDING DEP T . ~ ~ ~ ~ Phone: (360) 458-8407 Date (Work must be started within 120 days) ~f '~ / w Name ~ "C ~ 1 ,~ ~' Phone („~ ) ~ ` to N E rt _ .- Address C' ~ "~ City . ~ State L Zip Code r ~ Site Address ~~'~ ~ ) ~ ~ (./D P R Assessor's Parcel No. ~ Lot Size (sq. ff./acres) O R Subdivision ~~ / fs ~ /" Lot Block T Y OR Short Plat No. Block Existing Structures, if any: ,.. „J Phone ~ ~ 2'" 6 / Contact ~ ~ f "t N ,~~ ' "' ~ ~^~ - ~ f f yj ~ ~ ame .~ ~("( ~ } } T R A Address ~, ~ ~ City ~~ ~ ~ y State ~,/~ t/7 Zip Code „~,~ ~ License No. ~' Exp. Yelm Bus. Lic. No. ~~ Description of Work ~~ f ~,~ ,/ ~ ~ j ' r. ~ `~ OFFICIAL USE ONLY ' Permit Type: ,t `'~ 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 ~ ~ Sets of Prints ~° Other Plumbing Permit # 1 WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # r'.~~- TOTAL FEE ~~ - /i ~ C '1 Plan Check B e ~ t - ~ _ y . . . .__ Minimum distance of structure from property lines: // Issued By f-~ ~~,,, ".. 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 Signatur ~ -~'" ~ ~~ Date ~ .- ~ _ Assessor / / Firm: j ~' /'/~-',,c /~ ,,~',~.~. TRPC / / ~ ~: NEW DEVELOPMENT/CONSTRUCTION CHECKLIST ~'~~ - ~~ Site Address: /.~~~J~ / 7 ~ ~~~ ~% ~ ~~ TYPE PERMIT # FEE RECEIPT # CnMMF.NTS Sewer Inspection Fee Sin le Famil $145.00 Sewer Inspection Fee (Multi-Family/Comm./Industrial) $145. ~ ~ Sewer Latecomers Sewer ERU approved under 1994 sewer ca aci „$~~ ~ • e (~ ~ -] ~ ~p 1 ~ Sewer ERU in the LID + LID assessment $2,480 ~~~ Sewer ERU lots outside the LID boundaries $ .00 Site Plan Water Latecomers Water Meter* $ 300.00 C .~ J Water Meter I.RR Water ERLJ's (inside ci limits ~1-6b0~- ~ C9~1 (~ / ~ ~" ~~ 1 ` Water ERU's (outside ci limits) $1,2 Consumer Deposit $ 90.00 i 1 ~! Plan Review Building Permit I J -G WA Building Code Fee $ Mechanical Permit Plumbing Permit Yelm Business License # ~~~ I.SU ~/i l 1~ Transportation Facility Charge School Mitigation Fee ~~ ~ ~~ ~i ,2m I~ Open Space Fee ~~' ~ ,~ ` i ~- D UE AND PAYABLE AT TIME OF PERMIT ISSULA~IVCE?I C:\My Documents\building\NEW DEVELOPMENT.doc ~ 1 ~~ 1 •`"~ ~ a~ CITY OF YELM Building Permit ; ~ ~ 2 g BUILDING DEPT. .> Phone: (360) 458-8407 Date>. 1'~ (Work must be started within 120 days) r O w Name .~ J~ ~ [ y Phone ~ } ~ ~ ~ - 7 , N R _ Address ~ City ~, ~` State r.. -~ Zip Code ~ Ci 7 /~ ,~-- ~ Site Address /~" t,{ ~ ~=°~' P ~ 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 ~ ry Contact Phone ( Name ) 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 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 #_ WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE A,} ~ ~~' Plan Check By r Minimum distance of structure from property lines: Issued By C Pf , ~~ 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 inconformity 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 "~ r 6~uarteriv Reports ~ Signature Date (_," Assessor / / Firm: TRPC / / CITY OF YELM Building Pe mit ~ BUILDING DEPT. ~ '~ ~ ~ ~ ~ Phone: (360) 458-8407 Date" ~ -(" /~ ~ (~ '~ (Work must be started within 120 days) // ""`, (~'"\ r''~~' ,~ t N Name /yQ hj '~7L,~ JJ ~' Phone ( ) E r 1, ..~ R Address ,) U ti! r9 T ~ City ,Z~~7~.~ State (, ~ Zip Code .~~ Site Address P o Assessor's Parcel No. rJ ~- Lot Size (sq. ft./acres) P E Subdivision Lot Block T v OR Shorf Plat No. Block Existing Structures, if any: Name Contact Phone ( ) T R A 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 ` City Water Private Well Private System Shoreline Permit Y N r 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 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 Si nature f ~~ ,r.. ,~ „ ~ r',~~ s~ ,.~ ' , .q Date r; ~ r~ Assessor / / Firm: TRPC / / CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Building Permit , ~ ~' ~23~ Date ,-'r -'~~~ --~-~ ~~ (Work must be started within 120 days) o -- ~ - ~`/ Name Phone ( ) N R Address ~ // r~ r s~ City ~. '~ State Zip Code Site Address ~/~ ~ >/A ~/n: Pr ~ ~ f \ P~ P R 0 ~--7 Assessor's Parcel No. ~ / ~ ~ `' .) (~ Lot Size (sq. ff./acres) P E R Subdivision Lot Block T v OR Short Plat No. Block Existing Structures, if any: 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 `r; City Water Private Well Private System Shoreline Permit Y N k a Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N '' "s ~ ~ ,~'~ Sets of Prints Building Value _ ~ ; , Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE •, Pl Ch k B ° - J an ec 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 expmined the information contained within the application and know the same to be true Submitted / / and correct. I also certify that tbie proposed structure is in conformity with all applicable City of Yelm fegulations including those governing zoning and'la~d subdivision, and in addition, all ov Hants, easements and restrictions of record. If ~ applying as a contractor, I furth~r certify that I am a currently register d c~ntract in the State of Washington. i t Firm: Quarterly Reports Date ~ Assessor / / TRPC / /_ t CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Building Perfimit ~, ~ ~,~~~ Date; -~..- `~ ' (Work must be s ed within 20 days); s f h~ ,r' _w' f ~^/ Name ,~~ ~ .~ .,,~ Phone ( ) ~ --;J N //~~ /,, R Address ~'~ ~ = Acs/ ~,Q ~ ~~ City l!y ~ ~ry+. State ,A9 Zip Code %~_~ `~ Site Address ~` ,~'~d-r"B- ,~ U ?'~ ;J P a Assessor's Parcel No. Lot Size (sq. ff./acres) 0 P E Subdivision Lot Block n T v OR Short Plat No. Block Existing Structures, if any: N _ ~ Name ,._~~,~ ,r ~ / f Y ~` ~ ir- ~.. Contact ~^~ L~ Phone ( ) t S~- '~ ,J "'~ r Address /~ ~d ,,~.~ ;~ 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 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 f'~' ~ . ~ .- 1 Sets of Prints / Other Plumbing Permit# '~'~~~~'~ WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # ~~ .l~ Pl ~/~ '~ ~~ TOTAL FEE an 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~ian~l subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further ~ertify that I am a currently registered contract in the State of Washington. r Quarterly Reports q Signature - Date ~ ,,,,~„~ ! Assessor / / "{~ Firm: ~--~° TRPC / / CITY OF YELM Building Permit ~ ~ . ~ ~ ~ BUILDING DEPT. ~'~"~ ~` ~' ~ '~- Phone: (360) 458-8407 Date ~ ~` ~~' ~~' (Work must be started within 120 days) ~^/ Name ~ ~ye,Pt E ~, ~^~' Phone ( ) N E R Address ~ ~ City ~"' ;~'t ~ . State ~ i "1 -~-,~_, Zip Code ~ ,j Site Address f ~ P ~ 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: `` ` 5 , Contact Phone ( Name ,~ ~ ) T R C Address City State Zip Code o License No. Exp. Yelm Bus. Lic. No. Description of Work , s ~~, ~ t?~ C~~ ~ 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 Buildin Value ~ f~ ~ -~ ~ ~ ~ ~~.~-•~ / Sets of Prints "~J / g ~ r ~ r,y ~~ Other Plumbing Permit # +( WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE ~~ ~ ~ ~""" l./ ~ , Plan Check By ,/` C ""' Minimum distance of structure from property lines: _. ; r 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 Fontr~ctor, I further Certify that I am a currently registered contract in the State of Washington. ( ~ Quarterly Reports ii i ~ r ' rti ~;%: _ ....__.._,..__~_ _. ,`' Signature ~~. Date rr~- ~J ,f ,~ Assessor / / / _.._. .~.. Firm: ~~ TRPC / / CITY OF YELM BUILDING DEPT. _ Phone: (360) 458-8407 N/ Name ~/ .. % ~ ar,>t R Address E ~G ~ Site Address (;+ P R Assessor's Parcel No. n P E Subdivision n T V C1R Chnrt Plnt Nn Phone ( ) e,/`~ State (,.,),.~} Zip Code Block Block Existing Structures, if Name ~~j()~%~ Address '74`~al License No. d. ~ Building Permit ,~ ~ ~ ~ A , ~.. ~.~ ,j'- t Date -~~ (Work must be started wi in 120 days) Lot Size (sq. ff. Lot Contact ~J ~ ~, l~A ~ city Exp. •~ __..- State Phone ( ) ~ ~~ ~ --' Zip Code Yelm Bus, Lic, No. p .^y~ ~ ~ Descri Lion of Work ! ~ ,w ~. N, VrrI~.IHL UJC VIVLT Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other ~''J `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 ~/~~ ~~ =~"" ~? ~ ~.t Sets of Prints_ ,.+~- Other Plumbing Permit # ~&/~~ WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # ~f ^ .~ TOTAL FEE "~, ~ `_~ Plan Check By /~-~a.j~ Minimum distance of structure from property lines: ,,„ 7 Issued By f. ~ : i e`,._„- Front to of Road Final insp: / / 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. f'f~-' Assessor Floor Plan and Permit Submitted / / uarterly Reports Signature ~ r ,~;>, l~v--._, ;~ Date ~' - pl~ °- ~ `° Assessor / / ~. ~~~, / Firm: , .',1~~*'' ~-T. ,~,.;a.~ e-+ ._r TRPC / / CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 '~ 0 N Name E R Aririra Site Address ~ P R Assessor's Parcel No. O P ,^'°~ a Subdivision ,, T Y (")R Chnrt Plnt Nn Existing Structures, if any: Name Address <~~' ta,/ ~r~ , j ~ ,~} Lot Size (sq. ff. .~-~'~' r~l Nr..9 I/tr Lot ,~' 1~ ~ j*d ~-~..~ Contact City State Zip Code License No. ~,q d~~~ / ~ Exp. Yelm Bus. Lic. No . ~ ~~+ -G~,~ ~"~~ ;";~ „ r ~,e.. Description of Work ` , , , ~ r ~. OFFICIAL USE ONLY D 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 ~~- ~ .1 `F' °`~ f~~ ~'f ~' Sets of Prints ~ . ~ I 1 Other Plumbing Permit # G ._~ WA. ST. BC. Fee (4.50 -New Const. Only) 11+,, '~ C`i Mechanical Permit # /~~~ l.,y~ ~ TOTAL FEE ,~,_' ~J , ~~(L~ I ( Plan Check By~....J . ~~ 4 ~ L ~ ~~. 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 ' ~ ~ ~ ; ', ' ~ ~°';,~:' :.---_~,.„ Date Assessor / / G Firm: r' ~ ~ I~ TRPC / / Building Permit ~ .~ ~~~~ _ ,. _~ Date ~" ° ~,~ ~>'" (Work must be started within 120 days) / f...7 ,,._y a Phone ( ) ~~~j -~ State (. ~ 1~ Zip Code BlOCk Block Phone ( ) NEW DEVELOPMENT/CONSTRUCTION CHECKLIST i~~~ C"~" Site Address: ~~~ ,~ ~~ ~~ /~ P~3 -~ - ~ - TYPE PERMIT # FEE RECEIPT # COMMENTS Sewer Inspection Fee Sin le Famil $145.00 ~ ~` Sewer Inspection Fee (Multi-Family/Comm./Industrial) $145.00 + $35.00 / hr. Sewer Latecomers Sewer ERU approved under 1994 sewer ca aci $.2;4$~-9A~~ ~ pZ Sewer ERU in the LID + LID assessment $2,480.00 Sewer ERU lots outside the LID boundaries $4,850.00 / ~/ Site Plan Water Latecomers Water Meter* $ 300.00 Water Meter I.RR Water ERU's (inside ci limits $1,000.00 Water ERU's (outside ci limits) $1,200.00 // Consumer Deposit $ 90.00 Plan Review ~~.~ Building Permit ~~ - ~~ WA Building Code Fee $ 4.50 Mechanical Permit ~ / Plumbing Permit .vo Yelm Business License # ' Transportation Facility Charge School Mitigation Fee ~ u-- ~. Open Space Fee DUE AND PAYABLE AT 2tKE~~PER1[~TlISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc CIN OF YELM BUILDING DEPT. Phone: (360) 458-8407 0 w Name ,J '"id N E R Address // Site Address / l~~ P ~7 R Assessor's Parcel No. r, d ~ Building Permit ~ :,, ~ ~ ~-} Date •,~" ~~~~" ~~f (Work must be started within 120 days) Phone ( ) "7'Yy© --~;~„° ~, State Code Lot Size (sq. ff./acres) E R Subdivision ^~' ~J f`IG ~. Lot Block T ~ OR Short Plat No. Block Existing Structures, if any: ' „' Contact Phone ( Name ~" ) T R Address City State Zip Code ~ rry License No. 1~_ ,,~~ ~ Exp. Yelm Bus. Lic. No. '~ Description of Work s 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 "~ +fd ~~'; ~/ ~ ~7,~~ ~ ~ Sets of Prints ~- Other '~`~ Plumbing Permit # ~f a ~ + WA ST BC Fee (4 50 -New Const Only) '`~~ ~ ~ J ~ Mechanical Permi t # N ! /'4 . . . . . ~ TOTAL FEE "% rV ~~ // ``~~ t Plan Check By_ ~! • ~" Lc / /FC,'. ~~ r 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. ,/ _ ~ -~:~~-~' ~~ ~~'`~ ~_ „~~ Date Assessor / / / Yom. _ ~ ~ , Firm: TRPC / / ~ i NEW DEVELOPMENT/CONSTRUCTION CHECKLIST ~i~~~ ~ ~ ~ ~ . ~ ~~~~ . Site Address: ~ to ~Z.~ ~ ~ ~' ~ ~ j J TYPE PERMIT # FEE RECF.iPT # C'(1MMF.NTC Sewer Inspection Fee Sin le Famil $145.00 Sewer Inspection Fee (Multi-Family/Comm.Mdustrial) $145.00 + $35.00 / hr. Sewer Latecomers Sewer ERU approved under 1994 sewer ca aci .$x$6-90 ~ OC~© ~ Zfl ~l , ~~n 110 Sewer ERU in the LID + LID assessment $2,480.00 Sewer ERU lots outside the LID boundaries $4,850.00 Site Plan Water Latecomers Water Meter* $ 300.00 Water Meter I.RR Water ERU's (inside ci limits $1,000.00 1 Water ERU's (outside ci limits) $1,200.00 Consumer Deposit $ 90.00 Plan Review Building Permit 3I v~ -\ WA Building Code Fee $ 4.50 Mechanical Permit Plumbing Permit ~, D Yelm Business License # I / - ~UZ.~ Transportation Facility Charge / School Mitigation Fee Aso .-- 1~ ~~. P-~~, Open Space Fee /~ ,1.o~-v`~ . 3A DUE AND PAYABLE AT TIME OF PERIKIT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Building Permit ~ .~ ~~ ~ ~ e ~' ~~ ~...~ ~,, - Date ~ ,~' . ~~,,,f . / (Work must be started within 120 days) .~ t^/ Name ~~ ~ (~ ~ _~. ~_~-~ L G..~ ~`'K'. Phone ~ /) ~ +~ _„~,- ., N a Address ~` (..~ ~ ,,•i City .tit p t ,(~ State t..t,,je~ Zip Code ~~ ~ Site Address / _, "~1 " ~ ~- ~~~•: r~' t. ,~'i ,rv w' ";'r"~ R Assessor's Parcel No. ft..: c ~ r , ~~ ', ,~ - +" ~ Lo~.Size (sq. ff./acres) O ,- E • Subdivision ~-' '"J'a t r? t ~•.. t~4,~ ~,. p ~. ~ ~ ~~ .~. ~ `~ t ~' ~ ~ Lot ~ Block '~ ~~ - y OR Short Plat No. e,,,-~" "~~Y Block Existing Structures, if any: .may. ,,. Name "` I t"I ~""~t C ~? .,' ~-~,,~ Contact ..d-~~ f..d.~ Phone (~,~. ~ `:,~ +~~'~ .',: ,''; ~~ ~ ~ r.,} A ~'~1' t Address ~' ~r'' ~ i.ti~r,1 ~ ~ City State Zip Code License No. k.,~ t r,,~ ,;,~'" Ga ,j,) i ~ ,'~- Exp. Yelm Bus. Lic. No. ~,,.r:.i " -~~~ "i ~ .~ -• ~ ~' ~ ~ ~ ~ ~ f ~ ~ Description of Work t~ j OFFICIAL USE ONLY , ~~ , , t , til ` Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential ~~`"~ Sign Sewer Septic AppYoval 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 t~. •.T r - ., !.~f ~/' ~ Ma°° Sets of Prints e ~~ 3~ `y Other Plumbing Permit # ~ ~ Mechanical Permit # ~~74~ ' ~`~-~4' WA. ST. BC. Fee (4.50 -New Const. Only) - s ~ ~ a TOTAL F ~ y~ tt yy Plan Check By d._`, . r ~ ~~-f'~t.. ~' ~~' Minimum distance of structure from property lines: Issued By , j` ~--•~~--- -~ ~" Front to of Road Finalinsp: / / Side Side Rear ~^ Owner L & I Form Assessor Floor Plan and Permit Applicant's Affidavit: ~ to be true I certify that I have read and examined the information contained within the application and know the sarne Submitted / / and correct. I also certify that the proposed structure is in conformity with all appAcable Gity of Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants.; 2asemeYits and restticfions of r8eord. If , applying as a contractor, I further certify that I am a currently registered contract in the State of Washington. _..~ _--" Quarteriv Reports Signature `~ ° .., ~ "`f ~ r' r' Date ';' ~ ~=-'~° Assessor / / C ~~'' Firm: i~ /`C ~' ~ TRPC / / :,~--~ <~ s NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: i (Q 3 ~_ ~ (~O ,~`~) ~12+C c-~t i,/~ ~`~ ~~ TYPE PERMIT # FEE RECEIPT # COMMENTS Sewer Inspection Fee $145.00 Sin le Famil Sewer Inspection Fee $145.0 (Multi-Family/Comm./Industrial) $ ~ ~ ~. Sewer Latecomers Sewer ERU approved under ~2 48A:86- `- 1994 sewer ca aci , ~ ~~ ,,:Ci ' ~ 1 ~' j r~ Sewer ERU in the LID + LID $2,4 assessment Sewer ERU lots outside the $4,85 LID boundaries Site Plan ~ ~~, Water Latecomers l/ Water Meter* $ 300.00 Water Meter I.R.R. Water ERU's $1,000.00 (inside ci limits Water ERU's $1~ / / (outside ci limits) ,/ Consumer Deposit $ 90~ ~ n ; Plan Review _ ~{ Building Permit , C, ~~ ~ 1~~~ WA Building Code Fee $ 4.50 Mechanical Permit ~ /~`S D ~ Plumbing Permit /~; ~ ~~~ ~~ Yelm Business License # <~,,. J ~, Transportation Facility Charge /" / School Mitigation Fee ~~ ~~ _ ~~~~~ ~~,i" ( >!yl-mil Open Space Fee - D UE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc CITY OF YELM Building Permit ~ ~ ~ BUILDING DEPT. ~~ ~ ~ ~,, ~ - ~ ~~ ~ Phone: (360) 458-8407 y- Date ~w :~ (Work must be started within 120 days) r r,- ,-,~ ,~..._...) _ f~~ -~ ~ ~ ~ , / ~ ~ / .. ~:, .\ o `/~ N Name r' Phone ( ) ~ .. `a`~-j~,~• r E R Address S~~ ~ ~ ~``~ '" - City ~` ~= i State ,j}. Zip Code ~ 4-~ ~~ Site Address `>,,~ yy~ P O 1 Assessor's Parcel No. V+ ~ ~ t! j Lot Size (sq. ff./acres) P R Subdivision ~ ,~~ ? , (M_ ~2 ~' ~` ~. Lot Block T v OR Short Plat No. Block Existing Structures, if any: u, ~ y C o Name (~ Contact Phone ( ) T R ~ Address City State Zip Code License No. Exp. Yelm Bus. Lic. No . Description of Work ~'1-, tir ~E'c_ ^' 1 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 ~ ~y~j~~-~a-- C~F "`~' '"'" P Sets of Prints a.~'-r"' Other Plumbing Permit # -~ ~ +" WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE L, ~4~. A~ Plan Check By Minimum distance of structure from property lines: ~i ,~~~ Issued By ~' r' r L~rti...°'" 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 ~ ,~^ A r Date ~ t~ Assessor / / ~ ` ~ i Firm: TRPC / / CIN OF YELM BUILDING DEPT. Phone: (360) 458-8407 0 N Name ~ ~ ~ ~ 1J E ~ ~ lJ /~ ~ ~ » - i, . R Address `" ~ ` j " '~ r"~,. Site Address ~ ,`, t ,-.r '` f ~ ' " f ~ P R Assessor's Parcel No. ~~ '' " / ' jr 0 P R Subdivision !},i ~ ; ~ y~',F' . r v no cr,.,,+ pi.,+ nip Phone (,'E6, State t -_f ~ Block Block Existin Structures, if an '' ~ ~ 9 Y~ ~ Q,.:lr 1 b r ,-•,,. Name ~'/,~f +r' <,~~= f .S 1`" i ! ~ 7 Contact ...,~~. ~ ~"' Phone (~' ~~ ,~< i c. +,.~ Address 'i ti ~ ~ _/~~ ~~~- - City '- .,,,- , ~,, ~; ,~ State ~~ Zip Code ~ i~ '~ ~ ~ ~"~ License No. ~f l%' ,~ rp t` ~~ `; ,y', ~y" Exp. Yelm Bus. Lic. No. Description of Work r4, f,r. ~ , ~' ~~ ; ~~,~, ~ o .,~ r; >w';k' 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 ~y ^~' ,f w (~; E:~ E::', fir r~~ ~ ! f~4."" 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 sfructure 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 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. Quarterly Reports / ~ ~f~. ~ D Signature ...~ . ... .... , r _ti ~ "' t ~ , ~ ~ a e i " ~ ; t . _~~ :. Assessor / / Firm: :" ,; TRPC / / Building Permit ~ ~y ~~ ~ Date ~ ~ --~V ~_~~i`~ +~".,"rv~ . A (Work must be started within 120 days) t~ ~ _. t ,:5 t i Code I; Lot Size (sq. ff./acres) Lot CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 o , w Name ~/Y1 t `'- L.l.:rl N -. E Site Address "''~ rye P R Assessor's Parcel No. P E SUbdIVISIOn n T Y OR Shnrt Pint Nn. Existing Structures, if a Name ~0liLJ/f,1 Address Ucens~~~ ~ ~.~ Lot Size (sq. ff. Lot Contact `~ City ,[? L.r r Exp. State Block Block Phone ( ) State t.. ~.~} ~~ Zip Code Yelm Bus. Lic. No. -"" Description of Work ~~~~,~j-i ' f l'rJ..; / Y' y.~ ~ c~ i F ~ " ~ ^!"~~.r,Il~ OFFICIAL USE ONLY ff ~~i - " °i ` ' l Permit Type: , r y ` .+ l/c. .4° Sq. Ft. per floor: (1st) F (2nd) Residential ~'~ Sign Sewer Septic Approval No. Commercial Other t 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 ,~} r''' Sets of Prints Other Plumbing Permit # ,~°/ ~ ~~ WA. ST. BC. Fee (4.50 -New Const. Only) ~y~ Mechanical Permit # ~ /` TOTAL FEE ~ "~ ~,~] Plan Check By (~`~-:e.~! Minimum distance of structure from property lines: y• ~~ Issued By 1 i. t-. ~! a1 d ~ ~,,~~ 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 - ~ ~ G Assessor / / Firm, ?,~ 1 TRPC / / ~~ / r'~ Phone ( ) L~ ~~ ~ !~~ t`U i ;,_; /1 Zip Code Building Perr~lt ~ ~ 6 ~ ~ ~ Date ,~C/ x'~r~~a~'~ ~``~~ ~A '.~`~'~C~: (Wdjic must t;~ started within 120 days) ~~ ~ ~ - ~" ~ ~rC CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 i w Name t ;1 ~ /~ 1 ~ ~ ~ ~(cr + V Phone ( ) `~ / ,_ ~~ ~ ~ . N .,- ~ - di- a ~~ ~ i rt Address ,~> "~ /J~ 11G~ r City ~C. State Zip Code _ ~ ,-~' Site Address ~;; ~? ,~' ~ P rz Assessor's Parcel No. Lot Size (sq. ff./acres) O P E Subdivision Lot Block T Y OR Short Plat No. Block Existing Structtures, if a//ny11: Name r.J ~ U l t.` Contact Building Permit ~ ;-~ ~~ ~ ~ Date ~.;~~ ".~_~~,~ (Work must be started within 120 days) ~__. ~ ~~ Phone ( ) Address C f /! ~ ,~,~ ~, City ~1Ya~ /7a~ p State L-4~a'~- Zip Cod % :~ ~ ~ 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 City Water Private Well Private System Shoreline Permit Y N ~'4' Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value r ~ ~,a~e Sets of Prints ~~'~ Other Plumbing Permit # ~ /' ~''~" WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # ..~.~,+'~~~ TOTAL FEE 6~" ' Plan Check By ,~"w~~- Minimum distance of structure from property lines: <r , ~ Issued By ~'~~ ,s ^+..,.- 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 ' ~ if , Date ,. , 3F~ / ..'r ~ Assessor / / Firm: TRPC / / CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 ,,~ ~. Building Permit ~ ~ ;~ ~ ~ ~ Date ~3~ (Work must be started within 120 days) v~ Name ~ - . (iy'~ ~ Phone C s ) `f ~ ' ~ ~ N R Address ice' / ~ City "' ~~ ~ State Zip Code { ~'°~ Site Address ~ ~(. ~ /~~ ~~" _ C. P R 0 Assessor's Parcel No. Lot Size (sq. ff./acres) P E R Subdivision Lot Block T v OR Short Plat No. Block Existing Structures, if any: r ,,,~ N Name Contact „j~~q Phone ( ) T Address , ~~ , f.J n ,~~,,,. City ~`~~ State t ,~ Zip Code ~`~ ~ j ~ License No. ~'~~' ' ,;,,,~~ ~'_ Exp. Yelm Bus. Lic. No. !~ (,d ~~~ f~ ~} , Description of Work r ~ ~ ~ t ~ ~ ~ ~ OFFICIAL USE ONLY ~~~~ j ~ ~ 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 ,.r"` Sets of Prints ~ ,. Other Plumbing Permit #_~ ~~ WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE ~ ~ Plan Check By t'- Minimum distance of structure from property lines: Issued By / ~ v ...~"' 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, Signature { '-,/ ~ ,_ f~ ~ ' a't ~; ~.,x..,(>•._.,,.,,..-,., Date ~ .- Assessor / / Firm: ~ _-~I.a ~' ~,, ~~' r (( TRPC / / ~ l CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Building Permit ~ ~~ ~ Q Date ~ r ~--~~ „ (Work must be started within 120 days) ~ N ~ t Gyl Name 'C"~ ~ Phone ( ) '~ / R ~!~~_ Address ~ ~ . ~ City ~~- State Zip Code Site Address -(~ ~d-C~----^7~'~ ~'~ ~ y"~! ~ ° P R Assessor's Parcel No. Lot Size (sq. ff./acres) O P E n Subdivision Lot Block ~T v OR Short Plat No. Block Existing Structures, if any, ~ Contact Phone ( Name ~ - ~, ) T Address , ~~+ ~~ / ~~ ~-- City ~`' p*'( era.., State `, ,,y ~ Zip Code ~j~ ~ ~` ~+ ~ License No. /?~ ~ (,{,£ ~"' ~ (~ ~ Exp. Yelm Bus. Lic. No. 'j _ ~j ~~ ~ LII n 7 Description of Work ` ~/ OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other "°"'~ w City Water Private Well Private System Shoreline Permit Y N Heat: Electra 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 sfructure 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 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 certify that I am a currently registered contract in the State of Washington. Quarterly Reports ~ ...,, r, q Signature ~ 1 ~(~:~ ,! ~;* ~ - ~ ~'~.~t `(,~~,n r -----°--w Date "~ C.~ ~ Assessor / / ,,/' ~ ~ , ? ! ' ~ '` f ~ Firm: TRPC / / ,. d, 4~ ~ ,.;~ ~ ~'. _~ t ~ `~. CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Building Permit ~, ~ ~ 3 ~ ~ ~.a Date ~~"'~~~~'~ (Work must be started within 120 days) ~^/ Name ,~A t G~•. ~+~ +<?'~ Phone ( ) Y~ ~ a~~ N E ~ ('/~! f~ ~ City '~ dJr + x State Zip Code ~ R Address Site Address i ~ ¢',r R Assessor's Parcel No. ~',~ ~ ~ (jl 4 j ~~~~ '~C~t~ '~ ~~C~C) Lot Size (sq. ff./acres) P E Subdivision Lot Block R T v OR Short Plat No. Block Existing Structures, if any: } Contact Phone ( ~ '' N ~ ~ ~ ¢• ~ P ) ~ ~~ ~ .> , ame lt~~ r Address ~~ ~/r ~ ~:r,~: ~ +"" ~~~/ ~ City ~] ~'"s~,~+~ State (,,,,J~ Zip Code '~ ~~ ,~ ~ r License No. ( ~ ~" Exp. Yelm Bus. Lic. No. ~'"' ~ ri ~ e ~ Description of Work 1..~ } ~ --~ , n r OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign `~f 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 #_~ `Z ...~ TOTAL FEE •~~ ' ~ ~~ 6•. .Plan Check By ~ I<" t_%~a a' ~ °'`' ~i ~ ~' Minimum distance of structure from property lines: ~' • it Issued By ~ ~. ~ ~U al 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. ~-~ Quarterly Reports Signature ~ ~ .; ~' Date Assessor / / Firm: ~"" TRPC / / CITY OF YELM -PERMIT FEES Site Address: RITE AID TYPE PERMIT # FEE RECEIPT # COMMENTS Sewer Inspection Fee Sin le Famil Sewer Inspection Fee (Multi-Family/Comm./Industrial) $ 320.00 1 ~- Sewer Latecomers $ 835.62 r Sewer ERU approved under 1994 sewer ca aci _ Sewer ERU in the LID + LID assessment Sewer ERU lots outside the LID boundaries $8,487.50 ~ 1~ ~ < 1.75 ERU's @ $4,850 EA. Engineer Review $ 592.50 $1,680.00 Water Latecomers $2,955.68 ~ I ~~ 1 J (~ Water Meter* $ 650.00 ' i ~~ Water Meter I.R.R. $ 400.00 ` l ~ Tv . \ Water ERU's inside ci limits $1,750.00 r ~~ _ 1.75 ERU's @ $1,000 EA. Water ERU's (outside ci limits) Consumer Deposit $ 180.00 ~ 1.~ ~ -~ ,' X 2 @ $90.00 EA. Plan Review $5,028.85 t~ Building Permit $3,761.00 c~ WA Building Code Fee $ 4.50 ~ l'~ - Mechanical Permit $ 116.00 I ~ ~ , Plumbing Permit $ 259.00 ~ ~ ~~ } ] c Yelm Business License # TOTAL $27,020.65 Transportation Facility Charge $51,700 Credit to Vancil Rd. ROW urchase School Mitigation Fee N/A Open Space Fee N/A DUE AND PAYABLEAT TIME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 o ~- `N Name l~}1 ~ U~ N R Address ~ (" Site Address ~ ,~1 j (7 /~"", P rt Assessor's Parcel No. P Subdivision T Y OR Short Plat No. Existing Structures, if any: f [:~r a~1 Name ~/ r- t C Address f l .Z / ~ y") ,~ ~ License No. ~ f ''/ () ' "- Cl~v Exp. Block Block Phone State t'..L; Yelm Bus. Lic. No. a 'ip Code 7;r° /~x'a '`~ Zip Code 'F ~' ~ , ~ Description of Work Q ""~ ~ ( r r: ~~ r , 4-. ~~ ~~ "~~"''~L1OC "'~" Permit Type: Sq. Ft. per floor: (lst) (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 ~ ~ (' s~ . ~~ , - „~) ~'.r Sets of Prints ,-~ Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE ° ~ ,~' °~. Plan Check By ~ ' l Minimum distance of structure from property lines: . Issued By t i ~ 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 , ~°' ~ /~ Date ( Assessor / / Firm; ~'.?r'/.~~r.f T~°-.-"~'~/ J'~Jf/Tr°1''/dY~. frf//' TRPC / / Building Permit ~,/c Date • ~ ~~~ ,,/ ,~`,~ (Work musf~e started within 120 days) i Phone r-' `. ~ , . /y ./(t City ~~~ ~~ ~ Lot Size Lot ~.r diV /i r- J' ij ~~~ ~~ t"6-, State Contact ~" 1~ NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: ~~~ ~ ~L 6 ~~ZS ~~-~. ~ ~ ~ ~ /jG/it ~ l TYPE PERMTT # FEE RECEIPT # COMMENTS Sewer Inspection Fee Sin le Famil $145.00 Sewer Inspection Fee (Multi-Family/Comm.Mdustrial) $145.00 + $35.00 / hr. Sewer Latecomers Sewer ERU approved under 1994 sewer ca aci $2,480.00 Sewer ERU in the LID + LID assessment $2,480.00 Sewer ERU lots outside the LID boundaries $4,850.00 Site Plan Water Latecomers /'' / Water Meter* $ 300.00 Water Meter I.RR WaterERU's (inside ci limits $1,000.00 /~' Water ERU's (outside ci limits $1,200.00 Consumer Deposit $ 90.00 Plan Review Building Permit 3y Z~- D :1 (~ t WA Building Code Fee $ 4.50 Mechanical Permit s'~~ .J isb Plumbing Permit s~'~~S/. ~~7.S.d~ / ~ ~~~ Yelm Business License # Transportation Facility Charge School Mitigation Fee / Open Space Fee // 7/0 7, ~ DUE AND PAYABLE AT IME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 0 ~^/ Name ~ N E rt Address ~ (.: ~ `~.,.r' Site Address - P O Assessor's Parcel No. ')'^~ P ~ Subdivision Building Permit f ~ a~ Date ~~ ~ ~ .~~~ C~_ (_ C~ .. _. (Work must b Carted within 120 days) ,~: t "7. .~ ~ ~ ~ :1 ! Phone ( ) ~~ ti ~ ~ ',~ , ~i , t '7'J' ~. ,~= City , Lr '-n^ State ,_ , ~ ~ ,ft- Zip Code r11 ~ ,~ ~j ~i r ~ ~ t_ h/` 'Z ~ N ~ ~~; c~/ ,f ~ ~ r Lot Size (sq. ff./acres) Lot Block r v OR Short Plat No. Block Existing Structures, if any: Name r',;,a"jr~,/~/~ ~= Address ~ ~' i~ License No. ~ y-yt 1,,/ i ;~ J1 Phone ( `'4~(.y J ~ -~ ,, State ..; ft Zip Code ~ ~ `~` Yelm Bus. Lic. No. Description of Work 1 ~ ' r~? ~. {,, OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential ~~~ Si n 9 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 t ~ `J l '' "? -- Sets of Prints ~'•"~f/~'~ Other Plumbing Permit # ~' ~' t~~ WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # , ~ '~ TOTAL FEE ~~~ Plan Check Bye r',~ Minimum distance of structure from property lines: Issued By f. j, A Er,.d /)/. KLe ~~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, l.further certifyFiat, I m a currently registered contract in the State of Washington. -- ~ / ~ ~ r"";~ Quarterly Reports Signature r- '~ ,,,,.k'` ! "~ ,r°'"" ,~'`~ Date ~ Assessor / / ~,, Firm: "~ C` TRPC / / Contact C. ~°'. City ~~~ ` CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Building Permit ~ ~ ~ ~ ~ ~--~ , ~ ~ ~~ Date (Work mus be sta d within 120 days) N Name ~~b`Z I !u ~ Y~ ~7' °'~ , r /1 /- - t~v t! 1.~0~f"Y7 f'i~U %r Phone ( ) ~ / ;. ~ R Address (} , E~ (~ )~ City ~C ,,; t' State /.,/ ~~ Zip Code `'r ~ `1 ~ ~ Site Address ~ ~,~ / i ~ ~ ~~ ; ,.., ~. P R O Assessor's Parcel No. CO ~ ) ,J ~ Lot Size (sq. ft,/acres) P R Subdivision ,r N%~~ ~ ~~ ~ ' j ~ f,/,r J' ~} ~ ~/ -%~ Lot ~~f Block r y OR Short Plat No. Block Existing Structures, if any: N , ~ Name f < ~.) ! ..: t t`e'l f 1!'~~ C°v~ ~ C-. 9~Ys' Contact j~ ~~ - : Phone ( ' ,+ ,! ) ~-y ~~~ " .,~ L' c7 Address ,~ (%, !•~ City /;~,~ ~, ,. ~ ~„ State ( ~ Zip Code ~' , ~ License No. `~ i ( ~`- Exp, Yelm Bus. Lic, No ~_ . X19 "•. ~ ~ 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 Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value G~ ~ "~ ~ , . Sets of Prints ~~ Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const, Only) C ~ ~ Mechanical Permit # TOTAL FEE "-7 'T t/ ~ Plan Check By ~ • f~ rn / r/-P ~' v~ Minimum distance of structure from property lines: 1 Issued By /t. (~„~, .,..- 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 .._.- Signatut~ -- %'~., Date ... Assessor / / , J ~_ Firm: , ~ ~ TRPC / / ~. NEW DEVELOPMENT/CONSTRUCTION CHECKLIST ~.~-~ -~ Site Address: /~p/ lf3 IJA~/G ~ LuyjO s~ /*'` i TYPE PF.RMiT# FFF RF.('FTPTl1 !`(1MMFNTC Sewer Inspection Fee Sin le Famil $145.00 j / Sewer Inspection Fee (Multi-Family/Comm./Industrial) $145.00 + $35.00 / hr. / Sewer Latecomers Sewer ERU approved under 1994 sewer ca aci $x$6:99- 10U O /~ ~ ~~ Sewer ERU in the LID + LID assessment $2,480.00 Sewer ERU lots outside the LID boundaries $4,850.00 ~-- Site Plan Water Latecomers Water Meter* $ 300.00 ~ Water Meter I.R.R Water ERU's (inside ci limits $1,000.00 Water ERU's (outside ci limits $1,200.00 Consumer Deposit $ 90.00 , ~ Plan Review sc~. ~y ~ Building Permit ~3y7 ~~~~3$ S WA Building Code Fee $ 4.50 Mechanical Permit /~~ Plumbing Permit ~ ~~~`11(~ Yelm Business License # r3 Transportation Facility Charge School Mitigation Fee Open Space Fee DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc ~ ~, g CITY OF YELM r Building Permit ; / ~. ~ 63$6 BUILDING DEPT. , ~ ~ ~- - 'r Phone: (360) 458-8407 ~ Date % (Work must be startb=d within 120 days) :_~~.. >/ ~ '~ ~~ ~ 0 N Name j< ~" ! i "i1 /7 L ~ ~ c ~n "'~ Phone ( ) gyro ~ ;';~;) `>j E R Address , ~) , ~' ~; ~ " _, City k r+ 1 ~., I ~>t State ~.~.1 ~ Zip Code ~' Jy Site Address ~ !' '`' ' P o ~) Assessor's Parcel No. 7 ~ r' ~ ? ~ ~ Lot Size (sq. ff./acres) P E R Subdivision ~ "'n ~ / /~f"; ~-s,/T...S j,- v~ .,,~ ~ Lot '~~ Block T v OR Short Plat No. Block Existing Structures, if any: Name ~~.~~ i ~,,~ i r ;t ~ Address ~-; (j, '~, License No. lL ~l r ~~,./ T rf AC ~~ C': ~;~ Contact ,LJo ~ ~ c., Phone ( ) 4~J1/~p ~ F'r; "~ City j~ ~,, , y, ~ i'rC State (. , ~ Fl Zip Code `a' Exp. Yelm Bus. Lic. No. Description of Work ` , f ~ ~ Fj : t r u~ P r~ a r~~ ~ C" c + ~-r td 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 f~ ~ / ~ (~'~ G; ~ Sets of Prints ~~P . Other Plumbing Permit # ,*a~ l'71.t/ WA. ST. BC. Fee (4.50 -New Const. Only) ~ ~ Mechanical Permit #~ TOTAL FEE C` ~ ~""~ Plan Check By _ / I ,emu i~1+°f~- Minimum distance of structure from property lines: Issued By C7. t~~,~} ~~' l $ ~ •E 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. _T, Quarterly Reports SignatGte" _. - ~.'~,..- ~"~~~' ~"'~ ~"~ ~ Date - Assessor / / i~ / Firm: ~ TRPC / / f+ _,~ J~ 1`Y)t ff ~ tJ =? y` l J~ ~ ire _ t~."... ~7-~r~.~ NEW DEVELOPMENT/CONSTRUCTION CHECKLIST _~ Site Address: ~3 TYPE PF,RMTT # FFF. RFf'FTPT f! (`(IMMFNTC Sewer Inspection Fee Sin le Famil $145.00 ~ Sewer Inspection Fee (Multi-Family/Comm./Industrial) $145.00 + $35.00 / hr. Sewer Latecomers /i Sewer ERU approved under 1994 sewer ca aci $~?#8~:90 ~ ~~ Sewer ERU in the LID + LID assessment $2,480.00 Sewer ERU lots outside the LID boundaries $4,850.00 ~/' / Site Plan Water Latecomers Water Meter* $ 300.00 Water Meter I.RR Water ERU's (inside ci limits $1,000.00 Water ERU's (outside ci limits $1,200.00 Consumer Deposit $ 90.00 Plan Review D7. ~ ~ / ,, ~/~' Building Permit ~3 yb `~/ o~ WA Building Code Fee $ 4.50 (~ Mechanical Permit Plumbing Permit r~4~ •'7~ ~~ Yelm Business License # Transportation Facility Charge School Mitigation Fee Open Space Fee DUE AND PAYABLE AT TI1l~E OF PE IT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc ~~~ , ~' CITY OF YELM Building Permit ~ 634 BUILDING DEPT. Phone: (360) 458-8407 ±,~ >~~~ Date ~_/~„~~. . " ,~~~r° (Work must b~ started within 120 days) lrf ~~ " ._ / l ~ - " , I ~ O N ° _ Name /" (, /) j-^ ,~i t lJ F~,~J .~ } / ~!f G'YM' i^ l ~1 t"1 a ~/ Phone (:~~F4'j ~~ - 7 ,~ lJf..~ E R Address ~ ~ ~.' `"'~`' L+J~I t ,{i ~ ~. ~~ ~ City i.a+~'/Q 1~~i Late t,,,n.1 Zip Code `~ ~' Site Address ~ ~ a`Jr / ~!' ~~ ~-~f , ~~ P R O Assessor's Parcel No. Lot Size (sq. ff./acres) P E R Subdivision Lot Block T v OR Short Plat No. Block Existing Structures, if any: C o Name t'~.~L. '~67'y' f~ . `?..r ~ ~ ?"wr%'~,i ~ Contact c`°/ f' Phone (=? ~ -) _' R; ~~ -, Address ,. ~~ 't ~ "~ ~= City -;~~ /d"r ~ y J ~ /J State ,~ Zip Code ~~ `/~ ~ License No. l"' r7} !~ C ~ 7 Exp. Yelm Bus. Lic. No. Description of Work '") ~~: < / .~ ~j( J l 1`'(`~ :'~• ~ ~ f.J 1+~ OFFICIAL USE ONLY ~ ,^' s, !`:: ,ri ~~ ~":' , 1 ~ ~ 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 ~~~ ^~ ~., ,~ Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE 1 ~``"~ Plan Check By {; I d B ~~ ~ J 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 Signature ' , < < r' ~ `'~~ ~% ~ ~ ~( <'::_ r -l.. x.. x, r.-n <. ,fir - c. Date f Assessor / / Firm: I ~ TRPC / / CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Building Permit ~ ~ ~ 3 ~ ~ r~ . ~ ~~ Date t'f ~,~~/~ ~~`~~ ~7 ~~T (Work must }~e started within 120 days) ~.~~ , l' ~^/ Name ~ Phone ~- °~ ~ C '~ N R _ / Address ~~~~ ~% City ~~ State Zip Code ~` ~ ~' Site Address `- c.-c~- ~ P 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, Name C: ( ~ ~."~,,,, Contact Phone ( ) T A Address City State Zip Code License No. Exp. Yelm Bus. Lic. No. Description of Work ~~ OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (lst) (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 ''7 `~ ~ Sets of Prints `'" Building Value 7 r j Plumbing Permit # Other WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permi t # TOTAL FEE ';.' ~j„;:~- 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, ar~d in addition, all covenants, easements and restrictions of record. If applying as.a.pontractor, (further certify that I am 4 currently registered contract in the State of Washington. , .~„ _ .._. ~UOlterly RepartS ~ ^_ + „ Signature : ~ J Date Assessor / / Firm: TRPC / / CITY OF YELM Building Permit ~ ~ ~~~,~ BUILDING DEPT. " Phone: (360) 458-8407 Date ' ~ ~ - `;' (Work must be started within 120 days) C ''.~ o v~ N Name ,.- ~ f - .rte Phone ( ) ry ... `j~ '~y R Address / •'' ~- City ('~ ( k,? r State Zip Code `~ Site Address ~'~ ~ ~~ --, °,r c. ~ ~,/e1~ i~ E P R 0 Assessor's Parcel No. ,,_~j ~ ~ ,R Lot Size (sq. ff./acres) P R Subdivision ~, ,_ ~ c ~ Lot ~' ~ •/ f Block T '~` v OR Short Plat No. Block Existing Structures, if any: j Name L' Contact Phone ( ) f 2 '; Address City State Zip Code F License No. Exp. Yelm Bus. Lic. No. Description of Work ' dry , :*" 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 Z ~ Z- (' "e ~ ' °°` Sets of Prints Building Value . I ~ ~ Other Plumbing Permit # ~ S 3'~ WA. ST. BC. Fee (4.50 -New Const. Only) ~. ~ ~ Mechanical Permit # ~' G7 TOTAL FEE ~ ~ --O Plan Check By ...~./, ~1 f~//t d , _ Minimum distance of structure from property lines: i 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 Si natu ~ ~` ~~ Date ~,: '~ ~ Y' 9 ` ~ / G~ o+ C A ~ , , ,.. ~,,~ ~ y ssessor / / Firm: L - ~; ~~ , .~ / ~,,.p~ (,__.{~"~.-a,t.,c2,c ..r ("~ TRPC / / NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: 1~ 3~7. o/-~19~, 6 TYPE PERMIT # FEE RECEIPT # COMMENTS Sewer Inspection Fee $145.00 Sin le Famil / ' Sewer Inspection Fee $145.00 + (Multi-Family/Comm./Industrial) $35.00 / hr. Sewer Latecomers Sewer ERU approved under ~ $2,480.00 j ~ 1994 sewer ca aci ~ Q (o(:~ / p Sewer ERU in the LID + LID $ ,480.00 assessment Sewer ERU lots outside the $4,850.00 LID boundaries Site Plan Water Latecomers Water Meter* a ~ $ 300.00 (~~d, U O Water Meter I.RR Water ERU's (inside ci limits ~ X, $1,000.00 U t~ p , p d / ~ ~ a p Water ERU's $1,200.00 (outside ci limits Consumer Deposit ~" $ 90.00 ~. IgG ~bo ~ ~ Q Plan Review ~~) ~ Building Permit ~ i ~~-~ ~ ~~/ ~ ~ ~o WA Building Code Fee $ 4.50 t ~ O Mechanical Permit 4~` I -~,~~'~ 1 3 0 ~ Plumbing Permit ~-' G ~ c~ l ~- 3 v ~ Yelm Business License # Transportation Facility Charge School Mitigation Fee a D Open Space Fee DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVELAPMENT.doc CITY OF YELM Building P~~mit ~; :~ ~~ ,~ ~ BUILDING DEPT. ~ f ,~ , ~~°. Phone: (360) 458-8407 Date "~ '~~ ' `~`~~ (Work mus~b started within 120 days) r ~^/ Name o ~~A/ Z./J s" Phone C ) N R Address l ~ ` """~ `~ / City ""~ t ~ State f ~ Zip Code `(' ~ ~/ °~ Site Address ~ t "'r ~ - V ~ J {/ , ~~ P rz Assessor's Parcel No. ~ .1 ~ Lot Size (sq. ff./acres) 0 P R Subdivision ~ ~ J k ~F ~, Lot /` Block T Y OR Short Plat No. Block Existing Structures, if any: Name ~,. ,~ Contact Phone ( ) Address City State Zip Code License No. ! .-- t. Exp. Yelm Bus. Lic. No. Description of Work t ~~~. 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 ~ f_~ ( L~ ~ ~ ~ C. ~ ~ Sets of Prints i Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) '~ Mechanical Permit # -s ~p t„~ TOTAL FEE ~~ "~ ~ ~ _ _' Plan Check By .~ .h U ~ LC ;:'_ ~ ~ / E a 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 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. /~ ' / fF ~,,- Quarterly Reports Signature < ,~_,~'~{~".~.. %-~ ' ,~' ~!-~.. Date~,~,"~f.~°r~~_~.~-~- ,~ Assessor / / '~ ; ) Firm: ~',,~' ,l[~~Q 1~...~?'f.~6~. i~..f~-~.k~~~-~C..~'y~/ / i ~ __ ~ / / TRPC NEW DEVELOPMENT/CONSTRUCTION CHECKLIST ~~ ~~~ Site Address: S~~-3 /S,-3 ~~ ~' /f,~ ~I -~1~ 0 , Y 1~ TYPE PERMIT # FEE RECEIPT # COMMENTS Sewer Inspection Fee $145.00 Sin le Famil Sewer Inspection Fee $145.00 + (Multi-Family/Comm./Industrial) $35.00 / hr. ,/ Sewer Latecomers Sewer ERU approved under $2,480.00 , 1994 sewer ca aci ~ ~ ~~ 's Sewer ERU in the LID + LID $2,480.00 assessment Sewer ERU lots outside the $4,850.00 LID boundaries Site Plan // Water Latecomers Water Meter* ~~ $ 300.00 Water Meter I.R.R. Water ERU's $1,000.00 (~ (inside ci limits) ~ V Water ERU's $1,200.00 / (outside ci limits) , ./ Consumer Deposit $ 90.00 ~ Plan Review ~` ~ O Building Permit ff ~~ WA Building Code Fee $ 4.50 Mechanical Permit © ,~ O Plumbing Permit ~~ ~~ .~ f • Yelm Business License # ~~9~ Transportation Facility Charge School Mitigation Fee ~DDC7 / L'm, l`1 ~~rY~ ~'r7 Open Space Fee D UE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 W Name ~ ~'~ ` ~c.'~J F ~'f N R Address ~ ~ r ~t`~ T~ ~ -f f Site Address f ~ ~~ ~/~-i k,•~ Building Permit Date (Work must b j,,;~ ' /`~ `~ State -'w~ ,f34~ ~,~ ,~ ';; •K,, ~~' ~~.~ e etstarted within 120 days) Phone (z's ~) "~ ~r;7 -° ? ~- jr r..,_r ~I Zia Code 7 ~~ P -__ ~ Assessor's Parcel No. Lot Size (sq. ff./acres) P E _ Subdivision ~~~ l~ / Lot Block R T v OR Short Plat No. Block Existing Structures, if any: Name >,1~/(~'":<a I"~ F r'~ ^...) 7" yA~l ~~y? f ,P`I ~ Contact ll""~ ~""'~ Phone (~ ~"~) ~~ ~ f ~' ~ „_ . ~ t T Address F~„~ ~~ •i _ ~'~" ~ l City ' ~~ ~ t h /~ ~ b J State ~ ~ `~ Zip Code ~ License No. i„~ ~ +° ~, ~.~ - ~- Yelm Bus. Lic. No. ~f Description of Work r ! OFFICIAL USE ONLY ,/ / f to 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 -; ~ ~~~ ~ ~-"• Sets of Prints /.i f ~~~ Other Plumbing Permit # ~`~~ ;`,[j j WA. ST. BC. Fee (4.50 -New Const. Only) ~ 0 Mechanical Permit #~`~ ./~,~.r~ TOTAL FEE j 1 Plan Check By 1;<~ ~i /~ ~ /? ~ Minimum distance of structure from properh/ lines: Issued By `"p ' ~ .-~.,.."- 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 /'r ~ Date ,,,~~,~ , Assessor / / Firm: ,~~,~=~ts,6t.7"/~-'r r ~seJ'C•'7`".. $~ TRPC / / CITY OF YELM Building Pe mit ~, 63d~ BUhLDING DEPT. " /' Phone: (~60) 458-8407 Date `, (Work must e started within 1 days) 0 N Name ~ ~ ~ ~ Phone ( , ~ R Address ~ .~ ..- ~ c' City r'~ y~ !?/,9' State (.~,~ Zip Code C~ ~' J ,~ Site Address ~ ~~ j ~ P ~ Lot Size (sq. ff./acres) O Assessor's Parcel No. _ ~ r' ~i ~ ~ ~ P E Subdivision ) . ~ Lot ' Block R T v OR Short Plat No. Block Existing Structures, if any: j Name , r Contact Phone ( ) Address City State Zip Code License No. ~',A,~J ~' o~ ~ Exp. Yelm Bus. Lic. No. ' _ (~~ ~ J °''"~ Description of Work ~ ~'~f- OFFICIAL USE ONLY PermitType: Sq. Ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other \'F 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 r~ Other Plumbing Permit # ~ S ~~ WA. ST. BC. Fee (4.50 -New Const. Only) ~(~ Mechanical Permit # ~ ~o ~~~.~ TOTAL FEE ~ ~Cd ~~"' f `~ L/ 1 Plan Check By --1 ~ ~~ ~i~ a~ 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 ,r~ Signature ,~) `~ ~ Date ~' 7 ~ Assessor / / Firm; tl~.,l~ ~ 7"` ~ TRPC / / . NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: ~QZ ~orJ OVA ~V Ci S ~ Lro ~- / Z~ec~.~ wF-~ TYPE PERMIT # FEE RECEIPT # COMMENTS Sewer Inspection Fee Sin le Famil $145.00 Sewer Inspection Fee (Multi-Family/Comm./Industrial) $145.00 + $35.00 / hr. Sewer Latecomers Sewer ERU approved under 1994 sewer ca aci $2,480.00 (~ L Sewer ERU in the LID + LID assessment $2,480.00 Sewer ERU lots outside the LID boundaries $4,850.00 Site Plan Water Latecomers Water Meter* $ 300.00 Water Meter I.R.R Water ERU's inside ci limits $1,000.00 Water ERU's (outside ci limits $1,200.00 Consumer Deposit $ 90.00 1 n (~ Plan Review ~ `, . 33 ~ ('~, Building Permit ~t ~. ~~ 7 WA Building Code Fee $ 4.50 Mechanical Permit ,r.,,~ (°lf~ Plumbing Permit Yelm Business License # ' Transportation Facility Charge School Mitigation Fee ~~ ~p ~~ Open Space Fee ~5~1~~ . ~ D UE AND PAYABLE AT TI1G~lE OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Buildin Pa~mit ~, g t ~ ~~~ Date ' .%. f 1 `P~~. (Work myst;,t5e started within 120 days) O ~^/ Name ~~' ~ Phone ( ) ` N E ~..~ f /./ o ~' .`s city t y',~t~~:ri1J state zip code '7' ~;,~' . R Address Site Address J / ,rJ !} ,.~ ~~T' `~~,~ P R Assessor's Parcel No. ~, ~~ c„0 ~~ fj f~ f„) ~ ~ Lot Size (sq. ff./acres) P E R Subdivision G - Lot ~~., Block T Y OR Short Plat No. Block Existing Structures, if any: ' ,,,, Contact Phone ( Name ~ ) T R C Address City State Zip Code ~ Ucense No. ~/~~ ,~ (,~ v ~ Exp. Yelm Bus. Lic. No. ~ ~ -- /" ~"la,,a ~ ~ ,'' y °~ Description of Work °~1 ~ ~ ~~ 1 c ~ ~ !~ ~', ;-~ .,Lt_. 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 --v -~ ~ ~~' C' ~ ~ , {~,l Sets of Prints ~- Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) - ~"'~ ~ (,, Mechanical Permit # TOTAL FEE ' c" ' EJ ~ 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 'y : ~ ~ ,~ Date ~. ~~ '~ Assessor / / // Firm: frtr'J~~hl1 /4~1~J ~/,~.+)~_ a r~.~, c TRPC / / NEW DEVELOPMENT/CONSTRUCTION CHECKLIST (~ Site Address: ~~~ ~yurL~f' ['~ ~~ ~ ~ /~ TYPE PERMIT # FEE RECEIPT # COMMENTS Sewer Inspection Fee Sin le Famil $145.00 Sewer Inspection Fee (Multi-Family/Comm.Mdustrial) $145.00 + $35.00 / hr. Sewer Latecomers Sewer ERU approved under 1994 sewer ca aci $2,480.00 Sewer ERU in the LID + LID assessment $2,480.00 Sewer ERU lots outside the LID boundazies $4,850.00 Site Plan Water Latecomers Water Meter* $ 300.00 Water Meter I.RR Water ERU's inside ci limits $1,000.00 I Water ERU's outside ci limits $1,200.00 Consumer Deposit $ 90.00 Plan Review ,,/ `IJ Building Permit y9r, o0 WA Building Code Fee $ 4.50 { Mechanical Permit ~Kf ~ 2~~ Plumbing Permit Yelm Business License # Transportation Facility Chazge School Mitigation Fee (1S (~ `~ C,s'r ~~ 2_ M Open Space Fee D UE AND PAYABLE AT TI11~E OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc CITY OF YELM Building Permit ~ ~ ~ ~ BUILDING DEPT. ~ %`i ~ " Phone: (360) 458-8407 Date ~ ~ ~ ~ ~ _ ~ `- (~ (Work must e started within 120 days) ij 1 f~ w Name / iJ~~ ~'~ Phone( ) L j ~~' N rt Address s"' ~1t' ~', City ` :t }~JJ1 f{//~. State Zi Code Site Address ~,~ P o Assessor's Parcel No. (p t ~^- '1 - ;'° ~' Lot Size (sq. ff./acres) P ~ E R ~ ~} u ~ Subdivision (_ Lot ,~~ Block T v OR Short Plat No. Block Existing Structures, if any: /' Name ~ W}- 1u~ ~~ (_~ '~ Contact ~7 ~ ), r f Phone ( ) ~'' r ~ "~ r Address `°y r ~~ ! ~ F < ~ City j~ ~ State ,, ,,J" Zip Code ~ ~ Ucense No. ,&~'~ '"A Exp. Yelm Bus. Lic. No. C ? ~ ,a ^~ ~~ ! -- ~ Description of Work ~ ~~ ~ OFFICIAL USE ONLY , ~ , ~,, r ~ 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 Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value `; ~ ' ~ ~ ~ F Sets of Prints .~ Other ~° Plumbing Permit # ~ti .7 ~ ~~ WA. ST. BC. Fee (4.50 -New Const. Only) ~! s ~'~, Mechanical Permit #~`~ ,. a~ `,~ , TOTAL FEE ~ ~, ~r~ rr ~~ / Plan Check By ~.~. JLI~~%'L/~~ ~ 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 ~ ; -~/ 4 Date "'' ~~ `f ~ Assessor / / / _.. p ~,t Firm: i"'f a.uiS f~f,/.i` : C Il}~ tfl+~t. C TRPC / / NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: gQj1 p `~h} ~r ~-,.,,) ~--: ~~ (~-~- TYPF. PF.RMTT if FFF i?F("`Ti iPT ~ nnnr~,r~*rmo Sewer Inspection Fee Sin le Famil $145.00 Sewer Inspection Fee (Multi-Family/Comm./Industrial) $145.00 + $35.00 / hI'. Sewer Latecomers Sewer ERU approved under 1994 sewer ca aci $2,480.00 ~ Sewer ERU in the LID + LID assessment $2,480.00 Sewer ERU lots outside the LID boundaries $4,850.00 Site Plan Water Latecomers Water Meter* $ 300.00 Water Meter LRR Water ERU's inside ci limits $1,000.00 Water ERU's (outside ci limits $1,200.00 Consumer Deposit $ 90.00 Plan Review ~ / ` + (Q Building Permit (o3a ~(~ 3 ~s'~ WA Building Code Fee $ 4.50 Mechanical Permit sc~. ~+3 ~7. Zs Plumbing Permit 533 ~ e~ Yelm Business License # ~~ o o2~sa. Transportation Facility Charge School Mitigation Fee ~~ ~ ~ ~ Open Space Fee DUE AND PAYABLE AT IML~OF` PENT ISSUANCEI ;-2q4~.~ ~F_~ C:\My Documents\building\NEW DEVE[APMENT.doc -2~Sa.~ NEW DEVELOPMENT/CONSTRUCTION CHECKLIST W~ _ Site Address: ~~ ~~ ~~ ~ TYPE PERMIT # FEE RECF,iPT # C nMMF.NTC Sewer Inspection Fee Sin le Famil $145.00 Sewer Inspection Fee (Multi-Family/Comm.Mdustrial) $145.00 + $35.00 / hr. Sewer Latecomers Sewer ERU approved under 1994 sewer ca aci $2,480.00 Sewer ERU in the LID + LID assessment $2,480.00 Sewer ERU lots outside the LID boundaries $4,850.00 Site Plan Water Latecomers Water Meter* $ 300.00 Water Meter I.RR. Water ERU's (inside ci limits $1,000.00 Water ERU's (outside ci limits) $1,200.00 Consumer Deposit $ 90.00 Plan Review ~~7~ Building Permit ~4i vc? WA Building Code Fee $ 4.50 / Mechanical Permit ``~~'' ~7 ~~~~ Plumbing Permit Yelm Business License # ~? C.~ ~~1~- d Transportation Facility Charge School Mitigation Fee r^~ (]G J ~sr ! ~ +~ M Open Space Fee D UE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVEIAPMENT.doc CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Building Permit -~, ~ 3 ~ ~ Date / (Work mu e started within 120 days) 0 N °'~ Name i p/ ~7Q ~' j`~ Phone ( ) ~ E rz Address <-, `' City '~ ~._~ O State Zip Code Site Address ~ ~ ~ L'_' 7° P O Assessor's Parcel No. ~~+ ~~ '"t ~ Lot Size (sq. ft./acres) P R Subdivision ( ~'"~ !'~ Lot Block T Y OR Short Plat No. Block Existing Structures, if any: C ` o Name i ~+"0 ,Z Contact f~'1 r° ~'J'""f 'o Phone ( ) u J' - ,'` / " T C Address ~ ` ~j yr City (~ W? ~1a ~ State Zip Code `~" '~1 ~ `~ , , , o License No. ~I~A ~~ ~ ~' Exp. Yelm Bus. Lic. No. < ' ~ 7 e Description of Work /~ e r- - tf 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 Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ '~ ~ -~ ^- "-~ Sets of Prints ~- ~ Ss ~ 1 Other Plumbing Permit # _~ WA. ST. BC. Fee (4.50 -New Const. Only) { ~ '~ # ~ ~ d Mechanical Permit TOTAL FEE ~(~ +~ '!, y Plan Check By t./ . ~U ~ P ~~{ Wi 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 ~~ G ~ ~ /~1 (~}'r~ Date ~ ~-~ ! `~ Assessor / / , { j Firm: ~r'9~.•y//y /t/L6T ,~+,G,'N-f- / o~rs~k.9~ if s.~'ietr~ ,.~... s TRPC / / ~O~2g2~.~ NEW DEVELOPMENT/CONSTRUCTION CHECKLIST ~ n r YV~ Site Address: ~~j ~t`,Y~1JJ~./,1 C~ s~ ~~ TYPE PERMIT # FEE RECEIPT # COMMENTS Sewer Inspection Fee Sin le Famil $145.00 Sewer Inspection Fee (Multi-Family/Comm./Industrial) $145.00 + $35.00 / hr. Sewer Latecomers Sewer ERU approved under 1994 sewer ca aci $2,480.00 Sewer ERU in the LID + LID assessment $2,480.00 Sewer ERU lots outside the LID boundaries $4,850.00 Site Plan Water Latecomers Water Meter* $ 300.00 Water Meter I.R.R Water ERU's (inside ci limits $1,000.00 Water ERU's (outside ci limits) $1,200.00 Consumer Deposit $ 90.00 Plan Review ~`I ~~ I Building Permit co3a ~(,, 3 ~ ~'~ WA Building Code Fee $ 4.50 Mechanical Permit ~(v~`13 ~~° ZS Plumbing Permit 533 p °~ Yelm Business License # ~~ o o z~sa. Transportation Facility Charge School Mitigation Fee /r ~_~r lY~~ ~ ~ ~+. Open Space Fee / D UE AND PAYABLE AT TI1~IE OF IfE~IT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc CITY OF YELM Building Permit ' 6 ~ ~ ~ BUILDING DEPT. ~; / ~~. , ,,~{ Phone: (360) 458-8407 Date (Work musy6e arted within 120 days) ~ _ ~ ~^/ Name /' l~1~ (? t` _ r!~ , J! 1 Phone - ~~~,j/('r~ N E R Address ` ~ Vl''1 .+ C"` City ~ ~ i.4,f State _ r~ Zip Code ~` 7 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 Name ~X.. J.r.. Address Ucense No. Exp. Phone ( ) State Zip Code Yelm Bus, Lic. No. ~ ~ ' OFFICIAL USE ONLY Description of Work y j„r ~ ~ Kf t t ~ 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 --~` ~ E;1 ^•^"" ;> c,-~SJ t ~ Sets of Prints ~c~--- Other Plumbing Permit # 1/_~ WA. ST. BC. Fee (4.50 -New Const. Only) d ~ Mechanical Permit # ~,~ TOTAL FEE 1 ~ Plan Check By f^ ~ Issued By ~"~ t Minimum distance of structure from property lines: . - 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. 9uarterlY Reports Signature ~,. ~ ,~.-e„ ,, Date b '"' ~ ~-• Assessor / / f Firm: TRPC / / Contact City CIN OF YELM Building Permit ~ ~ ~ ~~~ BUILDING DEPT. ^ ~ ~ ~° Phone: (360) 458-8407 Date ~ - (Work must be started within 120 days) rr `/~ Name ~ 'i 7 r 1 C °' Phone( ~~/f~ '.,~~-~ R Address 1-~ ~ City !~ / - State C Zip Code ` Site Address u (,. ~IT/~ c. ~ C ,,:"may 2`'~ P R Assessor's Parcel No. jEa ' ~ ~ _, Lot Size (sq. ff./acres) O P E Subdivision ~ j ~ ~ ~! ~ Lot ~._.:=~ Block R T v OR Short Plat No. Block Structures, if any: ~ ~ Name 1z!~.; t ~` r~ ,n Contact ~ Phone (~~ Address L7, 1 %'~ ~'" City t''a r ,,,,,, C',y( State (_ ,,Q Zip Code ~'' f License No. ° ~ ~" Exp. Yelm Bus. Lic. No. w- ' OFFICIAL USE ONLY ~ ~ ~. ,k,. 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 Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints d Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) ~ '' ~ Mechanical Permit # TOTAL FEE " °'- -- E1~ ~1r'C~ Plan Check By . J ~ ~ .. _ f rt li Mi i di t f t t Issued By `r C:~.-° rom prope y nes: n mum s ance 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 Signature ~-~ ~/ Firm: Date Assessor / /. TRPC / /_ NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: ~~ZdZ.- ~tE~r~ !~ ~, ~' S~ ~~ ~ l,1 ~. Pal-~I~ TYPE PERMIT # FEE RECEIPT # COMMENTS Sewer Inspection Fee Sin le Famil $145.00 Sewer Inspection Fee (Multi-Family/Comm./Industrial) $145.00 + $35.00 / hr. Sewer Latecomers Sewer ERU approved under 1994 sewer ca aci ~;~86:66'- -Zp~ ' Sewer ERU in the LID + LID assessment $2,480.00 Sewer ERU lots outside the LID boundaries $4,850.00 Site Plan Water Latecomers Water Meter* $ 300.00 1 (~ ~ Water Meter I.RR ~ Water ERU's (inside ci limits $1,000.00 Water ERU's (outside ci limits $1,200.00 ,/' / Consumer Deposit $ 90.00 Plan Review 3v~. ~~ 1 Building Permit ~~ ~.~~ WA Building Code Fee $ 4.50 Mechanical Permit Plumbing Permit X170(7 Yelm Business License # Transportation Facility Charge School Mitigation Fee l0 5 0~ ~ 1 ~Gw~, Open Space Fee DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:VvIy Documents\building\NEW DEVELOPMENT.doc CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 o `~/ Name ~(~,~ i N E J R Address t / Site Address /U '7 r~ P R Assessor's Parcel No. 0 P E Subdivision , ~,. c,~,. / R T ~% Y C1R Chnrt Plnt Nn SJ ~; ~~' /! ~ Lot Size Building Per..rxtit Date ~ (Work m e started within 120 days) - {~ %' i ,- f Phone (.2 S.3) ~ 3 ! ~ / Z y~, State Code Lot Block Block Existing Structures, if any: Name /FiV 1'~ rZ ~`'yi ,~; yy)~' Contact ~/ ,~~' G, ~ Phone ' ' ) 5 ~Cj - J~ Address j"~ City ~ ~ ~ , - State .9 Zip Code `~ ' t,,,r(.- License No. ,~ ~~ /„)~ ( ~ Exp. Yelm Bus. Lic. No. ~~' ~ -~ ~ ~~ r-. ~" Description of Work ,,) i ~~ ~yy,~ 1 (~, j l'~,,~ ~Gi'q (,Q 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 F EE FEE Floor Plan Y N Building Value 2 ,J'L,; / ~s .J .) ~', a;j~P- " Sets of Prints ~ _.. Other ~ //r Plumbing Permit# J ..~ i/a~ WA. ST. BC. Fee (4.50 -New Const. Only) 4?/ JC"'Q Mechanical Permit # ;~ ~ ~ d TOTAL FEE `~[ J", 7~ ~ ~ Plan Check By J ~ ~ `' ~IP%~' Minimum distance of structure from property lines: Issued By (7, ~ ~d ~'~/.S~' 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 ~,/'~ r L.df'_ Date ~" ~ ~' ~ ~ Assessor / / Firm: TRPC / / ~" I -~~.p Ou. NEW DEVELOPMENT/CONSTRUCTION CHECKLIST n~ - ~'~ Iwo/9 2(~ - i ~~o l~ 1 Site Address: 1Uy ~Q ~ jL~,~ ~/Q t) ~' ~g ~ P- 2- T TYPE PERMIT # FEE RECEIPT # COMMENTS Sewer Inspection Fee Sin le Famil $145.00 ' Sewer Inspection Fee (Multi-Family/Comm./Industrial) $145.00 + $35.00 / hr. ' Sewer Latecomers Sewer ERU approved under 1994 sewer ca aci $~,48$~d d!> !7 / ~! ~ Sewer ERU in the LID + LID assessment $2,480.00 Sewer ERU lots outside the LID boundaries $4,850.00 I J Site Plan Water Latecomers Water Meter* $ 300.00 Water Meter I.R.R / Water ERU's inside ci limits $1,000.00 Water ERU's (outside ci limits) $1,200.00 Consumer Deposit $ 90.00 Plan Review /~~ , g~ d Building Permit (033l~ $g7 ~ WA Building Code Fee $ 4.50 Mechanical Permit s(tS~ ~/. 7..3 Plumbing Permit ~T~1~2. //~. ~a Yelm Business License # -0013 Transportation Facility Charge School Mitigation Fee _ / Open Space Fee n ' ;135.30 DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc CITY OF YELM Building Permit :~ ~~ ~~~~ BUILDING DEPT. ;~ Phone: (360) 458-8407 Date (Work be started within 120 days) ~ 7 _f l ~ s 0 N Name 1/>i rz 2 ~/1 r i l; ~`l ~~[+~ Phone ~) -~ r _ ~ c'~-T~.- E R Address r', (p ~~ j `~ ' City 7,/~ State ` j Zip Code ' ~ / Site Address x%' ~ ~' `; 7"- P R 0 Assessor's Parcel No. Lot Size (sq,__ff,,;/acres) P E R Subdivision , ) ~!" ~•~o , Lot,',.. ~ Block T v OR Short Plat No. Block Existing Structures, if any: Name A,<,rt ~~ , Contact r ~ ~,e ~, U '~ Phone ~ ) ~'" 2 Address ! / City r (~.~ ~y1 State (~„) Zip Code '- ~' ' ( License No. ~ C~rC C"E` L Exp. Yelm Bus. Lic. No . C~ - / -' `, ~` .-~ Description of Work ~j / ~ Z ~~;.- 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 ~ s / ~ '~ Sets of Prints ~ ~ Other Plumbing Permit # ~ J ~~~ WA. ST. BC. Fee (4.50 -New Const. Only) Z-~~ ~ [~ Mechanical Permit # J ~~ 11 TOTAL FEE C' - ~ ,~ 'ti .~ Plan Check By ...: ~~' cr f ,~f <E~ Minimum distance of structure from property lines: Issued By c'~7, t. f~'~~d 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 ~"~ Ii Signature;'~f ,,~-y~~ Date rr' / .f` ( l Assessor / / Firm: TRPC / / ~ - ~ ~o a NEW DEVELOPMENT/CONSTRUCTION CHECKLIST t~E - ~~ Site Address: ~ s D.3Jr ,~ iPl ~?/~ T O/`-1 JET' s ~ ~ ~ 1 ~ TYPE PERMIT # FF,F, RF.C F.iPT # (`()MMFNTC Sewer Inspection Fee $145.00 Sin le Famil Sewer Inspection Fee $145.00 + (Multi-Family/Comm./Industrial) $35.00 / hr. Sewer Latecomers Sewer ERU approved under 1994 ~$@:(~ sewer ca aci CJ ~ ~ Q ~ ~ ~ Sewer ERU in the LID + LID $2,480.00 f assessment / Sewer ERU lots outside the $4,850.00 LID boundaries Site Plan Water Latecomers Water Meter* $ 300.00 Water Meter I.RR. Water ERU's $1,000.00 inside ci limits ~ ~2 ) Water ERU's $1,200.00 (outside ci limits) Consumer Deposit $ 90.00 Plan Review ~~ 11 _ /7S~ $ ~ ) ) Building Permit Sg7,Sa WA Building Code Fee $ 4.50 Mechanical Permit ~11~ 7~ Plumbing Permit //1, b Yelm Business License # ~~ ~ Transportation Facility Charge School Mitigation Fee ~d ~ . U ~ ~' Open Space Fee DUE AND PAYABLE AT TIME OF PERMI ISSUANCE! C:\My Documents\building\NEW DEVEIAPMENT.doc CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Building Permit ~ .~ ~ ~ ~ ~ a JJJM Date ~` '.,.~, .~ r J .:~~'~;! ;rT• (Work must' started within 120 days) 1 ;s ~ f r J ~~ I ~ r ~\ ~y~ - r i f '~ N/ Name ~' ~ ~ ~ i`~J~I l~.r Phone ( ) ~ .SC~Z~~CJ~ R Address ~ ~~~~~ E1 ~ City C ~ State ~ „~...~ /~ Zip Code ~~•~ ~~ Site Address (,~ ~"j~~E ror'ti. ,/~~ P O Assessor's Parcel No. Lot Size (sq. ff./acres) P E Subdivision Lot Block R T Y OR Short Plat No. Block tures, if any: Existing Stru c e ~ Name ~'y ~ Contact Phone ( ) Address ~ ~ ~ `~T ,1 ~' City ~ ,~ State ~~,.L! Zip Code s~~f~ ~,,~~ ~,~^ License No. Q ~ Exp. Yelm Bus. Lic. No. "' ~ (~ Description of Work ~. ~!? (~ o ~''3 , ~ {"~~~ 1 / 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 ~" ~.. ~ ~ ~ ~ ~ Sets of Prints ~.--~ Other Plumbing Permit # a~,i /~rlr' WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE "'I~r ,,,..~^- Plan Check By~/~r~ Minimum distance of structure from property lines: ~> Issued By a°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 Assessor / / Firm: TRPC / / CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 N Name ~~{ ~ YYt 41^/ /,' -, ~. ~ % 1,1.9 R Address ~ 3 t~ C_ ~ `°1 ~ T 17 (_ ~~,~''9~f7 ,5 /~ Site Address ~,,i~ rYl ~"~ P R Assessor's Parcel No. ~ ~.~ 7 / ~ ~'~~ ~ Q 0 P E Subdivision T Y C1R Shnrt Plnt Nn "~? 7 % Code ~~ Existing Structures, if Name i`,,-L~,v Address Contact City ~~~<_ yyt State („~q Lot Size (sq. ff./acres) Lot Block Block Phone ( ) City State Zip Code ~ License No. Exp. Yelm Bus. Lic. No. Description of Work ; ~~ ~A <f ~ OFFICIAL USE ONLY Permit Type: ~~ Sq. Ft, per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other ~ Shoreline Permit Y N ', ,,.City Water Private Well Private System Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N e~.~.-- ~'°' Sets of Prints ~"'"-" Building Value ., '' ~ ,~,~ ~, Z.~ Other Plumbing Permit # ~"~~ WA. ST. BC. Fee (4.50 -New Const. Only) L , ~~ Mechanical Permit # /r TOTAL FEE ~L ~ 7c~,^"'- Plan Check By < 7 ~ -~..- ,+r, ,~) Minimum distance of structure from property lines: Issued By [7 , (._;•~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 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 certify that I am a currently registered contract in the State of Washington. ( t Quarterly Reports Signature ~ +~~ ~" ~ (~ { ~ ~ ~?. ' i Date ~ ~ ~"~ ~ ~ Assessor / / Firm: TRPC / / Building Permit ~ ~ ~ ~ ~.~ Date ~~ ) ` ` (Work mu e started within 120 days) ,~~~ 9 Phone t;3(o/~) CITY OF YELM Building Pe~tmit ~ "9 63 ~I ~ BUILDING DEPT. ,%' _ , ~~ Phone: (360) 458-8407 Date ~4~'~° (Work mi,fst' e started within 120 days) ~.~ ,~ `~ .~ '~ ° N ._. Name c::' I` { n•! ! _ k~ K" . ~ ' j Phone ~ - r ~; ~, f~ ) ~/" , R Address ~ , ~'~s'' j ~' ~7 ity ;^ E ~y,!1^ iI/ State Zip Code ~' '~~ Site Address / /~ ~ /~' +L. P R Assessor's Parcel No. ~ ~ Lot Size (sq. ff./acres) 0 P E Subdivision y' ~ Lot Block R T y OR Short Plat No. Block Existing Structures, if any: Name Contact ~ 'y~ t ~ ~(g-,,.~ ~ Phone ~ j~~) ~ ~ ~- <~,l T R - ? ~.. Address ~-' '~ _ City ~; v-,,; •, ; ~ .y State /,ti, ~~ Zip Code '-> , ~ License No. ~'\ ^~ Exp. // Yelm Bus. Lic. No. Description of Work ,~ h ~,~ ~,~ .' ~ ~ it')n j c~ vI t'-<J ~ ~ ~ OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential 4= Sign Sewer Septic Approval No. Commercial Other Gify 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 ~-- Other Plumbing Permit # ,^'"~/~,z WA. ST. BC. Fee (4.50 -New Const. Only) ~ ' C~ Mechanical Permit # ~-',f .~/ TOTAL FEE ` t ~~~ Plan Check By ~-' - !~ i ~ //)) Minimum distance of structure from property lines: Issued By ~ s, 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 s"•. Signature ~__ Date ~ ~ ~ 3 ' ~~ Assessor / / Firm: _ '~ ,/'' e ,~,~'~ TRPC / / rn~- ~~ NEW DEVELOPMENT/CONSTRUCTION CHECKLIST ~ -~~~, Site Address: ~ ~ ' ~~ ~' ~" L~ '~ TYPE PERMIT # FEE RECEIPT # COMMENTS Sewer Inspection Fee $145.00 Sin le Famil Sewer Inspection Fee $145.00 + / (Multi-Family/Comm./Ittdustrial) $35.00 / hr. ~„/ Sewer Latecomers Sewer ERU approved under $2,~$0:0~~ 1994 sewer ca aci ~ Cw ~ ~ -` ~ ¢~ Sewer ERU in the LID + LID $2,480.00 assessment Sewer ERU lots outside the $4,850.00 ~' LID boundaries ..- Site Plan _" Water Latecomers = Water Meter* $ 300.00 Water Meter I.RR ..---- Water ERU's .$-1,f100.~0 (inside ci limits -7 Uc~ ~_ 1 -] ~G 1 ~ ~ Water ERU's $1,200.00 ,~ (outside ci limits =' Consumer Deposit $ 90.00 Plan Review Building Permit ~~~ p WA Building Code Fee $ 4.50 t Mechanical Permit `---' ~.. Plumbing Permit ,...~ Yelm Business License # ,~~ ~,•,,_ f. ,,,, r, Transportation Facility Charge ,/ School Mitigation Fee ~ r- Open Space Fee ~~ ~ ~~ ~ 2~ DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc CITY OF YELM Building Per~?it ~ ~ ~ ~ ~ BUILDING DEPT. rr~ ,~ ~ ~,.~ ; f Phone: (360) 458-8407 Date ~~. ,r (Work must,b~ started within 120 days) r/~, r w Name ,`_17 f" OL (.-I /i-~ ®IJ `"~~ I ~' . ' ! t~>~,l t,~t r % E° ~ Phone ( ) ~ / _. _ ~ ::3 N ~ " E .~^r % City ~~ ~ I" < sa-~ State ~ ~ Zip Code `7 R Address ~~ .: Site Address ~~ jy V 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: Name j: ,Yj/v .~ .,•T.C~ 1 ,~! f~ ,~Yr~` A r Address `;-1 ~~ ~, a'.; ~°"~^'t',h I~JG r_ License No. ~.) ,t,~ _:2._.J'/IL.. ,; ~ ~/G Contact Phone ( ) ~ Zip Code `,, ~ y Description of Work (f +? '~ r ~ OFFICIAL USE ONLY ~ Y t Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign . Sewer Septic Approval No. ~ Commercial Other Ciiy 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 /' i '} ' <""'" Sets of Prints ~ Other Plumbing Permit # ,~' ~/}- !r WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit #~ } TOTAL FEE j~; ~~ ~ Plan Check By ~-• J ~ j~ ' Minimum distance of stuucture from property lines: y < ( _., 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 City ~ y..% ~ / , t° ~~r~.i State f .,_a Exp. Yelm Bus. Lic. No. ,, , , Signature ':~ ~'..~`',.,! ~,~;r,`.~~ Date .~ /~ ,/'r';+~ ~:~ Assessor / / Firm: TRPC / /_ CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 o ~ `N Name ~ _/ N R Address ~ t) Site Address ` (, _ P R Assessor's Parcel No. P E SUbdIVISIOn ti ~~ r•-~, Lot Size Lot Block ,T Y OR Short Plat No. Block tures, if any: Existing Stru c Name ~} L ~ ~ ~ ; "~` r~-1 ~ Contact Phone ( ) ~ Address ~ r Ci ~-~ State Zi ~' j r'. /` /s"; ~('~r ~ ,~0 tY C..>.~-~ <.~J ~`7 p Code / v ~ J r.~ Exp, Yelm Bus. Lic. No. i ' , G~ License No. ~ (;~, ' Description of Work "'l"t- 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 Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N `~ ,~_' J ~ _ Sets of Prints ~/i /t"' Building Value ~ ) 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: ~ Issued By i'7 ; 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 ~ ft ~. r ~ ,6.»~,,, Date ~ '° „~ ~ '" ~ ~ Assessor / / ~ Firm: TRPC / / Building Permit ~ T ~~ ~~ .-, Date - ~ '~ ~--. ~ (Work ust be started wit in 120 days) ~_ Phone ( ) Code `1~~ _~ ~ CITY OF YELM ~ Building Permit ~' ~°- '" BUILDING DEPT. Phone: (360) 458-840 Date `-~ ~~ a Fax: (360) 458-8417 (Work must be started within 120 days) { ~~ ~~ ~ ` _ ~ ~ " ~' ~'~ Ph `~~~" ~ ~ r~~~ `/~/ d ! J Name one( ) e . N rz nn / Address ~Gl J ~,/ fC 4~ ~ / F '` ~ _ City ~~ ~~ ''ti^ State ~.,/ /~ Zip Code 71t~~5 9 /~ Site Address 7U ~ t ~t~n ~~ / F ~!`~ 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: T o .~ Name / Z taf_' irr f.tt i ~' / Contact / (.~/ Y1(t A)) ~ ~P c ,~ Phone 1~,7 y~) ~' 3 -~ ~,,J,a C Address ~ G ,5 J'~~' J~ ~T("~ ,d City J~~, ~ U~~'~ State L.-}~ Zip Code ~'~CiG' ~ License No.`rj LI ''y'~./ J ~ Exp. Yelm Bus. Lic. No. 'J' ' ' ~" f`,, Description of Work - '"`~ ~~.s / Ji ~. '~~r l~~r~1 '~ OFFICIAL USE ONLY Permit Type: Sq. Ft, per floor: (lst) (2nd) Residential Sign /`" Sewer Septic Approval No. Commercial Other yfty 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> ~; ~ C 'f~ -~~-'° Sets of Prints .?r Other Plumbing Permit # A/ /.F`} WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit #~ TOTAL FEE ~~ ~ , 7 J Plan Check By ~~i5f _ , 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 con tract in the State of Washington. Quarterly Reports Signature ~ ~.,~ _ _ ,~ ,~ C%1~,rs Date ~'-'s~ Assessor / / Firm: - ~La~ .. - ~.a -' f(/ kJ. i' ~'(/'('~ TRPC / / , ~ CIN OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (36~) 458-8417 o __ N Name b ,,,) ! _ f .. R Address 1G ~ ~"~ ~LC~/~ Site Address ~ S~ / 8 ,~ ~, ~ '~'~ ! (; ~,~ P rt Assessor's Parcel No. ~o~.~ ~ ~ '! ~" 0 P - E Subdivision '~ , // (i r:~ R T v OR Short Plat No. Building Perrmit ~"-~ :' `A + Date ~' " ~~ '~ (Work must be started within 120 days) _ ~~r-~ Phone ( ) ~= City / f~L ,.,^ State (, yA Zlp Code `~ ~ ~_ Lot Size (sq. ff Lot /~ Block Block Existing Structures, if any: Name ~ ,/r, ~ Contact Phone ( ) -„' - Address ~ S ' J '/ l,( ~,~' ~ Clty ~ ~ - ~ State (.,,~,.~ Zip Code `',~~ ;/'~.~ License No, ~ p ,~ ~~ ` T ~ •,(; ~ Exp. Yelm Bus. Lic. No. Description of Work U ~/ ,~; ,,, , ~ ~• ~~ . ~ 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 Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value !' C ~ '°"°° ~~ ~S ~ ~; Sets of Prints Other Plumbing Permit # ~~i~ WA. ST. BC. Fee (4,50 -New Const. Only) ~ ` ~ Mechanical Permit # ~-~/ TOTAL FEE `ti /~, ,:1-> Plan Check By '" ~ ./ ~ ~ Minimum distance of structure from property lines: Issued By ~ Pr ~-^-- 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. ,~ j ~ Quarterly Reports Signature wti ~q ,.-v '' Date / ~.3 ~ Assessor / / r / t Firm, ' TRPC / / CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 o t ~^/ ~~ Name y N E R ~^-- ~J D Address Site Address P R Assessor's Parcel No. 0 P E Subdivision J~ R T v OR Short Plat No. Existing Structures, if any, s Name ~.// 0,4 ~ ~ vr~ r l d /~~ ~r Contact ~; • f ~~ L, ~ Phone % 1 ) j ? %' - r ~ c -yam ~r Address `. Z CJ-S / l / , j e City j,r9 ~ , y.Y , ~,! State C:»/ ~ Zip Code ~ ~ y~J~ Ucense No. ~ _ ,~ ?' ,Jf" ~ ~,. cZt Exp. Yelm Bus. Lic. No. `f ~ -(l. Uj ~~ Descri tion of Work ~ ~ OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential ._.. Sign Sewer Septic Approval No. Commercial Other ~`rity 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 ? c, ! ~C' ~ ~ Sets of Prints Z-- Other Plumbing Permit # `! `` ~' -~ WA. ST. BC. Fee (4.50 -New Const. Only) ~ c, " ~ Mechanical Permit # ~ `-~ TOTAL FEE 7 1 ~? ~ ~ Plan Check By _,~ . ~ i~ ~ ~lm ~~ Minimum distance of sfructure from property lines: Issued By C~~. rt ' . 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. It 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 ~ t' ~ ~« ;;-.~ Date ,~ _,~~ `~ y Assessor / / ~ Firm: TRPC / / e~~ ~ m >R- s ~ a r- ~f Building Permit ~~ ~' "~ ~'~ Date `~ - 1~r ,~ ~ ~~~ (Work must be started within 120 days) City ~ jf{c may, State Lot Size (sq. ff./acres) Lot 3y Phone ~}~ 3) .:v 3 `~ ^ I Z_ ~ Z l~.> /9 Zip Code `~d-~ ~ Block Block NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: TYPE /•S'~ /S /OAS ` c~ PERMIT # ~+ r ~ ~F l.c~ ~ ~ FEE RECEIPT # COMMENTS Sewer Inspection Fee $145.00 ~ Sin le Famil Sewer Inspection Fee $145.00 + (Multi-Family/Comm.Mdustrial) $35.00 / hr. Sewer Latecomers Sewer ERU approved under ~$O:bO 1994 sewer ca aci /Q / Sewer ERU in the LID + LID $2,480.00 assessment Sewer ERU lots outside the $4,850.00 , LID boundaries ~ Site Plan J Water Latecomers Water Meter* $ 300.00 1 ~' / ~ T / Water Meter I.RR Water ERU's $1,000.00 J ~ (inside ci limits ~ a Water ERU's $1,200.00 (outside ci limits) Consumer Deposit $ 90.00 la~-a~ Plan Review 3zy G 9 1 a ~- a.5 Building Permit ,7~$~ b~ I .a ~ a r WA Building Code Fee $ 4.50 ~ ~ a 5 Mechanical Permit ~ J ~ ~/' „7~r ' a ~ a~ Plumbing Permit ~Ss'~ ~i= I~~aS Yelm Business License # Yg von Transportation Facility Charge / School Mitigation Fee Open Space Fee D UE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVEL.OPMENT.doc CIN OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 o ~/'/ ~~ ~ Name N E R Address Site Address P - R Assessor's Parcel No. I o P E Subdivision R T Y (~R Short Plat No. Building Permit `' .~ ~ ~" Date `~ % / - i' (Work must be started within 120 days) Phone ( ) j~` d~ Lot Size (sq. ff Lot Block Block Existing Structures, if any: State Contact (~. h v ~ ~ i ~ I r <F t; (l r"~ Phone (,>'(n`) ii, % ~"` ~~~ S ~. City {~~%,~_ 1,.~ y; l,.r State ',, t9 Zip Code `/ ~+,~~, Epp. Yelm Bus. Lic, No. " OFFICIAL USE ONLY Description of Work r , t~- H ~~ i { Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign / Commercial Other Sewer Septic Approval No. ;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 ~ Sets of Prints Building Value ~ u Plumbing Permit # Other WA. ST. BC. Fee (4.50 -New Const, Only) Mechanical Permit # TOTAL FEE r ,~- ~ : l' Plan Check By i ! 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 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 C" Date ~ Signature_.~ ~ °""~ f C . Assessor / / ~ ... , Firm: ~ TRPC / / ~' L Name `l~e..J ,t~rr ca ~ ,~ tU. Address ~~/ ~ ~`:. ~`~[,hr„' license No. ,~~; (~ ~,/. r~C ~' r' , /~ ~,i CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 Building P~rmit '` ~ ~A `~ Date ~ / (Work m be started within 1'20 days) o ~`/ ~ Name ~ ' (',. ~,, Phone ( ) N R Address "~ ~ ~ i) /F ! j t" ..,,11 City !•.'_`C ..'r~ State (. ~ /{ Zip Code `' ',~ ~~ r ' _~` Site Address ~J ~~ {#_ ~/'k' / ; P R Assessor's Parcel No. ~ ~ ~ r"" ~ + Lot Size (sq. ff./acres) O P E Subdivision J~~ r # .~,' if f r-;~, r' ° Lot r " Block R T v OR Short Plat No. Block ~ Existing Structures, if any: ; ~" r r ~/ Ey, r Name , ; t.,; ,~_ Contact Phone ( ) r A Address _ City State Zip Code Ucense No. Exp. Yelm Bus. Lic. No. )~ /LJ) np ~ ~ ,r #, ~ n Description of Work ,r',I ~ ~~ ~ s ~, ~, ~ r~ ~s~,~ G c~ OFFICIAL USE ONLY ~ x Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential "° Sign Sewer Septic Approval No. Commercial Other ;1ty 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 ~ <Yr, ( ~ ~ - i.. / '~ Sets of Prints ° Other Plumbing Permit # ~- WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # e TOTAL FEE / ~f ~, ~3 "' Plan Check By i 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 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 Date Assessor / / Firm: TRPC / / X <<H CITY OF Y~LM ~ Building Permit '~~ BUILDING DEPT. ~!~'~, ~ _ ~~~ Phone: (360) 458-8407 ~ Date Fax: (360) 458-8417 (Work must be started within 120 days) e ~. 0 N Name ~(.r .~ UJiq Phone ((~~ ~) `~5 U "' - / 7,l R Address 1 /~~ l ' r1_(• ,[.+ r City C C State i"~J/Y Zip Code 7 S~ Site Address J / (~ ~~ ~,<r ( P R Assessor's Parcel No. C~ 7 U / 5 ~ r; / '~ ~ Lot Size (sq. ft./acres) O P E Subdivision Lot Block Y I OR Short Plat No. Block Existing Structures, if any: r Name ~ ; , j ~~ o,~ f ` 5 i Address ,-_~~ Y, t ,1~ ~° License No. ~u ~ ~ ~°"~ < r~~i, y[/ Contact City Phone ( ) ,~- ,`/,~. - '~~ ~ - lrx~ "~•/ State (.~.i4 Zip Code ,~, ;/,, /) 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 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 ~ ~ (; V,,, Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE ~4' Plan Check By Minimum distance of structure from property lines: Issued By ~~ ~~~ '%~P .SGJ ~ / 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 ,,, .; ~,: 1, r ~l' / ? ~ ~ D t ~ r ~ ~' ~ , ~ a e Signature .'e : ~-z ;~ ~ : f ~ , ,~sy~, Assessor / / {~ Firm: i ~'1~.}_.<....> ~ ~ ~i ~~)~ ~ ~ ~ ~~ ~ ~:> ~~~~L~ ~ t ~ 1...- TRPC / / CITY OF YELM Building Pere ~'~~ ~ ~~" ~ ~' BUILDING DEPT. ' - '~' ' Phone: (360) 458-8407 Date Fax: (360) 458-8417 (Work mu be started within 120 days) o `/~ Name ~~ ~ r - 2 lA i ,:_>'t D ri' r Phone (~'. ,~ I N E a ~1~ ~rf! y.1 ~ w- 1~ ~,,+,~ ~. Address City State Zip Code Site Address ~G~ ~ ~~,~<<( /~' ~ C`-,<'.j P ~ Assessor's Parcel No. <<7 ~ '~ ~ ~ +' Lot Size (sq. ff./acres) P R Subdivision /'~ ~ Lot Block T v OR Short Plat No. Block Existing Structures, if any: C o / Name ~~r- 5 t°N J ~f ~~ F ~ ~ d c U ,~/~I~ Contact ~ ~ ~ ~,~ ,F'~~ p ti ~ 1 Phone (t~ .S Il .S U~ ~ S - S T ~~"" Address Y S G ~-' lI F•fN T C~ C~tY ~c ,6J ,,a~ State L..v.J~ Zip Code ~; P ~ Ucense No. Exp. Yelm Bus. Lic. No. Description of Work ~ ~~ f ry- .i , _ , 1 . ~ / r ~2. ~ Z ,t,~ QQ w ~~r ~.• ~ 1` /` ~ OFFICIAL USEONLY t Permit Type: Sq. Ft. per floor: (1st) 2nd) Residential '~ Sign -' Sewer ~"-" Septic t•"'~ ~ Approval No. Commercial "~ Other 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 Building Value /~ ~ ~~ c~^~ -; -- ~ ~ Sets of Prints -.~ Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE _;? " ~r. ~',lr.,"" Plan Check By ,lL~ ~`t'N +~i ~!~-~ J ~! ~ ^ 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 J Signature ~~, / ~~~~•,,.---` Date ~~~ • ~ ~`~ ~ Assessor / / Firm: ~ TRPC / / CITY OF YELM BUILDING DEPT, Phone: (360) 458-8407 Fax: (360) 458-8417 ~ ~^~ ~r3 t~ ~ !~ i r w Name 4, 'r U yj ~ r ~- df ;,~ R Address li~CJ fj ~~ t L ~ U O Site Address `~rJ (~ 2r`a J L !~ ~ A P (' R Assessor's Parcel No. _d t~ (~ r S (] r~ _;~ , 0 P E Subdivision Lot Size (sq. ff Lot T Y pR Short Plat No. Phone (~~ d) ~-{ ~, ~ - 1 ~ `1 ~ ~J/~ Zip Code 7r~'1 ,_`~ Block Block ctures, if any: Existing St ru ~ } Name Y`~ t> ,.iJ ~Y`~z- f ~ ,> t" S •~~~ ~ . , ;i . ~' Contact Phone ( ) Address f' ~' , ,:~ ' City ,',.~; '; r;n~~//,~ State (~ ?,~} Zip Code ~j ~S ~C,.~ Ucense No. i~ /i .yl F/= ~`~ ';-+`~ ~ ~- Exp. Yelm Bus. Lic. No. ~ ,;; ~ ~ Description of Work {~~ ~ ~ :r ~, ~,f L7n, ~, , OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign ~ Sewer Septic Approval No. Other Commercial `~ 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 L ~ c < ,~ ~ , j ~, Sets of Prints ~-- Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) ""-~ Mechanical Permit # ' ~ ~~1•'I f ~''`"' TOTAL FEE ~~ 1 Plan Check By C r- r'`' ICJ r `mot 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. i' Quarterly Reports Signature G~'"`~ :Q,~. Date - Assessor / / ~ ~ Firm: ` V~` ~ tJ C ~ ` TRPC / / ~ p/ >` . . Q r Building Permit ~^ ~~ ~ ~ fF. Date ~,„~ ' l ~`~-~ ~-~~~ (Work must be started within 120 days) _~ y -~-- >v ,~ ~~~ r'~~ ~ / -f ('r fv~ State CITY OF YELM Building Permit ~ """~ ~' ~~ a BUILDING DEPT. , Phone: (360) 458-8407 Date '~ - ~- ~ ~' Fax: (360) 458-8417 (Work must be started within 120 days) / / .r-- o `N - Name ~nr ItFkC j ~~ r„~r ~~~f~~ r•.,'~ Phone(? -) ~~a(~- ~~~~'3 N a Address i;i , ~~ '' City E~=.-v:.~- ,; ;~ State C ~/~- ZIp Code `l~~ ~~~ Site Address ' ~ P ~ _.. Assessor's Parcel No, ,? ;,% /' _~ U / !%L ter; ,>"~ Lot Size (sq. ff./acres) P E Subdivision (7 q ~ ri ~ `-, c h { S Lot ,/ ~' Block a r y OR Short Plat No. Block Existing Structures, if any: C o Name Contact Phone ( ) T Address City State Zip Code ~ License No. Exp. Yelm Bus. Lic. No, Description of Work ~/ f;,- j /. , ~~~ ~ ~ "t 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 Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value _7 C ~ G' ~ - ~-- ~ ~,--; Sets of Prints L Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) S MechanicalPermit# ~~-' s'~- TOTAL FEE "~ ~ ~ ~~' , Plan Check By --~ . ~ u r~ ~~ r'T_ Minimum distance of structure from property lines: a j 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" ' ~°' ~ t'C_---- Date - y y Assessor / / Firm: TRPC / / NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: ~~i.3/~ /U7 ~'~` ~' .st lv~ s~ TYPE PERMIT # FEE RECEIPT # COMMENTS Sewer Inspection Fee Sin le Famil $145.00 Sewer Inspection Fee (Multi-Family/Comm./Industrial) $145.00 + $35.00 / hr. Sewer Latecomers Sewer ERU approved under 1994 sewer ca aci $2~48$~9- / ~ y Sewer ERU in the LID + LID assessment $2,480.00 Sewer ERU lots outside the LID boundaries $4,850.00 / Site Plan Water Latecomers Water Meter* $ 300.00 ,~ Water Meter I.RR / Water ERU's inside ci limits $1,000.00 Water ERU's (outside ci limits) $1,200.00 Consumer Deposit $ 90.00 j Plan Review ~~ y~ ' ~~ - Building Permit ~ 3~ ~t 7sG• o a r WA Building Code Fee $ 4.50 Mechanical Permit Plumbing Permit SS o-~ ~ ~ 1 Yelm Business License # 9 - Qa3 Transportation Facility Charge School Mitigation Fee V SU `~ ~uY1. ~/ Open Space Fee D UE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:Vvty Documents\building\NEW DEVELOPMENT.doc CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 r^ Fax: (360) 458-8417 `/~/ Name /~~~ N E rt Address / Site Address -~ P rt Assessor's Parcel No. Building Permit ~ `~ 6 3 5 2 Date (Work must be started within 120 days) Ph l ~ ~„-,..n ^ State ,~ Code Lot Size lsa. ff. 0 P R Lot Block Subdivision ~ T y OR Short Plat No. Block Existing Structures, if any: C O Name Contact Phone ( ) T Address City State Zip Code License No. q e ,e ~ b~ /' C- ~ Exp. Yelm Bus. Lic. No. ~v / OFFICIAL USE ONLY Description of Work / 1 ~ t 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 U ~ 3 ~ a~' Sets of Prints Plumbing Permit # ~~.SS~ Other /' '7 • rte Mechanical Permit # J ~i~~ WA. ST. BC. Fee (4.50 -New Const. Only) . ~ J ~U TOTAL FEE ~ Plan Check By ~ Minimum distance of structure from property lines: / Issued By (:t. 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, ' 6luarterly Reports Signature Date Assessor / / Firm: TRPC / / CITY OF YELM Building Permit ~' "~' BUILDING DEPT - . Phone: (360) 458-8407 Date { ~ ~ ~~ - ~r `~ (Work must be started within 120 days) O w !! Name ~„ri9c'r/~! ~ ~~;, ~~:m~^e .. Phone ~~; ):~~ i~~~. N E R ~ f ~~ , ._..- ~-- Address G/ ~ C% ! ~ ~., > I °~ ~ City ~~~ ~ ~ n-a ~~ State ? i,~ Zip Code ~) ~ f f'` Site Address ~ rj 3 4~ ~ ~ +~'' ~ ,/' ./iJ"G 5 '~ `f ~ P O Assessor's Parcel No. ~ ,,~ `' U '~ ~ C~ ,~~ Lot Size (sq. ff./acres) P E R y Subdivision C ! ~ ~ ~ ~ , ,, 11 < ~ .~ f+, /~'j Lot Block T ~ OR Short Plat No. Block Existing Structures, if any: N ~ Name ~,/ze.i.( 1 ~ nn, ~.c , Contact ~~ ~ 1 ~0'>/i U Phone C; 5) ~ ~ - 1 t. 1~ T Address ^',? ~; "'` % ~ f ! ~' S~ _ City ~ r L~ ;r State / ,;; ,/} Zip Code ' f ~ ~ y Z- ~ License No. /``~1C/ p s /x ~_ ~ Tf ~+ ( ~ Exp. Yelm Bus. Lic. No. ~ t i` r-1~` ^j :- Description of Work `~ ~ ~ ~ ~ ~ __..,n r ~~rrt ~ 1r- OFFICIAL USE ONLY PermitType: 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 Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value r'; ~- . ~ !4~"~ ~.> :;~ -~ -y ~ ~~' , Sets of Prints ~-~' Other Plumbing Permit # ~ `~~ WA. ST. BC. Fee (4.50 -New Const. Only) {~. ~ ~~ Mechanical Permit # ~ ~t=' ;-~ . ~.+ TOTAL FEE ~~ i? ~ ~ "~ Plan Check By yf ~%u T , r°•~. ;i ~ (Ar? t .~-+~ 5 t - Minimum distance of structure from property lines: : . Issued By i 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 wi th 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 /~,,T,./~. 1;,, ~~,~ Date ~° `~'- ,~~' Assessor / / Firm: TRPC / / NEW DEVELOPMENT/CONSTRUCTION CHECKLIST _ ~~ (~ite Address: l ~~ Tj z3~,5h/~ ~ 5 7~ S~ ~ ¢ BO D~ n O TYPE PERMIT # FEE RECEIPT # COMMENTS J' ~ yfv a~~' l~~ Sewer Inspection Fee $145.00 Sin le Famil Sewer Inspection Fee $145.00 + (Multi-Family/Comm./Industrial) $35.00 / hr. Sewer Latecomers Sewer ERU approved under '.&~;4'EO°ad r 1994 sewer ca aci /O~ Lf~d ~G! , Sewer ERU in the LID + LID $2,480.00 assessment Sewer ERU lots outside the $4,850.00 LID boundaries Site Plan Water Latecomers Water Meter* $ 300.00 3~~ Water Meter I.R.R Water ERU's $1,000.00 (inside ci limits ~„~ Water ERU's $1,200.00 (outside ci limits Consumer Deposit $ 90.00 LL Plan Review .SID. G / I ~- ~ ~l Building Permit WA Building Code Fee $ 4.50 `~- 3 k ~ Mechanical Permit `~.J ~0 ~",~' ~~ ~ ~ L Plumbing Permit p ~y a 7~ ~ ~ Yelm Business License # ~(1U13 Transportation Facility Charge School Mitigation Fee / ~D ~ 1 l!, ,, r ~ / ~~ Open Space Fee D UE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Building ~P,ermit ~ .~ s ~ ~ ~ Date `7~~-~~ , (Work must be started within 120 days) ,,,~ ~~.~.; p ..r"' ) w Name ~ }/ d Yep Phone ~ - ~ c'~f N R Address ~ -. CA S% ~ City ~/ State Zip Code , ~~ ~ Site Address (.` ~(;~ ~` ~`~ ,/~ v f P R Assessor's Parcel No. ~ J U ) % ~?~ +~ Lot Size (sq. ff./acres) -- P R Subdivision / ( r / L ~ % ~ Lot ~~ Block T v OR Short Plat No. Block M Exl~tjng Structures, if any: C o Name ~ ~r'G `y; ~ ~' Contact ~ ~ ya., ~ Phone ( ) ' ) , j ~j ~ `~ "~ T ~k Address "'- ~` < City _ -~~ ~ . ; ~ State L..,~fl Zip Code ~''' % f r ~ License No. ~ /t ~[. ~ '' ~ (p Exp. Yelm Bus. Lic. No. ' - {~ `~ ~' ~ ; Description of Work ~,,,,,[-r ~/ ~ ~ ~{ ~ ~ 1 OFFICIAL USE ONLY fit`. jf C.~ 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 ~ lzl~~ r < < %Ta ~ i Sets of Prints v'~ PlumbingPermit# °~-~~` {~~~ Other WA. ST. BC. Fee (4.50 -New Const. Only) ~ v ~ Mechanical Permit # ~ G' ~~" TOTAL FEE ''j~i~ "~`~ Plan Check By ~ ~ +!~u.,~~/'"C. ~, Minimum distance of structure from property lines: Issued By ! 1~ 1 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 ;"J~,. ~ r,,. ,,, Date ~ ~ - ~~ Assessor / / Firm: TRPC / / NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: l ~~J.S~ ~~ ~ /~ / ~ ~~ ~,~ • T~ ~ 7 TYPE PERMIT # FEE RECEIPT # COMMENTS Sewer Inspection Fee Sin le Famil $145.00 Sewer Inspection Fee (Multi-Family/Comm./Industrial) $145.00 + $35.00 / hr. / Sewer Latecomers Sewer ERU approved under 1994 sewer ca aci $3;4'EV(JU" /Df~ a f 1+'~ Sewer ERU in the LID + LID assessment $2,480.00 Sewer ERU lots outside the LID boundaries $4,850.00 Site Plan Water Latecomers Water Meter* !/ 9_7~ Water Meter I.RR Water ERU's (inside ci limits $1,000.00 / a Water ERU's (outside ci limits) $1,200.00 Consumer Deposit $ 90.00 / Cf 3 9 Plan Review ~YS.8D i 3 Building Permit 33 7.~ 8 WA Building Code Fee $ 4.50 ~~~c~~ Mechanical Permit ~ ~ f ` 83• "7J~ I ~~- 3 ~ ~ Plumbing Permit ~y~ ~ !9"~ i ~ ~ 1 Yelm Business License # J Transportation Facility Charge School Mitigation Fee I ~ j) ~ r~ / ~~ Open Space Fee D UE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVEIAPMENT.doc CITY OF YELM ~v BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 0 ~/'/ Name N R Address ~ ~' Building `Permit l,, ~' •s ~:. ~' Date "d ••- (~ ` - 6 ~.~ (Work must be started within 120 days) ~~/ J Phone ( ~-• 0" a G' C~ 'r „y., State ~.->/d ZIp Code ~~ Site Address t!t ~,~ fy! y~ ~ ~ /~ ~' f C ~~ ' (; V P R Assessor's Parcel No. Lot Size (sq. ff./acres) P E Subdivision Lot Block T y OR Short'I?lat No. Block t Existing Structures, if any: Name ~!. N • ~~~'1 Q ",, Lr ~L -o' "~ l Contact Phone ( ) Address f~ ji , %~'e, .`~ `! .- City ~ ~ L , ~ State ~. .{~ Zip Code ' ~,l r Ucense No. '~ ~ Pn~l ~; l.,,~ Exp. Yelm Bus. Lic. No. ~~, i ; (~' ~ '', Description of Work ._T A.~ 1 ~ / } ,} ,q f ~ l ti- J ! n ~/~~+-~ %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 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 #~lr' WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # ,}V ~ ~_ TOTAL FEE / ~ ~ U ~ Plan Check By '~~ ' Minimum distance of structure from property lines: Issued By ~ ji~r z 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" Signature i i k--? Date ~{ ~' ~ '"t ~~ Assessor / / Firm: ~ /-~ :) ; ~ .. 4 fV r i I' ~+'Jr~ TRPC / / CITY OF YELM Building Permit ~, BUILDING DEPT. ~ ~ ~ ~ ~ Phone: (360) 458-8407 Date - --~--~~~~~ :~` - ~~ ~' "~ (Work must be started within 120 days) L 1 ~~~ 0 ~^/ Name ~ { ` Phone ( ) ~t'~c~ N R Address L t) ~,,. rT `' ~- City ~`~ `"i" tv~ State (_.,,,,) Zip Code ~~ ~~` ~ '~ ~7 Site Address ~ ~ ~ ~ ~G ham, ,i+0 , i ~° ~„s,'~ ~ ~" R Assessor's Parcel No. ) `- ; ~l 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 7 ~ f"}~ j ~ Phone Contact ~ ~ T r : ; (rf , : ~ T s. Address /';Y~ .~ ''~~ .a ~ ' Zip Code `' <" State - City `, c 1 , ~v..- ~ Ucense No. ¢<,etj" .~[,/ j ~` Exp. Yelm Bus. Lic. No . - ~~ -;',i, Description of Work ' f~; ,Z ~ m ~' ~/ f~ ~ J, ; OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (lst) (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~~' '"'t c ~ Sets of Prints Other w ~ Plumbing Permit # ~ ~s / WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # '..JW,~t TOTAL FEE =% +.1 ~ -~~'' Plan Check By ~'`~ `s`.--~ M..,. L a ~ T ~ ° ' 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 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 ~% ,r ~1 { ~ ,' ~ Date ~ ~ ~ ~~ Assessor / / ...-, Firm: '~,,-~' ~~ ~~7; i.e..C ~~LL%i ; _::. ~ TRPC / / NEW DEVELOPMENT/CONSTRUCTION CHECKLIST Site Address: ~ ~ ~ ,1~/ c r"~ ~ is ~ ';r;~-~- 2e v,n ~; ~ ~ `C TYPF, PF.RMiTlf FFF AF!`TiuT~+ n~-r,rr,t~~rma Sewer Inspection Fee $145.00 Sin le Famil Sewer Inspection Fee $145.00 + /' (Multi-Family/Comm./Industrial) $35.00 / hr. ~ Sewer Latecomers .--' ..%-- Sewer ERU approved under $2,480.00 1994 sewer ca aci Sewer ERU in the LID + LID $2,480.00 assessment Sewer ERU lots outside the $4,850.00 " LID boundaries Site Plan Water Latecomers Water Meter* $ 300.00 Water Meter LR.R. " Water ERU's $1,000.00 (inside ci limits Water ERU's $1,200.00 - (outside ci limits) Consumer Deposit $ 90.00 " Plan Review ~~'7~~3 ~~ ~L Building Permit v ~~~, ~~ ~ WA Building Code Fee $ 4.50 "y`~ Mechanical Permit Plumbing Permit Yelm Business License # ~ u ~ ~ ~ ~ ~ ~.. -; ;, ~; Transportation Facility Charge School Mitigation Fee Open Space Fee D UE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:1My Documents\building\NEW DEVEL.OPMENT.doc CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 o w Name ~~ .•'(, N E ~1 rt Address 7 ~ ~~ ~ e. Site Address /~ ~~~i w7 P rt Assessor's Parcel No. P E Subdivision Block 'r v OR Short Plat No. C Existing Structures, if any, ~ o Name ~ 2 ? ~ ~ ~~~ Contact Block Phone T f Address ,' ~,). /'~,(,, ~ ~ ~ ,?,~~ City /F~ c", State (,~j,~ Zip Code '_'~,~~~ ~Y(,~ ~ License No. ("Oj ~ t Exp. Yelm Bus. Lic. No. ~ ' ~ ~ ~ .; Description of Work _ re" ~ ; , 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 Buildin Value i : ~f ~s"~ Sets of Prints g ~ ; ~ ~ Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE ~ ~~ ~~s,.- Plan Check By // /'~ 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 / / the proposed structure is in conformity with all applicable City of Yelm regulations including and correct. I also certify tyia~ , those gov~iing zoning qhd f nd subdivision, and in addition, all covenants, easements and restrictions of record. If dpplying as a'Gontractor, further certify that I am a currently registered contract in the State of Washington. ~~.. _ Quarterly Reports Signature ~ Date ~ i ~ ~~ i-?' Assessor / / ~' Firm: j ~+< >, , r! ~ ~ ,; TRPC / / Building Permit ~ 5350 ~_ Date ~~ >l `r `~~ `f (Work mus# be started within 120 days) ~. ~`,, (~ Phone ( ) ~ifS ~ ' r`o /.-.,~` p J ~ Zip Code :7 T l~ City ~,~~'"~ ~,,,, State Lot Size (sq. ff./acres) Lot ~. ~) ~~' i ~' CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 ° ~ C i3 w Name N R Address ~ ~ ~~% ~ ~ .`~ ~~ E Site Address ~' r ~ ~ir p R Assessor's Parcel No. P E Subdivision it T Y C1R Sh~rf Plnt No. ~ _ /G~/ Code ~Td S Lot Size (sq. ff./acres) Lot Block Block Existing Structures, if any: ,Name ,lt~Orl r+A ~L,~.n J ~ /' 9~/ ,-- Contact ~~ t7( F~~ ' <?!41~ Phone( ) ~..~Qj ".~ ,;52 ~~ Address r ` !~ ~~ j /~~d ,~~j+. ~~ ~.- City ~" 1"+ ~,"• State ~ J/~ Zip Code `•,>'c~, t~ License No. ^',rJ ryt ',l 1~. ~ C ~ Exp. Yelm Bus. Lic. No. /' ~r ~ OFFICIAL USE ONLY ^ Description of Work " i t ,~, ~ ,~ ; ~,,,` ~ ; /` ~,-. v ---~ ~" 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 ~y-~ ~ ~ ~ ,..~ Sets of Prints r~--~-~ Building Value C ~ - Plumbing Permit # ``~ ~~ Other Mechanical Permit # /(- WA. ST. BC. Fee (4.50 -New Const. Only) TOTAL FEE ~ ` r ~ - 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 ~ ,.~- ~ Assessor / / c c ~- ~+ % j TRPC / / . Firm: , r.„ ,ac., f ~ , t.. ~~ ~ ~ ~.~-~:3~ ., ~, ._, Building PeLL~~rmit - ~" Date V f ~ ~ ~ (Work must be started within 120 days) Phone Y,?/ y~ } ~ ~ ~C ~~ l}~,h.~C ity %~-C. tt.1 State ~~ ~ r CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 o N Name ~~ r Q ~~ , j R Address yC Site Address - ~ ~ t`' ~ P R Assessor's Parcel No. "' O P E Subdivision Lot Size (sq. ff./~ Lot Block Building Permit ~ ~' ~~~ ` Date ~~ .~._ (Work must ~e starte within 120 days) Phone ( )- Code T Y CSR Shnrt Plnt Nn Block Existing Structures, If any: ~ / Name f ~ ~~ yn ~J ~ t~ r,, S f`h ~' . Contact (o r~ iJi r r., t >~o ,~ Phone C .7~ .~ ~i'~.~ ~ ' .>_`~ ~ ,~ ?< t r~ Address ~ ~ ~~ C~ ~~F~it ~,-~ ( ~;~, ~--~ City l,.~y ~' z, rY; s# State 4,1,q Zip Code `~j'~'' ~!~ `~1 ~ ~~ "~ ~ Exp. Yelm Bus. Lic. No. Ucense No -"~ `'~ ~- ~) tj i ~'~ •' t "~ . ~ OFFICIAL USE ONLY Description of Work Permit Type: Sq. Ft. per floor: (1 s~ (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 Building Value ~ C~~'~~ i '/ F, =.7~= Sets of Prints ~ l ~~ 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: ^' /7~ Issued By (`t C /Vr ~t_S ur~ 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 ~t r -"~' "i Assessor / / Firm: TRPC / / CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 (Work must be started within 120 days) W 1 Name / ,/j ) `~ ~- Phone v ~ " N R Address ~~ %. f ~ City /~! ' State (_. _ Zip Code `' f .S /~ ~ / Site Address /~ ~ ~ t~ (`t r' r' } ~l . R Assessor's Parcel No. ~% ~ i r) L~l`> Lot Size (sq. ff./acres) O P R Subdivision ~ ~ ~ r ~ i~ , // ~ ~ 1 ~w Lot ~ Block r v OR Shorf Plat No. Block Existing Structures, if any: C O Name ,~~,; i,`, ~E~rl r% y,.,, Contact ,_,G c ~'/c , ~ Phone ( ) Address ~! ~ ~ ~ -" City rC c ~~,~, y2 State f ; ~ Zip Code ~; J ,i /Ja License No. ~'~ j,,) ~~ ~~; ~ '~ "~ Exp. Yelm Bus. Lic. No. '~'~j - i , 1 '~' OFFICIAL USE ONLY Description of Work ,~~, ,f ~~,~>>, l'" /~ 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 Buildin Value 9 -7` ~*,~ ...~r. ~~~ y 1 7 ~ tr !` r• _ J? ~~ e%' Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) d• SJ{ i Mechanical Permit # TOTAL FEE `~~ ~~, ~ ~~ ~ r Plan Check By~~ ~ar ~.f~'rt . Minimum distance of structure from property lines: Issued By~'Tr /:+l r~lS a o`- 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. `,,.~--..-'"° ~ ti 9uarterly Reports Firm: ..- Date ~'As~essor r / / ~~ .~ ~~ "~ TRPC / / ___ _ __ _. ~~ ~9~ Building Permit ~~ ~~~' ~~~'~ ~'. Date ~' "-~--r I ~ l City of Yelm -Permit Fees Site Address: 16239 107th C# SE Permit # Fee List Fees Due Recei t # Comment 80S Sewer Inspection Fee $145.00 $145.00 Sin 1e Famil t! ~ `~~ 805 Sewer Inspection Fee $145.00+ MultiFamil !Comm./Industrial $35.00/hr Sewer Latecomers 802 Sewer ERU approved under $2480.00 10204 $1000.00 Prepaid 1994 Sewer Ca acit Sewer ERU in the LID+LID $2484.00 Assessment j~ Sewer ERU lots outside the $4850.00 LID boundaries Site Plan Water Latecomers 712 Water Meter $300.00 $300.00 l a ~~h Water Meter I.R.R. 760 WaterERU's $1.000.00 $1000.00 inside ci limits 760 Water ERU's $1200.00 outside cit limits 740 wtr Consumer Deposit $90.00 $90.00 742 swr ~ ~ ~ ~ 100 Plan Review $308.84 ,~ 032 Building Permit i~fl' $731.00 3 ~~ 160 WA Building Code Fee $4.50 $4.50 L- 032 Mechanical Permit 032 Plumbing Permit $90.00 030 Yelm Business License# 99-02383 Total $2669.34 420 Transportation Facility Charge School Mitigation Fee $650.00 Confirm 410 Open Space Fee 0 DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE! CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (160) 4588417 O `N Name N E R ,~ Address ~ Site Address P R Assessor's Parcel No. O P E Subdivision R T Y (7R Shnrt Plnt Nn_ Phone ( ) 4t~~ State f:1~~ Zlp Code Block Block Existing Structures, if any: Name L ~j~,._ Contact Phone ( ) Address City State Zip Code Ucense No. Exp. Yelm Bus. Lic. No. Description of Work C~'",p~ OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other v"'~ 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 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 ~1;~( ~ ~-~^"' 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,, ~ ~/ ~7~',/(,~_,f' Date Assessor / / Firm: ~ / ~~ TRPC / / /, Lot Size (sq. ff Lot l~7/ ~ ~~ ~. , Building Permit i'; Y' ~' '~ Date (Work must be started within 120 days) CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 `N Name Jr1-hilt`~YZ ~Ifi.~i'rlrfe E -- R Address t~~(- ~'1;,~C !~~ Site Address f l',a ~f ~~ P _ R Assessor's Parcel No. ;r1 ~+ 7 3C. f 5~ G ~ 0 P ~- E Subdivision ~,y , , ~r' ~_.~ R T Y CSR Chnrt Plnt Nn 4A ., ..~ W Buildinq~Permit „ :3 ~ ' ~1 ~ r~ - Date ~,.~~;~ ~l ~ ,~~~~ ~..~ ~~ (Work must be started within 120 days) Phone ( ) ''r~ ~i~ - ~ ° ; City t',~, s,,, /t'1~ State Cv Lot Size (sq. ff./acres) Lot ~ j+ Block Block Existing Structures, if any: Name /~ it7 ~ n, t `~ 1 C"' %~~ f ,~P ~ {{ .Contact ~~~ - ~, <; -~ a~ ~ , , - Phone ( ) Y' `/~fi ' ~'' t% -~ , Address j!~,, r1 `' City i ~, r r..;, ft, State 1. u.! ~1' Zip Code `r" rj `~ /r~, ,-' ~ Ucense No. ~ r ~;,, ~" ~ ~ ,/% S y. ~ Exp. Yelm Bus. Lic. No. `i ~ _ V~ t; ~ '~~' Description of Work r- -..~ a ~ Gp, ~ 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 fit: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value r ~ ~I J ~ ` f ~^ L~t "T <'r". ~ r~• Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) "jf ~ , ~ u Mechanical Permit # TOTAL FEE ~ l~~ tr 5 ~(~ Plan Check By ,J ,L`/.Ca 1~ /F'°~_ Minimum distance of structure from property lines: r ~ii Issued By ('1. ~~10~/ 5G/Y 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. -''.i s ~ Assessor Floor Plan and Permit Submitted / / uarterly Reports i ~, Signatur~~~ ; ~ . „~r•~ ~ ~ ~' ~ Date Assessor / / Firm: ~ -~ / ~~ TRPC / / j; t~,r ie ~' a ~ ~C'1. Cit~of Y'e~m -Permit Fees Site Address: 16312 107th Ct. SE, Lot 9 Permit # Pee List Fees Due Recei t # Comment 805 Sewer Inspection Fee (Sin le Famil $145.00 $145.00 805 Sewer Inspection Fee MultiFamil /Comm./Lndustrial $145.00+ $35,00/hr Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca acit $2480.00 1.0204 $1.000.00 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 t n l `~ Water Meter Y.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 1 (~ `-~ 100 Plan Review $207.44 ~n (j L I 032 Building Permit 6371 $491.00 / 160 WA Building Code Fee $4.50 $4.50 '~ 032 Mechanical Permit 032 Plumbing Permit 5556 $90.00 030 Yelm Business License# 99-02383 Total $2327.94 420 Transportation Facility Charge School Mitigation Fee $650.00 Confirm 410 Open Space Fee uuE A1Vll PAYABLE Ai"TIME OF PERMIT ISSUANCE! CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 o I -7 `N Name ~~~ ~ ~ ~ ~`"~rZ ~ R Address ~ / i Site Address / P R Assessor's Parcel No. , O P '~ E Subdivision j`x7 R T Y (~R Shnrt Plnt Nn. it ,.~~ I l~ % ~ 6? ~'~ r~`r ~ r'rr,i % fG!J~% 5f ~~~ ' 1 / .1_-f i /)Fi ,' Contact Block Existing Structures, if any: Name .~.XI ; ~.,, / F ~ { Address J-~~%, ~j~~~ r'~ License No. jfg o ii1 ;' tlry f~`~~/r~ ~;~~ ~'` Phone ( ) ~=3'~:+'~~' , ~ ~;_ City f*, ~, 1,,,, ~ ~' ~~' State r .,; ~i Zip Code ';r',Y S Exp. Yelm Bus. Lic. No. "° ~ / Description of Work " / ya ` , f~:.~ ~ ~,r ~= 1'7 f!~ OFFICIAL USE ONLY , G i ~ 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 .fat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Y N Floor Plan Building Value ~Z ~~ ~ ~ Gj%~ _.i ~~ / Sets of Prints l Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) ~ ~~ ~~ ~ Mechanical Permit # TOTAL FEE ~~" ~C' ~~~ ~-.~~ r ~~~7//f'ir' Plan Check B y Minimum distance of structure from property lines: ~ r Issued By d'~'. "~'"~%' ~ ~-~ 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. -fir _, ~.-, Quarterly Reports `~,rr'' E Signature , '~ ~ y ~ .--., "7 .,~, ,- ,~ ~ =~: --^~...~ Date .. ~ I M Assessor / / . . , Firm: TRPC / / ./ ~, Lot Block Lot Size (sa. ff Building Permit ~fi '.' ' p l'~ _~ ,_ _ ., ~ ;~ ~ Date (Work must be started within 12 days) ' _..,. r ~ ~ Phone( ) ~%`~~''':~~fl ~n~~ /C W L..r i('r7 State f_./.~1 Zip Code `r ~ :~ ~ ~-"' 1~ ( ~ , yJ ~~l- 02~~~ . C~ Cit of Yelm -Permit Fees ~~ Site Address: 1b201 Vancil Loop SE, Div. II lot 6 SOS Sewer Inspection Fee Permit # Fee List Fees Due Recei t # Comment Sin a Famil $145.00 $145.00 'r~ ~(~ Z L `J 805 Sewer Inspection Fee $145.00+ MultiFamil /CommJIndustriaf $35.00/hr Sewer Latecomers 802 Sewer ERU approved under $2480.00 1.0204 $1000 00 Pre aid 1994 Sewer Ca acit . p Sewer ERU in the LID+I,ID $2480 00 Assessment . Sewer ERU lots outside the $4850.00 LID boundaries Site Plan Water Latecomers 712 Water Meter $300.00 $300.00 r I Water Meter I.R.R. 760 Water ERU's inside cit limits $1000.00 $1000.00 ~ (~ 7 `1-~ 760 Water ERU's $1200.00 +-~ outside ci limits 740 wtr 742 swr Consumer Deposit $90.00 $90.00 ~~ ( ~7~ 100 Plan Review Ll~ ~r..JJ $30$.84 '~~ 032 Building Permit 6370 $731.00 160 WA Building Code Fee $4.50 $4 50 I . 032 Mechanical Permit 032 Plumbing Permit 5557 $90.00 030 Yelm Business License# 99-023 83 Total $2669.34 420 Transportation Facility Charge School Mitigation Fee $650 00 . Confirm 410 ~ Open Space Fee DUE AND PAYABLE AT TIME OF PERMIT ISSUANCEi CITY OF YELM BUILDING DEPT. . Phone: (360) 458-8407 - Fax: (360) 458-8417 o L ~'` w Name !` /~ (<' Y~ ~ y+' R Address Site Address / p ~/~/ R Assessor's Parcel No. (Q P E Subdivision R T Y nR Shart Plat No. Building Permit ~ ~« ~~° Date ~ '~ ,LT (Work must be started within 120 days) ~~ ` ~~`~ ~ ~~ Phone (7 3 ~) ~'";. ~g -~ L ~,`I.f..~ City / /t f az-r/ A State (,J ~ Lot Size (sq. ff./acres) Lot ~~~° Block Block Structures, if any: Name ,f~/~ /1 ~ C-,~ ~, Contact /`:!~ ~'` -/~~ ~~ 1'~ Phone 1 Address ~~ U ~' /~~, ~ :r ~ S City />:' J ~, rr~ State f~,y ,t}I Zip Code ~-~~c/t/ l:,i License No. A ~ /~ ~' "' / (. Exp. Yelm Bus. Lic. No. ~-~ . - ^ ~~ r' <"'. `~ . ~) Description of Work / ~ OFFICIAL USE ONLY Permit Type: Sq. Ft. per floor (1st) (2nd) Residential L Sign Sewer Septic Approval No. Commercial Other 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 Building Value <: ~ `J~ ~ ~ ~ -• r'. Sets of Prints ~ Plumbing Permit # .~~..~ yr -•~ Other // Mechanical Permit # ~~ (P J WA. ST. BC. Fee (4.50 -New Const. Only) S~ ~ - Li B ~ ~~' ~' ~ ~ TOTAL FEE ? C~ ± ; ~ Plan Check 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 ., ,~ f~ ~-. ~ Date ~ ~ ,~;.~ -~~ ~ ~~ Signature ~'~ ~ / , Assessor / / ~ _ Firm: TRPC / / f`'0 m rz,,,~ J Code ~ ~ ~~/ y ~, CITY OF YELM -PERMIT FEES n~ -~~ Site Address: `b y~~ ,,~~°tcyN~ON $~" S~ e L.v ~ !~ RECEIPT TYPE PERMIT NO. FEE NO. COMMENTS 805 Sewer Inspection Fee $145.00 Sin le Famil 805 Sewer Inspection Fee $145.00 + (Multi-Family/Comm./Industrial) $35.00 / hr. Sewer Latecomers 802 Sewer ERU approved under 1994 sewer X98' ~ ca aci ) ~ 1(o fa r 1 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 Water Meter I.R.R. /~ 760 Water ERU's $1,000.00 inside ci limits ~ 760 Water ERU's $1,200.00 ,/ outside ci limits ~ 740 wtr. Consumer Deposit $ 90.00 742 swr. 100 Plan Review ~. 37~ . ~ Z 032 Building Permit ~~7•$7 160 WA Building Code Fee $ 4.50 032 Mechanical Permit 7J , 7~~ 032 Plumbing Permit 97 ~ ~ v 030 Yelm Business License # ~~.' DD ~';~+..~~ c, ~ ,~ TOTAL =.. 420 Transportation Facility Charge / School Mitigation Fee ` ~_ ~ {Z 410 Open Space Fee l0 D.~ /~ ~'1 DUE AND PAYABLE AT TIME OF PERMIT ISSUANCE! C:\My Documents\building\NEW DEVELOPMENT.doc CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 Building Permit ~' ~~ ' ~' Date ~~ ~~~ (Work must be started within 120 days) 1' ~. ~ ~ ~ ) Phone ( ) ~~.~ ~ " ~ ~ ~ W N Name l2 f= f~ G fl t R Address y 3 ~ ' ~ ~ City ~ ~ w State Zlp Code (~~ j~1 s Site Address 5 ~ r1 t AC?G't ..S R Assessor's Parcel No. Lot Size (sq. ff./acres) 0 P Lot Block E Subdivision R T y OR Short Plat No. Block Existing Structures, if any: G .x' ~ S 1 r' ,,! Name ~ l Contact Phone ( ) Address City State Zip Code License No. Exp. Yelm Bus. Lic. No. ~ i ~ ~ ' " ~ OFFICIAL USE ONLY Description of Work ; ~~ ; ~: f ~ !;,• : ~ l Y+ ~ Y Permit Type: ` '"'~ Sq. Ft. per floor: (lst) (2nd) Sign Residential 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 ~ -•^ ~ Sets of Prints ~`--`" Building Value Plumbing Permit # G~~~'.~f Other WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # ~.~. /" TOTAL FEE ~~~~ ~7~"° Plan Check By ( ~ '~ Minimum distance of structure from property lines: ~ . L ~ ~-~-~ Issued By 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 pro sed structure is in conformity with all applicable City of Yelm regulations including those governing zoning and Ian division, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I furtM~certify that I am a currently registered contract in the State of Washington. .~ ,, Quarterly Reports rs G ~" ~ ,.-•~ / Date ~ ~-- ~ ~ ~ Signature , ,. ~ Assessor / / i ~. '' l Firm: TRPC / / ~\ CITY OF YELM Building Permit BUILDING DEPT. ~ ,~ ~-, `~ Phone: (360) 458-8407 f , ~ ~ ~ 1 . Date FpX: (360) 458-8417 ithin 120 days) d w (Work must be starte / ~,~ ~ ~^/ Name ~, <. .- / . ~ ~ r< c ~ ~ Phone ) t _ (' ~7 N R Address S ~G o `J'c~ n ~ C. ~ f City ,/ ~ ;~ State ~ Zip Code Site Address ,/,fir' G '~ / ~.. P R Assessor's Parcel No. Lot Size (sq. ff./acres) O P E 1 Subdivision c ,cs• _r Lot J Block R T Y OR Short Plat No. Block / Existing Structures, if any: / ~' °~~( i J !` E ,i, Name ~;~ ~ r~ Contact Phone ( ) T Address City State Zip Code License No. Exp. Yelm Bus. Lic. No. Description of Work ~ %~JT«~) C~r~ ~ J • ~ / ~ 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 ~. Heat: Electric Gas Other Sepa Exempt Y ITEM BASIS FOR FEE FEE Floor Plan Y N ~' / ~/~~ ~~ Sets of Prints ~"°' Building Value r - i- f~ ~~r Plumbing Permit # ~~ ~° 7 Other ~' WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # ~ TOTAL FEE ti;~ ~l ~ ~'~ Plan Check By f i• /{ t ~ ~ i{~ SQL 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. i^""'7 Quarterly Reports / " y~ Signatur ~ ,„ .,.-yy,.t,,'j ,~. ~~~-~ Date /rCJ / ~ Assessor / / L/f t ~=/-- Firm: ll/(/,U ~~' r~v1 /C~Y'1.rs~ TRPC / / CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-84U 0 `N Name c:: ; t ` N E R Address ~ t.' ~~ Site Address c,/~j ~ ~ ~;~,~ :::~ P R Assessor's Parcel No. P E Subdivision T Y nR Shnrt Plat No. Building Permit , '~ ~ ~ ~` ,. Date ~-~ ~ ~~~~/ `~ (Work must be started within 120 days) -~ f ,~~ -~ Phone ( ) • / City ~f f L rv~ State t, ; ,~ Lot Size (sq. ff./acres) Lot Block Block Existing Structures, if any: /_ Name ~ ~~ U ~TT v'ti.. ~~L.7+ ~,u Contact Phone ( U.~:) ~~ i/rp f ~~o,~ i _ -7 Address ~r ` 9 !/' ~ i , ,. ~ ,, ; ~" :.~ ~`~ City ~•/ t"i _ ~... State (.,% .~ Zip Code "' j ;~ Ucense No. `, j ' A~ j• /" _, /y> Exp. Yelm Bus. Lic. No. Description of Work i' % f ?~`/Cry ~1~ C 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 ^ - ~ ~-' Sets of Prints Building Value - ~, ;.~ -- Other Plumbing Permit # WA. S7. 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 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 ! r Signature ,~ ~, s ~ Date ft} /wed ~~ Assessor / / Firm: TRPC / / CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 w Name •~ 1 /ej kC ~-- N E R Address 0 v <=' ~ ~ ~ Site Address '(, ~~ P R Assessor's Parcel No. ~~ . ~ 'I 0 P E Subdivision T Y r~R Shnrf Plnt Nn. City ~a ~ _r .,~ State ;_ ~. Lot Size (sq. ff./acres) Lot Block Block Existing Structures, if any: Phone ( ) Name `'.~~a ~ 1 `•r° ~ ~ ~ fC Contact <. ,~-,=,,~a ~.,'~~ Zi Code ~ r Address , c ~ C ' , ~ f ` ~` ~' y City ;~ _ State ~ p ;ti" /'%~ Ucense No. ~`=~ a ,t , f i "~ Exp. Yelm Bus. Lic. No. 'j ~'- ' , ; ~~: ~ (~ OFFICIAL USE ONLY Description of Work ~, ? ~ - ~ , , ~ - ~„ ,~, i 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 aat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N "' ! ~ ~ ~ r Sets of Prints Building Value J • ~ , r Plumbing Permit # Other WA. ST. BC. Fee (4.50 -New Const. Only) ~_' ` ~; Mechanical Permit # TOTAL FEE / -7 •° Plan Check By Minimum distance of structure from property lines: Issued By Vii' /- ~ ~..-- 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 at I am a currently registered contract in the State of Washington. Quarterly Reports Signature ,,..,.. Date f' ~ ~: '~ ^' of Assessor / / Firm• TRPC / / Building Permit ~ ~° ~- Date (Work must be started within 120 days) ~-y~ _ , Phone C ) 7 5 V! C C,~ %' ~-~[' C r -'a.,~r~'is~~~ CitX of Yelm -Permit Fees Site Address: 1307 Crystal Springs Rd. Garages Etc. Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee Sin le Famil. $145.00 805 Sewer Inspection Fee MultiFamil /Cornm./Industriai $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 WaterERU'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 032 Building Permit 6381 $162.25 /.3Jt~iZ. 160 WA Building Code Fee $4.50 $4.50 /3i ~L 032 Mechanical Permit 032 Plumbing Permit 030 Yelm Business License# 99-001164.0 Total $166.75 420 Transportation Facility Charge School Mitigation Fee 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 ! ~ ~ ~_? 'Ff Date ~~ / ~ ~~ 1 !/ ' L~ ~~ / (Work must be started within 120 days) `N Name , !41 1 E :-1 ~ C~'~ A~ l V f: L G ~'~ Phone C ) l~' - _`~ ~J 3 E rz Address ~ ~ ~~~ ~. Ci (~ ~'~ State ~,~J ~ Zip Code '.~ ~~> N // Site Address ~Le ~ (,~~ ~,~ I,~~,/YA/C s ~ ~~Gi) ~ - P R Assessor's Parcel No. `r _ ~i~j ~ CJ ` O n Lot Size (sq. ff./acres) 0 P E Subdivision Lot Block R T Y OR Shorf Plat No. Block Existing Structures, if any: Name ~/ q I ,~ y r~ '~ n Contact ~j y, r Phone ( ) ~~~~ - •'.'lr S-~ ~ T _ Address ~( ~ e' „') City ' ~~ t ~ ~~'~ State 1...) ~'} Zip Code ~ ,:~ 9 License No. /<`~ r /~ "' ~"' Exp. Yelm Bus. Lia No. yam- Q G ~ ~ ~ Description of Work ~~ ~ ~ ~ ~ OFFICIAL USE ONLY Permit Type: Sq. Ft. per tloor: (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 -~ ~~ `~ ~ ~'? ! ~P1( y ~ ,r Sets of Prints I Other °~ Plumbing Permit # WA. ST. BC. Fee (4,50 -New Const. Only) Mechanical Permit # TOTAL FEE r7 ~~ ~ r ~~"~ ! Plan Check By ~ , r~c.r ~ l~'+'L f'A rJ / ~ o f 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 , J ~`' S' ature f,; `~ _,..._,..~.__ Date Assessor / / Firm: _,~ ~ ~ TRPC / / City of Yelm -Permit Fees Site Address: 16207 Vancil Loop SE, Lat 5 ~ I30'~'l Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee Sin a Famil $145.00 $145.00 _~~ t~ 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 10204 $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 1 ~~~'~ 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 - 100 Plan Review $123.86 032 Building Permit 637fl $762.25 ~~ 160 WA Building Code Fee $4.50 $4.50 032 Mechanical Permit 032 Plumbing Permit 55 $90.00 ~~ 030 Yelm Business License# 99-02383 Total $2515.61 L 420 Transportation Facility Charge School Mitigation Fee $b50.00 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 a Building.~ermit ~ -~ e~ ~" Date ~ ~~~ ~ ~~ ~ ~_ (Work m~st be started within 120 days) \ ~ Phone ( ~°~ ~ C~ ~.~ ~/~/ p ~ ~ C Name , . N R Address ~JU _ 7 ~~ ~'~ ~ ~ City ~/t G are State { Zip Code . 5 ~) Site Address ;',~~ { ~, 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: ~.. ~~ ~"+ '~ ~ h C o / Name Q ' ~ 3 ~ rv ~~.7t5 1 Contact Phone ( ) T _ _ Address ~ City ~f ~' •C. <r, State ~ Zip Code ~ ~ 5 ~~ Ucense No. Exp. Yelm Bus. Lic, No. - ~ I t C ~' Description of Work t ~ ~~ i~J>?v"tr ~ ~, 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 ~ % ~ '?~ ' ~~' Sets of Prints Building Value = f Plumbing Permit # ~ / ' Other l O ' ^~ Mechanical Permit # ,~ ~~ WA. ST. BC. Fee y) n (4.50 -New Const. ~ ~ f TOTAL FEE ~ G'~ Plan Check By 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 gertify that I am a currently registered contract in the State of Washington. / % ~r~ _ Quarterly Reports Signature r~r~ -...,~.-- - .v-- - - - ,; Date •- ^-- Assessor / /. ~'` TRPC / /_ Firm: CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 0 N Name ~ r'} /a ~ ll t,, R Address ' 7 Site Address P R Assessor's Parcel No. n P Subdivision T Y nR Short Plat No. Existing Structures, if any: ,~,? 1, ~ ~ - ~ Name (_'d1,~%,?/";C/ ~Y~f`,.~ !~~rJ. Address ~:; J 7 „'~w'~ Building Permit n `' ; Date - ~ ~ r l~ ~~~~~ (Work must be started within 120 days) ,~ Phone ( ) r-~~SC ' t- c / ~~ fJ4;. ,.~ `T r ~ ~i ! State (~,~~~ ~ ZIp Code `"j W~.1 Lot Size (sq. ff. Lot Contact ~"k' i < t' C~ Block Block Phone City ~ ,• . i r . ~, r f ~r) State [ .^ Exp. Yelm Bus. Lic. No. Description of Work {f ~' r~ ~~ ) --~ ~ ~'s' 9' ~lU OFFICIAL USE ONLY , v . 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 4iat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value r" ,~(~ ~,1 ~ , ~ ( -° t.~ -~ /, Sets of Prints ~''~ ~~ Other Plumbing Permit#~/~~ WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # .~"~~ +'iF TOTAL FEE f ~~ ~ Plan Check By i i 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 i Signature 11,E ,~ r~ ~' ;~) ;1 ~ /''" ~i~ ? Date Assessor / / ~, Firm: TRPC / / ,~,?ff'' °'~'J c~ p , s: Zi Code ! ~ ; Jr~ ~, CITY OF YELM Building Permit `~ ~~~ .~ r' BUILDING DEPT. ) ~. e"~"' Phone: (360) 458-8407 Date ! ~~ FC>Ix: (360) 458-8417 (W rk must be tarted within 12 days) ~~~ / ~: ~~ J` ~ ~_/ ~ Phone ~ ~ ~, .• ~^, 1~"~. ~( ~~.. N Name N 1Q K' ~,VY i t! /'1`/' +'`-'1 ~' s R Address ) r ~` r City ~ R <. c> State Zlp Code < Site Address ~y (j ~ ~ t~ ~ P -'r Lot Size (sq. ff./acres) R Assessor's Parcel No. ) ~i O E Subdivision ~V .n r ~ Lot r7 (~.',~ Block ~ y Block OR Shorf Plat No. Existing Structures, if any: 11 ,,l. ~ '`, - / ,~ !~ ~ C Phone ([<'") Contact f f F `/ ' j, /!.1 /' J ~ Name < C L ~ l .. . ~ T Address ~i? "" j ~` ~'~ City ~~ l `7?/1 State ~a~ ,,~ Zip Code ,~/ 4~ ~ License No. ~~~ (~lt~ C._er,~t /„~ - ~r Exp. Yelm Bus. Lic. No. ~~ - Q U _ , / ~ ~"`~ Description of Work ~ n~, ~ ~ ~ (.,-r CL' 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 ~ t: Electric Gas Other Sepa Exempt Y N ` ~_ ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value L_ ~~ ~~~ ~ ,•-' Sets of Prints ~--° Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) G""~ Mechanical Permit # TOTAL FEE ~ ~~: ~ , ~~ r - u ~ •~* k~ Plan Check By .~ • ~ , ^ Issued By ("A I•G'^"1 d 5~~~~ 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 ~ ,~~ ` ~ Assessor ! / Firm: TRPC / / 1 City. of helm -Permit Fees Site Address: 15408 105th Ave SE, Lat 78 Nisqually Estates 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 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 1~~~~ Water Meter I.R.R. 760 WaterERU'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 1 •~~ l \ ~~- 100 Plan Review $379.08 ~~r\~~ \~C 032 $uilding Permit 6377 $897.25 ' J~~ 160 WA Building Cade Fee $4.50 $4.50 `~~~ 032 Mechanical Permit ~~ ` $83.75 I~~~ 032 Plumbing Permit ~ $111.00 - 030 Yelm Business License# 98-001389 Total $3010.58 _/ 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 ~ ~ ~' " ~~~ BUILDING DEPT. / ~ ~ 1 ~ ~ ~ r~. ~, Phone: (360) 458-8407 Date / ~~ ~ ~ FaX: (360) 458-8417 (Wor ust be st rted within 120 days) ~~~ / --a" ~ L '' o --" 1 ~ ~/'/ Name yZ t>L i .~` tY? ~ /V Phone C `~ ) _ l_- N rz Address ~ ' ~ ~ :~ i City ~{ ~ ~ F} State C.i /i Zip Code `' ~ ~-) "~ ~~ Site Address / ` (~" ~ ~~ P R Assessor's Parcel No. ,~ (j ` l (~~ r/l ~ i ~ Lot Size (sq. ff./acres) O P 1 E Subdivision I < c. t.5 !~r/ ~ Lot / '~ Block T e v OR Short Plat No. Block Existing Structures, if any: 1 ~ ~~ / ~~ u f Phone (~ 2) ...1 Name ~_.,q >%1 ~ ` Contact ~• - Address ' '~ G ~"' ~ ~ City State Zip Code Ucense No. q ~2 r~~';"'~ ~ Exp. Yetm Bus. Lic. No. <' ~ 2 >r1. r ""~ ' ~ Description of Work ~:_ ~ . ! •- .~ / OFFICIAL USE ONLY ,,~ ~ , ! ~ , r Permit Type: Sq. Ft, per floor: (lst) (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 Building Value -~ -~ a~ C ~ v~J ~ TZ % %, Y `,.~ ~ 1 Sets of Prints Plumbing Permit # ..~~-c' Other WA. ST. BC. Fee (4.50 -New Const. Only) `~ ,~~ (,~ Mechanical Permit # „S CPCOC.~ s . TOTAL FEE ~ ~,_ , ~ Plan Check By -.1. ~~Ce ~~l rC Minimum distance of structure from property lines: ,/ Issued By t- ~ r'r~i ~iP Cc. /~~/ 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. Quarteriy Reports .~~ ; Signature r%~ ;~ /~~! ~.~,_„ Date ~~ f ~~ ~ 9 Assessor / / r Firm: ~ TRPC / / City of Yelm -Permit Fees ~~- ~~ Site Address: 15012 105th. Ave SE, Lot 13 Nisqually Estates Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee Sin ie 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 $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 WaterERU's outside ci Iimits $1200.00 740 wtr 742 swr Consumer Deposit $90.00 $90.00 {~~ t 100 Plan Review $324.70 1 JVJ 032 Building Permit 6376 $764.40 ,~0~~ 160 WA Building Code Fee $4.50 $4.50 1 032 Mechanical Permit 5660 $41.75 '~ J 032 Plumbing Permit SS59 $90.00 1 030 Yelm Business License# Total $2760.3 5 /~ 420 Transportation Facility Charge School Mitigation Fee $650.00 Confirm 410 Open Space Fee llu~: AIYD rAYABLI+: A'I' T[ME OF PERMIT ISSUANCE! CIN OF YELM BUILDING DEPT. Phone: (360) 45$-8407 Fax: (360) 45~-8417 ~N`/ Name ~Y1 ~j >f h:. =~..~g l3 ~ < <_ E R Address 1 '~ ' ~1 li ~ ~ n Site Address ; .,~ ~; ~ ~ /i P rt Assessor's Parcel No. '~ "7 O P R Subdivision T v OR Short Plat No. Existing Structures, if any: Name ~ ~ i`u,~"f L Contact ,' '~`~; . ~- ~~_ Phone ~,',;f i) ' "' ~ ~ 0~ Address ~ O , i? .~ C_ ` City ~ 7; ~.; h, State Zip Code `~ `' ~~ License No. ~ ( 7" ~^, / T~ Exp. Yelm Bus. Lic. No. •. ; ~> - •", ,, j') ` ~ -. ~ ~ ' , ~• Description of Work `/- r `, , 5 % OFFICIAL USE ONLY ~,~ ~ ,~ ~ ; , n / p > .., _``-~1i~.S ~ir~r {:. ~/)- e n Permit Type: r~ (2nd) Sq. Ft. per floor: (1st) ; f4 y") 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 `~tJ Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) '~ ~/7 Mechanical Permit # TOTAL FEE / ~ ~~ ~ S ~ Plan Check By " / ~ Minimum distance of structure from property lines: Issued By ~ 7s ="~---~ 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 '' ~ Signatur ' Date - L~ ~ ( Assessor / / Firm: TRPC / / rz ~ :.Oi?''t r'+ S•.i lE.~ ~E J ?io Code ~/h `, Lot Size (sa. ff Lot Block Block Building Permit C' ~ ~~' ~:`'~~ Date ~~~ ~~ ~ l (Work must be started within 120 days) ~, Phone CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 ,,,~ r~ Building~Pei'r~it r ~ ,°, ~. Date ~„~ t.~`.~'~`c'_:~./~ ~`~<~ ,~~ ~ 1~ ,/ C. (Work must be starte¢9 within 120 days) r f _ ' ~ ' ~~ ~ -i" ~' l ~~~ ~ ~l r~l~ w Name ! r1 ` l ~ ~/v ! ~ ~ Phone ( ) `„=.- , ~ l u N R ' /(~; - < City State ~ / Z. Address ~ / ~~ " ~ Zip Code J > + Site Address ~~ Q ~% ((f~'S" 1'~ r~ 4 P R Assessor's Parcel No. Lot Size (sq. ff./acres) 0 P E Lot Block Subdivision R T v OR Short Plat No. Block Existing Structures, if any: CC O ~~ Name ~ ~ !;!" ti` j,.. ~~NfL~ Contact Phone ( Y -r ) ~--- ', Cam. - >, "j R ~ Address '; r "~ ~ City !y ~( ~",v +,~,,,F} State /,; I~ / ~'~ r ~1,., Zip Code 1 ~ ~ .~i ~} ~ R %-. i c Ex Yelm Bus. Lic. No, ~` ;~~/ ; 1 r) License No. r "'i ~` ~"~ P~ ii': L: . ~ ~ Description of Work a .. i, -~ Pl , 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 ~t: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N 1/ • ~ ~ ~' i~ Sets of Prints Building Value `,,-~ - ! ~ ~,, ~ ~,1 ~ . Other Plumbing Permit # WA. ST. BC. Fee (4,50 -New Const. Only) Mechanical Permit # TOTAL FEE ti' -~ Plan Check By a . ? ~°'"`°~ 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. 9uarterly Reports i '1 .. '~ Signature ~ ;r ~ i ..~,~~ .- ~~ ~~ ..~ a .l/1° "' Date f~ ,~ - G'- ~ ~,~ Assessor / / Firm: "~` TRPC / / ,« CITY OF YELM Building Permit ~~ ~~° ~ '' BUILDING DEPT. ~o`~~~~/`~~ Phone: (360) 458-8407 Date FaX: (360) 458-8417 (Work must be started within 120 days) / ~ :~ ~` 0 w Name •~ Phone ? r ) ::} ? ~.a _ ,` c~ ,-. N R Address "~'..1 r% _ ~ ~' `~ ~ ~ City H i w-,. 7 i State ...; / Zip Code " ~/ c ~ I Site Address /~. j t~~~r'L,~i~ •' (~ i?` P R Assessor's Parcel No. i. S G `; ~, '% ? ( ~ ""5 Lot Size (sq. ff./acres) 0 P R Subdivision ~ %,~~ / u r ; ~~ Z`~ ~,r; ~' P Lot ~ Block T y OR Shorf Plat No. Block ures, if any: Existing Struct / ~~~ // Name ~~/jp:? ~r' .- ~,~ ~ P~'?Jr.y~ f Contact ~ ~ ~~/ tr ~ Phone (;:, ) ~ ..~c:.. a' ~'cy,~.E Address ~? ~ (: J / r,b , ~` `,~ City ~~,,, ,: ~;~ ~ State Zip Code `; `f y' ~ ,d Ucense No. i ~,1 ~ "` Exp. Yelm Bus. Lic. No. `- ~ ~~ i ~ `- -'' Description of Work l ,~,.,~ -_ , .J ,, ,. 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 ' -- ~ Sets of Prints -~ Building Value `~'' ~ •a -, ~ ~;;) / /v, , ~; ` w) ~r 7 ~ ,. Plumbing Permit # .-37 " Other G ' ~e Mechanical Permit # ; ~ ~~ ~ WA. ST. BC. Fee (4.50 -New Const. Only) -~. ~ ~ TOTAL FEE -; ~~^. ~ t-,/~ 1 Plan Check By v~ . I j L.+ ~ / ~~ ._ ~- 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 v,~ i Signature ~~ j :,,,i"r ~ ~ r„`"'r f r- Date :'»~ ~ ..~ ~" " ~J Assessor / / Firm: TRPC / / Cit~of Yelm -Permit Fees Site Address: 10535 Farwest Ct. SE., Lot 21 Permit # TeE List Tees Dve Rceei t # Coirineitt 805 Sewer Inspection Fee Sin le Famil ~ $1.45.00 ~ $145.00 ~~~'7 805 Sewer Inspection Fee MultiFami ./Comm./Industrial $145.00+ $35.00/hr Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca aci , $2480.00 1.0160 $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 ~3~7~ Water Meter LR.R. 760 Water ERU's inside ci limits $1000.00 $ 1000.00 /2 ~ ~~ 760 Water ERU's outside ci limits $1200.00 740 wtr 742 swr Consumer Deposit $90.00 $ 90.00 /2~~~[ ~~JJ TT 100 Plan Review $ 370.49 / 3 ~ ~//- 032 Building Permit 6401 $ 876.92 / 2~.~~ J 160 WA Building Code Fee $4.50 $ 4.50 /3 ~7~ 032 Mechanical Permit 5677 $ 84.90 ~.327y 032 Plumbing Permit 5576 $ 97.00 / 3 Z 7~ T 030 Yehn Business License# 99-02383 Total $2968.81 420 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 .~L'~~'~~ ~°/ ~ ~~ (Work must be started within 120 days) `~/ / Name /~ l r7.1` l- ' ,+Y~ Phone 4K `..,) ~~ ~ - 1 ~ ,. N E a Address ;' ~ ; " '~ , f "' '~ .~ _ Clty ~ E State / J Zip Code ,"~ yr~f Site Address /'C~ 1 /,/ t/ ~r?, ~ h d 5i ~ f rt Assessor's Parcel No. O '~ T~ -~' ~ ~~ Lot Size (sq. ff./acres) 0 P R Subdivision ,~ j /I r' ~ ~ (7 Lot ~d Block T v OR Short Plat No. Block Existing Structures, if any: ,, /I Name , y`q;~rZ ~~9irt; (t.~ /1,rt; ~r~ F~ Contact '. f r;'f ~ .^ r~ Phone C.,`! j) ° '~`j - i ~''-~ ~,~ Address ~ ~ ~ ~' *~ ~,.u ~~ ~, J'' ~:. City ~rl~j, J,,,a,~! State L.~..~.f} Zip Code ~z? `i{ ~ f Ucense No. ~,~, r y~ ~ ~ ~ " , "' E. ~= Exp. Yelm Bus. Lic. No. f ~ G~ L ~ ' .~- , OFFICIAL USE ONLY Description of Work >d n c - ~. r s , %~~ 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 ; ~/,~ ",, ~ / z :.~ ~ ~~ , ~1 ~ -7 Sets of Prints L° r c. Plumbing Permit # -~ ~~ 7 ~ Other WA. ST. BC. Fee (4.50 -New Const. Only) ~.¢; ~ ~r~> Mechanical Permit # .~- ice, f (..? TOTAL FEE ~ , ~ / ~~ Plan Check By i . ,riJr1 f /~U y'_ i 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 Signature f '~f ~ ~ ,~.,~,.. Date ~ ~ ~ ~` ~%'~ Assessor / / Firm: TRPC / / Cit~of Yelm -Permit Fees Site Address: 10414 Brighton St SE, Lot 97 Permit # Fee List Fees Due Recei t ~ Comment 805 Sewer Inspection Fee Sin le Fami1 $145.00 $145.04 ~ °2~j~ ,~a~ 805 Sewer Inspection Fee MultiFamil ~lComm.llndustrial $145.00+ $35.00/hr Sewer Latecomers 802 Sewer ERLJ 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 2~~~i J Water Meter I.R.R. 760 Water ERU's (inside ci ~ limits) $1000.00 $1000.00 ~~~~ 760 Water ERLT's outside cit limits I $1200.00 I 740 wtr 742 swr Consumer Deposit I $90,00 I $90.00 J~~~,,- ~ / 100 Plan Review $ 464.62 I3z7~ 032 1uilding Permit 6400 ~ $ 1099.70 %.3~~ 160 WA Building Code Fee $4.50 $4.50 ~ ~~~{ 032 Mechanical Permit 5676 $ 91.40 / 3Z7S~ 032 Plumbing Permit 5575 ~ $ 11 l .00 j3 ~~ 030 Yelrn H~aainess Licensed 99-02383 Total 420 1.0 Transportation Facility Charge School Mitigation Fee Open Space Fee --- ( $650A0~ ~ i __l Confirm 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 E R Address ~ Site Address P R Assessor's Parcel No. Buildir} it ~ ~' ~' ~~ '~ ~//~y ~ ~~ /" < e'/1 Date ~~'~.r / i ~.~E%i ~~ (Work must be started within 120 day _~- ~ ~.- f ~- .~-` r.~r f ~~ PhOne '. ~/. - .i .~rJ `/ ~ ~ ,~~ ~~ !" E~ ~`, City ~ 1 ti's v Gl`; ,~, State ~ ~ i,!'{ Zlp Code `]' `f~ `>L(p ~,a ~ ~''1 ~ ..~ r/ c ;° , ~ ; , , „-, <jl ' l~~ Lot Size (sq. ff./acres) E Subdivision Y~~7,~'C V`? t°~~.~,1 Lot L Block R T Y OR Short Plat No. Block Existing Structures, if Name ~~ ~ 'i . J y Contact i^ ~ ,~ Phone (07 ~ ~) Z-,f ~,~ ~ / ~~ Address ~-/ " e ' (~ ' ~~ 4 "~ ~Lj City ~~; yC c; .~,~ ,rt State ,, T Zip Code `~ `\ ~. r, Ucense No. .~-- ~ rar "' Exp. Yelm Bus. Lic. No. ~ [.~ ,/~, !~~ . ~~ Description of Work ~ ~~ ~ 1,, ~ r - y ' 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 Permlt Y N at: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N ~-°" . ~~ i JO ~ Ty Sets of Prints ~-l / Building Value _ ,~ ; `° ~ Other Plumbing Permit # S r' a WA. ST. BC. Fee (4.50 -New Const. Only) ~ [~ , Mechanical Permit # TOTAL FEE -'? ~-; n., "` Plan Check By ~ 1 ~~ t.~ ~~ U k~ 0 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 '~ . Signature ~°,,....1 ~. ~ .-...-'~ Date ~ } ~ ~ -<::" Assessor / / Firm: TRPC / / ~2C Transportation Fa:,ility Ct;arge I School AAi+igw*.ion Fee 410 Open Space Fee TiTTi ANiI PsvA Ri.F. AT TiMF, OF PER MIT ISSUANCE! City of 4'el~n -~'errnit Fees ~\~- CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 ~. Builc~g-~~rmit "~°' ~ ~ ~~: %~ - c Date (Work must be started within 1 0 ays) o ~ Phone ) ~ - ~ ~ 3 N Name V rl a G , R Address ~ 5 f ot- 4:' l/ t ~ ~ V ~ ~" ~ .~p City /~ State ~ 7Jp Code ~' Site Address _ / ~ ~ .Z c°C `~ P R ' ~ z . Assessor's Parcel No. ~^ !~; r•'~ Lot Sizes ff./acres) C q• O P E ~ Subdivision ~7.: ! t' !~'-'~/ Lot Block R T Y OR Short Plat No. Block Existing Structures, if any: N Name =";' ,1 ~ Contact r Yz'F-,, f ~._ i r ~ Phone i" ) C T A Address / (.,~Lj ~ ' ~; ~' ~ , f-~' City ~ /f C ~_; ~-r, State ~~ ~? Zip Code ~ ! r,~ Ucense No. f- ~ ,=, '; ., Exp. Yelm Bus. Lic. No. Description of Work ~!~' ~ ,t'N`` , „~ - ~,: ' l (.~~Y" l 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 ~ Other j Plumbing Permit # ~ ~ i J WA. ST. BC. Fee (4.50 -New Const, Only) -~ MechanicalPermit# ~ ~+`- TOTAL FEE ,~ f ~~ ; "' ~:,, !~ J..i t~ t C t €~~ y a) Plan Check B Minimum distance of structure from property lines; /~ / Issued By f _I`~ E,:.-- 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 /,~,~-~r! ,~. y-. Date ~? ~ ~.(; "~ Assessor / / Firm: TRPC / / ~it~of Yelm -Permit Fees Site Address: 10310 Third St. SE CS i~~10 b PV 3 Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee Sin le Famil $145.00 $145.00 C ~ SOS Sewer Inspection Fee MultiFamil /Comm./Industrial $145.00+ $35.00/hr Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca aci $2480.00 10177 $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 17 ~ 760 Water ERU's outside ci limits $1.200.00 740 wtr 742 swr Consumer Deposit $90.00 $ 90.00 100 Plan Review $ 301.55 ~ G-- 032 Building Permit 6398 $ 713.75 ~ ~C _. 160 WA Building Code Fee $4.50 032 Mechanical Permit 5674 $ 78.40 -~ 1 032 Plumbing Permit 5573 $ 90.00 C - 030 Yelm Business License# 001010.0 Total $2723.20 420 Transportation Facility Charge School Mitigation Fee 4 ] 0 Open Space Fee llUE AND PAYABLE AT TIME OF PERMIT ISSUANCE! CIN OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 Building-Re~rmit '~~ ~ `~^' ~~A ~, ~ ,~ Date 1 L~ ~'Ll~li~ (Work must be stari'f'd within 12Cydays) o --~ .~-~ .~- W Name , /~. '- ~~ 1 r ~'~ Phone ~,~~ ~) ~~ ~+(!~ -r N rt Address <' `y ~~' 1 "~ ~' y City ; ~ , ~ State ~.,)~ Zip Code , =''s ~~c~.<' Site Address ! z '~ r, i "- <- ~ a Assessor's Parcel No. {~ ;~ ~:} ~-j /~: n r ; ~ fiLa Lot Size (sq. ff./acres) P R Subdivision r Y nr? Shnrt Plat Nn. Lot Block Block Existing Structures, if any: Name ~ ('_.. ~;, ' z<. Contact z^~;~'e-r!1"~ `a!~?!~1 Phone ~~ ~) y~71 ~ i ?~ ~.- Address , ,,' ~ ~~, (~. Ci f_-~ City ,/ ,at c' r~ ~-r"~ ~J State Zip Code ~~j~ ~~~ Ucense No. ~.` Z / ' r (p / Exp. Yelm Bus. Lic. No. i;,L; ~~ /, , I " Description of Work `l" ~ "" ~ I ~'~, ,- J 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 , ~ ;/ -~~ ~ -~~ / ~ , ` Sets of Prints '~ ' ~-4 Other -< ._ PlumbingPermit# ~.~ / c;(. WA. ST. BC. Fee (4.50 -New Const. Only) ~'-" ~ ~ -- , Mechanical Permit # :~ Ji ~- ;i TOTAL FEE ~~/ c~ ~ ~-_^` / Plan Check By r + ~~ ~ r P !~"_ Minimum distance of structure from property lines: ' 'i Issued By 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 Signature ~ [ /,r ") ~`f1'" ,\_ Date ~ ,~ "?_ ~ '`7 't'Y. Assessor / / Firm: TRPC / / City of Yelm -Permit Fees Site Address: 10306 Third St. SE ~'S-1920 4~J- Z Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee Sin a Famil $145.00 $145.00 1 805 Sewer Inspection Fee MultiFamil /Comm./Industrial $145.00+ $35.00/hr Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca aci $2480.00 10177 $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 1, Water Meter I.R.R. 760 Water ERU's inside ci Gmits $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 $ 301.55 1 032 Building Permit 6397 $ 713.75 C, 160 WA Building Code Fee $4.50 ' C 032 Mechanical Permit 5673 $ 78.40 ' ~ ~ C 032 Plumbing Permit 5572 $ 90.00 ~.. l~ 030 Yelm Business License# 0 1010.0 Total $2723,20 420 Transportation Facility Charge School Mitigation Fee 410 Open Space Fee llUE ANll PAYABLE AT TIME OF PERMIT ISSUANCE! CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 Building Permit P"s, `~n~ ~'~ ,, Date f { -~ ~~~ - (Work must be started within 120 days) ~~~ `/~/ Name 1,.,~ t` f ~ ~ Phone ~) ~,; r . i N rt Address l ~ ~ , ~ ~ q/ . City ~L i ti r,J ; ~, ~ , State Zip Code ~ ~ ` ~ ~ SlteAddress f U ~~(~% ~ ~!'1 ,~ ~ ~~'" • P o Assessor's Parcel No. ~ ~ ~ ' j Lot Size (sq. ff./acres) P ~ ~ Lot Block R Subdivision T v OR Short Plat No. Block I Existing Structures, if any: ,-~-= , Name ' 4~- f- 1~ l 1 i ~ l l A' ~ Address f'!; ~; `~ ;; Ucense No. /'"` ~' g:~ t~ ~ P Ln f ~. Contact t"or'r./~ fir` City %/il Exp. Phone (; \ 3) ~1 ~/ " ~ tl 1 1 State Zip Code ~ ' ~~ ~L .-,~ i,., Yelm Bus. Lic. No. /C>/c -'. f "''~ Description of Work ~ ~ ,-•r , OFFICIAL USE ONLY ~ L, ~ 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 aat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N .~- Building Value /~ '~ f r ;~ ~ f~ Sets of Prints ~` d i ~ ~ Plumbing Permit # ~ ~ > f Other WA. ST, BC. Fee (4.50 -New Const. Only) 6~ , ( (.~ Mechanical Permit # >> U' I c~^. TOTAL FEE ~'~/ ,(+~ ; <: Plan Check By ~ • ~G%~ 1 r'~~ ~ i Minimum distance of structure from property lines: Issued By t 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. Quarterly Reports Signature (-~,,~~ ~_ \ " ~_, ~._ Date ~ 'L - •~ ` ~ ~ Assessor / / Firm: '~ ~ TRPC / / ~j~ ~ ~~I~~.l City of Ye~m -Permit Fees ~~(- I Site Address: 10302 Third St. SE l Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee Sin e Famil $145.00 $145.00 ~ 805 Sewer Inspection Fee MultiFamil /Comm./Industrial $145.00+ $35.OOJhr Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca acit $2480.00 10177 $1000 prepaid Sewer ERU in the LID+LID Assessment $2480.00 r Sewer ERU lots outside the LID boundaries $4850.00 Site Plan Water Latecomers 712 Water Meter $300.00 $ 300.00 ~ -7 Water Meter LR.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 ~`7 ~ 7 100 Plan Review $ 301.55 ~ .~ 032 Building Permit 6395 $ 713.75 160 WA Building Code Fee $4.50 032 Mechanical Permit 5672 $ 78.40 n / C(~ i ~ -7 032 Plumbing Permit 5551 $ 90.00 C 030 Yelm Business Lieense# 001010.0 Total $2723.20 420 Transportation Facility Charge School Mitigation Fee 410 Open Space Fee DUB ANll PAYABLE AT TIME OF PERMIT ISSUANCE! CITY OF YEIM Building Permit N° 6 3 9 5 BUILDING DEPT. Phone: (360) 458-8407 Date FCtx: (360) 458-8417 (Work must be started within 120 days) 0 N Name G,O L Phone ( - _ _ _ --__ Q R State Address ~ d StQ City Zlp Code 7 rt Site Address J Z P ~ Assessor's Parcel No. p Lot Size (sq. ff./acres) P R Subdivision LS ~q Lot Block T y OR Short Plat No, Block Existing Structures, if any: C ~~ N Name Contact Phone ) ~j A Address / ~ ~w dJ ~ ~ City State /~ Zip Code 937 License No. ,2~ ~ ~ ~ Exp, Yelm Bus. Lic. No. d~ 3 , 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 ~D ~ ~D ~ D ~ 8 3 Sets of Prints f ~ Pl i P it # SSr ~~ Other umb ng erm ~ Mechanical Permit # ~~1 ) WA. ST. BC. Fee (4.50 -New Const. Only) TOTAL FEE ' J ~ ~JN ~1 G! Plan Check B ~ ~V~ y //n ~~ / ' Minimum distance of structure from property lines: Issued By ~-`` 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 Signature Date Assessor / / Firm: TRPC / / CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 0 w Name -e [. G Phone ) - OD-7p /S' .t u yew 3.7 rt Address / City f State Zlp Code Site Address L P R Assessor's Parcel No. g/ ~/e /9 n fj ' ~!Q/~_ Lot Size (sq. ft./acres) P R Subdivision T Y (~R Short Plat No. Lot Building Permit N~' 6 3 9 4 Date (Work must be started within 120 days) Block Blook Existing Structures, if any: Name q Contact ~- Phone ) Address ~ / ~ ,~ ~ City / ~~ tate ~ Zip Code ~ 7 Ucense No. „~~ /~/ / j Exp. Yelm Bus, Lic. No. (~ Q 3~ ~ , ~ Description of Work OFFICIAL USE ONLY PermltType: 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 ~ N Building Value ^- ~ ~ ~ Sets of Prints ft ~-/ Other -^~ Plumbing Permit # ~ / ~ WA. ST. BC. Fee (4.50 -New Const. Only) c~r ~ Mechanical Permit # SJ~ TOTAL FEE ~ ~'7 Plan Check By ~ ~ Minimum distance of structure from property Ilnes: /1 /~ Issued By C's~ ~!~ 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 / / uarteriy Reports Signature Date Assessor / / Firm: TRPC / / ~~ CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 Building Permit N° 6 3 9 3 Date (Work must be started within 120 days) ~ adR „e. p Phone ) ~ '7 `N Name (,fin L-L w. N R Address I ~ 4's ~ S C.v N ~ ~ /city 1 ~ state ZJp Code 37 Site Address ,~q ~~ ~ ~- SC P O Assessor's Parcel No. ~ Lot Size (sq. ff./acres) P Lot Block E Subdivision ULa ~ JL R T Y OR Short Plat No, Block Exist(ng Structures, if any: .~ Name ~yA ~ n L1 ~,~ ~ .~ ~. ES Contact ~~ ... Address /e~+ 8 / S ~Ar/ta pF/ C~.t' - ~ , ~ I~City Ucense No. Exp. State W ~} Zip Code Yelm Bus. Lic. No. ~ Description of Work ~ 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 Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE N Floor Plan Y Building Value ~ ~ O / // Sets of Prints ~L~! Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) ~ ~ Mechanical Permit # TOTAL FEE ~ Plan Check By ~Lt /L. Minimum distance of structure from property Ilnes: 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 further certify that I am a currently registered contract in the State of Washington. 6~uarterly Reports Signature Date Assessor / / Firm: TRPC / /_ Z~~-,~-Z ~ ~ a-3 CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 ~'"'' Fax: (360) 458-8417 Building Permit ~ ° 6 3 9 2 Date (Work must be started within 120 days) o `N ~ Name ~ ~,/ L Phone ~ ) ~ pQ`7 N R Address f a $ ~.~ C^ ~ Q~ ~ City f ,, 11 State W~ Zip Code Site Address ~ ~ t /t P R Assessor's Parcel No. Lot Size (sq. ff./acres) 0 P R Subdivision ~ ~ Lot Block T v OR Short Plat No. Block Existing Structures, if any: ~L Contact Phone (p - O7 Name ,c ~- Address ~ /S C,, ~/ ~, ~ City ~ ~f ~ State (~ Zip Code ~8 '"] Ucense No. J .q yo ~ / ~ 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 () G?~.S~y ~ Sets of Prints / l~ Other Plumbing Permit # ~7 WA. ST. BC. Fee (4.50 -New Const. Only) -~ i Mechanical Permit # SQ 4? TOTAL FEE /D 7 , (~ Plan Check By ~~ _ Minimum distance of sfructure from property lines: ~ Issued By X71 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 / / CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 ~. 0 w Name ~~ rc_ can uG N pp /~ R Address ~o~ U~~ (~ ~~ Site Address ~ 3 / P Assessor's Parcel No. P R Subdivision T ~ (7R Short Plat Nn. Phone (p- city u,,~ rJ/1~,y0 state W.~ Zip Code C Lot Size (sq. ff./acres) Lot Zy Block Block Existing Structures, if Name ,~DA. Address / Building Permit ~~" /n6`)3 9 0 Date ~~C-~-/~~~-r ~ l (Work must be started within 120 days) F-Gl C° ~~ y~~ ~' Contact /~j~ Gam M ~ E City State ~ r ~ Ucense No. j~/QIQ1D ,{. ~/ j Exp. Yelm Bus. Lic. No. Q~ -]~j ,(C7 Description of Work OFFICIAL USE ONLY Permit Type: l Sq. Ft. per floor: (1st) (2nd) Residentia Sign Sewer Septic Approval No. Commercial Other Clty Water Private Well Private System Shoreline Permit Y N t: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N ~ r,Q l Sets of Prints / ~ Building Value / as p 7 D ~ PlumbingPermit# S~Q Other Mechanical Permit # SC°~c1 WA. ST. BC. Fee (4.50 -New Const. Only) 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. Quarterly Reports Signature Date Assessor / / Firm: TRPC / / 3ZS ~A rZ Phone Zip Code ~~'p ~j~ ~ ~-t- 30 CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 0 w Name ~~ Building ermit ' ~~'~~' Date ~~-~~~~~"- /~~~ _~- (Work must be started within 120 days) /3/ 8 ~' i1 . Phone ( ) ` rv E ... R Address Site Address P R Assessor's Parcel No. O P E Subdivision T v OR Short Plat No. C Existing Structures, if any: o Name Contact City State Lot Size (sq. ff./acres) Lot Block Block Phone Address ~ City State Zip Code Ucense No. Description of Work Sq. Ft, per floor: (1st) Sewer Septic City Water Private Well at: Electric Gas ITEM Building Value Exp. Yelm Bus. Lic. No. OFFICIAL USE ONLY Permit Type: (2nd) Residential Sign Approval No. Commercial Other Private System Shoreline Permit Y N Other Sepa Exempt Y N R FEE FEE Floor Plan Y N 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 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 Date Assessor / / G;,,,,. TRPC / / CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 C ~ w Name ~p~yr~t0 /~ /G~ rz Address /~ ~, /`J^ C.- Site Address / P R Assessor's Parcel No. / 0 P R Subdivision T Y (7R Shnrt Plat Nn_ Building Permit lel° 6 3 8 9 Date (Work must be start d within 120 days) 1~~i ~S ci ~~ ~ s (~ > k ~ City t~wu n ~ 1(1+,,~ State ~ SF Lot Size (sq. ff./acres) Lot 3 ~ Block Block Existing Structures, it any; j ' / ~~ 1~,5 Contact / ~ Phone ( ) Name l?ip /1 /> (~ /t (~J~ /may ~/ pp Address ~ Z, Q~ ~ s gy,) LG~. ~ SAC.. ~ City ~~ h ~ 1 State Zip Code ~-] Ucense No. y¢. ~ Exp. Yelm Bus. Lic. No, c9 Description of Work ~ n e ~ 2GS C Perri ce 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 ~ Z ~ ~D L f ~ 7 _ L Sets of Prints T 1 ~-G Other Plumbing Permit # SS~c/ WA. ST. BC. Fee (4.50 -New Const. Only) cJ'~ Mechanical Permit # ~o~o TOTAL FEE 9~e ~ ~] Plan Check By ~ f Minimum distance of structure from property lines: n Issued By ~-f~ 1~--~ 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 / / Code Phone CITY OF YELM Building Permit Ty' ` r ' BUILDING DEPT ~ ~ ' . ~ ~ ~ d ~ ' ' ~ ~ ~ Phone: (360) 458-8407 Date ' Fax: (360) 458-8417 (Work must be started within 120 days) ' .~ ~~~~ ~ . -t_ i ~ w Phone ( Name ) N R Address City State Zip Code Site Address i 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: C o Name 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 Other City Water Private Well Private System Shoreline Permit Y N , 4 ' t: 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 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. Quarteriy Reports Signature Date Assessor / / Firm: TRPC / / 0 w ?" ~q~n e '~aare~ a Site O oppress q F Sse~ors ? SU PQrc y bai~is/ et No o qh Fx~s ~ghq~pt°tNq sr~ tllgme 4Ct4reS jf ~ qhy. ppreSs ~~ehse tyo, ~ - s~rihf: /`~ '~_~ v ~ `ems ~htoh ~qo p )hfgrmq ~,~/h '' ~" wit the ,Stereo gohtpnc pevpob/e~ ci ohq k t~h tn_`nen~, ~' of ~nOw ~~ Phone ~o,NG yF~M Fox, (3601 OFpr (d6~1 ~~8 .~o~ ~>> Stot Ph~he e ~et,~ ens G ~ No. ~, " "~o/ o~~erc/Ot\ S'9h Sep q~e//he per~!\ the Fke y FjQor p/qh m,Ot y ~V Sep ofpr/h~ y ~ P Mechghi ~ ~el~it,~, tssUe h chegkey e~ ~ S ~e Fjhgt/ pey 8~~ (` 7 hsa: e•2 b~ ~ or F~q r p/ohl \ \ e ~ .~hpperMit \/ \ ~8 CITY OF YELM Buildin rmit `.~ ~°' ~~P~ BUILDING DEPT. `' Phone: (360) 458-8407 Date ~ ~ ~~ ~ ~' ' Fax: (360) 458-8417 (Work must be started within 120 days) I _ 2 ,~ a ' ~~/ T'-` 1 t ~I~ b ~ ~ w O w Name ' ;',; >> r;; ~.-~ ~ t. ~ v~^n f `-a Phone (c,~ ~) `- .tilC' "%'- ~:. 7Y N E R Address ~ r. I ~"~ ~/" +-~ ~ v ~ C ~ - r City ~' ~ !/ ~) State Zip Code `- `- ', ~'~ Site Address '~~~; ~~ (~ ~ 2,~~ , ;~ ~~ t ',~ ~. ~~~ ~ ... - P _ rt Assessor's Parcel No. ~ I`` 1 ; ''j (,I .`~ (.~ (i Lot Size (sq. ff•/acres) 0 E Subdivision ~/ 1 :~ ~ rl `v r " ~ ~ Lot Block a T v OR Short Plat No. Block Existing Structures, if any: N Name ~~ ~- :~ ~ r> (..~.' ~ (_ - ~~'~7 ; ~j Contact U y, Phone,.(-~ :I ~: <(; - ,, ~~ T _ Address ~ ~ j~, ~ -%1 ~~ r ~) ,~. ~ ~ f f ~ f City ` ~ ; ~ State ~ ~ ~~ Zip Code `~'= License No. ~, y j ~ !! Exp. Yelm Bus. Lic. No, (~;~~ ' ~`~' . Descri Lion of Work ~~ "'~ ~ p _>> -,~~ , ~ ~ : ~-r, ~ l_ 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 t: Electric Gas Other Sepa Exempt Y N 4 ITEM BASIS FOR FEE FEE N Floor Plan Y ` ~ " f ~ ~ (~ Building Value ~-~ :. ~~ ~ ~~ G; /a ~~,~/,~ ~ Sets of Prints . Plumbing Permit # J~~p ~ Other WA. ST. BC. Fee (4.50 -New Const. Only) ' ! ' ~ a G~ -7 Mechanical Permit # `-= ~' (« I TOTAL FEE ~ ~ ~ ~: y ~' Plan Check By~~ ~ ~U ~ ~~~~ v~- - /Y~ Issued By f ~ L~"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 Date Assessor / / Firm: TRPC / / CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 Building Permit '~ ' ,1~ Date (Work must be started within 120 days) y'. ~ `N Phone ( Name ) N E R Address ~ City State ~ Zip Code 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 Sfructures, if any, C o Name Contact Phone ( ) T 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 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 Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) _ Mechanical Permit # TOTAL FEE Plan Check By - Minimum distance of sfructure 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 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. Quarterly Reports Signature Date Assessor / / CITY OF YELM Building Permit ~~ ~~ ~a BUILDING DEPT. '` `~ /y Phone: (360) 458-8407 Date ~~ i®if ~`_~f ~~~ ,'~, / ~~ ~ `? Fax: (360) 458-8417 (Work must be started within 120 days) o `N Name ~~ )r;%i? r r 1 _"" Phone ~ ) , ~,z(v _ ~" ~ N rz Address ~- i~jy • ~ ~ ~ C City ~~`~, /u ~ State ~ /E~ Zip Code S~ ~ .2 ~ _ Site Address L f `-' ! ;-~~i~ i ~ i ~ ~.= , , ~ ~ ~ t J ~~ P R Assessor's Parcel No. ' ~X / ~ • " ~ ~,;T' ~ / (', (_~ Lot Size (sq. ff./acres) O P R Subdivision ~. ~ ~ ) Lot G ; Block T y OR Short Plat No. Block Existing Structures, if V Name ,~ > ; ~ ~ ~' ,,» C Contact r ,~ Phone (.% ~) l'1 r.<!„ ~• i.,, 7 f _ Address ~ ,,; j '"'~ `~ ,~ ~ + % "~ ~ ~ ~ ~ ~ , ; /~ ~' State ~ ~ ff <,- ~'. city J~r_ ,-• U _, _ - Zip Code / ~~~ ;~ ,/ ~> z' Ucense No. ?~>i;~ v~ ~1 >~.r / ~ ,~ f Exp. Yelm Bus. Lic. No. - ~ ; ~ ~ f ~7 . ~ `.~ Description of Work ~ ''~~ ~ ,~ , `~~ 'c r L it 1~'~F"•J% r e -"-b 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 f" pt: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ' <,'"l ~ /'~ , ! :? C.1, ~:,. ; - r- -- Sets of Prints ~ C.P Plumbing Permit # '~~;~ LU Other ' C Mechanical Permit # ~;% ~~ (~ ; WA. ST. BC. Fee (4.50 -New Const. Only) _;; ~~ ~> TOTAL FEE : ~~ "~ j" C Plan Check By •..~ . d.{U~~.~~~+"~ ~ 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 ..r--.-,+'"'"_°---- "". ~-~`/-------,~-_-"---~'"~~ Date j` :~ `}' i Assessor / / ~ ,, , / Firm: TRPC / /. ~.-,f ~~ ~, -~ ~;~ _dE G.- Cit~of Yelm -Permit Fees Site Address: 14849 Prairie Vista Loop, Lat 21 Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee Sin a Famil $145.00 $145.00 r~% ~~ 805 Sewer Inspection Fee MultiFamil /Comm./Industrial $145.00+ $35.OOJhr Sewer Latecomers 802 Sewer ERU approved under 1994 Sewer Ca aci $2480.04 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 LRR. 760 Water ERU's inside c' limits $1000,00 $1000.00 /3~~L 7 ?60 Water ERU's outside ci limits $1200.00 740 wtr 742 swr Consumer Deposit $90.00 $90.00 ~/~~ 100 Plan Review $ 362.02 ~~~ ~Z 032 Building Permit 6387 $856.87 ~j ~Z 160 WA Building Code Fee $4. SO /~ 032 Mechanical Permit 5666 $ 80.40 j 3/•~~ 032 Plumbing Permit SS67 $ 90.00 ~3/ ~. 030 Yelm Business License# 00379.0 Total $2928.79 420 Transportation Facility Charge School Mitigation Fee $650.00 Confirm 410 Open Space Fee ~vvc, ,yi~u r~-ia-ls~.a Al 111V1L' ur rEKMl~I l~~UANt;E: CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 o I - • ;' `N Name ~..=:`:.f,r,~p ~~~~~ ~ aG ~`Y~~vr, F' ~~ R Address /_,? ~,~ `- f,~,~, ;, hl Site Address ~ t~ ~ : (~> U't S ~ /~ P o Assessor's Parcel No. ~~~ ~ r ~.) G> (~ ~ P E Subdivision ~~ '~ ~ ~ ,~ ~ ~ L ~...~ R T Y nR Shnrt Plnt No. (Work must be stdrted within 120 days) ,,.~1~- Phone (i. ~.7) ~ (~ - ~ ~7l_^, State ~tiJt( Zlp Code `7 ~ ~`'` J' ' Block Existing Structures, if any: Name 1 X; H ~;' ~~.~ ~ r] [ JC ,/~°Y ~ ,,r , P'- Address / ~ ' ;~~~ 1 °.J'` C r: „ 1 Phone City Zip Code , '°"7 =; ,7 ~ Ucense No. ` i}~+ ~ `'1~ 1~ ~ //` + fs-r- Exp. -- Yelm Bus. Lic. No. ~,' ~ ~ ~-' `'-' , ('7 Description of Work < f ~~ "~ ._ %/ y`.~ I /% ' ~ 1 / y~/ ~ ~ ~ Y<~~l`_l r •` ~-.t , C.~P 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 ,at: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N " ..--- t ~ Building Value L~r%~ ~ ~ P ~~ C-- ;k ~ t t-£ Sets of Prints 1 Other Plumbing Permit # ~~~ ~?1{'' WA. ST. BC. Fee (4.50 -New Const. Only) ~` cr . Mechanical Permit # ~ = t o (v ~ TOTAL FEE ~~ :/,, ~ ~ J Plan Check By ,,1 ~ ~~1 ~ d~ ~P~~t' . ~ ' C Minimum distance of structure from property lines; Issued By r 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. Signature ,."~ f' ""'r-^-_.-'°__, Firm: Building Permit ~ ~~ ~' / ~,, r r Date ~'_ ~/~.~~ ~ o, i fr . ,,~ State ._ ., /~ Quarterly Reports Date ~ 2.~ ,~-. -r Assessor / /. TRPC / / City i. J% I Lot Size (sq. ff./c LOt c' /' Block Contact z 8 c4 >0. (~, City of Yelm -Permit Fees I~ _ ~/ ~~ ~/ Site Address: 14736 Prairie Vista Loop, Lot 41 Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee Sin a Famil $145.00 $145.00 `~ I 805 Sewer Inspection Fee ultiFamit /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 $2484.00 Sewer ERU lots outside the LID boundaries $4850.00 Site Plan Water Latecomers 712 Water Meter I $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 I00 Plan Review $556.96 032 Buildmg Permit 6386 $856.87 160 WA Building Code Fee $4.50 ~ I 032 Mechanical Permit 5565 $ 80.40 032 Plumbing Permit 5566 $ 90.00 030 Yelm Business License# 00379.0 Total $3123.73 420 Transportation Facility Charge School Mitigation Fee $650,00 Confirm 410 Open Space Fee uur. tu~rL rAYA1sLr. Al ilM-L~: VN Yl:KMIl' 15~UAN(;E: CITY OF YELM Build' rmit N° .3 8 5 BUILDING DEPT. Phone: (360) 458-8407 Date FqX: (360) 458-8417 rr (Work must be st rted within 120 days) 1 ~ ~~ ~ ~v Name ~ tJ/~ ~ Phone ) - 0 ~ N R Address / ~ City ~u State Zip Code Site Address P Lot Size (sq. N./acres) R Assessor's Parcel No. ~ Q O P E Subdivision A ~ ! C.../ Lot 8 Block R T Y OR Short Plat No. Block Existing Structures, if any: j Name q ,Q p n Contact % Phone - ) (p - Address / a $ /5 Cj~ h/ U ~ ~~ ~ City ~j,~ yl ~ ~ u State ~- Zip Code ~ 37 Ucense No. $t~iV -e/J /1~2 // v Exp. Yelm Bus. Lic. No. [~ Description of Work s 1 1 ~ ~~ ~ 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 ~t: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints ~~~ Other -c~ Plumbing Permit # J~~ ~~ WA. ST. BC. Fee (4.50 -New Const. Only) ~,~ Mechanical Permit # ~ ~ TOTAL FEE Q ~ B / / ~ Plan Check By ~/ BUi~ ~~~- ' 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 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 / / Zy0 - /3 ~2 s~~ ~ ~ a3 'CITY OF YELM Building Permit ~ `' BUILDING DEPT. ~~' Phone: (360) 458-8407 Date -' ~`~ r FaX: (360) 458-8417 (work must be started within 120 days) - .. - . , ~ ~^/ Phone ( Name ) ` N E R City State Address Zip Code Site Address rt Assessor's Parcel No. Lot Size (sq. ff./acres) 0 P E Subdivision Lot Block R T v OR Shorf Plat No. Block Existing Structures, if any: C o Name Contact Phone ( ) T Address City State ~ Zip Code ~ License 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 City Water Private Well Private System Shoreline Permit Y N f ~ t: 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 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 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 / / ' "a CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 Building Permit ~ ~^ ~? '~`' / ,, F,; Date r`!_~.:~~r~~~'~~ /~ / ~~~ (Work must be started within 120 days) -~ W - Name ~, ; .~ C1 ta..,;,,~ t /t ,,Jc, r,) ~ Phone ) - a ~',~.~ ~~`~,~ N - R f Address ~~~ ~ / i ~,,,'t /-'~{ ~ ! * ~S City , State a '~ ry Zip Code ~ ~7 ` Site Address ~ ~ '' ,~ ~y~ti~,o,1/ f" ~ l., ~ /,~ c: ~: J P o Assessor's Parcel No. ~> / `~' ' ~;i j :~ ;,i!-'~ Lot Size (sq. ff./acres) P E R Subdivision ~ ~- ~ Lot ~'. ,„J Block T v OR Short Plat No. Block Existing Str ctures, if any: u Name y%'~G'A / r? ~,~ ' ~' Contact ~~ ,.- 1 Phone (G. ~~) ~ ju(~ - ~ , j ;i~ r Address / ") ~ ~ ,~, r p ~ f ~'"~ ~ _ _ /~ City -~ , ,, ~~,, ,~ State L+,/h,'' Zip Code ! ..' <; ~~ -r; ~ Ucense No. ,G`i`~Ci .~ ~ ~ C3 ~=/ , j_` , ~"" Exp. Yelm Bus, Lic. No. Description of Work per,. :, /,u.: ~ ~ ~ , , ,~ ; ~ ~- ,~, 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 t: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value c:f% I ~~ /,~ . j ;+;~t f, ~ a,~1 Sets of Prints I /'^/ C.E' Other ~- ~• i~ Plumbing Permit # ~% ~ t'" )lr ~ ~ °`f d Mechanical Permit #'~`~~0 v' WA. ST, BC. Fee (4.50 -New Const. Only) , ~ , . ~ ~`Sc, / ~~' ~: TOT AL FEE 4.*; t , f -~- . Plan Check By ~- ~, ~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 l have read and examined the information contained within the application and know the same to be true Submitted / / and correcf: 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. Signature -,..""r`.~,~-- c.,~^~:-•-~---~-~--------.~f'~ Date e~ ~ ~~t "~ Firm: Quarterly Reports Assessor / / TRPC / / City of Yelm -Permit Fees Site Address: 14901 Prairie Vista Loop, Lot 20 Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee Sin a Famil $145.00 $145 '~ J/}~ /7 805 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 LR.R 760 Water ERU's (inside ci 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 /3~ q~ 100 Plan Review $355.67 /~ J~~ 032 Building Permit 6384 $841.82 /~i~~ 160 WA Building Code Fee $4.50 ~3/ /~~ 032 Mechanical Permit 54 ~3 $77.40 /3/~3 032 Plumbing Permit $54y' $97.00 ~ `~~ / 030 Yelm Business License# 00379.0 Total $2911.39 420 Transportation Facility Charge School Mitigation Fee $650.00 Confirm 410 Open Space Fee 1)UE A1Vll YAYAI3LE A"I' "TIME OF PERMIT ISSUANCE! CITY OF YELM Building-R~mit ~~' `:' BUILDING DEPT. y -~- ~ ~ ~'~~~"' Phone: (360) 458-8407 Date j ~ ~~ ~% ~~~--~ a Fax: (360) 458-8417 (Work must be staff d within 120 dtays) D' +''~~~ ., N/ Name ~/ t.c~ '~ Phone C ) ~~..) -r- e ~ ~ ' ,~ t d t` ~ r" ~"' _~ ~~ ~ ,~ R { Address ~ ~~ ~r (`~ ~"~ r ~' ~, City `` Ff "t ~-t State b~f' ~''t Zip Code ~1 ~ .S `7 Site Address ~ P R 0 Assessor's Parcel No. Lot Size (sq. ff./acres) P E Subdivision Lot Block .T Y OR Shorf Plat No, Block Existing Structures, if any: Name ~~ 1 ' """ ij; ~ `~~ F . /~ < Contact ~` ,r{ ~ ; Phone ( ) yCC'"~ ~ -~~ ~r ~- T Address ~ ;,,,~ ~f,~ ryt %~'~ ~ City `{r ~ ~, ~ State ,,/,'v~ ~ Zip Code > "' ,"' License No. Exp. Yelm Bus. Lic. No. r1J .: ' ~ '~ ~ r Description of Work ~' f ~ .~; . ~ , ~1 ~ , / t ~ ? ~ ,r~ :~ /r ~; .1 C~ 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 ~:, ~f.~ ,k~ ~ ~ ~~- Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4,50 -New Const. Only) Mechanical Permit # TOTAL FEE ,~~7 ~ % !'~ ~ ~=~ v' 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 oq~ctor, I further certify that I am a currently registered contract in the State of Washington. applying as a c l 9uarferly Reports ~ ~ ~ ~~';~ t ~ ~ '~ D ~ a e ! Signat ,- Assessor / / Firm~4'y r TRPC / / CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 ~~ '"y r., Building-R~rmit "- } r, ,f ` l~ ~ / /f ~~/! Date C/C ~ ,~ (Work must be started within 120 days) `~/ Name ~~. ~,~1lD1~ ~'n ,t' 4 Phone ~ °~;) .~ .,.x _ ~ ? e ,~ N E ~ ~ r ( ~! R Address i ") % ~` 5 ~ . ~+ City J /~ t' ~::.-~ ;~'r State / ~ ZIp Code ~ Site Address , ~~ ~e ti rt,yJ i• ~~, ~ o Assessor's Parcel No.) ~~- ~`' fir-~ C~ ~ t~ <%(i Lot Slze (sq. ff./acres) E Subdivision f (/r ~ ~' / `T f~/ ~ Lot Block R y OR Short Plat No. Block Existing Structures, if any: ~-- Name .~r'rC. ;r p( v Contact r` ~~~ 1.~/f c~'' Phones, - ) ,,~,5~r- j ~ j ~,... Address ^?~~~ %/~~ .`>/ `j City ; <<-,~,~~ State ~t,`'~~ Zip Code `f~~f ~~°<~ License No. /IJA ~' ~' ~~ `7 ti 1 Exp. Yelm Bus. Llc. No. ,~ ~, (~ / .l~j Description of Work ~)Y)! ~(~ ~~-, ~ ( c ; l r rf `~ (+ OFFICIAL USE ONLY PermltType: Sq. Ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N fit: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value `~ > ' i~~~ ~ ~ ~~ ~ Ga ~ Sets of Prints Gw_ ~ >F' ~* Other Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) =,~ ~~ U Mechanical Permit # ~~ ~ ~~' ~-~ TOTAL FEE ) z ~ ~ 3`7c' Plan Check By ~ '~ ~ ~u ~ ~~'~ t- , ,~ Minimum distance of structure from property lines: Issued By i ~% +' ~~••~/ SCE/` d 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. Signature Firm: / Quarterly Reports Date ,/..~ ,~r° ~~ Assessor / /. TRPC / /_ o9-~SSO ~ City of Yelm -Permit Fees '(1~_ 2 Site Address: 10511 Farwest Ct SE, Lot 24 Permit # Fee List Fees Due Recei t # Comment 805 Sewer Inspection Fee Sin le Famil $145.00 $145.00 805 Sewer Inspection Fee ultiFamily/Comm./Industrial) $145.00+ $3 5.001hr 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 I.R.R. 760 WaterERU's inside ci limits) $1.000.00 $1000.00 I 760 Water ERU's outside city limits} __ . --- _ $1200.00 740 wtr 742 swr Consumer Deposit I _ . _ .` ---..._ . $90.00 ( _ .___ _._.. $90 00 1 - -- - -- ------1 100 I Plan Review ( I I $375.12 032 Building Permit G3$3 $887 87 160 WA Building Code Fee b~S3~ $4.50 $4.50 032 Mechanical Permit 5662 I $70.75 ( '`~` 032 Plumbing Permit 5553 $97.00 ~~1~ 030 Yelm Business License# 98-001389 Total $2970.24 /" ., 420 Transportation Facility Charge School Mitigation Fee $650.00 ~ ~(~1 `"'~~UU nfirm 410 Open Space Fee vuc t~l~L rt~YAtsLL Al 11ML+ ur YEKMl"1' 155UANCE: CITY OF YELM BUILDING DEPT. Phone: (360) 458-8407 Fax: (360) 458-8417 0 w Name ~~, (- .~1,.-~.~ N E R Address t`~ , i ) Site Address i ~ j•~ 2~r~ P R Assessor's Parcel No. ~• Building Permit " ~' Date (Work must be started within 120 days) Phone (, ) , ` :~` ~ ~ r'. l Y R State _,~~ ,-i ZIp Code ~ ~ -~ Lot Size P E Subdivision Lot Block T y OR Short Plat No. Block Existing Structures, if any: N ,, Name 1',q ~~" S ~~~.1 S Contact r';r#° „~- r~~ ,;~,c Phone" `;. ) ~~r"~ ~_ ,n ~;,~' City ' / vr~ ~ -~- . State , ~ ~~; Address ' ' ~~~; r' ~d„~ Zip Code ~ ;; ~ License No. ~ /d - ' ~" ~ ! Exp. Yelm Bus. Lic. No. .-r- f Description of Work ~~ ! ; ' j ; q ~~ /; ; - ~ OFFICIAL USE ONLY ( - ~ , i Permit Type: Sq. Ft. per floor: (1st) (2nd) Residential Sign Sealer Septic Approval No. Commercial Other pity Water Private Well Private System Shoreline Permit Y N lat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Y N Floor Plan Building Value f^-i,.. ~F}-~:: I Sets of Prints f Other Plumbing Permit # `r~li} WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE r ~ ~ ~~ Plan Check By ~?' ~_~ Minimum distance of structure from property lines: ,o Issued By i`-r . ° ;a,... Front to of Road Finallnsp: / / Side Side Rear Owner L & I Form Assessor Floor Plan and Permff 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 r~6pt'cJ, If applying as a contractor, I further certify that I am a currently registered contract in the State of Washington. ,- r `~ i Quarterly Reports Signature ~~ '~~"°~'l ~~ ~ i ~ ,./r~ ,...._, Date Assessor / / Firm: TRPC / /