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Building PermitsCITY OF YELM BUILDING DEPT. Phone: 458-8407 Building Permit ~~ 6~ ~,, + ~_~ _ c. Date t L (Wori<,must be started within 12 days) w Name ~ Z ~ ` .. ~ ~ ~. ~ ~(,, "t !~' ,.~' ;~r~.~ ~ _ Phone (~~) ~) ~a '~~'" ~~ .. N R 1 tt Address ! '~ ~ ` ~ L~U ,t + j , - `'~ ~' ~\ %A ~ City +,+ St ~; i `~ 1 rL~ Lk' Zip Code `~~ 7~ ~.: _ t -> : . z ._ . , ,=d Site Address ~ ~~ ~ ~+ 1 ~2`~s ,}'~ ~ '_~ t ~ V ~ ,"~~ L_-• r.. ;~.:.~.j~ }. f"° ,.i a Assessor's Parcel No. Lot Size (sq.ft/acres) a Subdivision ~ , ~ i ~ . l~E ( ~' {~.1 Lot ~% ~~` ; f Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name ~ ~~, i"~,i i ~~,('~ n. ~._}s -. `1.. ~. fE~' ,,~ ~~s Contact - Phone ( ) T R ~_ ~ Address City St. Zip Code R License No. '° ` ~ '~~ ~ ,,. ~~. ~ 1 ~ ~ ~ ~`~ ~ ~~'" .p i e r ; Exp. Yelm Bus. Lic. No. Description of Work ~~ '~ ~ ~` ~ °~,/ ~'~ ~~ f fit' ~ ' OFFICIAL USE ONLY Permit Type: ~ f 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 :7eat: 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 # ?~~ ~ /' ~+ WA. ST. BC. Fee (4.50-New Const. Only) r,~ ~', ~` . Mechanical Permit # r~,} --~.. TOTAL FEE (~~~ ~~ ~7 ~ ''~ ; Plan Check By + ~rtC ~ ~-` ,,. ~_ ~./~ Minimum distance of structure from property lines: Issued By ~-.~ r=. ~~ 1`~ti €~ ~ (1 ~~' t ~~, Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. f _~ Signature ~'~"' ~- ~" Date ~ <' ' ° ' Quarterly Reports Firm: Assessor-/~ TRPC J _~ NEW DEVELOPMENT/NEW CONSTRUCTION CHECKLIST SITE ADDRESS: ~ ~ 1 ~ C~ ~I (.(' ~~ ~ ~ V ~ ~~~ ~~V-~ j TYPE PERMIT # FEE RECEIPT # COMMENTS SEWER PERMIT 125.00 SEWER LATECOMERS SEWER/SEPTIC* 1,000.00 SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS WATER METER* ~ WATER SERVICE ERU'S CONSUMER DEPOSIT 90.00 POWER TELEPHONE STATE/CO APPROVAL STREET CONSTRUCT PLAN REVIEW ~ ~p. BUILDING PERMIT ~,e' ~ (p ~~~ .~ S~ ,~ , ~, !'P MECHANICAL PERMIT ~~a PLUMBING PERMIT ~ I GRADING PERMIT SIDEWALKSICURBS LANDSCAPING YELM BUSINESS LICENSE# TFC-TRANSPORTATION FACILITY CHARGE *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY THE YELM BUILDING DEPARTMENT C:\OFFICE\DOCUMENT\INSPSHT. WPD CITY OF YELM BUILDING DEPT. Phone: 458-8407 N Name ~~~.y'i ,'{.i r ~ ~t E R ,,~, .-~ ~ ,_._ Address ;.~ ~,< ~ 'U S Add ~ ite ress a R Assessor's Parcel No. -~ -a \' .., s ~ ` .. },._ ~ ~ f. ~ ,. ~i J i ~~'_ U (~ ~fif~C City ~ ~! I 1 1' I_. C. ,,~'~ ~,r,CW Lot Size Building Perr.~it ~® 6 Q.~~ Date ,,,~/ .. ~, ~~ c~} / (Work must be started within 120 days) Phone (`~~; i"~ ~' St. ~rh,J /~ Zip Code a Subdivision ~ 1 ~~~~~.. \,~t ! l~ ~;l Lot ~~~'" Block T ~ OR Short Plat No, Block Existing Structures, if any: Name ~ ' ~ ~' ~ '"' i r~ Contact Phone T R ~ Address City St. Zip Code o R r ; License No. ,~, - E~ 1 ( ~ .~,,,, t ~. { t ~ F Exp. Yelm Bus. Lic. No. Descri lion of Work p ~ ~~ ~ ~ ~, ~ ~ 1 ~ {, j'~ ~ , • ~ r ~~;~ ~~,/ OFFICIAL USE ONLY Permit Type: ' l Sq. ft. per floor: (1st) (2nd) Residentia 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 ~~ ~~ ~~~ ~ ~'~~ "~ :?~! ~~.~ ~ Sets of Prints g , . r r ~ Other Plumbing Permit # ~ ' '~ P Cr WA. ST. BC. Fee (4.50- New Const. Only) - , . Mechanical ermit # ....-- f . ~ ~ ..~ ~'~<'~ ~' ~ _~ TOTAL FEE '~~;~(, Plan Check~~ f , i..,A~ ; s ~ , ., Minimum distance of structure from property lines: Issued By ' -%~ ~ ;t ~~ ! ~; Front to of Road Final Insp:~'2O Side Side Rear Owner L&I Form Applicants Affidavit: ~ Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted_~___/ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature ..~•°"~ "`~ °~'~ ~~ ~~ Date ~~' t~ ? `' ' Quarterly Reports Firm: AssessorJ/ TRPC ~ ~ NEW DEVELOPMENT/NEW CONSTRUCTION CHECKLIST SITE ADDRESS: ~ ~ -` ~ 1 ~( ,~.r ~ ~ ~,~ ~~~ ~~p S~ TYPE PERMIT # FEE RECEIPT # COMMENTS SEWER PERMIT 125.00 SEWER LATECOMERS SEWER/SEPTIC* 1,000.00 ~ SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS WATER METER* ` j C WATER SERVICE ERU'S , (~ ~ CONSUMER DEPOSTT 90.00 POWER TELEPHONE STATE/CO APPROVAL STREET CONSTRUCT PLAN REVIEW ~~ ~ BUILDING PERMIT d 0 \ ~ C ~>ti MECHANICAL PERMTT `~ ~ ~ PLUMBING PERMIT ~ ~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LICENSE# ~~~ TFC-TRANSPORTATION FACILITY CHARGE *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY THE YELM BUILDING DEPARTMENT C:\OFFICE\DOCUMENT\W SPSHT. WPD CITY OF YELM BUILDING DEPT. Phone: 458-8407 N t Name ~',~. t'~, ,( i ~~1(~ ~~~ (_z ) .~ ~h P a ~ j .fit ~~ f~ Address ~ ~ ~ ~ ~ l ~~~ ~~~ ''- City ~ ~ ' +~ St ~ ~ Zip Code ~" ~ ~ 7 } 1 . ~ , , ~ . Site Address ~ .....- t'~i _ ~ tr ~._.-, V t '~}~~'~ 1._.L~.i a7C- ~,,..'~ ~ ~ a Assessor's Parcel No. Lot Size ( sq.ft/acres) O R r Subdivision f ~~C~Y- ~'d ( ~ i:~ r Lot ~ ~` Block T Y OR Short Plat No. Block Existing Structures, if any: ~ rl Name ~. ~ ~ ~ ~ `• '~ ~ ,~-t ~, (~. `') ~ ~. 0 ~ -~~ Contact Phone ( ) Address City St. Zip Code T R ~ License No .~ l~l, _; '~ j ~-. _.,,..~ (, ~,; j Exp. Yelm Bus. Lic. No. Description of Work ~ ~~ > ~,~ ` ~E ~~{ ;^'~ ' OFFICIAL USE ONLY Permit Type : ' , / R ide tial V Si n Sq. ft. per floor: (1st) (2nd) g es n Sewer Septic Approval No. Commercial Other City Water Private Well Private Syste m Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Value Buildin ! y~ ~ L~' ~ ~ ~ ~ ~ (~ '- ~ ~~ ) Sets of Prints g , r' ! Other _ . Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) '~ ~ ~-1 Mechanical Permit # ~j "~~'--'~ TOTAL FEE ' r ~ f ~.t~` ~ Plan Check By~ `` ~ ,r- Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants 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 reg- ulations including those governing zoning and land subdivision, and in addition,: all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature ..--°'~r_. ..t", `'r''°~" ~,~.,.~~ ~'-`'"- Date l e - ~% c~ ~ ~ Building Per wit ~o, ~ 6~-$~ Date ~ r ~ ~ r (Work must be started within 120 days) Phone js~.a r`" ~~~ c._., `~'~~~, ~...~ i • ~ Issued By. `' „ ~ '~'""Y Yl'v Finallnsp~` //~~~ Owner L&I Form Assessor Floor Plan and Permit Submitted~~ Quarterly Reports Firm: Assessor-// TRPC ~ ~ NEW DEVELOPMENT/NEW CONSTRUCTION CHECKLIST [~ ~ _ STTE ADDRESS: L' ` ~~ i~C~~ i ~- ~ ~ S C~• ~ C'G `~ S l- TYPE PERMIT # FEE RECEIPT # COMMENTS SEWER PERMIT 125.00 SEWER LATECOMERS SEWER/SEPTIC* 1,000.00 SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS WATER METER* 1 ~. WATER SERVICE ERU'S ~ , ~~~ CONSUMER DEPOSIT 90.00 ~~ POWER TELEPHONE STATE/CO APPROVAL STREET CONSTRUCT PLAN REVIEW 5 BUILDING PERMIT n .~ '~~ ~~ D - ~l ~ ~~ ~ ~ ~-~ . ' ~ e ~-~ MECHANICAL PERMIT ~~j / PLUMBING PERMIT LI ^ "l ~ d~ ! I~r GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LICENSE# ~~~ TFC-TRANSPORTATION FACILITY CHARGE *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY THE YELM BUILDING DEPARTMENT C:\OFFICE\DOCUMENT\INSPSHT. WPD CITY OF YELM Building Perm; ° ~? o ~ BUILDING DEPT. Date Phone: 458-8407 (Work must be started within 120 days) P /' N Name ~ ~ ~ f't ~ ; ~~ ~ ~ (1` ~ t ~ d ~ Phone ~.J~ )~~~: ° ~~~. R Address ! ~~ ~ _~ ' ~ ~ f ~ ~ ~~ ~- City -~ ~ p Zip Code ~ ~ ~7~ rr~'~ St , . , , t . Site Address ` i l r~ r :y 1 ~ / -, r_, r--~ P a Assessor's Parcel No. ~ Lot Size (sq.ft/acres) a Subdivision "'~~ ; f'~ t~(j ~y~~,, '~ Lot ~:, ~~ ~ Block T ~~' Y OR Short Plat No. Block Existing Structures, if any: c N Name ~ c •6 t~ <"'. ,~-,,. ~ % f'"" Contact Phone ( ) Address City St. Zip Code T a License No. ~'- '~' 1 r~ ,~.» ~ ' , Exp. Yelm Bus. Lic. No. ~ ` ~' Description of Work '~, ~'+ j '1 ~`, ~'~"` -`^a ,~ `;'~ '.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 Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ` ' ~ °~ ~•~ '"~ , ~ Sets of Prints ~.- ~; , . Pl bi P i # Other erm um ng t _ WA. ST. BC. Fee (4.50- New Const. Only) \ F •~ , `~~ (_..~- !~ s'-. Mechanical Permit #~ "I i ~ TOTAL FEE Plan Check By `'( ~ Minimum distance of structure from property lines: Issued By `~': ~ ' , ~ ° ~~ Front to of Road Final Insp:~~~2~~~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- SubmittedI_/ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature ^°~"`"~ - ~ "~? ~` ~'` y --- _~. Date r -'- ? ~- ;%%' Quarterly Reports Firm: Assessor ~ ~ TRPC ~ ~ NEW DEVELOPMENT/NEW CONSTRUCTION CHECKLIST SITE ADDRESS: l "'~~ ~ ~ ~~L~l ~J y lC TYPE PERMIT # FEE RECEIPT # COMMENTS SEWER PERMTT 125.00 SEWER LATECOMERS SEWER/SEPTIC* 1,000.00 SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS WATER METER* ~`~~ WATER SERVICE ERU'S ~ ~ ~ O CONSUMER DEPOSTT 90.00 D POWER TELEPHONE STATE/CO APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMTT ~ g y~~ . ~e ~J MECHANICAL PERMTT 5 ~ ~ , PLUMBING PERMIT ~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LICENSE# 7 TFC-TRANSPORTATION FACILITY CHARGE *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY THE YELM BUILDING DEPARTMENT C:\OFFICE\DOCUMENT\INSPSHT. WPD CITY OF YELM BUILDING DEPT. Phone: 458-8407 Building Perrrlit N ~ , . _ 6~a Date ;/~K, ~ /+ i (Work must be started within 120 days) ~ ~ `_/~ l d-; °w Name ~~~~~~~~ ~,{!'~((~: ~~`~'~~.~'`~' ~.. -~-- tLr~', N {~ R Address 4 ,',.~~ ~ ~ ~~ ~k ~\1,1~ ~} ~l ~ ~ , ~- City Phone (,-,`~~) `-j~~-~;~), St. ~,~~~ Zip Code Site Address ~ '~ t ~~ V ~ f Lt t~ 1 ~...' ~,~ t `~~'C~ w_.L~1 t% ,-:~ •..f a Assessor's Parcel No. ~~ F~-~ (~ _~ `L' ; fg? i~._~~ Lot Size (sq.ft/acres) o a Subdivision ,~ I ' ~~"tr,. ~-..- ~~ i ~" ~t- ~ _ Lot ~~ `~' Block r Y OR Short Plat No. Block Existing Structures, if any: N Name `~:,~(~ d~"R~.,, ~+' c~ ( ~...;~a~'i~' ,tr'~ Contact Phone( ) T Address City St. Zip Code a ~^ License No. " ~t, ~'~ '•,,'~` j ~ ~-~ E ~ Exp. Yelm Bus. Lic. No. ~ ~ "i:~;~• ~~~' Description of Work ~ ` ~ > ~".N r" ~ j~ {' t 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 ~ j :'~ ~ ~ ~ ~1 ~~ '~~ Sets of Prints -- l I ~ f Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) i ~, ~~ ; ! ~ r- ~-- t Mechanical Permit # ~_ ~:: TOTAL FEE ~ ~ A ~"'7 ~ Plan Check By ~ 4 - ~`~ ,- Minimum distance of structure from property lines: Issued By '~~~~"~~~ ~'~ C..:~'~~`f° (,_~ Front to of Road Final Insp:_~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted)-~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. -... -_.a _..~ Signature '~ - ---- Date , ~ ? i ! 7 Quarterly Reports Firm Assessor~~ TRPC / ~ NEW DEVELOPMENT/NEW CONSTRUCTION CHECKLIST STTE ADDRESS: ~ ~ ~ 7 Q / ~~ ~( P~ V ~ ~ ~c TYPE PERMTT # FEE RECEIPT # COMMENTS SEWER PERMTT 125.00 I SEWER LATECOMERS SEWER/SEPTIC* 1,000.00 SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS WATER METER* WATER SERVICE ERU'S ~ CONSUMER DEPOSIT 90.00 POWER TELEPHONE STATE/CO APPROVAL STREET CONSTRUCT PLAN REVIEW ~S (~ BUILDING PERMIT ~ Q ~ ~: (~7 ~ , ~ , p MECHANICAL PERMIT ~ 5 ~ S,~' PLUMBING PERMIT ~ L- GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LICENSE# TFC-TRANSPORTATION FACILITY CHARGE *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY THE YELM BUILDING DEPARTMENT C:\OFFICE\DOCUMENT\W SPSHT. WPD CITY OF YELM BUILDING DEPT. Phone: 458-8407 Building~P~ rmit Na ~ ~ 7 Date t_-"' L -°".~ (Work must be started within 120 d ys) w Name ~jL~.'~ ;..~ 1 k ~-'` t~ __.. aW~ -s Y _,.s _~._ Phone ( ) a Address ~ ~ ~ ' ~ -- • il' , i`• ~ City St • Zip Code ( ~~~~~ j ] ~' Site Address -y ~ 7 e. t a Assessor's Parcel No. { j" '~ ~-~ c~ ~ ;~ ~ 1 ~ ~ {4 ` Lot Size (sq.ft/acres) 0 a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N _ ~., 'a ~, Name ~ `~ ~ ~ , ,,,., ,-. -~ ~~- ~ ( i i_. ~~ i ~ ~, ~. '_,`..~ `.... Contact _. Sri/ )) C r ,....~..'. °7 Phone ( 1~-~~ ` t ~.~ rh ,~, / R ~ Address i"' ~ , ~ ~ -~°~"?'~~,, ~ "'~~ ~X , ~ R City ~- ~ St.y U~ Zip Code ~~( ~' R License No. ~ ~ ~ i~ r Exp. Yelm Bus. Lic. No. '~,~--' ~ `='~. ~ Description of Work :~ ~ ~ ~ .~~, • ~`~ )~ ~ `~, ~% r• OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value y ~~,_~ '°,'> Sets of Prints / y ~~ Other Plumbing Permit # r C~ ~% # rv r ~ i l P i M h WA. ST. BC. Fee (4.50-New Const. Only) erm ec an ca t TOTAL FEE { ~ ~• Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants Affidavit: I certify that 1 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 reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. P .~ Plan Check By '~ `- ~ t"~ f, - Issued By ._ ~j, i'/I~Y~ ! ~" ! Final Insp:~~ Owner L&I Form Assessor Floor Plan and Permit Submitted~~ /., j Signature fc„ ~~, .,r? ~'~ :` i., .. '...-~,,,. Date~.~ -vt{;_'r"i Quarterly Reports ~~ Firm: Assessor / / TRPC ~ ~ SITE NEW DEVELOPMENT/NEW CONSTRUCTION CHECKLIST aD ~ ~ ~~ ADDRESS: TYPE PERMIT # FEE RECEIPT # COMMENTS SEWER PERMIT f J ~-- 125.00 SEWER LATECOMERS SEWER/SEPTIC* 1,000.00 SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS WATER METER* WATER SERVICE ERU'S CONSUMER DEPOSTT ~ 90.00 POWER TELEPHONE STATE/CO APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT ~ o MECHANICAL PERMIT PLUMBING PERMIT ~( GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LICENSE# TFC-TRANSPORTATION FACILITY CHARGE *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY THE YELM BUILDING DEPARTMENT C:\OFFICE\DOCUMENT\INSPSHT. WPD CITY OF YELM BUILDING DEPT. Phone: 458-8407 Building A~rmit ~~ 6 Q ~ 9~' ,, G-~ Date ~~,'' (Wprk must be started within 120 tfays) ,,,.._., N Name ~- f-. t~~.,d,'" 's~ ;,~,., ~"~ ~ '"'~ P hone( -- ~, ~ ~ ~ ~ ~ - 1 ~ ~~' R Address City j St. ,.`„1 ip Code Site Address ;i~(~\~ ~ ~~~ '~"~~ ('`%~.. a Assessor's Parcel No. ~ ~ ~'~`''~ °~, ~ ~~ (~~,` ~ ~ r~~~~ I Lot Size (sq.ft/acres) 0 P E R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N Name ~; i ?(''~~, ~ Contact Phone (~,. ~ ~ 1 ~~~ . ~~ '•-._ ' - _ .. •, ` % ^ ! ~ ~ ~C Address ~, ~ ~ ~ . .. g Cit i ..., .Zip Code St ;! ~~ a °~ ~ ~~ ~~~ ~ ~ /~ ~ f ~ " '~ License No. . ,~; - .1 ` ~ Exp. Yelm Bus. Lic. No. Description of Work ~ ~ ' ~' ~ ~ `'.._ ~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other 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 1i„_. ,.3 u ~ Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) ` Mechanical Permit # , TOTAL FEE [ Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants 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 reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature Firm: ~C". .~~ 7 '~. ./ Plan Check By ~ _w _,.~,,3j~ ~ r Issued:. ~J .,_ .~ Final Insp:~_/ Owner L&I Form Assessor Floor Plan and Permit Submitted~__/ Quarterly Reports Assessor-/_~ TRPC / _~ CITY OF YELM BUILDING DEPT. Phone: 458-8407 w q ~: t... Name i"'/ .. ~ ~ ~ (' ~ ` ~' f ! ~ . t, a '? ~~ ~ { ~ .. °~ Addr ss ( y- ~~ ~ ~ ' ~"' ~~s Cit ( ~'__,~ Zip Code S ~ ~ ~ e : _.. l_ 1 G- y : : . s . ..,- p_~ ° ,, Site Address ~ ~~ ,, . J t V~ ?) .r~ .Yl ,` ;: ~ 5~-'~, d ~`- p a ~ tt ~~ .~ ~..,.+'~ ) Assessor's Parcel No. .o)y` ~ ~ ~ ~ ~~~ ~ +~_ . ~-° Lot Size (sq.ft/acres) 0 a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N Name '•' ji~„4! k`:~t„~ Contact I gg Phone~~',r,~~~) ~~',(..~•-` 1 r _ `~ ~~ ~~ ~ ~ ` ~_~ y . f ` ~~~ ~ ~- ~ ~'~ Address t + City:, ~ f ~ §Zip Code - St. L./ T a t~---~°° 1l F-' ,~ License No ; ' ~ ~ g °;~ { ~"` ~ , Ex `$ ~ ,'~. N~ 'm ~ Yelm Bus Lic `,~ Y J . . _., .. i_ --' _ ~- , : e p. , . . .. . Description of Work ~ ~ ~ 1 ~. ~' 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 ~? ~ e4 q- ~ `~ ' J ~~ ~~~~~~ _ 1 ~.......,..' Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee ._~.:~,,1. .50-New Const. Only) ~ `.__,/,r~ Mechanical Permit # • TOTAL FEE ~ ~ ~:' ~ f I; , , Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants 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 reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractorY,F further certify that I am a currently registered contractor in the State of Washington. ~ ;' j ; ~` ~ ! _ / , l Firm Building Pert~it Np 6 0 7..~..--~ Date `" ~~" ~' (Work rrr{ist be started within 120 days) E ~ 1 ~ ~ ~~ ~ ~~ ~ ~ 4 Phone .i~- •~ ~~`. J ~--- -`t,~`. i ,,~ ,.;y ,- ~, ~- 7 r( ~'";~ ;~"~w Plan Check By ~ ~-~- 4'~`- ~` X'j i Issued By~.~.~~-'1(~ ~ ~-.-~ ~, Final Insp:~_~ Owner L&I Form Assessor Floor Plan and Permit Submitted~~ Quarterly Reports Assessor ~ J TRPC ~ ~ CITY OF YELM BUILDING DEPT. Phone: 458-8407 w Name ~ ~` ~ T~~ a..~~ s I ~ ~ ,rte ~. N R Address _ r / d"!' -; '}~ i .•-t. )„"_ ~ ~ t Site Address ~ r ~ ~ r~ ' i ~ ,y ~, ` ~ _,~ ``-" ' ~ ~' ~~ r ~ '°~ ~} ~~ f "~ ' ~ ~'" o Assessor s Parcel No. . ~ , / P a Subdivision T Y OR Short Plat No. Existing. Structures, if any; N Name ~"'ti,% ~~~ ', ~_~. ~ ,!'-'~i , Contact i n ~ {{' fr ,_) ~, , c Address _a I trr, ~ _: G~^s"+~~~ ~~ , o License No. Ir ,.~) k. ~`; -~-_- „, ~ ~?':.~. l~..:3 ~± rx--_. Building Permit ~0 6 G ~ 7 Date (Work must be started within 120 days) __f ,~ ,, v .~ `, .~;.;~~-~t~/t-~_~St.i l_.~"t Zip Code .~` rs-~, `::. /l-~ , Lot Size (sq.ft/acres) Lot Block Block ~. ~~; ~ : ~ ~~.~~~ _. Phone ( ) t %~ ~ > ~ i ,. CityL T1" ~. t° ~ ~'~ St. ~ ( ..~-~ Zip Code ~ f ~ ~ ~~ r ~, Exo. Yelm Bus. Lic. No. f ~ -`~- ~~'"~ ~• ~~~ . Description of Work _ ';' ;~ '., ti ~~',- ~ s"~ -" 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~ , Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit #~ TOTAL FEE `' ,.• ~ .-., .~ .: --- Plan Check By `7 ~• t ` .~~ ~ `~ r:t;,y ~/l' ~ ~ ~ ~ ` . ) t x'11 ~ Minimum distance of structure from property lines: ...41L~ Issued By- ~~ ? , ~ , . r i Front to of Road Finallnsp:~ / Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. a .:% Signature ~ .~; ', ~~ -~._._ ~~ Date / ~ Quarterly Reports Firm: Assessor ~ J TRPC ~ J CITY OF YELM BUILDING DEPT. Phone: 458-8407 °w (Name '~~ Building Permit ~~ ~ 0 7 6 Date (Work must be started within 120 days) R - r'~ :• Address ~ .~ ' ~ ~ ,,,. ~,._~? ~{~.°- ~~ M_ ~ .'G~ity ,w Zip Code ~ ~ j -. ~_ Site Address '` ~, ~~_~ - `` .. ~,. fit. ~' '~~ ~,.,~; ~ ~ r ~ -~ r t ~ e,'' t~Y~ ~~ ! r~'`j ~ ~' P R Assessor's Parcel No. ' ~ 1 r7 f ~, i ,~ ~ _~} .~~'+t ~ ~ `~"-~ {4 . ~' Lot Size' q.ft/acres) ~ a Subdivision { ~• Lot ~'~ Blpck Y OR Short Plat No. ~~. `~'`~ Blo Existing Structures, if any: ~, M,. .. Name i i '~1~'R ~~r _-,Gp._ntact ~, ~ ~ , Ph e t; .. a 9 r,~ ~ ~ ~ '~'~ ~ ' ~y-~ ~ ~~ ~ ~ ~ r~ ,. e ~ ' ~_ ~ Address - _ / )` ; City t. t,+tl p Cod r• ~ a License No. C~~- `,~ ~'I ,~~_ .~''~'~ Exp. ~'w Yelm us. ic. No. Description of Work ~ %'~ `~ ~ ,~~•~ OFFICIAL USE ONLY ermit Type: Sq. ft. per floor: (1st) ~`~ (2nd) Residential Sign Sewer Septic Approval No. ~mmercial 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. -, ~ ~~ Z ''~'i ~.a #" ~ l ~ , .'t, ~~^I ' ` ~ / l~ ~~ Sets of Prints Other # __, Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) ~' Mechanical Permit #~ ~ ter` ler.- ,-~•. ~~~ . y .... ~ TOTAL FEE °~..;~ ~~{,, - Plan Check By 7 =_ ... -..~?~s. Minimum distance of structure from property lines: ~ ~ ~ ~ ~', { ) ~ ) Issued By.r~.."-_~ '' ~ ~~ ~ ~~~ .C'~ Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicabfb City of Yelm reg- Submitted-/~ ulations including those governing zoning and land subdivision, and in addition, all covenants,~easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. ~`a Signature Date Quarterly Reports Firm: AssessorJ/ TRPC ~ ~ ~'. CITY OF YELM BUILDING DEPT. Phone: 458-8407 Buildiftg-Permit ~~ __- a6 Date ~' ~' ~~ (Work must be started within 120 days) -_ w Name \ .' ~ a ~ ' ~ y~l r tJ 1 t ., ( EJ ; ~ ~ 2C ~ _ rnvnel ~t ~l ..}, °' t a ~~ ~ Add } t/ ~ 1 i ;,. ';'!" ~ ~ l r t ~ ' City ~~.~ ~~ ~~~ St , (~ ip Code ~ ~`~ - ress ., ,i ~ . e"! ~ ~ t r i '~ ~' ~ ~~ ~ ~ ' ~ ~~ ~ ~ t f' ~ ~ ~~ a_{ ' ,-, ) j Site Address ( i , ~, . ~' ,~ " ~: ~ ' "" ~ ~~ ~ ~ f l ~ ~ a s Parcel No. ~ Assessor ,, ~ ~ -- :~ --- Lot Size (sq. ft/acres) 0 a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: ' '' O N Name `~~ ~ ` ~,~'~~ ~' ~ Contact Phone ( ) r A Address City St. Zip Code T R ~. ? License No. ~ ~-~' j ~ Exp. ~ ~ Yelm Bus. Lic. No. (~ j 4 ~.~ \ , lI Description of Work ..~~ ?~ ~+' r1 ~ ~ ~:~-'~ 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 Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # ' ~r ~ ~~ - (`~`~ {~~~..^. Plan Check By ._,~ '~ -y-..,7 ~ ~,,'{ TOTAL FEE r ~ ~,_ ,, Minimum distance of structure from property lines: Issued By-.-~ ~ ~%~ ~ : t..f ( Front to of Road Final Insp:__~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted-./~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. 1 ~. / Signature <.-~ Date, ~ r7 Quarterly Reports Firm: Assessor ~ / TRPC / _~ CITY OF YELM BUILDING DEPT. Phone: 458-8407 Site Address ~~" ~ ~ ~~,Q { ~ ~~t~~ ~~ ~_.~~ ~-~~ o Assessor's Parcel No. ;_'`~ i ~ ~~~~'"" ~ ~ ~ `~;~~ ~~ yy (~-'' ~ ~ c~~-~-J ~~~ Lot Size (sq.ft/acres) P R Subdivision Lot Block r Y OR Short Plat No. Block Existing Structures, if any: c N ; , ~. Name.,,, ~~~ r~~ ( ~ v`~'~ _ ~-) ~;. ~ Contact Phone( ) T ~. ~t~i~ ~ Address ~ ' ' ~ ~ ., :'••. i ' '~ ~ _ City ~ ~ " ~ ~1 ~' ~ i ~~~ Code~~ ~ f ~ , ~ : ! ~ _ , r . . . ~ L. . ~ p . . ... T a License No. Exp. Yelm Bus. Lic. No. Fir ~f ~`A__~ ~ ~1'`p ' `°- Desc ription of Work ~ OFFICIAL USE ONLY s-.~-~-1-' `~. '} l t `• ~ ~ I l k ~~ ~, l r ' r~ ...- ` Permit yp . ~ . •t _, + .. ._ 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 ,( / .~ `,, j ~,~~ ; ~ Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) ~~~,} Mechanical Permit #_~ € '~ ~'' TOTAL FEE t f ~ ~ ~ ~ ~-~~ Minimum distance of structure from property lines r Front to of Road Side Side Rear Applicants Affidavit: I certify that 1 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 reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contr~ctQr, I further certify that I am a currently registered contractor in the State of Washington. j - Firm Plan Check Qy ~ ~~°'r+ Issued By.. % ~; 1l`~..~_~ ( Final Insp:~/ Owner L&I Form Assessor Floor Plan and Permit Submitted~J Quarterly Reports Assessor-/~ TRPC ~ / t_ ., ., ~ ~ ~ " .. ..----- Buildin§ Per 't ~0 ,~ 6 0 71~ Date ~ ~ ~~ rf (Work my+st be started within 120`days) Site Address ~_,> ~ _} a ~~rv-- ;~-~ ~ .. ;, ti `ti,1 . ' ~'~~ ` ~ ~ ~ ~ ` ~ ~.~ ~ a Assessor s Parcel No. ~ ' ~, ;, ~J,f ~ Lot Size ( sq.ft/acres) 0 P R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N ~ ; ,, ,-. ,, ~. Name ~ ~~ ~~~'',~ k:-~~~. ~" ~..~~ . ...,,~,, Contact r ~. ~ _ r~ , Phone.(..fl~t_•~l'.~." ~.._~ A Address _.}, _ t ~~° ~ ~ _~~~ ~ Cit 1; ~ •? ~, ` y1 St Zi Code { i T °a License No. "~`,~~,t ~ ,,~ , ,.~.-- ,~.., ~ E ~ •{, ~ r_.l ~l-, .~ Exp. n~,~ Yelm Bus. Lic. No. ` t ! ~L?, Description of Work '~ ~'~Y- r ' ~ )' ~-- (/ ~ - ~, OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~ ~ °} ~" .~ r-r ! ,~ r`r ~ '~~ ~ ~,, ~~ ,,1 Sets of Prints Other a { ,(~ Plumbing Permit # ~::` j ~, a , WA ST BC Fee ; '~ (4 50-New Const Onl ) ~ ~~ ~ ~ Mechanical Permtt # ~~`~ !", . . . , . . y ,, ... W TOTAL FEE ~ .:a ti ,_.7 ' ~t ~ ~ '~ ~ ~-- 4 f ; Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants 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 reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, 1 further certify that I am a currently registered contractor in the State of Washington. _. _ _ c___...-_ k .~~ I ! r. _._ f i _ _,_ r ---~ Firm: ~ ~~; y...~ ..~ F r ` Plan Check By A ~' r"l ~ ~ d Issued By ~ ..-$ ~„ ._-'~~~ " ~. ; # Final Insp:JJ Owner L&I Form Assessor Floor Plan and Permit Submitted-/_~ Quarterly Reports Assessor~~ TRPC ~ -J CITY OF YELM Building rmit ~° 6 ®7 3 BUILDING DEPT. ~'_~ ` `~ Date ~"`~ Phone: 458-8407 (Work must a started within 120 days) , _ f CITY OF YELM BUILDING DEPT. Phone: 458-8407 0 w N E R Building Perm' ~~ - g`~'~. Date ~ ~ "" ~ ~.~.~ (V~ork must be started within 1~0 days) (Assessor's Parcel No. ~ ~ ~ ~ ~ / C~ ~ {~ ?~(~ Lot Size (sq.ft/acres) P R R Subdivision ~' ~~ (~/ ~~~,iti ,~J j ~,(~ ~~ G/) Lot ~~ ~ ~-~ Block r Y OR Short Plat No. Block Existing Structures, if any: N Name ~ '~ . ~;t~',? ~~ ~?~ Contact // Phone ( ) ~~,~~ `~f;,~ T Address r ~ ~ ,, ~ City St. ~ ~~,7~Zip Code ~"~~ ~ ~ R License No. ~: ~ '~~ ~ r Exp. f Yelm Bus. Lic. No. Description of Work ~ r%, ! ~' ~','-~, OFFICIAL USE ONLY ~" Permit Type: f Sq. ft. per floor: (1st) (2nd) r, Residential V 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 ~",~~~{ Pl bi P i Other um ng erm t #~~ / S ~ , ~ ,,.r.~,/rr `~ WA. ST. BC. Fee (4.50- New Const. Only) , ( / Mechanical Permit #~ TOTAL FEE ~ ~ , (~ Plan Check By . %/. ~ ~' Zi.) ~~ ~') Minimum distance of structure from property lines: Issued Byff'~ Front to of Road Final InspY~ ~ " Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~J ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. ~~ ~. Signature p"" \rY~.,--~\ \.~t~°) `~,:.,~,R, S; --~ Date ,' .j ~ Quarterly Reports Firm: '•~.i AssessorJ~ TRPC / _/ -~~ NtW UEVtLUI'MtN 1 / Nt W (:UN51 KU(:IIUN l:NtI:KLIS I BITE ADDRESS s ~5,rj ~9 -F° 5' C ~6d L Nt. [ TI ~flT1 d 1v ~~~~ Permit # It Applicable SEWER PERMIT SEWER LATECOMERS •SEWER/SEPTIC SITE PLAN ACCESS 8 DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT 5~~ PLUMBING PERMIT `r~ 7~ MECHANICAL PERMIT ~ 7 S3 GRADING PERMIT 81DEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. TFC - TRANSPORTATION FACILITIES CHARGE- ADDITIONAL COMMENTS ~~~ PERMIT/INSPECTION PER ERU HOOK-UP Puget Power 458-7731 Yelm Tele. 458-2171 +.~.~ ~~ w ~m nw vw er c vr~rnp Tn FINAL_ INSPECTION 9Y CITY OF YELM BUILDING DEPT. Phone: 458-8407 Building Permit ~,°~~~ __.fi 6 ~ ~ 4 Date (~~E ~-~..[ ~ C' (Work must be started within 120 days) ~..~ N Name ~'; ~~ Phone( )~ R Address /~ A City St. ip Code f~ Site Address / R Assessor's Parcel No. ~'~ ` .-r ~,`~ ~ /(./ ~j (;! Lot Size (sq.ft/acres) 0 P e R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: o N Name J ~ Contact ~. ~ i" Phone ( ) T Address /'j- '~!~ ~ f '~/~ , Cit St. ~ Zip Code R License No. !`} Exp. f Yelm Bus. Lic. No. f Description of Work OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential -Sign Sewer Septic Approval No. CommercialOther 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 1 Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit #~ 7 P TOTAL FEE ~ Plan Check Byv ~ ~ f' r Minimum distance of structure from property lines: Issued By Front to of Road Final Insp: ~7 0 / l /t Side Side Rear Owner L&I Form Applicants 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 reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Assessor Floor Plan and Permit Submitted~~ Signature Date Quarterly Reports Firm: Assessor~~ TRPC ~ J i „ r. ,~ , NEW UEVELU/'MEN 1 /NEW GUNS I ttUC:IIUN cHEC;ICLIS 1 SITE ADDRESS: SEWER PERMIT SEWER LATECOMERS "SEWERISEPTIC SITE PLAN ACCESS l~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING Permit # Fee If Receipt If Applicable Applicable # ~ / Q $125.00 $1,000.00 ~/ ~i Comments PERMIT/INSPECTION PER ERU HOOK-UP Puget Power 458-7731 Yelm Tele. 458-2171 Ily ~,~ ~~ = nca z°s ~ 5d N~ /I//A YELM BUSINESS LIC. I I $30.00 TFC - TRANSPORTATION FACILITIES CHARGE- ADDITIONAL COMMENTS '"DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM Building Permit N°_ - . -~ ®7 ~ BUILDING DEPT. Date ~ ~ ~' ~'~°~~ "` `"'~ Phone: 458-8407 (Work must be started within 120 days) .,~ w Name . ~ ~., l ~ ~`~ ~ ~ ;v ~; _ ~ 4 Phone ( 1 `. "` J N ~ E _ Address ~ ~ ~r.`~ ) '~(_ Cit ~ ~ St ,. ~ ~ ~ ~. Zip Code ry ~f- f Site Address ~ ' ~ ~° ~, ~ P 1 Assessor's Parcel No~~ 1 ~ t '~~'~ T j~~' Lot Sizes ft/acres a Subdivision ~ ~"~-~~~~-~,F' {~ !' _.~~ (~ ~~~~ ~~ Lot t~ Block r Y OR Short Plat No. Block Existing Structures, if any: N e ~ l~~ Na ~ `~ Contact ( ` ~_ ~' ~ ~~~~ i ..~r,~~.~-~~r ~,. Phone'( _ , m 4_ ~ € . T Address ~'~, ._ _~ ::- ~. ,y.,_, ~ l .. ~' ~ ~ -~~ ` ~ '`' : City ;~t"'?--~~ ;' St ,_ , 1 Zip Code '.. „ ~ ,~(~:j ~ ~°'/ '~~ Yelm ' f J ' E ~ Ex Li N ' ~"~ -~J ~ Bus Lic No ~ J a p. i cense ( ~'_~/ o. , e f . . . ., - Description of Work .~. ''`~`- 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 F E FEE Floor Plan Y N __ - Buildin Value g ~~ N- ~~ d- ~, .. ~ ti . '~~ r ~! <'~'C.` r% `'~~ Sets of Prints Other Plumbing Permit # ~ ~ ~^}` ~'' ~. / ,..., ~ .,, f ~ ' 1 ( ? ~" ~' WA. ST. BC. Fee (4.50-New Const. Only) _j ,,. r Mechanical Permit # ~ ' ' ~ ' TOTAL FEE _ ~ ~.__. ~ ~_ Plan Check By + )rt/ Minimum distance of structure from property lines: Issued By ~ ~~ t f `~-' 3 )i ~~.~ - Front to of Road Final Insp:~J Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. '~ 1 ~' ' 7 ' Signature ,` `A', Date . ,~~~:;~'j,:.~' Quarterly Reports Firm: Assessor ~ J TRPC ~ ~ ~, g, ~.;; _~-. ~.~~ ~'' =' , 'i CITY OF YELM BUILDING DEPT. Phone: 458-8407 ', N Name ~ ~_ti;..~ r~_"~ ~'~`~ ~C_~fi(!.,.k:' Buildin~ Per Emit ~~,._ 6 Q ~ 0 Date t ~ L`- ~'~~ (Work must be started within 120 days) :~1i~~} ' ~:` ~ ~,,. Phone ( ).. -~ ~,~._ ~ ~ ~~ ! X + ,.. y R .--..~., . ... 7 a Address ~"_ ~'"`~) `~' _:~ _ ~.~ ~ ~..=~ City ;"~ ~ )_~ ,) St~~.-,~'( Zip Code C.. ' ' /-~.,.~ f y~ ! Site Address y~;,C , 1 + P t ~~~j'>f.~-~- '~ ~~.~~ `- ~(~ I I"3 ~ ~ ~~. a Assessor's Parcel No. ~„~r ~ ~ ? ~ (( r-' ' ~ j %~ ~ Lot Size (sq.ft/acres) 0 R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N ~~/~~ (? Name `'`~Va"l.-{','~,it...- -' Contact Phone ( ) r Address City St. Zip Code T °a 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 _ ~, ' Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) 1 - ~ -`~ ''~ ~ Mechanical Permit # TOTAL FEE ` `~ ~ f ~ ~ ~('~~ ~ 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 Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature--~ _,~;.-_, :~ ~ ",y;, , ~----"---.- Date ~.a,,, / ( -~~ Quarterly Reports Firm: ¢"T, i,~,-i r.y;" ~a7rC / Jrr,<. "~ t"c.nTt Y~ Assessor-/J TRPC ~ ~ CITY OF YELM BUILDING DEPT. Phone: 458-8407 Building~er it; ~ f~ 6 t~~.. , ~ _ Date (Work must b`e~st ~1 within 120 days ~~ r N Name ~'~ " , ~~' ~ ~ r ~ .,~ ~ ` ~ ~~ Phone ( ) ... ~~ a ~ `.`.J - '. _ _ ,., (._ ~ L { 1.,~ . Ci de' `~' l - t~ ~" ~~ Zi C Address 1 _. 1 a~,. ~>._ _..~ ty, o _ P 7 Site Address~'t~" . -? r - `~- % • - ~ t - ~ ~ ~' R Assessor's Parcel No. '' ~ ~~/ ' Lot Size (sq.ft/acres) 0 P e R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N f '+ l Contact Phone ( ) . " ~ ~, g z g ~ y . ~~ T Address ~~~-'' City St. Zip Code a License No. Exp. Yelm Bus. Lic. No,.~ ~ ~1~,:~, l ~ ) 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 Buildin Value ,_._. ~ ~ -- ' ~ ` ~ }+ {~~~ ! J ` Sets of Prints g _~ . ,,,.~ - \ ,` ... Other i Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE ~ ~ Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants 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 reg- ulations including those governing zoning t#nd land subdivision, and in addition, all covenants, easements and restrictions of record. If applyigg as a contractor, I further certify that I am a currently registered contractor in the State of Washington. !' ..,. /' .. Signature Firm: '~ l4~~, Plan Check BY ~- ~` -~ ;;~ _. ~~ i ~~, E Issued 8~.,.~ j ~..~ ~' .~.. 7~.a~_ +; i Final Insp:I~ Owner L&I Form Assessor Floor Plan and Permit Submitted~~ Quarterly Reports Assessor-// TRPC ~ J CITY OF YELM BUILDING DEPT. Phone: 458-8407 "~. ~- Bui~ding~ ~ermi~ ~°~; ~,.~~~ 6 ~ 6 6 Date (1 f ._` ~ (Work must be started within 120 days) w i~, I _s J _ ~`~ - ' ~ ~._ Name ~~_ 1 ~~ -> t ~~ R Address ~ Y~ ~ r~ ~ ' - ~~- ,; Cit ' ,, ~.~ St. , _ {. Zip Code ~' Site Address ~ ,.~'~ /~ ~..~;'~"~' . ' ~ ' ~~~``~ ~~ ` ~~~ c" ~ R Assessor s Parcel No. ,~ ~ ~ , .- Lot Size (sq.ft/acres) 0 R Subdivision Lot Block r Y OR Short Plat No. Block Existing Structures, if any: N Name ~~ ~ ~~~ Contact Phone ( ) T Address City St. Zip Code o R ~ ~ License No. i Exp. Yelm Bus. Lic. No. Description of Work ~ ;~' .. '" ~'~. .,`~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 ~ r ` ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value °~'-- '~~ Mr ~ 1 ~ ''~~ , (~, Sets of Prints Other ~~ _~ '`~,~.~ ,~~. Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) '~"`~; `~ .= ~ Mechanical Permit # TOTAL FEE 6 ~~~~ ~ ~~~ a ~" Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants Affidavit: I certify that 1 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 reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of recorcJ,-1#-Spplying as a contractor, I further certify that I am a currently registered contractor in the State of Washinatdn. j' ' I _.- ~~ Plan Check By ~'"-~ ~ ''~ ~r _' i Issued By.. ~:'~~.~.._~l, ~ Final Insp:lJ Owner L&I Form Assessor Floor Plan and Permit Submitted~~ Quarterly Reports Firm Assessor~~ TRPC / ~ CITY OF YELM BUILDING DEPT. Phone: 458-8407 w Name ~ -C: ~~ ~-~'~.4_'_.. -#° l~- - 'j l x:.. a.._. ~~ l~t .~-'~ . Phon A I Address ; d-, /~- ~ (=C Zi Code *"j ~~ (~ j St ~ ~~ y ,~ ~, ~ ,ti_, ~ ~ y . p _ ~i Site Address 4t C(~J f ~~~ -',(~ ~,jd,1 ~ _ ~~ i / ~'~~~'~i ` ~ o ~`~ Assessor's Parcel No. - (~~'~ ~l I~' /~ /ry `~ ~ (}~,~t~ ~ ~ ~f' ~~, Lot Size (sq.ft/acres) E R Subdivision L%~(~~.~:~_(„(~. , ~I;'~~',, ~, Lot ~~ Block T Y OR Short Plat No. Block Existing Structures, if any: c N ,~ .-, ~, , Names..,~r'~~.z'., (.t~ :..'; ( `r `~.i~~~f'~~:,,'k_,,: Contact Phone( ) R ~ Address City St. Zip Code r a° License No. Exp. Yelm Bus. Lic. No. Description of Work ~~ti. '' ',?t,! ~.~- ""~ ~ (` ~ ~, ~.: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 Building Value { ~~,r .y~} (' ~~ ~ _~ __,:(~? Sets of Prints JL~~ Other Plumbing Permit # r ~`~ ~~ `~ ~ WA. ST. BC. Fee (4.50-New Const. Only) ~ ,~ Mechanical Permit ~` - TOTAL FEE Plan Check By~ ~•~.=<~7`t,~' - S___. Minimum distance of structure from property lines: Issued Byl--~~ 1~~,-? °w~ -~ ~ Front to of Road Finallnsp:~ / Side Side Rear Owner L&1 Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. •1 .. ___...._~ f_. Signature /~ fol., f .- ; Date ~ .r~- p , l / r Firm:, ; ~f ~ _'>.r.,a~~f'i~ )~~ i! -~_.- .~ ~ ~ . ~ / /'~ /~~ ~~ ) Buildin Per it ~;® ~ ~ a 6 J 9 ~~ Date ~ ~-- .~~'- ~~ (Work must be started within 120 days) ~J, ~ Quarterly Reports Assessor-/~ TRPC J / NEW DEVELOPMENT/NEW CONSTRUCTION CHECKLIST SITE ADDRESS: I ~x I ~~ TYPE PERMTT # FEE RECEIPT # COMMENTS SEWER PERMIT ~ 4~ . (~ ~`; O SEWER LATECOMERS SEWER/SEPTIC* SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS WATER METER* O WATER SERVICE ERU'S ~~ D `~ ° ~7 CONSUMER DEPOSIT ~~ POWER TELEPHONE STATE/C0 APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT ~ ~ ~~,~ ~ ~~ ~~ MECHANICAL PERMIT ~~ PLUMBING PERMIT ~ ~~~ ~ ~, 07 GRADING PERMTT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LICENSE# TFC-TRANSPORTATION FACILITY CHARGE *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY THE YELM BUILDING DEPARTMENT C:\OFFICE\DOCUMENT\INSPSHT. WPD w Site Address G l i/Z,-,f, ~ a R Assessor's Parcel No. j a< Lot Size (sq.ft/acres) R Subdivision y ~ o Lot ~ Block T Y OR Short Plat No. Block Existing Structures, if any: c o N Name / Contact Phone ( ) T Address City St. Zip Code r °a License No. Exp. Yelm Bus. Lic. No. Description of Work ,-~ / ~ ;I ) ' ,! OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other °. 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 ~ '~ ,~ ~ , Sets of Prints Permit # Plumbin ~ Other g _ '~ ~~ M i l P it # ~~~~ h WA. ST. BC. Fee (4.50-New Const. On ly) an ca erm ec CITY OF YELM BUILDING DEPT. Phone: 458-8407 0 w N E R Building Permit o ~ ®~ 3 Z Date i (~~--~'` (Work must be started within 120 days) ~~ ~ ~~'~ ~f.~ TOTAL FEE ~ / ~ ~~ Plan Check By Minimum distance of structure from property lines: Issued By /~ Front to of Road Final Insp:l /3~ J Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. ,.~ Signature , -°~?` {' '"~ •' c!`~<:-~-'~ ~-•-""" Date Quarterly Reports _ _... ,F Firm: ,, `~~ ,,~ - "z`~ d r'°1,r! ~ ~/ ~~.~,~,~ ~... I rv ~ Assessor~~ r '~ TRPC ~ ~ NEW UEVELUNMENt /NEW (;UNS11lUL!)UN c:HI=(:ICLISI SITE ADDRESS: Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 I-~~I ~ PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 ~`Tt'!3 PER ERU HOOK-UP SITE PLAN ACCESS 8 DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~ 9~,~ ~~~ WATER SERV. ORDER ~~~~ ~~ ~~~ POWER PugeF Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~~ 7 ~ ~ ~ ~~ BUILDING PERMIT ~ ~~~ ~ ~ ~~ J~ ~ I ~ ~ Z vac.! z°'S ~ 5d ~ ~ C. F'ee PLUMBING PERMIT 5 ~~ ~ ~~'~~ ~~ MECHANICAL PERMIT 55~~ J 7 ~r J~(~ ~ 1 GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ' • //~~ nn ~~~ ~~ttUi'~~~ ~ ~ r ~ ~~~ t/p~' TFC - TRANfSPORTATIQN FACILIT ADDITIONAL COMMENTS DUE AND PAYABLE PRIOR TO FIN IES CHARGE'- AL INSPECTION BY j ~ liV~n~T/T~ n~u~' ,1`C"/" /" CITY OF YELM Building Per . 't ~° 6 0 6 2 BUILDING DEPT. Date ~ ~ ` ~ ~"" ~ f Phone: 458-8407 (YW~o(rk must be started within 120 days) ({ w Name % ~ , Y~ Phone ( ) ~~9- ~~~(,~ R Address `~ t `~ ~"'f r°° ~ ~, /`i' ity ~ St. Zip Code `~~~~-'G~~ Site Address ~ ,~~ ri -~ a Assessor's Parcel No. ~ ~~ ~ ~~ Lot Size (sq.ft/acres) E Subdivision ~ ' ~ ~ ' Lot Block r Y OR Short Plat No. Block Existing Structures, if any: c N Name %'1/~'Yt.O~,J/,?.~.' „~,~yl~ ,~ Contact Phone( ) Address City St. Zip Code T ~ i franca Nn Exo. Yelm Bus. Lic. No. Description of Work ' ,~ ~ 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 Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value 1,~ `'l ~` / , ~ n ~j ~~ j~U Sets of Prints Other ,r: Plumbing Permit #~~ WA. ST. BC. Fee (4.50-New Const. Only) '~~ ~~ .r°- ,~g Mechanical Permit ~/ TOTAL FEE „~ ~ ~ ~ [,B Plan Check B ;r Minimum distance of structure from property lines: Issued By Front to of Road Finallnsp:~~~ ~` Side Side Rear Owner L&I Form Applicants 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 reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Assessor Floor Plan and Permit Submitted~~ Signature f 1~' ~ ~/~ ~ ~ Date ~ ~ • ~ Quarterly Reports •~ ~ Firm: f -.~ ~`~~ ~.,~;~= ~- X ~ } Assessor~~ TRPC ~ ~ NEW UEVELUNMEN! /NEW (:UN511tUt;IIUN (:IIE(:KLISI SITE ADDRES5: Permit # IF Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 ~-'1 ~ (~ PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 ~" T"i' PER ERU HOOK-UP SITE PLAN ACCESS 8~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~~~~ ~ (, '~ ~ ~ J WATER SERV. ORDER 'J~~, ~ ~ 1 I r POWER PugeF Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT - PLAN REVIEW / ` ~ /~ ~ ~ ~ J BUILDING PERMIT //~ (ioOco Z / ~2 ~~ ~~ ~ ~ ~ ~ 'I'vLc1 z°s , 5d i,~J. C. F'ee PLUMBING PERMIT ~~` 63 ~~~ ~D ~ ~ J MECHANICAL PERMIT 5'SZ ~ 7~~ ~d y~ I ~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 TFC - TRANSPORTATION FACILITIES CHARGE- ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION 8Y CITY OF YELM BUILDING DEPT. Phone: 458-8407 Building P rlnit N°_ ~ ,_.~ ®6._ ~~,._. Date (lWorklnus~ be started within 120 days) N Name rf !, ~^,a ,; ~ 4 'r < ~ Phone ( ) R Address ~ ~7` ~ ~9 f .~ City :? St. ip Coder /j Site Address ~' JJ t S~-' ~ l,~, 1"~; ~~ '. ` a Assessor's Pare No ~ ~ ~ ~ 1 ~(~ Lot Size (s ft/acres) . , q. 0 P a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: ~ ~ l . ' ~ t ~ d ~~ ~ ~ N Name~ f l~ ' ~~ ~' Contact r Phone ( ) ( ~ Y ! Address ~ Cit !' St ~ Zip Code ~ !"~?~ s , y . °a License No. f~ .1 ~ -~ ~ C`7 /V Exp. Yelm Bus. Lic. No. Description of Work , ~ f (t'%! / ~ ~~ OFFICIAL USE ONLY u' Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septi c 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 Sets of Prints ~~ Other / f Plumbing Permit #_~ ~~ WA. ST. BC. Fee (4.50-New Const. Only) ~ ,~ ,{ Mechanical Permit #11 TOTAL FEE J ~,! ~ ~J `S" Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants Affidavit: t 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 reg- ulation~fndln~ng those gover~ing zoning and land subdivision, and in addition, all covenants, easements and restrigtions of rec~ord. If applyi~g as a contractor, I further certify that I am a currently registered contractor in the Stateof Washington. i i Signature ` ,, ` ~` t, ~ ~.°-, ~ Date (L1 ~~-~ ~°j~"~ ~~_-- Firm: Plan Check By ~ ~ ^;aJ~, ~:' ~ /~ Issued By " ~" =J Final Insp:J/ Owner L&I Form Assessor Floor Plan and Permit Submitted~_./ Quarterly Reports Assessor~~ TRPC / ~ CITY OF YELM Building ~} ~- Q ermit ~°_,. BUILDING DEPT. Date ~ ~' ' within 0 day rp ust be s t a rt e d Phone: 458-8407 (Worly / ~ f ~~ C Al / I: ... ~~t" ~.e '/-' 7J j; ~"" / ~ t 7 1 ©~~l ~` w -.. _. ~.r ti.. ~...._., i - ti ~ N . , Phone ( ) ~- ~ ~~ ame ( ,, E R 1 , ~" ~'' Address ~ ~ ~ - ~'" City St. Zip Code .r ~ ~' ~~ ~" ` Site Address r , ~ ~ ~ <..,~,. ~, f a / Assessor's Parcel No. ~''~ j ~ '~~ ~,,~/~ ~Y~~ Lot Size (sq.ft/acres) 0 a Subdivision Lot Block r Y OR Short Plat No. Block Existing Structures, if any: a N f' Name ;< r ~l-p' Contact Phone ( ) T Address City St. Zip Code T a License No. Exp. Yelm Bus. Lic. No. r f~ .~ ~ ~, Description of Work ~~~ ~,~ 0 OFFICIAL USE ONLY 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 Building Value - ? /~ ~~ ~~ ~'"~ 'r' ` "~ Sets of Prints Other Plumbing Permit #_ °~ ~ / ~ P i ' ~ WA. ST. BC. Fee (4.50-New Const. Only) ( Mechanical erm t # + TOTAL FEE ~ ~ ~ ~ s 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 Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted)-~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the ., State of Washington. J ` Signature ~~ ~.~" ~'.~ -''~ ~ f / , rk, ,. Date ~ '- ~ ~- ~~ Quarterly Reports ,. ~' Firm: y Assessor ~ _~ TRPC ~ ~ r ~~ ~. ~ 1 NEW UEVELUI'MEN1 /NEW (;UN5lKU(;IIUN c;NE~nusl SITE ADDRESS: ~~'j~/__7__~~z"5 ~~J ~ / Permit # ~ Fee If SEWER PERMIT SEWER LATECOMERS "SEWER/SEPTIC SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKSICURBS LANDSCAPING If Applicable Applicable /~ /~/~ $125.00 N/A $1,000.00 Receipt # Comments PERMIT/INSPECTION PER ERU HOOK-UP Puget Power 458-7731 Yelm Tele. 458-2171 6d~O0 N/R /~/A ~ (D, Z~ ~9. S~ =Y~C-I L~di.°5 Y~ W . C, F'ee YELM BUSINESS LIC. I I $30.00 TFC - TRANSPORTATION FACILITIES CHARGE- ADDITIONAL COMMENTS DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM Building Permit N_° -,~~57 BUILDING DEPT. Date i~„~~'----1~~~-'--~-~j~` r' Phone: 458-8407 (Work must be started within 120 days) N Name ~/~~~`~I.~ .~ ,-~jfi'if'1 .~ Phone ( ) E a Address City St. Zip Code ~ ' ~ , Site Address a Assessor's Parcel No. r~ ~ t '~~ Lot Size (sq.ft/acres) 0 P E R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N Name '' ~ ? Contact Phone ( ) r Address City St. Zip Code r a License No. Exp. Yelm Bus. Lic. No. Description of Work 1 ~ ~/ ~ , j OFFICIAL USE ONLY Permit Type: " ~ l Si ~ R id i Sq. ft. per floor: (1st) (2nd) gn__ ent a es 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 r!} ~ !~ ~ Plumbing Permit #_~~ 1 WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # ~ TOTAL FEE ~(~~ ~ Plan Check B ~ Minimum distance of structure from property lines: Issued By Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted_~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature l - "" ~ ~""""~~~ Date~~? ~j,~~'"" Quarterly Reports "•" ~ = Firm: Assessor~~ TRPC ~ ~ t. r CITY OF YELM ,.BUILDING DEPT. :Phone: 458-8407 Building Permit N°_ ~--~ ' ~ 5 9 f fr. Date ~`- (Work must be started within 120 days) w Name 7 ~ / ~ f Phone ( ) "~~ --~ R Address ~ , - ~ ~ Cit ~ ,~ ~ St. Zip Code ~(f Site Address ; • ', ' `~ P R Assessor's Parcel No. `" ~ ~ ~ Lot Size (sq.ft/acres) O a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: C N t 'j Name ' ~' / . ~ ~ - ,Contact "'7 ,t'' Phone ( ) T , 9 s ~ ~ ~ Address / !' City / ~ St. Zip Code ~V vG~ a /~ Exp. Yelm Bus. Lic. No. , License No. ~ -~ G ,rr ~ (J Description of Work r "'~ ~ , OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign r i l O h C Sewer Septic Approval No. t e ommerc 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 Building Value 1~ ~ ,, j '~Yf Sets of Prints Other Plumbing Permit #~~ '~ ~ l P i M h i # WA. ST. BC. Fee (4.50-New Const. Only) , an ca erm t ec TOTAL FEE Plan Check By ~ Minimum distance of structure from property lines: Issued By Front to of Road Final Insp:I_~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted_~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If a~ as ~ contractor,,!-fiUrtrer certify that I am a currently registered contractor in the ` - State of Washin on. ~ ;/ ~ ; ' - ~ ,f %; Signature .,~!;.~ "'~~, ~ Date ~ ~ Quarterly Reports i Firm: Assessor J J TRPC J / NtW UEV~LUNiVftN I / NI=W GUNS 1 ItUt; IIUN (:HI:(:ttLls I SITE ADDRESS: (f ~ Permit # Fee if Receipt If Applicable Applicable # Comments SEWER PERMIT ~~~ $125.00 PERMIT/INSPECTION SEWER LATECOMERS *SEWER/SEPTIC `~ $1,000.00 PER ERU HOOK-UP SITE PLAN ACCESS 8~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER fU ~- WATER SERV. ORDER ~~~ POWER Puget Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW Q.~/ o !• ~~ /,, lt%` ~~~ BUILDING PERMIT ~ ~~~. ~~ } ~/ Yn~ ~ ,Sd UJ, C, Fee PLUMBING PERMIT /U ,~ MECHANICAL PERMIT ~tO f ~' GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. I I $30.00 TFC - TRANSPORTATION FACILITIES CHARGE- ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM Building P rmi~N~°_.~ ~, ,~ ©5 ~ BUILDING DEPT. Date ~.~'-~ ~ ~~-' ~ Phone: 458-8407 ~ ..~~//(~Work must be started within 120 days) 1~,' ~ ~ '/f Jf / j ~{''~ ~y Ni Name j~ //`'' Phone ( ) t,, / tl .-~ ~7 .~ J w \ .. .h n ~. s^s .~ R Address , ~ City St. Zip Code `%' ~ Site Address a Assessor's Parcel No. ~/'~ -~ /1 ~ Lot Size (sq.ft/acres) o R Subdivision ~ Lot f Block T Y OR Short Plat No. Block Existing Structures, if any: o N Name , Contact Phone ( ) T R ~ Address City St. Zip Code T R License No. ~ Q~ ~ 4~ ,~. ,,,~ Exp. Yelm Bus. Lic. No. l Description of Work .~,» 5 ~ OFFICIAL USE ONLY ~ Permit Type: l Sq. ft. per floor: (1st) (2nd) Residentia 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 ,~/ r~ Pl bi P i Other um ng erm t # p ~® WA. ST. BC. Fee (4.5 0-New Const. On ly) ,~ ~ Mechanical Permit Q` V TOTAL FEE , ,/~ Plan Check B ~ i , ` Minimum distance of structure from property lines: Issued By u Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm rag- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, 1 further certlry that 1 am a currently registered contractor In the State of Washington. Signature °' ~ ~-~ `"' Date ~ :~` ~^ -' ~ Quarterly Reports Firm: ,,-.-:: ~ .~ Assessor~I TRPC 1 _~ NtW UEVELUNML:N t / NtW GUNS 11tUC /1UN I:HEL-cLls ~ SITE ADDRESS s 1°~.'~/~ 'F /(Q~/ ~ ~~/S~X~/yl(,~i~~ ~'~ e~~ /~ Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 ~/~ PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC X ~ $1,000.00 ~~ PER ERU NOOK-UP SITE PLAN ACCESS 8 DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER p "I O~'~ L~~ ~ ~rE~ 2 D~Pd~~TS WATER SERV. ORDER ~'~(~~,Q~ ~ t~K-U~ POWER Pugef• Power 458-7731 • TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~~Z= 75 ~~ BUILDING PERMIT jj U~ ~~~ Q•) 0 17r •~~ I Y nca c°s ~ Sd (•U~ C, F'ee PLUMBING PERMIT ~ r~~ ~ o ~~ ~~ MECHANICAL PERMIT 5519 0 ~• ~~ I GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ~~ ' TFC - TRANSPORTATION FACILITIES CHARGF- ADDITIONAL COMMENTS DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM BUILDING DEPT. Phone: 458-8407 Building~F' rr~it N~r°~~'j s Q J 2 Date `~ ~ ~ 7 l (Work must be started within 120 days) N Name ~ ' .:~ ,9 ~ ~-_ r ;_. /I Phone ( ) ~ -' G~ ~ ~; e Address ~~ ~ ~ ~ Cit ~, zi St Code ~ J ~ ; ~ ~ ~ y p . U / Site Address 1~ ~ ' ' f ~ %~ ~~/ ~'~,.~,~ t;.~.J L R Assessor's Parcel No. i ;,{ ~" Lot Size (sq.ft/acres) 0 P R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N Name % ~'~ ~? ~ ~ ~ Contact Phone ~~ `f ~-` ~~ a ? - .. t T L ~ ~~' Address ~~ ~ ,~i ~~ a ' /~~ r.. `~ ~ City ~ . ~ Zip Code ~~~ ,r T a License No. !` ~, ~' ' , r~ Exp. Yelm Bus. Lic. No. Description of Work '7 `` . ~~ + `'' ~ OFFICIAL USE ONLY ~` Permit Type: Si n Sq. ft. per floor: (1st) (2nd) g 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 Building Value Sets of Prints Other '` ~ ///~~ ~, ~~l ,~, ! t_:.l ,f~.,,. i ~ ~~ Plumbing Permit # ~ ,r M i l P i !~' ' WA. ST. BC. Fee (4.50-New Const. Only) echan erm ca t # + ~ TOTAL FEE ~ ~ ~ , ~. ~ ,,, Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants 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 reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington„=,x , Signature Firm: J Plan Check B ~ u~JUC.~t{._rr ~ `~~ Issued By ~ t Final Insp:~~ Owner L&I Form Assessor Floor Plan and Permit SubmittedJJ Quarterly Reports Assessor-/~ TRPC _/ / CITY OF YELM BUILDING DEPT. Phone: 458-8407 Building~F'~ermit ° ~ C Date .. , ,.. _- ~~ ~ (Wcxk must be st ed within 120 days) N Name - ' Phone ( ) 95' -- D~ ~~ R Address ,~, Ci r St. Zip Code Site Address ~ '' (~' P R Assessor's Parcel No. ~ Lot Size (sq.ft/acres) O a Subdivision ,'~ Lot ~ Block T Y OR Short Plat No. Block Existing Structures, if any: ' c N Name Contact Phone ( ) r Address City St. Zip Code r a t /. License No. / [.~ Exp. Yelm Bus. Lic. No. Description of Work ! ~ ' OFFICIAL USE ONLY Permit Type: f / 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 ~~,~ / Pl bi P i # Other erm um ng t ~ J "` ~~ WA. ST. BC. Fee (4.50-New Const. Only) j , Mechanical Permit #~L TOTAL FEE ~, ~ (~ Plan Check B ~ Minimum distance of structure from property lines: Issued By Front to of Road Final Insp:J/ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted_~l ulations including those governing zoning and land subdivision, and in addition, all covenants, easements- and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. ,,r~ Signature ~'°~{`~- !~r' '"~ ~~-~~ "`~ ..c. .- Date --,~ ~ -~~~ Quarterly Reports F~ Firm: s~.a~'.!_.t.n -~r--' ~P..-"' -~.~..~- Assessor~~ ;'f '~ TRPC ~ ~ ~~ NEW UEVtLUI'MEN ~ ~ NEW (:uNS 1 rtuc;l lull c;H~c:rc~ls r SITE ADDRESS : /r'~~'~'S~ /`~~ ~/ h l v" 0 (_~[~./C.J ~~ ~~ ~~ Permit # If Applicable Fee IF Applicable Receipt # Comments SEWER PERMIT $125.00 ~~~~ PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 U~~~ PER ERU HOOK-UP SITE PLAN ACCESS 8~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~~~,Q~ lsJ WATER SERV. ORDER 'z~~ , ~~ POWER Pugeh Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~ 7' i~ / ~, (y BUILDING PERMIT f%O~ ~~o (D Z ~~ 5D Yvtic.- z°s , 5d i-w. C, Fee PLUMBING PERMIT ~-~` Q ~ 93. a~ (~ MECHANICAL PERMIT 55l '7 ~Y5 ~~ ~~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 TFC - TRANSPORTATION FACILITIES CHARGE- ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY TLG VG/ AA DI )/1 A-A!/"! ACCT ~," ~, CITY OF YELM BUILDING DEPT. Phone: 458-8407 Buildin~~P~ermit °_ rW. 6~. Date`s (Work t b'~ sta d w thi 12 da ~s N ~ -~..:. - Name , "} , Phone ) ~j ! L E R •''~ t C ? + City St. Address Zip ode ~~ ~ ~~ ' $ Site Address ~ ,/~/ , cif (;(,. a Assessor's Parcel No. ~ ~~~~~~ Lot Size (sq.ft/acres) 0 a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c ~ *,:i . N + Contact Name Phone ( ) , O ~; T ,.~- Addres ~ ~ ~` ~~, ~ City St. ~ Zip Code ~~ r a , License No. '~ ~ ~ Exp. Yelm Bus. Lic. No. Description of Work f ,``~° f ~ ~`~'~ r1 , r OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign ~ Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value /~ r ~ ~' Sets of Prints Other Plumbing Permit #~~ ~j} l P it # ~ r M h i WA. ST. BC. Fee (4.50-New Const. Only) ~ tJ t./ ec an ca erm TOTAL FEE ~ ~ ~J Plan Check Minimum distance of structure from property lines: Issued By Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature f ..~'y~""f Datej Quarterly Reports Firm: Assessor~~ TRPC / ~ NEW UEVELUNINEN l /NEW (;UN5I KU(: l1UN (;HE(;KLIS SITE ADDRESS: 9~~ ~~~I J~i~~ i~[~ Permit # licable If App Fee if Applicable Receipt # Comments SEWER PERMIT / ~/~ $125.00 PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTiC ~ $1,000.00 PER ERU HOOK-UP SITE PLAN ACCESS il< DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~ j~ ` WATER SERV. ORDER ~ POWER Pugeh Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT _ PLAN REVIEW °~ ~ I vr~ ~ BUILDING PERMIT (p~~J ~d~. ~~ ~^~~, ~ W .. C• F'e ~ ' Sd PLUMBING PERMIT MECHANICAL PERMIT /~ ~~' GRADING PERMIT SIDEWALKSICURBS LANDSCAPING YELM BUSINESS LIC. $30.00 i TFC - TRANSPORTATION FACILITIES CHARGE- ADDITIONAL COMMENTS "DUE AND PAYABLE PR/OR TO FINAL INSPECTION BY TIII'~ •/ICI ^~ wIIII wl~fil wl~w.~. CITY OF YELM BUILDING DEPT. Phone: 458-8407 _-, Buildingr~Fiermit ~~ ~ ®~'~- Date ~~~ ` `~ .' ~- P (Woyk,must be star d within 120 d ys) ~~ c ~-~ -~ ~~ ~ C `~~~ w Name ~ ~ r ,,~ Phone ( ) N R _ ~~ Address ', ~ ~~ `~ ' ''~ City St. Zip Code Site Address ~ / At ~.J P R Assessor's Parcel No. 4 Lot Size (sq.ft/acres) O a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N ,/ ~ Name ' °. ~ ~ r3 ,l Contact Phone ( ) -^ ?~ T ~ ~,~ Address f +7 ',;~ ,7 ~ j~ /'~ ,~ ~ City St. Zip Code T R License No. Q ~ Exp. Yelm Bus. Lic. No. Description of Work ~ OFFICIAL USE ONLY Permit Type: Si n Sq. ft. per floor: (1st) (2nd) g 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 Building Value Sets of Prints Other ~~" ,~ ~ ~ ,~ Plumbing Permit # Mechanical Permit # ' ~ WA. ST. BC. Fee (4.50-New Const. Only) ~ ~ 1 P k B "~ ~~ C TOTAL FEE ( , VC,/ ye.- . lan hec Minimum distance of structure from property lines: r ~ Issued By Front to of Road Final Insp:~/ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. c: _- .-'~ ~:~ Signature ''' ~ ~ Date ~ ~`~ Quarterly Reports Firm: Assessor~~ TRPC ~ _/ CITY OF YELM .:BUILDING DEPT. Phone: 458-8407 N INam~% 1(~. ~,X....r Building P~rfnit N°. 6 Q.~~ Date ``,__,~' ,~; ~'~- C,! - (Work~~nust be artedwithin 120 days f Phone ( )'y~~j ~ ~ ~~,~ .., . a Address " ( ~` ' , City St. Zip Code Site Address ~ ~ jr ~ C P R Assessor's Parcel No. ~ ~~ Lot Size (sq.ft/acres) O R Subdivision Lot Block r Y OR Short Plat No. Block Existing Structures, if any: c N Name r` 9 Contact ~" Phone ( ) r s , ~ Address P i Cit ~ Zip Code St T a License No. Exp. Yelm Bus. Lic. No. Description of Work '~ %~l ~ OFFICIAL USE ONLY Permit Type: ~ l Si n R id i Sq. ft. per floor: (1st) (2nd) g ent a es 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 # 7 M h i l P it # WA. ST. BC. Fee (4.50- New Const. Only) an ca erm ec TOTAL FEE ~ ~ , ~,~~ Plan Check By d /~.o ~ s ' Minimum distance of structure from property lines: Issued By~ + Front to of Road Final Insp:J~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted/ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature _ ~._ ~ ~' -- `. ~ `. Date / - I , ; Quarterly Reports Firm Assessor ~ _~ TRPC ~ ~ CITY OF YELM , BUILDING DEPT. ' Phone: 458-8407 ,~ ~ , w Name ; ' .. N E ~ ~ ! f / ' ~ r~ f A ~ Address ~ ' ~ ;: ~~ Site Address R Assessor's Parcel No. r ,~ ~=~ ~ 0 P a Subdivision r Y OR Short Plat No. Existing Structures, if any: o N Nam /~~ / ~?' T Address ~ o ~! ~} y~ I iranSa Nn_ /'. ,9j li'er~~`~ ~1~~ / ~ ~ ~Ir3 /~ I Buildin,~ p ~'it N° ~ ® ~ o r Date ~~~_ C (Work myst be st ted within 12 days) i -^ Phone( ) City > ~~~`~ St/f ` Zip Code ~~~~,,~ Lot Size (sq.ft/acres) Lot Block Block Phone ( ),G ®° 1 r Q~ City St. ZipCode,r~~(ry~/ Exo. Yelm Bus. Lic. No. / /!/J Description of Work -"~ - '~r~f"~~ .,r.%, OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sig Sewer Septic Approval No. n 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 ,,'~ a~ ,y ' TOTAL FEE Q Plan Check Bye-- _~ Minimum distance of structure from property lines: Issued By Front to of Road Final Insp:~/ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined th information contained within the application and know the same to be true and correct. I also certify that the prq~osed structure is in conformity with all applicable City of Yelm reg- Submitted_~~ ulations in~,cludtl~g'Those governing zoning acid land subdivision, and in addition, all covenants, easements and restrictiops of record. If 2pplying as a cor9traptor, I further certify that I am a currently registered contractor in the State of Washington. /~ 1 Signature ''~, ,,,.: `-~~` .--, Date "~ ~~s ~ Quarterly Reports Firm: Assessor ~ / TRPC _~ l 4 .~ CITY OF YELM Building--P,~ermit N° ~,,. 6 ~ 2 ~ BUILDING DEPT. Date ~"~' ~~`"~~ Phone: 458-8407 (Work must be started within 120 days) ~~_ N ~ ? ~ l' ~~ Ph e (~~ ~~ ~~'~ N ame + ) on ( a Address ~ ~ ~ ' ~ ~ ~(~ Ci ! t. ~ Zip Code (P,~ Site Address ~,~ l ,~ ' l " ~~ (~~ R Assessor s Parcel No. fcO ~ Lot Size ( sq.ft/acres) o P a Subdivision Lot Block T Y OR Short Plat No. Block Existing St uctures, if any: N Name ~ ~ '~ ~ Contact Phone (~ ~) '~ ~d2"' ( ~~~ i j T ~ Address , < Zip Code ~ St. r R 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 i~ 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 l ~, ~ Sets of Prints i Other Plumbing Permit #~_ WA. ST. BC. Fee (4.50-New Const. Only) ,.i ~ Mechanical Permit # TOTAL FEE ! ~ ~ r ~('~ Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants 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 reg- ulations inclu~se goverm~9 zoning and land subdivision, and in addition, all covenants, easements and restrictions oi,fecord.'If applyina~as ~ contractor, I further certify that I am a currently registered contractor in the State of Washin'§tQn. _3;- f;i ~ ° ~ . /-~ , g e,/" , ~~ ~j~,r~4.A!// _~ ...._...~ Date ;~' ~:.. ~ Si natur / ` ~- Firm: ~" ".~ i ~) Plan Check B ~ .~ r Issued By 4 Final Insp:JJ Owner L&I Form Assessor Floor Plan and Permit Submitted~~ Quarterly Reports Assessor-/~ TRPC / ~ NEW UEVELUNMEN I /NEW (;UNS I ItUC:11UN (;NEI;KLIy I SITE ADDRESS: Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT ~~ o~ 1 $125.00 PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC ~~~~ $1,000.00 PER ERU HOOK-UP SITE PLAN ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~' ~- WATER SERV. ORDER ~~ ~- POWER PugeF Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~~' ~'~ ~~~ BUILDING PERMIT IrE"~~(~ l ~ ! ~ J~ E"e e ~ C~ ~ ' ~ PLUMBING PERMIT ~ p / V' /~ MECHANICAL PERMIT ~U GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 / ~~~~~ TFC - TRANfSPORTATION FACILITIES CHARGE- v ADDITIONAL COMMENTS ~ ` ~" rU' *DUE AND PAYABLE PR/OR TO FINAL INSPECTION BY ~-ur vr-_r ^~ nrm nr~r~ nt-_nr CITY OF YELM - BUILDING DEPT. Phone: 458-8407 Building ,Pgrmit ~ ~ ®~1 Date ~, , i` (1l1(ork7r~ust be sta ed within 120 days) } u ~~_.~. N ame % .~,,~ ~"~), - .~~ ', ~~ _, ,, it z. Phone ( ) tJ "' ;~ , e a } / , Address , ~" City ~ ~ St p ~1` ~.~~r! Zip Code ~ Site Address ? ~ ~~ '''r1 ~,~,~.~ ,r'"` u ~- - R Assessor's Parcel No. Lot Size (sq.ft/acres) 0 P R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c o Name ~~ ~ ~ /~'} ~1, ~'~ Contact Phone "~~j? A i~ Address ' ~-'~ `' ~ / ~ Cit '` ~ f St ~ r `7 Zi Code ~ ~ ~ %~ c , , ~ , y , . ~ p , { , R License No. ~~ ~ ~~ ; ~= `~ /=- `~- ~ ~ ~ ~ ~ Exp. Yelm Bus. Lic. No. Ct?~ 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 i ~' ` aJ, ~,.,1 ;'~ ~ ~ 9 ' Plumbing Permit # i ! lam/ / ~~ 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 Z Front to of Road Final Insp:J_~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted/ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record; I~applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. ~, f ,_. ~-~ Signature ~. `~.~,.i' t~`~:^~ ~- t~~. ~ x-f° Date <~ _.~ _c° Quarterly Reports Firm: ~ ~ Assessor_J~ TRPC ~ / __ ,~~~ ~/~* f ,~1 _.~ CITY OF YELM BUILDING DEPT. Phone: 458-8407 N Name ~~~ R Address , Site Address ' /" 1 R Assessor's Parcel No. ^~ ~ 0 P e Subdivision R T Y OR Short Plat No. Existing Structures, if any: o ;' ~ N Name Contact T Address •~ "~j ,,~ °R License No, ` j j,/~ j.= /~ ~ ~ ~~/i~,/ j!~' j Building. Permit No 6 d 4 4 Date "-~-- ~f '~~ (Work must be started within 120 days) ~~ ~ ~o~~~~ Phone( ) City ~ ~r',~~yl St.~/,+~ZipCode q~~~'~ Lot Size (sq.ft/acres) Lot Block Block Pho/n~e ( ) ~~y~)/ Cit ~~-?(~ St.~ii°7'Zip Code ~O //D~ Exp. Yelm Bus. Lic. No. `~ ..- ~( .~ Description of Work ~~',. - 1 ~~ `~ ~f 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 / f °f ~ - Plumbing Permit #~ WA. ST. BC. Fee (4.50- New Const. Only) Mechanical Permit # TOTAL FEE ~ , ~ Plan Check By s ~ Minimum `lief~nnn of cf n in4n rn frnm n nerTv linec• Iem ,e!! Rv / ,r`~ ~{ //~/T./~ _. , ~ . Front to of Road Final Insp:/~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted-/~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. .~°;~ ,.. Signature *~ '-`' _..__ .~-_,. Date ~ ~~' ~ ~ Quarterly Reports Firm: Assessor-/~ TRPC ~ J :-~ CITY OF YELM BUILDING DEPT. Phone: 458-8407 `~ w Name s N R Address --~ ~ L: Site Address f ' , , R Assessor's Parcel No. ~ i`"~f ~~{~~ /~'~ 0 P R Subdivision T Y OR Short Plat No. Existing Structures, if any: c N Name Contact Address ~ (~ ~ r~ 1[ I~ ,+~~~..-- °a License No. /1f~ ~~ ~ ~~ ~~~~/ I"s Buildi er t N~-~ry®~ 9 Date ~ "~- "~ / (Work must/be~ started within 120 days) ~. ~ ~~~J ~ Phone (~) ~~~ ~,!'~~ i ~f~gf~t. ~/~ZipCode~~~~/~ Lot Size (sq.ft/acres) Lot Block Block Phone ,r7° t. Zip Code Expf~ ~ ~> Yelm Bus. Lic. No. "~! ~ ~!~ Description of Work ~ OFFICIAL USE ONLY t''~ `j ~ "~ ~' Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. CommercialOther City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value r 1~ ~ Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) ~ ~ Mechanical Permit # TOTAL FEE ~ ~ (~ Plan Check B ~ Minimum distance of structure from property lines: _ Issued By ~ { l Front to of Road Final Insp:~/ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted_~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature ,/,~;+~ ' "~,,~ ~,~ y ~--•'"' Date ~ "Z•7 Quarterly Reports ;. - ~ , 1 ;` Firm: ---.---~-~~ r AssessorJ/ s, J TRPC ~ _~ NEW UEVELUNMEN 1 /NEW (:ONS 1/ZU(;11UN CHEI;KLIS 1 SITE ADDRESS : ,~~~~~ ~~- ~ ~~ ' i~~, f1 i' J ~ Jl A J1 i -'-, G (~'/`1 ~ Y~ ~ t ~C` ~ ~ ~~~ / 7~ ~~~j , ~~ ~h%~ .~ ~' ~ Permit # IF Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 ~U PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 ~~~ PER ERU HOOK-UP SITE PLAN ACCESS 8~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER Z ~/ ~ / Q~Q, dQ WATER SERV. ORDER / ~~~ ~~ ~~ POWER Puget Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW /~~~~ / 1 1 BUILDING PERMIT / h Z ~7~,Ob v 7C mac,! ~ , 5d UW . C, F"ce PLUMBING PERMIT ~~~ ~~, 5L1 c- ~`D ~ ~E7~R n? l ri~~D MECHANICAL PERMIT ~~l ~ ~ y~ ~~ ~~` J -rG ~3~ ~~M /~Er~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. ~~~D ~~p ~ $30.00 ~~~~~~ TFC - TRANSPORTATION FACILITIES CHARGE- ADDITIONAL COMMENTS CITY OF YELM BUILDING DEPT. Phone: 458-8407 Buildi Per t °- ~ ®4 Date ?'~"`_I~- ~~/ (Work must be started,,tivithin 120 days) N Nam ~`- 1 r, Phone( )~ ~` R Address '~ t ~ ~ ~ City St. Zip Code ~ ~~ ' i r /' r" Site Address (` ,!~( .,a"! i ~ ~_,,/ v R Assessor's Parcel No. /~ ~ t (,.) ~ '~~ (~ ~~ Lot Size (sq.ft/acres) 0 P a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N ~ Name ( ~ „~ Contact Phone ( ) T R ~ Address City St. Zip Code a ~ ~ License No. Exp. Yelm Bus. Lic. No. ~, Description of Work ~ '~~ ~ - ~! f , ~.~ OFFICIAL USE ONLY Permit Type: S n Sq. ft. per floor: (1st) (2nd) Residential ig 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 ,l , Plumbing Permit #-~ '~-~-~- P. WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # ,~ TOTAL FEE ~ Plan Check By e =~ ~!~ Minimum distance of structure from property lines: Issued By ~;~ e; ,i Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted_/~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signatu r ,~~` ~ ~ Date Quarterly Reports Firm: Assessor ~ / TRPC / ~ CITY OF YELM BUILDING DEPT. Phone: 458-8407 Buildir34,Per it ~° .,_r- 6 0 4 5 Date ~5;~`>'~ ~ ~ / (Work must be started within 120 days) w Name ~ !~ Phone ( )' jf ~ Address City St. Zip Code Site Address R Assessor's Parcel No. r _ ' Lot Size (sq.ft/acres) 0 R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name 'r Contact Phone ( ) T Address City St. Zip Code T a License No. Exp. -Z Yelm Bus. Lic. No. Description of Work , , OFFICIAL USE ONLY , Permit Type: l Si n R id i Sq. ft. per floor: (1st) (2nd) g ent a es 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 #~,~~Lr ,'-`- TOTAL FEE a~ M' d' f f I' mimum istance o structure rom property mes. Front to of Road Side Side Rear Applicants 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 deg- ` ulations including those governing zoning and land subdivision, and in addition, all covenants, easemerts and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Plan Check By ~~ Issued By Final Insp:JJ Owner L&I Form Assessor Floor Plan and Permit Submitted~l Quarterly Reports Firm Assessor~~ TRPC ~ ~ CITY OF YELM BUILDING DEPT. Phone: 458-8407 N (Name Building Permit No_ 6 a ~ 7 Date ~ - ~~ ' 1.~ fNVork must be started withi~n/120 days) Phone( ) . ,. a Address `~ ~; City / St. Zip Code r r o i Site Address ~ ~,1! ~ ~ ~~ R Assessor's Parcel No. Lot Size (sq.ft/acres) 0 P e R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: ~ Name ~ -~; j? -[ ~, ~ ntact Phone /~ ) °' ~ -l (~ Address (,~~ ~ f ~ %' f"~ ',,>1t . i 4 "i ,'~' ~, Ci (,~ St f Zip Code f °a License No. A~ ( ~, h Exp. Yelm Bus. Lic. No. Description of Work -v „` %;` ~ ,,/'~ OFFICIAL USE ONLY ~, t Permit Type: n Sq. ff. per floor: (1st) (2nd) Residential Sig 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 C }~ ~~~~~ ~ ~T~° ~ r7 t C ~. //)) Plumbing Permit #~ ~` ,/ f ' f~ WA. ST. BC. Fee (4 50- New Const Only) Mechanical Permit #r~-~ TOTAL FEE Plan Check By ~ / n Minimum distance of structure from property lines: Issued Byt t `, ) Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted/_~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature Date Quarterly Reports Firm: Assessors l TRPC / ~ CITY OF YELM Building~Permit ~°~ ~. 6 Q 4 3 BUILDING DEPT. Date .~~- ~ ~ ' 1` ~PhOne: 458-8407 (Work must be started within 120 days) / r } Y~ N Name ,(` 1 Phone ( )'~~(J G~ R Address ~ ~ City ,/'~~~ `~ St. Zip Code 1l /'~ '~ ~ ;? ~ ;~ site r+aaress j U/ / ~ ~ - o Assessor's Parcel No. ~~ ~~.~ (~ p,~ ~~ ~~ Lot Size (sq.ft/acres) P R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name ~ %' ~ Contact Phone ( ) r R ~ Address City St. Zip Code T a License No. Exp. Yelm Bus. Lic. No. Description of Work ~~~ ' ~ r ~ OFFICIAL USE ONLY ~ ~~ ;9 ~~~,-~ ~ ""' .:(~/ / fl~~'~+:;.'[ .:`~ ~ 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 i Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ,',~ ~ ~ f ~J~, ~ Sets of Prints ~~ ~ ~ ~ Other Plumbing Permit # ! _ ~ ~ ~~ WA. ST. BC. Fee (4.50-New Const. Only) , Mechanical Permit # TOTAL FEE ~~ (jj, ~ Plan Check By /1!!t~ Minimum distance of structure from property lines: Issued By ~ ~~^ i V Front to of Road Final Insp:_/J Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- SubmittedJJ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washingxon. Signature t' Date Quarterly Reports Firm: Assessor~I TRPC _/ ~ rutty u~vtwrn~trv r i nr~w c;orvs r rtuc; rrunr crr~c;,cus, ,--~ 5ITE ADDRESS S /~~n ~ /~ `) ~,~.f° l'1~ :~/~./~7 Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT ~~~ $125.00 PERMIT/INSPECTION SEWER LATECOMERS "SEWERlSEPTIC ~ j~~ $1,000.00 PER ERU HOOK-UP SITE PLAN ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~~1f~ WATER SERV. ORDER ~~ POWER Pugef' Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~ ;~ ~ . ~~~ BUILDING PERMIT ~~~~ ~ ~ ~~~' ~~ ~~ Y Y~Gr z°'S . 5d ~~ C~ ~~« PLUMBING PERMIT -~~~ %~~ ~ ~"' ~~} / ~s~~ MECHANICAL PERMIT ;j -,) f ~"7 ~`"~ , CJ ~ %~ ~' GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 TFC - TRANSPORTATION FACILITIES CHARGE- ADDITIONAL COMMENTS '"DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY ruc vcr n~ n~n- n-~rn_ ncor 1 CITY OF YELM BUILDING DEPT. Phone: 458-8407 Buildin ermi~t ~°_ f14 2 Date ~ ~ ±~+`' (Work must be started within 120 days) N Nam ~ ~~~ A - `~~ Phone ( ) ~ - i R ~ ~ ~~ Z C d ~ ~ 0 '~ St. Address f ip o e d , , Site Address ~ I ' ~ / C~ R Assessor's Parcel No. ) ~ ~ Lot Size (sq.ft/acres) ~ ~ • R ~ Lot ~` Subdivision ~ Block T Y OR Short Plat No. Block Existing Structures, if any: 0 N Name f Contact Phone ( ) T City St. Address Zip Code T R n J License No. Exp. Yelm Bus. Lic. No. L Description of Work ~~ ~ !' f OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (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 ~ ~ ~~ ~ ~ , ~~ Sets of Prints Other ~ ~ Plumbing Permit # v ~ ~~ '~~''''/// al Pe M h i it #s! 1 L! WA. ST. BC. Fee (4.50-New Const. Only) , ec an c rm _s . _ ~ ~ TOTAL FEE ; { Plan Check Bar- Minimum distance of structure from property lines: . Issued By ~ ~ Front to of Road ti Final lnsp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- SubmittedJJ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. ~- f . Signature ~ ~-- g% `r^--~-' Date V ~_ ~ ~/ ~ Quarterly Reports Firm: Assessor _~ ~ TRPC _~ _~ J NCW UEV1:LUl'MI=N! /NEW (;UN511<UI;IIUN l;N>=LKLIS/ 5ITE ADDRESS 2 ~'~~~) j~ /;'i~/.~~d~ ,l D) ~~Ii~~ i /1,R~ b~ ~ _~~-/ ~~ / ~1 ~- r'vv ce ~ ~ l ~ l l~~ /l (1'~ ~-` ~~`G Permit # If Applicable Fee If Applicable Receipt # omments SEWER PERMIT $125.00 PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 ~ ~ PER ERU HOOK-UP SITE PLAN ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~ ~~~ ~~ WATER SERV. ORDER '~~~~ Cl~ POWER Puget Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~~~ ~~~ BUILDING PERMIT ~ ~ `~`(,e (~' ~~% ~ 1 ~ ) w. C. F~ e ~ ~ PLUMBING PERMIT 4">~! ( ~/' ~~/ MECHANICAL PERMIT ~~~/ ~~~ ~~ GRADING PERMIT SIDEWALKSICURBS LANDSCAPING YELM BUSINESS LIC. $30.00 TFC - TRANSPORTATION FACILITIES CHARGR- ADDITIONAL COMMENTS '"DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY j} CITY OF YELM Buildin Permit N° ~ ®4 '~ BUILDING DEPT. Date ~ ~<~-- ~~ Phone: 458-8407 (Work must be started within 120 days) Rn~~~ l nCll~-~ w Name '~ ,~ i ` ,,..~, f' 4ti /?> l Phone ( ) ._° ~~~ a Address ~ ~ ~ ~ _ ,S:f/ St. ~ Zip Code ~ ~ j ~ ~ ~ ~ ` . Site Address - a Assessor's Parcel No. ~ ~~~ ` ~f 1..~f/~ ~,~./,C,~) Lot Size (sq.ft/acres) o ~ ~"`~~ ~"' ~ ' ' ~~ a ~~,! Lot Subdivision ,~~,r , ,_,,f , Block T Y OR Short Plat No. Block Existing Structures, if any: N Nam ,; j' ` ,~ ,//~/ Contact Phone( ) T R ~ Address City St. Zip Code T a I / ,,,~... License No. °~ ,/ ~ f~ ( ~ Exp. Yelm Bus. Lic. No. Description of Work /~ ~ ~ ~'6 "~. ~' ~ 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(~ Sets of Prints ~ ~)~r Other Plumbing Permit # ~ ' ~ ~ ~ WA. ST. BC. Fee (4.50-New Const. Only) ~,r Mechanical Permit # ~- ~ ~ j % ~ TOTAL FEE ,, ) ~ Plan Check By Minimum distance of structure from property lines: Y ~ Issued By - %'r { Front to of Road Final Insp:~~ Side Side Rear Owner L&f Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature ~- ~~._:. ~ Date `~, ~~` ~? ~ Quarterly Reports Firm: AssessorJ/ TRPC ~ ~ ~1 NtW UEV~LUI'1V1tN 1 / Nl:W (;UNS I ftUl:IIUN l:N~(:IiLl51 SITE ADDRESS: /yam/,~/,~ yt!/~/'//~~ ,1p% ~~~~ Permit # If Applicable Fee If Applicable Receipt Comments SEWER PERMIT $125.00 PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 PER ERU HOOK-UP SITE PLAN c~ q ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER .~~~ , a~ WATER SERV. ORDER ~~~ , ~~ POWER ~ PugeF Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT ~,.p PLAN REVIEW Q U ~~ f ~G BUILDING PERMIT (G~C~~~ ~ ~9 ~I~ itJ,C. Fee ~Sd PLUMBING PERMIT ~~~ ~J ~!, ~(~ 1 MECHANICAL PERMIT ~~'~~1~ '~~ ~~ GRADING PERMIT ~~ SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 TFC - TRANSPORTATION FACILITIES CHARGR- ADDITIONAL COMMENTS '"DUE AND PAYABLE PR/OR TO FINAL INSPECTION 8Y CITY OF YELM Buildin ermit N°_ (,_~ o a o BUILDING DEPT. Date ~ ~ `~' `~`I Phone: 458-8407 ,~ (Work must be started within 120 days) N Name °`~ ~ ' s ~ ~ ) ~,r. i ~) ? Phone ( ) ~., R Address ~' %~" ~ "r St. ~ Zip Code Site Address '~ ~ ~~ ` ~ ~' ~,~ r a Assessor's Parcel No. ' ~~_„l f~~ ~;'~,; ,l Lot Size (sq.ft/acres) o e ,~~ f Subdivision `' f~ }s J/.,, ! 1 Lot Block Y OR Short Plat No. Block Existing Structures, if any: c N Name ~ /~ ! ,1 ;' B Contact Phone ( ) T R n c Address City St. Zip Code ° ~'~ a License No. Exp. Yelm Bus. Lic. No. Description of Work ~°) ~ ` • ' ,~ OFFICIAL USE ONLY Permit Type: l Sq. ft. per floor: (1st) (2nd) Residentia 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 l P it #;~?~ M h ~ WA. ST. BC. Fee (4.50-New Const. O nly) ~ erm ec an ca , ,~ TOTAL FEE ' ~ z` ~ . Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants 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 reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. s` -- Signature Firm: r Plan Check BX ~ r _~ Issued By ~~ ~ r ~,~J Final lnsp:~'~ 2 / ~`~~ Owner L&I Form Assessor Floor Plan and Permit Submitted~~ Quarterly Reports Assessor / _~ TRPC J / NEW UEVELUNMEN f q NEW GUNS I IlUt; IIUN CNEIaiLIS C // `~' SITE ADDRESS : ~'y~ ; ~ /'~f'~~ ~ ~ .~ /°Q /'"' ~/ /~ ~C= LJ Permit # It Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 ~g j~ j l 1°`~ PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 /~%~'1;~~ PER ERU HOOK-UP SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~~~~, ~ ~}", WATER SERV. ORDER ~l~Q ~~ ~~~~ . ___ POWER Puget Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~~ ~ ~ ~ ~ ~ 1~ BUILDING PERMIT //~~ ~j ~} '~7~(~ .~ / ~1 ~ 7 ~, ~~C1 f ~~ J J -~ `.rJ /~-~ ~ Z nal ~ , 5d ~~C~ F'ee PLUMBING PERMIT ~~ l~ / `~ ~ ~~~ '~- MECHANICAL PERMIT ~~ ~ ~ 7 ~, ~~ ( ~- GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 TFC - TRANSPORTATION FACILITIES CHARGF- ADDITIONAL COMMENTS "DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM BUILDING DEPT. Phone: 458-8407 w (Name (~~,~~~'4~,,~ N -~~ Buildin ermlt _° ,--~ .~, 3 0 Date ~ ~` ~'"~ (Work must be started within 120 days) ~f ~~~ Phone( ) 0 ,. it a Address City St. ip Code ~ ° ' Site Address ~~ ~ ~y ~# J R Assessor's Parcel No. Lot Size (sq.ft/acres) 0 P e R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name ~' ~' ~ Contact Phone ( ) T R + ~ Address City St. Zip Code T R License No. Exp. Yelm Bus. Lic. No. Description of Work j ~ OFFICIAL USE ONLY Permit Type: R id i Si n Sq. ft. per floor: (1st) (2nd) g es ent al 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 ~` ,!`!- e ~ -' ~~~ Plumbing Permit # - j WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # F TOTAL FEE C~tJ , C.~ Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants 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 reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. ature Firm: Plan Check By~ / ~ u/ Issued By ~• Final Insp:/~ Owner L&I Form Assessor Floor Plan and Permit Submitted~J Quarterly Reports Assessor ~ J TRPC / / CITY OF YELM BUILDING DEPT. (Phone: 458-8407 Buil Dat (Wor w ~ Name ( ) l~,rr(J E a / ! x t ~ ' ~' ~ !J Address ;~ City St. Zip Code ~ ~ ~ Y Site Address , s a Assessor's Parcel No. [j'~,~ f ~(~®Z '~~ ~ Lot Size (sq.ft/acres) R Subdivision ~~,~,~,f~ ,i~ ~,/~~ ~ ), ~fr -- Lot ~~ Block T Y V OR Short Plat No. Block Existing Structures, if any: N Name `'~ `~ ' ~ " ~ ~ Contact Phone ( ) ~ ~ ~ ~, T ~ , City St. Address Zip Code a ,r'/ License No. ,~ ~~/ ~~,~ Exp. Yelm Bus. Lic. No. 1 ~~ ~ Description of Work OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign r Sewer Septic Approval No. Commercial Othe 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 ~ ~~~ ~~ %~ Pl bi Pe it # ~ Other . ~ r um ng rm '~ ~~ ' ( !/ P ~ WA. ST. BC. Fee (4.50-New Const. Only) ~, , r ermit #! J Mechanical ~ y1 TOTAL FEE ~ ~ Plan Check B ~ ~( Minimum distance of structure from property lines: Issued By ~ x Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature -M ~ ~ ~ ,,. /• „ ~ ., Date --~-~~-~ Quarterly Reports ~~ Firm: ' ~~ ~ Assessor~J TRPC ~ ~ ~i din~~Permit No 0 3 9~. ~ .~ ~" e k rr}a~t be s ed within 120 days,)s~ II r t~ ~,,/ Phone ^^' ,l NEW UEVEWNMENI /NEW (:ONSIftU(:lIUN CNEI;KLISI SITE ADDRESS: Permit # IF Applicable Fee IF Applicable Receipt # Comments SEWER PERMIT ;1v ~ $125.00 PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC >> ~'~l~ $1,000.00 PER ERU HOOK-UP SITE PLAN ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER ~~ POWER PugeF Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~~ BUILDING PERMIT lr~ ~~ 7 ~ ~. ~~ W . C, ~ , 5d F'ce PLUMBING PERMIT J ~~I1 i~ MECHANICAL PERMIT ~~ ~~' GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 TFC - TRANSPORTATION FACILITIES CHARGE- ADDITIONAL COMMENTS DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM Building~Permit N°_ s o~..$~ BUILDING DEPT. Date ~'~,~ ~' ' C_ Phone: 458-8407 (Work m ~ be st rted witlhin 120 day • ~" ! r w Name ~ ~ '~ J, Phone( ) R Address ' ~ f ~ ' ~ ~ ~ St. Zip Code Site Address ~'~ `''~ ~`"` ,. 4,/ i o Assessor's Parcel No{~~'~~~1'L'%~~ ,(~ Lot Size (sq.ft/acres) a Subdivision'v'`~~~~~d '~ ('~-"~-~'dr/,(~ Lot ,,~ Block T Y OR Short Plat No. Block Existing Structures, if any: c Name Contact Phone ( ) N T Address ,} y f~ y j / City St. Zip Code -'7 s~ o Li[:P.nSP. NA. ~~/ f f-) Yom' d ~ .4d f ~r~ Il ~ Exo. Yelm Bus. Lic. No. °f Description of Work ~, r +~ ",~ % 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 # ~''~ WA. ST. BC. Fee (4.50-New Const. Only) ~ Mechanical Permit #~~4tGd=~ TOTAL FEE ~' ,~, ,~ Plan Check By- "~ ~ ~g~s~ ,~, Minimum distance of structure from property lines: Issued By ~ Front to of Road Final Insp:~/ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. t rd` Signature Firm: Quarterly Reports Assessor~~ TRPC ~ ~ ...~ NEW UEVtLUf'MEN1 /NEW (:UNSIKU(:l/UN c;HEC:ItLIS~ SITE ADDRESSs ~~~~~~~ c ` ! ~~~~ ~l l.~' l ~ ~~~~~ Permit # If Applicable SEWER PERMIT SEWER LATECOMERS •SEWER/SEPTIC SITE PLAN ACCESS b DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE STATE/CO. APPROVAL 8TREET CONSTRUCT PLAN REVIEW BUILDING PERMIT ~~~~ PLUMBING PERMIT ~~~~ MECHANICAL PERMIT ~JG~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS UC. TFC - TRANSpORTATIQN FACILITIES CHARGE- ADDITIONAL COMMENTS PERMIT/INSPECTION PER ERU HOOK UP PugeF Power 458-7731 Yelm Tele. 458-2171 ..,..~ ~.~~ ow v~nr c np-na m FIN4l_ INSPECTION 8Y CITY OF YELM Building permit N°_ , ~ Q' 3 7~_ ',_j BUILDING DEPT. Date ~f ~'~ / ~ ;'fir ?` jt , `/T ` Phone: 458-8407 (Work must be sta~i~'ed within 120 days ~~~~ r~f - ~ ~~~c~ w Name ' ,a f.,, ~ 3 t T Phone ( ... ) ~.)C ~- ~Q R Address ~ ~`'~ r~ f / / r Ci i'~ " ' n~~ t. ~' Zip Code ~ ~ ~ ''~ ~C ' Site Address ....~ o / ,~~,,f ,~ ~ Lot Size (sq.ft/acres) Assessor's Parcel No. "~ n /',(~~ >~ `' f a j Subdivision _-U `~`,,~_,,J `"~~~,(~„~~( .~ Lot ;~9 Block T Y OR Short Plat No. Block Existing Structures, if any: 0 N Name 1 J ~ Contact Phone ( ) T Address City St. Zip Code a License No. ' a ! ~ ~ ~ Exp. Yelm Bus. Lic. No. a~C Description of Work ' ~ ~ ?;~~ ? ,/) OFFICIAL USE ONLY Permit Type: ,, l Sq. ft. per floor: (1st) (2nd) Sign Residentia 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 `/ ( ~ ~ ~~ Sets of Prints g , ~ ~,` i P i / ' 4' Other erm Plumb ng t # * ~ l P M h i it # ~~/fU WA. ST. BC. Fee (4.50-New Const. Only) t an ca erm ec '~ ~ ~~ TOTAL FEE , (~ ' Plan Check Byi Minimum distance of structure from property lines: Issued By Front to of Road Final Insp:J_J Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. 1 also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted_/_~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. ,.. Signature [.-a_ ~ _ Date ~'~eJ - Quarterly Reports Firm: Assessor _~ -J TRPC ~ ~ NEW UEVtLUI'INENI /NEW CUN51 KUt;I/UN (:Ht(:KLISI SITE ADDRESS: / ~ I1 n ~- ~ ~~ ~'~~~G' ~ V ~' ~ f ~ ~~ l ~~~ ~~~ Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 ~ ~, i PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 ~ '~ PER ERU HOOK-UP SITE PLAN ACCESS 8~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER //,, ~} ~ l~ ~ ~(~' WATER SERV. ORDER `T~~. ~(1' POWER Pugef• Power 458-7731 - TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW C ~ ~~• ~J r BUILDING PERMIT PLUMBING PERMIT ~~~~ ~ ' ` ~® ~) MECHANICAL PERMIT ~~~~ ~~~ ~~ ~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 TFC - TRANSPORTATION FACILITIES CHARGR- ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY ~. ~ CITY OF YELM BUILDING DEPT. Phone: 458-8407 l w Name ,~~j~~; N a _ Address ~~~~ l Site Address a Assessor's Parcel No.~`` o P ~ ' R Subdivision " r Y OR Short Plat No. Existing .Structures, if ar c o N Name ~ T R ~ Address T R ~ License No. d°11~1Tf~ s+~ Exp. Yelm Bus. Lic. No. f :' 1 Description of Work < 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 ~'~~ ~ , ~ (Q ~ Sets of Prints Other Plumbing Permit #~ WA. ST. BC. Fee (4.50-New Const. Only) ~ n Mechanical Permit #~ TOTAL FEE Plan Check By ~ 1 Minimum distance of structure from property lines: Issued By ~ Lf 2 3 ~--- Front to of Road Final lnsp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the Signature "~~ ~~ ----~f Date ~ "tom; -f ` Quarterly Reports Firm: Assessor ~ / TRPC / -~ ..., Building'P rmit N° _,~ 3 6~ Date (Work must be sta ed within 120 days) Zip Code ! Lot Size (sq.ft/acres) Lot ~~ Block Block Contact Phone ( ) City St. Zip Code NI:W UEVtWf'MEN f / NtW GUNS 1 KUC;IIUN (;HNC:/tLls 1 SITE ADDRESS: G~ - ~ l ~~~~ Permit # If Applicable Fee If Applicable Receipt # omments SEWER PERMIT $125.00 PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 ~ PER ERU HOOK-UP SITE PLAN ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~q~, ~ ~OO WATER SERV. ORDER ~~, ~~ POWER Puget Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW O C~,~~ BUILDING PERMIT ~C~3~ ~ ~~, 5`6 w ~. ~ , 5a F~~e PLUMBING PERMIT ~,~~~~ j /~~.~~ L MECHANICAL PERMIT ~~~ ~ '~~~ ~~ ~~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 TFC - TRANSPORTATION FACILITIES CHARGE- ADDITIONAL COMMENTS '"DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY Tlaf= vf=l M Rf m n-lu~ ncnr CITY OF YELM Building,,e. rmit ~°_ 6 3 S .-~ -~ BUILDING DEPT. Date !t_ t ' '~=" ~ ~"'~ / PhOn@: 458-8407 (Work must be st tted~~within 120 days V~ t ~~~ w Name ~ ~ '~ , Phone ( ) ~~~/( N R Address ~ ~ Ci St. Zip Code Site Address ' ~ ~ l ~ R Assessor's Parcel No.`~~,~~( ~,~ J '" /~ ,~'„~,(~ Lot Size (sq.ft/acres) o a , } Subdivision I ~w~~~....-~1'~.~,(l Lot ~~ Block T Y OR Short Plat No. Block Existing Structures, if any: ~ Name ~Q~C~Yl (A,~I/ !`~'~~~ ~1~ 1 Contact Phone ( ) Address City St. Zip Code T a f'/1 License No. ~ Exp. Yelm Bus. Lic. No. Description of Work ~'~ 1 ~ ~ OFFICIAL USE ONLY Permit Type: l Sq. ft. per floor: (1st) (2nd) Sign Residentia 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 ~~°f~ Permit #-4~s~' /Cs Plumbin Other g ~ WA. ST. BC. Fee (4.50-New Const. Only) ~ Mechanical Permit # TOTAL FEE ~, ~~ Plan Check B ~ ~ Minimum distance of structure from property lines: Issued By l I Fi ~~/ Front to of Road na nsp: Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted/ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature - ~ t-;-.----'' Date ~ ~; ~ f ~ Quarterly Reports Firm: Assessor ~ / TRPC / J 1 NEW UEVELUNMEN I /NEW (;UNS I IZUt; I !UN CHEt;/tL15 SITE ADDRESS: ~i.~cLvs/ do i rvn-r, ., ~ i C _ ~~~~1 ~~ ~G~ J~ ~ V 4 Permit # If Applicable Fee If Applicable Receipt omments SEWER PERMIT $125.00 ~ PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 PER ERU HOOK-UP SITE PLAN ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~9~, QD ~;; ~3~~-~ WATER SERV. ORDER ~~~ , POWER Puget Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~ tr'd • ~CJ ~Q BUILDING PERMIT ~~3~ ~ ~v , ~ ~ ~ ~ C F. ~ ~ 5G PLUMBING PERMIT ~~ %~ ~ / , ~® I MECHANICAL PERMIT ~ ~~~ '~/ , ~~ ~ ~~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 TFC - TRANSPORTATION FACILITIES CHARGE- ADDITIONAL COMMENTS '"DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY rum vr~ e~ nr~~- nu~~ nr-nr CITY OF YELM BUILDING DEPT. Phone: 458-8407 ,i r. ~ ~ ~ 7 N ; ' Name l ;~ ( ) R ~ Cit ~~ t. Address Zip Code ~t Site Address ~ 7 ~~~~ /L'`//'Z~~'jL./,,(~~.1 ~~'1~.°?, ~-t~-~ R i Assessor's Parcel No. ~~ ~,~~~~ U4 .j~(„( Lot Size (sq.ft/acres) a ~ '1 Subdivision ~""~(~~~,~-,~ ~t~~~ //) Lot ~ Block T Y OR Short Plat No. Block Existing Structures, if any: 0 N Name ~ ,~ Contact Phone ( ) T City St. Address Zip Code T °a '//~ c~.{t License No. Exp. Yelm Bus. Lic. No. I~ ! / Description of Work ~!~ "' ''~`" ' ~ OFFICIAL USE ONLY Permit Type: l Sq. ft. per floor: (1st) (2nd) Sign Residentia 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 , } Plumbin Permit # ~ ( Other g ~',~ ,(/ P i ~~s~ WA. ST. BC. Fee (4.50-New Const. Only) erm Mechanical t # ~.~_L_ '~ ~ TOTAL FEE ~ (~ Plan Check B Minimum distance of structure from property lines: Issued By Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit 1 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 reg- Submitted_~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. i Signature ~ ~~ : _~--- ~ Date - ,-` ~ Quarterly Reports Firm: Assessor~~ TRPC / / Buildi ~ ermit N°_ 6 0 3~. Date ~` (Work. must~be sta d within 120 days) ~) ,~_ ''? ~' Phone C1 ~ NEW UEVELUf'IY1EN f /NEW (;UN5 f IZUl:1 fUN C;NE(:KLIS SITE ADDRESS : ! 7 / ~~ ~/LO C~~~~L~ X~~ ~~~ ,eQ,Lf-t1 ',~,ll I~ ` ~~ ~~ f ~ 9 ~,l ~' f~C~(~,C. /~'L ll t lC~lt 11~~.~' f ~~V ~a Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 7 PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 PER ERU HOOK-UP SITE PLAN ACCESS 8 DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ,~ 9t~ , WATER SERV. ORDER ~~®, ~(~ POWER Puget Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~~ ~ ~~ BUILDING PERMIT 1/ ~ ~ ~_7 / ~J (O ` ~~ ~~ ~ 5d w C, Fee PLUMBING PERMIT ~.~~ ~ ~~ ~ ~~ ` I MECHANICAL PERMIT ,,~~a'~ "7 a. ~~ ~~~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 TFC - TRANSPORTATION FACILITIES CHARGR- ADDITIONAL COMMENTS '"DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY rrrt- vr~r ^~ r~r u• r~ru~ r.r~~r CITY OF YELM 6UILDING DEPT. phone: 458-8407 Bui Da (Wo Iding Pe it~~ ,,, .6 d C ~. to L ~ °'` rk must be staftcs~ within 20 days) ~: Phone ~ `} ) -~ ~ ~}' 7~/ w r,' , Name f ,! N E a fy J~ Address ~ ~~~ '`' ~ •%` '~ City {~j t. L.( Zip Code ~ Site Address ~ 7 P R Assessor's Parcel No. ~~ Lot Size (sq.ft/acres) O a Subdivision Lot Block r Y OR Short Plat No. Block Existing Structures, if any: N Name ~ /~ , _ , Contact Phone ( ) ~ ~~ i R ~ _ J ~ '~ 7 ` l t ~ City St. Address ~ '~` Zip Code ~~ (~~j r a License No. ~_,- '~ ,~ ~ ~ Exp. ~ Yelm Bus. Lic. No. Description of Work ! ~'~ ,; ~ ?,. , .% ~ ; %~~;5 i' ~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign , ` i l O h C Sewer Septic Approval No. ommerc er a 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 Sets of Prints Other ~ Plumbing Permit # ~ ~ ~~ WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit #. l ~. TOTAL FEE , Plan Check B Minimum distance of structure from property lines: Issued By 41 `~~ r`•~~•':', Front to of Road Final Insp:J/ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- SubmittedJ_~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. i9 A fi` • f ~,, Signature ~~r`' ~-- / Date7"' ~~.1 `~'~~ Quarterly Reports Firm: Assessor ~ _~ TRPC ~ ~ 7 CITY OF YELM BUILDING DEPT. _.- Phone: 458-8407 w Name ~~ t 4 N / R Address E rl J/ 1 ~- f.~ Site Address P Assessor's Parcel No. ~ ~ "7~ R O P e Subdivision R T Y OR Short Plat No. Existing Structures, if any: c ~ ~ Name N / ~~~j~ Address T ~~~ L-~1 Building P~rmit No ~!;~~j~ Date ~~ ' ~~?~ ~/ (Work must be started withirt...i 0"days) /~ Phone( ) St. Zip Code l0~ Lot Size (sq.ft/acres) Lot Block Block ,~ Contact Phone ( ) ~~~ I/,~ City ~ _/~~~ St. ~,f "Lip Code ~(~~ a License No. '~ %~ w ,- ' ` 7 Exp. Yelm Bus. Lic. No. ^I' ~ l 7 1 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 ~ ~~j Plumbing Permit #_~~~~~ rJ l P M h i it #~ WA. ST. BC. Fee (4.50-New Const. Only) , ec an ca erm TOTAL FEE ~ ` ~ (~ Plan Check By Minimum distance of structure from property lines: Issued By J Front to of Road Final Insp:/~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- SubmittedJ/ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature ) y._, Date 'r f Quarterly Reports ~ ~ Firm: ~(,qh ~" ! ~ -~ m Assessor~J TRPC / ~ 1C.~~ NEW UEVELUNMEN 1 /NEW GUNS I IZUt; l1UN (;IIE(;KLIS ~ SITE ADDRESS: Permit # IF Applicable Fee if Applicable Receipt # Comments SEWER PERMIT / V ~ $125.00 PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC ~ $1,000.00 PER ERU HOOK-UP SITE PLAN ACCESS 8 DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~/~ WATER SERV. ORDER POWER PugeF Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT Y PLAN REVIEW ~C/J • ~C~'~ ~ BUILDING PERMIT ~(~~/ ~19.~a ~ w C Fee 'Sd PLUMBING PERMIT .~~~ / 4 7' ~ C1~ MECHANICAL PERMIT ~~~}~~ '~,~~~ ~~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. ~r/~ $30.00 TFC - TRANSPORTATION FACILITIES CHARGE ~~`1 ~~~ ~~ ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY THE YELM RUII n/N[~ WEPT. CITY OF YELM BUILDING DEPT. Phone: 458-8407 Building Permit ~® 6 ®2 Date ~ '_ ~ ~~ ~ I ~' ~ ~'•~' (Work mu e sta~ed within 120 days) ~_ ~~~I ~~ w 1 ~ 3~~ Name ~ , a ' ~~ 1 Phone ( ) ~ N R Address ~ c.' ~ City ~ St. / Zip Code '~ ° ~ ~~ ~~~~ ~ ~ ` Site Address ~ ~ , ,. t "r _ P R Assessor's Parcel No. ~? ~? ~ ~,.~`~ {~ ['~ 1 P.~ ~)~..~ Lot Size (sq.ft/acres) O P a Subdivision Lot Block r Y OR Short Plat No. Block Existing Structures, if any: c N Name r' <r , = {I 1`s " j Contact Phone ( ) r R ~ Address City St. Zip Code r °a License No. Exp. Yelm Bus. Lic. No. Description of Work OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign r O Sewer Septic Approval No. Commercial the 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 C~~ Sets of Prints x j jJ Other Plumbing Permit # / °0//t s f . ' t ' WA. ST. BC. Fee (4.50-New Const. Only) r ~ / Mechanical Permit #s~ ~) '~~` '~' ! r TOTAL FEE .. Plan Check By ~,- Minimum distance of structure from property lines: Issued By i Front to of Road ~. Final Insp:I~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- SubmittedIJ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. tf applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. `Signature _,,, i'~-~..-C)-P~-~t_~+CA. ~ r. ~,,p.4~C,.~ ~~~~I. Date ,f /~-/- g Quarterly Reports Firm: Assessor ~ / TRPC ~ ~ ,~ NEW UEVELUNINENI /NEW (;UN51ItU(;IIUN I:HEI:KLIS/ SITE ADDRESS: Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT ~~~~- $125.00 PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC ~~~- $1,000.00 PER ERU HOOK-UP SITE PLAN ACCESS 8 DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~~~ WATER SERV. ORDER ~ ~,~~ . POWER Pugeh Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~r BUILDING PERMIT (( PLUMBING PERMIT ~ ca / ~ ~~ MECHANICAL PERMIT ~~~~ ~~, ~~ C, 9~ S~ GRADING PERMIT SIDEWALKSICURBS LANDSCAPING YELM BUSINESS LIC. ~ $30.00 TFC - TRANSPORTATION FACILITIES~CHARGE- ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY •r~~r~ vii ^~ e~~i~~ e~~s~~ e~ww~. CITY OF YELM Buildin~ Permit ~° ~, ~ ~ 2 4 BUILDING DEPT. Date ~`°~~~ _ ~~~ Phone: 458-8407 (Work must be started within 120 days) w Name. _ ~ ~ Phone ( ) ~ N E R ~ Address ' City ~ St. ,'Zip Code Site Address P R Assessor's Parcel No. (,~ ~T ~~ ~~(,~~CJ~ Lot Size (sq.ft/acres) O a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: ~ `~ ~~~ ~~ N , Contact Name Phone ( ) ~° C T ~, Address (~ V ~ ~ City St. , Zip Code ~ ~~ R /n~ / Yelm Li N ~~y Ex ~ ~ ~ ~~ ~µ~ Lic No Bus p. cense o. . CO V . . . Description of Work ~ ~ ~~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign h r i l O C Sewer Septic Approval No. ommerc a t e 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 ~ ~ ~ ~ ~ ~ Q® Plumbin Permit # Other / ( , g _ ~ ~~ hanical Permit #!'V M WA. ST. BC. Fee (4.50-New Const. Only) , ec TOTAL FEE ~ ~ ~~ Plan Check By ,r Minimum distance of structure from property lines: Issued By Front to of Road Final Insp:_~~ Side Side Rear Owner L&1 Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ uiations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature -~i"..cc...--~ ~ (~~_.~. Date ~ t. cz Quarterly Reports Firm: f ,t, .ti ~ ' ,~.,--_- ' ~ ~ AssessorJJ i 7 TRPC ~ ~ CITY OF YELM BUILDING DEPT. Phone: 458-8407 Building Per it c ~ ®,t Date ~_ 1~~. `~ (Work must be started vy(t~in 120 days) 0 N Name Phone ( ) ~ '°? ]` ^~ R Address F '- o ~ ~ City ~ St. Zip Code Site Address °° ~ j / ~~ C( j P R Assessor's Parcel No. ,/~'~ ~ Lot Size (sq.ft/acres) O P R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name I f ~ ~ Contact Phone ( ) T R ~ Address City St. Zip Code T R License No. Exp. Yelm Bus. Lic. No. ! 1 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 d Other / Plumbing Permit #_1~- ~ + WA. ST. BC. Fee (4.50-New Const. Only) ~ ~ Mechanical Permit #~r' ~~r ' TOTAL FEE ~ (~ ~~ t.1~ Minimum distance of structure from property lines Front to of Road Side Side Rear Applicants 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 reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. ,' Signature ~, _ ''~-;'7 '""`~~ Date ~- ; , •~y~ Firm: ~•-~'._ Plan Check By Issued By '/ ~~ ~ Final Insp:/~ Owner L&I Form Assessor Floor Plan and Permit Submitted/ Quarterly Reports Assessor-// TRPC ~ / ~~r~ CITY OF YELM BUILDING DEPT. o Phone: 458-8407 w Name ~~ N R Address :_..~/ Site Address R Assessor's Parcel No. L 0 P R Subdivision T any: Building Permit ~~,.~,-,.,. ~ ,~ Date (Work m st be started within 120 days) ~,,,... Lot Size (sq.ft/acres) N Name- ! Contact Phone( )y T R ~ r- ~ '~`~ f , ~ ~~~ n c Address ~ , City St. Zip Code 1 U R License No. ~ __._. .i Exp. ~/ Yelm Bus. Lic. No. y p~ 1~ Description of Work ~ ~-" '~ ~ ' OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign O r Sewer Septic Approval No. Commercial the 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 ~,~f~~. Other Plumbing Permit # ''~° "~ ' WA. ST. BC. Fee (4.50-New Const. Only) ,~ ~ T, ~! (~r , .~ Mechanical Permit # ~~ ~ ' J ~'" J i./ ~ ~ ~~r~ ~ TOTAL FEE , Plan Check By ~ ) Minimum distance of structure from property lines: Issued By 9~" Front to of Road Final Insp:J~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- SubmittedJ/ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I fur certify that I am a currently registered contractor in the State of Washington. __ f Signature ~'`~'~ ~"; r J ~ '~ ~ Dat `G' ~~ ~ Quarterly Reports Firm: ~~~~ ~ ~~ Assessor_J~ TRPC / _~ ~'"y ~~ 1~~~' NEW UEVtLUNMENf /NEW (;ON5IIlUl;llUN (;NEt;KLlsl SITE ADDRESS: Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 ~ ~ PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 PER ERU HOOK-UP SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~~~, (~D WATER SERV. ORDER ?(~~1, ~~ POWER Pugef' Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATEICO. APPROVAL STREET CONSTRUCT PLAN REVIEW 1~~. ~~ BUILDING PERMIT ~~~f/ ~~ f.~~ ~ ~nc1 ~, ,SCE W.C. F'ee_ PLUMBING PERMIT ~~~~ p l /~~t, D / . (JCS MECHANICAL PERMIT ~' j1~~ ~ % , ~C~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 TFC - TRANSPORTATION FACILITIES CHARGE- ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY THE YFI M RUII nlN(; WEPT CITY OF YELM BUILDING DEPT. Phone: 458-8407 w IName~ ~~f~ E ~ °~ Building Pe mit NYo ~., ,Z Date ~ ? ' ~ (Work must be started within 120 days) r, i - ~ ;~ ~ ~ ~,Kl.~'.. ~~~ C~/. Phone ( ) 7'~~fJ ~ (10 ^ Address ? Gity St. Zlp Gode r Sit Add '7 ~ ~ ', ,r ~ ~ ~' ~ e ress P R Assessor's Parcel No. ~ ~~ Lot Size (sq.ft/acres) O R Subdivision ' ~ rT `` J Lot ~ Block r Y OR Short Plat No. Block Existing Structures, if any: c N Name J ~' •~ Contact Phone ( ) T R ~ Address City St. Zip Code R License No. ~ ~ Exp. Yelm Bus. Lic. No. ~~~~ Description of Work ~ ~ `,.(,{,~ OFFICIAL USE ONLY ~ Permit Type: l Sq. ft. per floor: (1st) (2nd) Residentia 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 Pl bi P i ~~ ^' Other um ng erm t # WA. ST. BC. Fee (4.50-New Const. Only) ~~~ ~ Mechanical Permit #4~~~-1-~- /f TOTAL FEE Plan Check By l i Minimum distance of structure from property lines: Issued By Front to of Road Final Insp:~~ w Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. "'~ Signature ` ~ Date ° Z.~- 9 Quarterly Reports Firm: Assessor ~ / TRPC / ~ NtW UEVtLUNMtN f / NI=W (;UNS I ilUl;11UN UNLUICUs 1 SITE ADDRESS:/~,~~/ '~ ~Z ~.k'l)„~"yj/~r ~d~:, ~1JT ~/ / Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT ~ $125.00 ~d~t~Q/~~ ~`..JJ((~~ PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC ~ ~ $1,000.00 c~0 ~ (~' PER ERU HOOK-UP SITE PLAN ~ ~~ ~ ACCESS & DRAINAGE WATER SUPPLY ~ WATER LATECOMERS "WATER METER p /~ ~ t~ ~ ~ U ~ ~.~v 9 WATER SERV. ORDER 1'7 a~ , a~ R~~ POWER Puget- Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT 4 PLAN REVIEW / 5~ ~ ~~ ~`o~ BUILDING PERMIT ['fj ~ ~a / n rp ~ % ,r~ _ ~~ ~ ~ Ynca t'S ~ 5d ~. C, F'e e PLUMBING PERMIT ~~ ~~ ! ~ l ~ ~(1 ~~~ lD I MECHANICAL PERMIT 5y97 ~~ ,~a b~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 TFC - TRAI~fSPORTATION FACILITIES CHARGE- ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY rum vr-r w• nrrrr n/"rte nr-nr CITY OF YELM Building Permit N°_ 6 ~ ~ 8 BUILDING DEPT. Date ~.~~ ~/~ (' "`-~ ;J~ Phone: 458-8407 (Work muust be started within `12~0~days)f 4 ~f t ~ ~ ~ ~ ~ ` w Nam f" °` '' ' / Phone ( ) N E ~ R City St. Address Zip Code t ;~ Site Address 1~~~ ~~(%~/ ~.~ ~ ,~tyL~ , P R Assessor's Parcel No. ~'- Lot Size (sq.ft/acres) O a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N '~- ~ r '' ~ Contact Name Phone ( ) - ~~ / Address / `~, ~ ,~ ~ ~ City ~ +~ St. ' Zip Code ~ ,~ T R License No. Exp. Yelm Bus. Lic. No. ~ ~ ~ Description of Work OFFICIAL USE ONLY Permit Type: l Si R id i n Sq. ft. per floor: (1st) (2nd) g ent a es 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 ~~ Minimum distance of structure from property lines: Issued By Front to of Road '. ~ Final Insp:_~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted_~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. "- .r ~. a. _:~ f ` `~ ~ ` ~ _ >r Signature, -~. ----_._ ._~_ ..__.._______...__._...__ = ° Date ~%' Quarterly Reports Firm: Assessor~~ TRPC J J s 4 CITY OF YELM BUILDING DEPT. Phone: 458-8407 Building P mit ~° ~ ® 3-- Date ~- - i (Work mu t'De started ithin 12 days) w , ~ `h > ~ i r ~ ~~ N Ph e ( ~f~' ) r ~~ < ame on ! !/ GWJ N R l / Address - /~~ 'j/~h ~ ~(.~ ~ ~~ ( t. Zip Code Site Address ~ " ~ rf ' t, , P R Assessor's Parcel No. ~ ~ /~ v i~~>~ac~ Lot Size (sq.ft/acres) O a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name ,~ Contact Phone( ~ )~~J ~~~~'. Address _ t ~"~ 9 ~ ~~~ Cit t '~ ~'~ ~ Zip Code ~ ~ , . R License No. j ~ ? ~~ ~ Exp. Yelm B s. Lic. No. ,;~ ~-~K~~ Description of Work ~~ `~ ~% /' J ~~,'q ~ E~ ' ~ 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 ''~ ~ ~ ~ , ~(~ ,~ jI tp ~, ~~ Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) , ;~~ Mechanical Permit # ~ ~ ~ 7 TOTAL FEE , Plan Check By I Minimum distance of structure from property lines: Issued By j `~ r ~ Front to of Road ~, Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted/ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. ~ ~ '°~ ~ Date Si nature ~ Quarterly Reports ~ g - ,,.. r Firma ~.,;..3{...);~(~:'M`~ .~~~ '~, y~~~.,C J~ , ~ ~ Assessor-/~ TRPC / / ./ V r NtW UtVLLUI'IYIEN 1 / NSW (;ONS 11{Ut; IIUN t:NtC:ItLIS l SITE ADDRESS: Permit # If Applicable Fee IF Applicable Receipt # Comments SEWER PERMIT ~~l f.~ $125.00 PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC ~/~ $1,000.00 PER ERU HOOK-UP SITE PLAN ACCESS 8 DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~~~ WATER SERV. ORDER ~/~ / POWER Puget Power 458-7731 TELEPHONE Yetm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW (o ~(~ ~ ~U BUILDING PERMIT ~~~3 ~,y7~f .~~ w.~, ~ , sa F'ee --I-o ~F= PLUMBING PERMIT U ~ j ~=~~9,t I ~~ F_ f~ a~38~ 171,~D 5y/•S' `7// ~7 MECHANICAL PERMIT V~Tf~K!t'i (ti9!_=~ `~ ~' ~~ JF GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. ~~ ~ ~~" C ~ ~~ ~' $30.00 TFC - TRAI~ISPORTATION FACILITIES CHARGE- ADDtTIONAL COMMENTS DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM BUILDING DEPT. Phone: 458-8407 w j Name' t ~ ~ N R Address jr Site Address ~~~~~~ r a Assessor's Parcel No. ~ 0 P a Subdivision T Y OR Short Plat No. Existing Structures, if an 0 N Name ~, ~ ~' ~ T u R ~ Address T o LICP.nSP. NO- Contact Building Per~it N~ - d~-~---- Date `,~'~_ /~., c,/~ (Work must be s rted within 1 0 days) 6--F; ~° --, Phone ( )'~ I ~' ~/,~ St. ~~ ~r~ Zip Code ~~c~~(G~ Lot Size (sq.ft/acres) Lot City Exo. Block Block Phone( ) St. 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 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 ,q Plumbing Permit #- ESL WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # !Y TOTAL FEE Plan Check B Minimum distance of structure from property lines: Issued By E Front to of Road Final Insp:~l Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. ,_ Signature ~' ` ~'~,>';_,?... Date '~,°°1r ( ~ Quarterly Reports Firm: Assessor-/ / TRPC ~ / NEW UEVtLUNMEN (/NEW GUNS 1 KU(:lIUN CHE(:KLIS I SITE ADDRESS: Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT ~//~- $125.00 PERMIT/INSPECTION SEWER LATECOMERS *SEWER/SEPTIC ~ ~ $1,000.00 PER ERU HOOK-UP SITE PLAN ACCESS i9i DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~~~ WATER SERV. ORDER ~ ~- POWER Pugef' Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~ l l ~ BUILDING PERMIT lO ~r ~ / ~~` %~~ F'c e ~~C~ ~ I ~ PLUMBING PERMIT ~ r / v MECHANICAL PERMIT ~/~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 TFC - TRANSPORTATION FACILITIES CHARGE- ADDITIONAL COMMENTS DUE AND PAYABLE PR10R TO FINAL INSPECTION BY T•Ir •/f~/ ^I AIIII f11~1/~ 111~l~T CITY OF YELM Building P rmit N°_ /'"J 6 BUILDING DEPT. Date ~, 6 J Phone: 458-8407 (Work must be started within 120 days) n .__.~ w Name l s? `` (I ? , Phone 125 ) '"cJG~ f N E / / R Address /~ /~ ~ C~ t. Zip Code ~ v., ,,.» Site Address a\y- P Assessor's Parcel No. I ~ ~~ Lot Size (sq.ft/acres) R f ~ a Subdivision ,~„ Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c o N Name Contact Phone ( ) T Address City St. Zip Code a T q+ License No. ~! ~' {) / ~ Exp. //~ Yelm Bus. Lic. No. ` Description of Work - r }",F 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 ~' Sets of Prints Other r, ? ~~ Plumbing Permit #_~1L1'u~ ~ l P i M s1 WA. ST. BC. Fee (4.50-New Const. On ly) erm echanica t # TOTAL FEE ~~ , ~ Plan Check By Minimum distance of structure from property lines: Issued By i Front to of Road Final Insp:_~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted_/l ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. .~ Signature ~ ~~ Date ~; f ~ _`7~ l Quarterly Reports Firm: Assessor~~ TRPC ~ ~ NEW UEVI=LUNMEN 1 /NEW (:UN51 ItU(:IIUN (:HE(:ICL151 ~, ~ ,. SITE ADDRESS: ~'y s~ ~ao~~ M l i ~~ft ~/~~' ~~~~ SEWER PERMIT SEWER LATECOMERS "SEWERJSEPTIC SITE PLAN ACCESS 8~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKSJCURBS LANDSCAPING YELM BUSINESS LIC. Permit # Fee If If Applicable Applicable $125.00 $1,000.00 3~®. < ~(J 7~ ~ t'~ ~~1~ 012:56 5~~3 87,~D 7 ~~ "7 C', ~'~ $30.00 TFC - TRANSPORTATION FACILITIES CHARGE- ADDITIONAL COMMENTS *DUE AND PAYABLE PR10R TO FINAL INSPECTION BY Receipt # Comments PERMITJINSPECTION PER ERU HOOK-UP PugeF Power 458-7731 Yelm Tele. 458-2171 = nc.~ c.°'S ~ 5d w, C. F'ce CITY OF YELM BUILDING DEPT. Phone: 458-8407 ,C ~ l ~~ Building P rmit ~p ®~ ~ _ Date (Work must be started within 1 days) ~~-~° ~C~ w __ ~ .~.. Ph Name one( ) R Address ~ r ~ t. t Zip Code '~ ~~ ~ ` ~ j Site Address , c3-~ .,.., a Assessor's Parcel No. ~ ~J -~ ~ ~(~~ ~~~ Lot Size (sq.ft/acres) ~ E "~ ~~,~~~ ~~ ~~,(~ Lot ~ Subdivision Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name Contact Phone ( ) T Address City St. Zip Code T R ,..,,.~ License No. ~" ~ ` Exp. Yelm Bus. Lic. No. Description of Work f ~ ~ '>j~ ?,> OFFICIAL USE ONLY Permit Type: l Sq. ft. per floor: (1st) (2nd) Sign Residentia 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~.~> ~ ~ '~ L ~` P WA. ST. BC. Fee (4.50-New Const. Only) ~ Mechanical ermit # '~ ~ ' TOTAL FEE ~ Plan Check B~, A ~ Minimum distance of structure from property lines: i l Issued By Front to of Road Final Insp:~~ Side Side Rear Owner L&1 Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted_~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature / --~ ~'°' -~'---...~ Date ~.~ '~''~/' Quarterly Reports Firm: Assessor~~ TRPC / / ~1 I NEW UEVEWNMEN ! /NEW GUNS 111UC;11UN CHELI(LIS 1 ~l ,,n ` . _ SITE ADDRESS: l~~) ~ ~1~~ ~~~~ ~~~5 SEWER PERMIT SEWER LATECOMERS "SEWER/SEPTIC SITE PLAN ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. Permit # Fee If If Applicable Applicable $125.00 $1,000.00 ~C1 ~ (ICJ IlO~W ~Cs~ ~ ~~ 5~ ~z 1 ~ 5`, l~~ 595 ~5~ 5~ $30.00 TFC - TRANSPORTATION FACILITIES CHARGF- ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY Receipt # Comments PERMIT/INSPECTION O PER ERU HOOK-UP x) J~ Puget Power 458-7731 Yelm Tele. 458-2171 =v~c.1 z°5 , 5d W,C~ F'ce 0 CITY OF YELM BUILDING DEPT. Phone: 458-8407 Building Pet° It N~ f 6 01~. ~. Date f / 1 (Work must s arted within 120 d ys) _s N Name ,'~r~, ~ ? ~ d Phone e R Address -,~ St. Zip Code ~~ ~~~ ~ ~ ~'~ Site Address ~T. ~ / a _ /~ ~~ Assessor's Parcel No. F~ '~ (1 '~(~~~ Lot Size (sq.ft/acres) P R ,~ f ~ Lot ~ Subdivision ~'' '~~' Block T Y OR Short Plat No. Block Existing Structures, if any: 0 ~~ ~ ~ N ri Contact Name Phone ( ) r Address City St. Zip Code ( ~ ~'~A a / `7 ~ Exp. Yelm Bus. Lic. No. ( d License No. V ~~ A.l/ r ~~; ~~ Description of Work '~ ~ OFFICIAL USE ONLY _ Permit Type: l Sq. ft. per floor: (1st) (2nd) Sign Residentia Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~' 1 ~; ~ ~~ ~~, ~~ Sets of Prints ~j `~ ~ ~ Plumbin Permit # L (LL Other g ~ ~ ~ ' }~ ~,~~ WA. ST. BC. Fee (4.50-New Const. Only) ' , , Mechanical Permit # ~ " TOTAL FEE ~, ,~~ Plan Check Bye- Minimum distance of structure from property lines: Issued By r Front to of Road Final Insp:_~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted_~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washingto Signature ~ ---- ~~ Date ~-~ /~ f r' Quarterly Reports Firm: Assessor ~ ~ TRPC ~ ~ 1 NEW UtVtLUNMEN 1 /NEW GUNS 11tU(:IIUN (:NtI:KLIS I SITE ADDRE55: `~ L' i~UUL~ l~ l •~lGf~ 1 /~ ~ ~~~`~ Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 ~ PER ERU HOOK-UP SITE PLAN ACCESS 8 DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~9~, Q~ WATER SERV. ORDER '1GS(,1, ~~ POWER PugeF Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~~ ~ ~~ BUILDING PERMIT ~D15~ ~9~,5D u%c,~ ~ .sa PLUMBING PERM17 ~~ O ~ ~ ~~~ ~~O MECHANICAL PERMIT ~-79'7' ~~1, ~~ `~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 TFC - TRANSPORTATION FACILITIES CHARGE- ADDITIONAL COMMENTS DUE AND PAYABLE PRIOR TO FINAL JNSPECTION BY CITY OF YELM BUILDING DEPT. Phone: 458-8407 w ,~ Name - ~ P N E r ~ ~ a Address / Ci St. Zip Code Site Address a i Assessor's P I No. ' Lot Size (sq.ft/acres) 0 ~ a Lot Subdivision ./ Block r Y OR Short Plat No. Block Existing Structures, if any: c N Name ' Contact Phone ( ) T Address City St. Zip Code T a 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 i ~ ~ j~ ~ ~,~ Sets of Prints Other Plumbing Permit # ~ ~ l P M h i i ~ ~~r ~~ WA. ST. BC. Fee (4.50-New Const. Only) ~ , ec an ca erm t # , TOTAL FEE / Plan Check B ~ Minimum distance of structure from property lines: Issued By ~~D Front to of Road Final Insp: / Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. ~ ~+ Date Cp /ti ~ ~ Signature ' , G't' { ~ ~ ~ ~~~ ' Quarterly Reports ~ ` Firm: ~/ !a'".=it`"' (, ~/" ;~ ~, Assessor~~ TRPC J / `~ Building Pe~mit N° d 3 ~, Date 11 ~ ~J (Work,rgiust be started within 120 days) r ~/,~ Phone ( ) ~'~ NEW UEVl=LUNMEN I / NtW GUNS 1 tlU(: I lUN CNEI:/ILIS 1 SITE ADDRESS: Permit # IF Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 ~ PER ERU HOOK-UP SITE PLAN ACCESS 8 DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ' 9~, (~~ WATER SERV. ORDER ~~~, QCl POWER PugeF Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~ ~ ~' ~5 BUILDING PERMIT ~ D ~~ 5i~, 5~ ~ uw ~, ~ e ' ~ PLUMBING PERMIT ~~ ~~ Q v /' ~~ MECHANICAL PERMIT 5' 7 ~~ 7 ~, ~® GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 / TFC - TRANSPORTATION FACILITIES CHARGE- ADDtTIONAL COMMENTS DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM BUILDING DEPT. Phone: 458-8407 Building P~ mit No 6 ~" ~.- Date - ~- (Work mu t t5 started within 1 days) w ~.~_~_ , - Name f 1 Phone( ) N a Address 7U 7 ~~ ~7 ~"/ t. Zip Code r Site Address ;- ~ ,,~ ~ 1 °~ ~ '7 R Assessor's Parcel No. L~'~ ~ ~'~~~~~ ~'~~~ Lot Size (sq.ft/acres) o ~~ t ' f ~ a j Lot Subdivision oi~~,//, j~ /,; 9~ j ~ f% Block r Y OR Short Plat No. Block Existing Structures, if any: N Name '1l ( / t Contact Phone ( ) ~' T Address City St. Zip Code a License No. !' /~ Exp. Yelm Bus. Lic. No. Description of Work ~ ~ r ~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other 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 ~, ~/7 /" '~ Other Plumbing Permit # ~ 'y ~ ~' ~~ i l P it #~ M h WA. ST. BC. Fee (4.50-New Const. Only) , erm ec an ca TOTAL FEE Plan Check Byc,- - ~ Minimum distance of structure from property lines: Issued By Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- SubmittedI/ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. ~ f Date Signature-~ ./'e;5'' F ~ Quarterly Reports fi _.. f. Firm: ` AssessorJJ TRPC / / 'i NEW UEVJ=LU1'INEN f /NEW (;UNS I KU(:lIUN (:NE(:KLIS l SITE ADDRES5 : ~~,~ ~Z ~ ~/y/,71,~/Q~ [~ SEWER PERMIT SEWER LATECOMERS "SEWER/SEPTIC SITE PLAN ACCESS 8 DRAINAGE WATER SUPPLY ~ iv • nc ~ , Permit # Fee If Receipt If Applicable Applicable # $125.00 $1,000.00 WATER LATECOMERS ~/~ "WATER METER ~ qd ; WATER SERV. ORDER ~QQ , POWER TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~~ o BUILDING PERMIT (D Q~ / Q ~ • ~~ PLUMBING PERMIT ~~ ~ ~ ~~' Q~ MECHANICAL PERK ~~~~7~ ® ~ ~~ GRADING PERMIT 1 SIDEWALKS/CURB: LANDSCAPING ~~~ YELM BUSINESS LI / 0.00 TFC - TRANSPO ADDITIONAL COMN *DUE AND PAYS Comments PERMIT/INSPECTION PER ERU HOOK-UP Puget Power 458-7731 Yelm Tele. 458-2171 Y nci z°, , 5d W , C. F'c e CITY OF YELM BUILDING DEPT. Phone: 458-8407 Building P rmit N~ ,-,c9 Date ~ _ ~ '~ ~ ~~~ (Wogk must be started within 12 days) N ' ~"~~ ~ Phone N ame R ~ ~/ C ~ ~~ Address / City St. Zip ode Site Address ~ ~ ~ a Assessor's Parcel No. Lot Size (sq.ft/acres) 0 R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: 0 N Name ~ Contact Phone ( ) T Address City St. Zip Code T a 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 Sets of Prints Other ~ 'i Q Plumbin Permit # ` WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # /' ,,~t, ~~ ~ TO TAL FEE . , Minimum distance of structure trom property lines: Front to of Road Side Side Rear Applicants 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 reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature Firm: ~.~7' Plan Check By ~ ~-~ Issued By ~t ~~'~ t~ Final Insp:~~ Owner L&I Form Assessor Floor Plan and Permit SubmittedJ~ Quarterly Reports Assessor~~ TRPC ~ -J CITY OF YELM Building P rmit I° ~.. ~ 8 BUILDING DEPT. Date ~ Phone: 458-8407 (Work m t be started within 12 days) ~ ~ ~ r ~~~ w Name '~ - Phone ( )'j~5~ R ~ ~ Address ~ ~ City St. Zip Code ~._ Site Address P A Assessor's Parcel No ~ ~~~(~~ (~~~(~~ Lot Size (sq.ft/acres) O a Subdivision Lot Block T Y OR Short Plat No. Block Existing Str lures, if any: o Al.....a !~/1/1 N'~/6' ~ ~ .r'')' f / i .~ /1 /I r.,..*~..r Phnnc / \ ~A "' ~/1 1~ IV T - ... r Address f.~. ` V '" , r City ~ St. Zip Code T R 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 Sets of Prints Other ~4 LJ ,,,,~ ~ ~ Plumbing Permit #__ WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # TOTAL FEE ~ , f ~ Plan Check By lines: Minimum distance of structure from propert Issued By y Front to of Road Final Insp:IJ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted_~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature ;~' Date ' : - ~ • Cy' Quarterly Reports Firm: Assessor-// -_ TRPC ~ ~ CITY OF YELM BUILDING DEPT. Phone: 458-8407 w Name N ~ a Address Site Address ~/~~ 7 ~ ~ /%~/ P R Assessor's Parcel No. E=~ O P a Subdivision T Y OR Short Plat No. Existing Stru lures, if any: c N , Name r R ~ Address T a License No. Building P~f~rtit ~~ 6 ~ ~, Date ~: ~ ~ r" ~ ,~ (Wo,Xk must beystarted within 120 ays) `~~~~( --~- -? ~ Phone ( ) '~~7(~- ~~ ~ City St. ip Code l'7 ~ '' ~~ {~J 7~OZ.~~aZD ~ Lot Size (sq.n/acres) Lot Block Block Contact Phone ( ) City St. Zip Code Exa. Yelm Bus. Lic. No. Description of Work `frr , 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) ~~, ' 1~ Mechanical Permit #~C t TOTAL FEE Plan Check B dr~ ~ Minimum distance of structure from property lines: Issued By f / Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature r, L ~ - ! ~ ` ;?._-s--...~ Date G~ / Quarterly Reports Firm: ~ AssessorJ/ TRPC / ~ NEW UEVELUI'MEN! /NEW (:ONS1ItUL!!UN CHE(;ItLISI SITE ADDRESS : ~~lp -7 Permit # If Applicable Fee if Applicable Receipt # Comments SEWER PERMIT l~/~ / $125.00 PERMIT/INSPECTION SEWER LATECOMERS "SEWERISEPTIC ~ ~ $1,000.00 PER ERU HOOK-UP SITE PLAN ACCESS l~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER N` WATER SERV. ORDER f U ,~ POWER Pugef• Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW z~~ ~~ O BUILDING PERMIT ~ o ~ ~ 2 C ~ 3' ~~ O Y nca ray ~ 5d W . C' ~<<° PLUMBING PERMIT ~ V t '~ MECHANICAL PERMIT ~1,~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 TFC - TRANSPORTATION FACILITIES CHARGR- ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM BUILDING DEPT. Phone: 458-8407 Building P rmit ~{® 6 Q 1~~-- (Work must be started within 120 days) .4 w Name ~ " Phone ( ) N E a Address ,~ ~ ~ ! ~ s J St. Zip Code Site Address ~ ~ ~ )~''~~ ~ . a Assessor's Parcel No. Lot Size (sq.ft/acres) 0 ~~ ~ R Subdivision ~1~) `~ ~,,[ , Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name Contact Phone ( ) T R ~ Address City St. Zip Code T oa ,~] /~ ,y~ License No. 1~1~~H f(" ~ ~ ~~ 1 ~; } L1 ~ ~ Exp. Yelm Bus. Lic. No. ~ r~~ Description of Work ,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 Building Value ~ , ~~ Sets of Prints Other <--°~ r Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) , 5 Mechanical Permit # 1 TOTAL FEE ~ Plan Check By '4 Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants 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 reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. i , ,r Signature Firm: Issued By r Final Insp:J-~ Owner L&I Form Assessor Floor Plan and Permit Submitted/ Quarterly Reports Assessors) TRPC / ~ NEW UEVELUNMEN I /NEW CUN51 tiUC!/UN (:NELKLIS I SITE ADDRESS: /~I~~~ ~~/~~~~~~ ~ ~,~~ ,,~~~~ Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 PER ERU HOOK-UP SITE PLAN ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~~~, ~~ WATER SERV. ORDER ~(J~r POWER Pugeh Power 458-7731 TELEPHONE Yeim Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~lo~~ BUILDING PERMIT / f (D ~ ` l // / ,g (Q ! ~• ~l1 zncl z°5 , 5d W . C ~ F~Ge PLUMBING PERMIT 5~ /~ ~~~~~ MECHANICAL PERMIT ~ 7 ~G yI, ~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 TFC - TRANSPORTATION FACILITIES CHARGF- ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY ,~ CITY OF YELM Building Permit N°_ ~ Q.~ BUILDING DEPT. Date ~,~__ C._<..-:fi'r' ~~ `~ ~c. Phone: 458-8407 (Work m,u~t be started within 120 days) w ) Name f~ ! i~ r Phone ( ) ~ (p a r~ Address ~ ~ ~ City !ff t. • Zip Code Site Address ,:~ / - / ~ '~ a Assessor's Parcel No. Lot Size (sq.ft/acres) 0 E R Subdivision )("`j/' ~ / Lot ~ ~ ~ ~~' t~~`74-'/ Block Y OR Short Plat No. Block Existing Structures, if any: N Name ! '~ ,~ Contact Phone ( ) T R ~ Address City St. Zip Code a License No. Exp. Yelm Bus. Lic. No. ~ ~~ t` ~ Description of Work ~ p 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 // / ~/ ,Z , ~! Sets of Prints Pl bi P i ~J ~~ Other um ng erm t # ~~ ~/ M h i l P i WA. ST. BC. Fee (4.50-New Const. Only) ec an ca erm t # TOTAL FEE Plan Check By Minimum distance of structure from property lines: Issued By v Front to of Road Final Insp:J_~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. ; ` ., ~ . Signature ~~~ ,,r _. -~-~~ ~:,~,,~,,~,,~:- Date ~,° - ~ Quarterly Reports r Firm: Assessor_~ / TRPC ~ / ~l t` 1 NEW UEVELUNMEN f /NEW CUN5112U(:11UN CHE(;KLIS 1 SITE ADDRESS: m Permit # Fee If Receipt If Applicable Applicable # Comments $125.00 PERMIT/INSPECTION SEWER PERMIT SEWER LATECOMERS " IC $1,000.00 ~-~C) ~ PER ERU HOOK-UP SEWERISEPT SITE PLAN ACCESS 8~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~} ~'~/~, D~ WATER SERV. ORDER ~~~, (1C1 POWER TELEPHONE STATElCO. APPROVAL STREET CONSTRUCT Pugeh Power 458-7731 Yelm Tele. 458-2171 PLAN REVIEW ~~' ~~ BUILDING PERMIT ~OVr ~ L!J `(~~~® ~ ~ 1.~•C, Fce , PLUMBING PERMIT ~~ / ~ ~~~•~~ MECHANICAL PERMIT GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 TFC - TRANSPORTATION FACILITIES CHARGE- ADDITIONAL COMMENTS *DUE AND PAYABLE PR10R TO FINAL INSPECTION BY 0 w N E R Site Address ~ '~ ~ ,~ R Assessor's Parcel No. (fj ~ ~ Lot Size (sq.ft/acres) 0 P E R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c o N Nam - Contact Phone (~ ) T Address ~~ ~ C ~ St Zi C de d p . o T °a License No. ~ ~ Exp. Yelm Bus. Lic. No. ~. , ~~ ' ~ Description of Work y 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 ,~ ~~ , ~ Sets of Prints Other Plumbing Permit #_ ~ `r WA. ST. BC. Fee (4.50- New Const. Only) , Mechanical Permit #~.~L''~ TOTAL FEE ~ ~~ Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants 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 reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Plan Check Bye... P ~ ~ ~' 1 Issued By Final Insp:J~ Owner L&I Form Assessor Floor Plan and Permit Submitted/ .~-_;~ Signature ~ 1 ~,,. ~,..,,_ „ Date E,,., ~ Quarterly Reports Firm: k~ S "~' ~, ti ..`'~_ t -1l=~ i~r' "` ~' ti 1_ U .} '" Assessor-// TRPC ~ / CITY OF YELM Building Permit N°_ r,-. 6 ®~ 6 BUILDING DEPT. Date ~~ ' '~~ `-~~ Phone: 458-8407 (Work must be started within 120 days) NEW UEVELUf'MEN (/NEW GUNS I IlU(:IIUN I;HE(:KLIS I SITE ADDRESS: SEWER PERMIT SEWER LATECOMERS "SEWER/SEPTIC SITE PLAN ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING Permit # ~ Fee If If Applicable Applicable ~ //Q $125.00 N/a N/R ti'lA $1,000.00 PER ERU HOOK-UP Pugef• Power 458-7731 Yelm Tele. 458-2171 (~ ~D( /1~/A ~~/A z 39, ~ ~7~.5~ ~. YELM BUSINESS LIC. I ~ $30.00 TFC - TRANSPORTATION FACILITIES CHARGR- ADDITIONAL COMMENTS DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY Receipt # Comments PERMIT/INSPECTION =nG1L~d~ Y. w,c, ~'ce CITY OF YELM BUILDING DEPT. Phone: 458-8407 1 1 Buildin Perm'~N°_ r- ~ X15 date " t (Work must be started within 120 days) ~~~~ w . , ~, Name ' ~: ; ' ~ , Phone ( ) ~,f ~° "~~~ R , ~} Address ~/ ~ / ' ~'~ ~ fit. ~"~ ~ + ~ City St. t Zip Code ~~~ > a ~ i-~ ~ -' ' I Site Address . , o Assessor's Parcel No. (j r, ~~~ `; ~~~/,~(,! Lot Size (sq.ft/acres) R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N Name ~~ , ~ '~ ontact Phone ( ) ~"~~ ' 3~ ~~~ ~ , ~ ,; Address ~ t-~~ i `~~ St~,,,(~ Zip Code 9 a License No. ~ .~ "~ Exp. Yelm Bus. Lic. No. Description of Work r ~ '~ a ~ OFFICIAL USE ONLY ~~(~ _ r '"?`~ ~ !''~ r 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 SepaExempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value FF //~~~j '~1 (.ifl ~, ~~ h ~' G- ~ ~Cl Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) ~ ~~ Mechanical Permit # TOTAL FEE , ~ Plan Check B ~ ~~~a~ ~ ~ Minimum distance of structure from property lines: //! Issued By b s Front to of Road Final Insp:/~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- SubmittedJ~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature _ ~ ~~~~. ~, Date ~_:~ ~ ~ ,~~~( Quarterly Reports Firm: `,t: t , '=-; ~~~_ ~~ ~ - l `, ~ .~- l t.'`~ ' ~--~1 ~.~._)~' Assessor~~ TRPC ~ ~ ~. ,r ~~ NEW UEVELUNMEN f /NEW CUN51 tlUL tIUN CHE(:KLIS 1 SITE ADDRESS: /~~ ,.:n~~. n ~- ,V~ ~u ~~~ `~,> ~~ ~ r "'~ f ~' ~ ~ n "J t~ ~ ~ Permit # If Applicable Fee If Ap e Receipt # omments SEWER PERMIT TD BE DETERMINED $125.00. PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC O BE i)ETEk,~I N ED $1,000.00 PER ERU HOOK-UP SITE PLAN ACCESS 8 DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER i7ETEIQMtAIED ~~~~. // ~~yy (UU~ WATER SERV. ORDER TO 8 E DET2'(!M i~tl'E) POWER Puget Power 458-7731 • TELEPHONE Yeim Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW d~•Q~ BUILDING PERMIT / lD t~t,.l~ 7~'~~ ~~ =nc.1 z°s , 5d W.C. F•ce PLUMBING PERMIT ~~ 0 7 •~,) ~. ~~ R6LR~7 R DRTE kT MECHANICAL PERMIT TO Cic i SSGtED /} T ~ TER ~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 TFC - TRANSPORTATION FACILITIES CHARGE- T~~~ ADDITIONAL COMMENTS T *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY TfIfR vr_t ^~ nrtrt nt~tn ncnT CITY OF YELM Building Pef mit ~°_ ~ ~ $ 3 BUILDING DEPT. Date lQ- to '"~ '~ Phone: 458-8407 (Work must be started within 120 days) ,i . D N ~ ~ r s 9 Name Phone + ( ) ~~~(/ ~l`.J~ E R Address City St. Zip Code • ~~ r- Site Address a Assessor's Parcel No. Lot Size (sq.ft/acres) 0 R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N Name / ontact Phone ( ) T Address City St. Zip Code T p License No. Exp. Yelm Bus. Lic. No. Description of Work , r~` OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other 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 ~ ~ `"~ ti. Plumbing Permit #_ WA ST BC Fee (4.50-New Const. Only) Mechanical Permit # ~9 TOTAL FEE , (~(~ Plan Check By/ J~r~;.ra~ Minimum distance of structure from property lines: Issued By ~.~ ' ' -~- Front to of Road Final Insp:J_~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted_~J ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature ~~, -:~.r'~L._. , . ~' ~ /j Date - tj """ Quarterly Reports X Firm: ~, _ "` Assessor~~ TRPC J 1 CITY OF YELM BUILDING DEPT. Rhone: 458-8407 b w Name ,~~/~/,jC_~y~ ~! N '- " R Address ~ Site Address 1'y r~ ~ P Assessor's Parcel No. ,.x-~";,~ R a Subdivision " ~L~{~,~ f,1 ~"~,LCa/1/,(J r Y OR Short Plat No. Existing Structures, if any: c N Name ? '~ T R ~ Address ~~~~~~ -y- R License No. pS~f'~ ~ ,~ ~ ~ ~,I ~%; n J Contact Date (Wor~nust b~ farted withi 120 days) r ~~ ~ Phone( ) ., -~~ Ci ~//,~,~,~j/f) St.~/~ Zip Code ~d~~j ~~ v t Lot Size (sq.ft/acres) Lot '~~ City Exo Block Block Phone( ) St. Zip Code Yelm Bus. Lic. No. Description of Work ~ t !~ ~ l OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential_IC_ 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 (,~ ,~ ~ ~ / ~, ~~ Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50- New Const. Only) r ~ Mechanical Permit # TOTAL FEE Plan Check By a Minimum distance of structure from property lines: Issued By P Front to of Road ~ Finallnsp:~~ Side Side Rear - -..Owner L&I Form Applicants Affidavit: ~ ° ~~. ,~ l ~ -Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the sarrr'e'to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washingto f / Signature Date - Quarterly Reports Firm: Assessor~~ TRPC ~ ~ Building P mit N~ I ~ ~ ~~ i NEW UEVELUNMEN 1 /NEW CUN51 ttUC:IIUN (:HEI:KLIS I SITE ADDRE55: ~~~~~ M 1 ~T~~f1-T~O~ Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 ~~ PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 PER ERU HOOK-UP SITE PLAN ACCESS 8 DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~~}/~ /~/~ ~lUrC1'(J ~( ~~`-! WATER SERV. ORDER ~DOr ~~ -1 POWER Puget Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~` ~~~° ~~ ~r009 ~_ ~ ' ~ / BUILDING PERMIT / lO ~d~ r~ I7 / • ~ t~ ~ ~ ~ Y nc~ z°~s ~ 5D ~ ~ C. F~ce PLUMBING PERMIT ~~~~, ~~~` a~ MECHANICAL PERMIT J~ 10 (p "~~ ~~ C ~~ GRADING PERMIT SIDEWALKSICURBS LANDSCAPING YELM BUSINESS LIC. $30.00 TFC - TRANSPORTATION FACILITIES CHARGF- ADDITIONAL COMMENTS '"DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM BUILDING DEPT. Phone: 458-8407 Building Per --~.~~ ~ ®® 2 Date `/? -'~.~ (Work must be started within 120 days) w Name ,~ 1 Phone ( ). R 7 ~~ J Ci ~ A St. Address ~ ~ + Zip Code U J / "` '~ ~ ~ ~~ Site Address ~ ~ ( P R Assessor's Parcel No. •~ ,%~ ~ •~ ~ "~ Lot Size (sq.ft/acres) O R ~ Subdivision `"~ `' -{i° Lot Block r Y OR Short Plat No. Block Existing Structures, if any: 0 N Name ~ ~ ! r' ,~ Contact Phone ( ) T City St. Address Zip Code ° T J f Yelm Exp Li N ~ ~~ ~~ Bus Lic No a . cense o. t / . . . Description of Work ° ~ i ~ Fr ~ 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 Plumbin Permit # ~~ Other g ~ Mechanical Permit #~r/D~ WA. ST. BC. Fee (4.50-New Const. Only) , ~ ~~ ~~ '~ I TOTAL FEE j , Plan Check B Minimum distance of structure from property lines: Issued By t Front to of Road Final Insp:_~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washingto . r r' Signature i ~ry ~~~ ~~,~.::~; Date ~,~ ",~_ ' '~'~ Quarterly Reports Firm: Assessor _~ ~ TRPC / _~ NEW UEVELUNINEN I /NEW GUNS 1 ItUt;11UN CHEI;KLIS SITE ADDRESS: ~ ~~~f ~-./ lJ ~ `VC~w ~ n l ~ ~ ~ a .-r~~ A ~ Permit # If Applicable Fee li Applicable Receipt # Comments SEWER PERMIT $125.00 ~~ PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 ~~~ PER ERU HOOK-UP SITE PLAN ACCESS 8~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~ ~~', WATER SERV. ORDER ~~~, POWER Puget Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~' ~ 7~. ~~ ~~ ~ J ~ 13-~~ BUILDING PERMIT (O ~Qt~ / ~ / ~~ ~~ ~j Y'n~t ~ , Sd W . C, F•ce PLUMBING PERMIT ~~~~ ~ / ~ d~ MECHANICAL PERMIT ~> 5 7 (~~ I ~` ~ D~ ~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 \~ , TFC - TRANSPORTATION FACILITIES CHARGE- ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM BUILDING DEPT. Phone: 458-8407 Building FJer 4t ~~~} ,~.,,~ ~ 1~ 1 Date ( ,. (Work must be starte within 1 0 days) ,o Name ~,,r ,~ ~ Phone ~ ) -~~~ - t,~'! a Address j ~' City ~ t. ~ Zip Code Site Address f ` ~ ,, ' ~ ~ ~ , ~ ' Assessor's Parcel No. ~' ~ ~ "; '~~ ~ ' `, ~ ' ~ Lot Sizes ft/acres a Subdivision`s ~ ~'~~~~~~~~~ Lot ~ Block T Y OR Short Plat No. Block Existing Structures, if any: 0 N Name '% rf' ,l ~ ~ ) Contact Phone ( ) T R ~ Address City St. Zip Code T a License No. ~ Exp. Yelm Bus. Lic. No. Description of Work 1 i7 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 f ~ , (~ Sets of Prints Other ,.~ , Plumbing Permit # ~ ~ 'y ~~, f ~.( / ~1! WA. ST. BC. Fee (4.50-New Const. Only) , Mechanical Permit # C_IL,L ~ ~ ~ ~ TOTAL FEE Plan Check By r Minimum distance of structure from property lines: a Issued By Y Front to of Road Final Insp:~/ Side Side Rear:: Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~J ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washingt Signature .)' Date ~" ~. ~ ~~ Quarterly Reports Firm: Assessor // - TRPC ~ / 1 NEW UEVELUNMEN f /NEW GUNS I ItUI:IIUN (:HE(;KLIS I SITE ADDRESS: r`' ,~0 J t in /~ `~ ~ ~ L~~U M.,1 ~T I ~.~ ~10t~ ~~C~J ~~~~' ~~ Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 j PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 f _ PER ERU HOOK-UP SITE PLAN ACCESS 8 DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~ ~~, , ~ ?~ WATER SERV. ORDER `7~®, ~~ POWER PugeF Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~ ~~~ ~D ~~~0 BUILDING PERMIT [`p ~~~ ~ 9~, 5~ J ~ ~Ci1 ~ I w, CI Fce PLUMBING PERMIT ~~ / ~ ~ ~`~' ~~ ~~ MECHANICAL PERMIT 5y p "7 ~~I J~ ~,J I GRADING PERMIT SIDEWALKSICURBS LANDSCAPING YELM BUSINESS LIC. $30.00 '~C. ~1 TFC - TRANSPORTATION FACILITIES CHARGE- ADDITIONAL COMMENTS CITY OF YELM Building Petit ~° ~ Q.. 4 BUILDING DEPT. Date ~-~- ?hone: 458-8407 (Work must be started within 120 days) -~,, r'., ~ ~--F-- Name ~ ` ~ t `'~"" Phone ( ) ~ ~. R Address ''`~ ~ /~ '~ ~ Ci y /f St. Zip Code Site Address ~ ~ , ~ ` R Assessor's Pa el No. Lot Size (sq.ft/acres) o , a Subdivision ~ Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N Name /,V~j ~} ~ ,~ ~„~~„/,~ (~,~ ~ Contact Phone ( ) T Address City St. Zip Code T o ~2 ~r ~ / / a License No. 7f-~/f ~f l~/~ ~ t) ~?' i 1t "~/ Exp. Yelm Bus. Lic. No. ~~~(r~ Description of Work .r ~~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential~~Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value '~ , a ~~ Sets of Prints •~ ,,~ Pl bi P it #~ ~ Other um ng erm .s `.,.. ~ ~ ti'' e~ ~ WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # ~, 1 v ~ ~ TOTAL FEE ~ ~j ; ~ Plan Check B Minimum distance of structure from property lines: ~_ Issued By Front to of Road Final Insp:J/ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. ~,, / Signature ;~ • ~ / Date j "d ~ "``~ Quarterly Reports t Firm: i AssessorJ/ TRPC / _J ~f l NtW UEVtLUNIVIEN 1 / NtW (;UN51 ilU(:!]UN (:Ht(:KLIS l SITE ADDRESS: ~~j Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 ~ PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 PER ERU HOOK-UP SITE PLAN ACCESS 8~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~ !~, t~~ WATER SERV. ORDER ?aQ, ~~ ,~ POWER Pugeh Power 45&7731 TELEPHONE Yeim Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW I ~~ ~ U 7 ~~ BUILDING PERMIT ~' ~~~ 2 // ~~ICJ~~~ ~ Y ncl ~ , 5d ~~C' ~Ge PLUMBING PERMIT ~~ `~P ~~' O~ lJ MECHANICAL PERMIT ~'`~8 7 "~ ~, ~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 TFC - TRANSPORTATION FACILITIES CHARGF- ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM Buildin Permf't ~° 6 Q ~J BUILDING DEPT. Date ~~-~'~C'-~`~~( phone: 458-8407 (Work must be started within 120 days) w IName~i"~7.%~ h /~'~~ ~1'~,~~.~!.~-JC.-~'t ..;'~~~1 Phone ( ) ~ ~ °~~ R Address ~- ~ ~ ~ ~ City / St. Zip Code - ~~~ Site Address ~~ ~ r r~ ~ R Assessor's Parcel No. ~` Lot Size (sq.ft/acres) 0 R Subdivision ~ Lot Block T Y OR Short Plat No. Block Existing Structures, if any: 0 N Name 1 ,,,Contact Phone ( ) r - Address City St. Zip Code T R License No. Exp. Yelm Bus. Lic. No. Description of Work r OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign r Sewer Septic Approval No. Commercial Othe 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 P Other Plumbing ermit # WA. ST. BC. Fee (4.50- New Const. Only) ~ Mechanical Permit # ~ TOTAL FEE Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants 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 reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature `--;~ °~ - t .~~.~ -__'. C --?"/~`-~`r~r .y'~-r't Datel - ` ~ -- r~ ~`1 ' ~ Firm: Plan Check By' ~ ~ / C ~, ~~ Issued By ' '~ ~~ Final Insp:~_/ Owner L&I Form Assessor Floor Plan and Permit Submitted~~ Quarterly Reports Assessor~~ TRPC / / ~ Y CITY OF YELM Building Permit N°_ q ~ $ BUILDING DEPT. Date ' ~`-t~~- ~` ~"~~ Phone: 458-8407 (work must be started within 120 days) -~~ ~`~(n '~ ~ ~ '` _e.- N Ph ~~ (p~ I ~~ " N ame one (G <_ ,) , 0 R Address ~ 6 ~ ~~~ 's3 City St. Zip Code ~ ~;,;~~ Site Address ~3 '~ ~.- P R Assessor's Parcel No. ~ ~ ~ ~ ~ Lot Size (sq.ft/acres) P ~ a Subdivision Lot Block r Y OR Short Plat No. Block Existing Structures, if any: c N Name '~ Contact Phone ( ) r R ~ Address City St. Zip Code a /'~ License No. j" ~ ~ ` '~ s Exp. Yelm Bus. Lic. No. ~ Description of Work f ~" ~~~ OFFICIAL USE ONLY 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 Building Value ~~ ~! ~(O e ~ (~ ~ , ~~ Sets of Prints Other Plumbing Permit #-~ '~ ~ ~ f WA. ST. BC. Fee (4.50-New Const. Only) , Mechanical Permit # TOTAL FEE ~ Plan Check By ~ { Minimum distance of structure from property lines: Issued By r Front to of Road Final Insp:~J Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted-/~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. ~ ;, ---.,:, _ Signature r=;, ~ ', ~/ ,.._--'~i~`P~ Date ~ ; ~ ; - j,r Quarterly Reports '~ Firm: Assessor /~ - TRPC ~ ~ J NEW UEVEWNMEN 1 /NEW GUNS 1 KU(:1/UN GHEI:ItLIS 1 SITS ADDRESSz Permit # If Applicable SSWSR PERMIT SEWER LATECOMERS "SEWER/SEPTIC SITE PLAN ACCE8S b DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT ~~ U g PLUMBING PERMIT ~~~~ MECHANICAL PERMIT ~~~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. 57~, t~0 ~~~ ~ ~ TFC - TRANSPORTATION FACILITIES CHARGE- ADDITIONAL COMMENTS -~ PERMIT/INSPECTION PER ERU HOOK-UP Puget Power 455-7~3i Yelm Tele. 458-2171 ..,,.~ ~.~., nwvwnr c oplna Tn FINA(_ INSPECTION 8Y CITY OF YELM ermit ~~ ~,~ ~ 9 Buildin~P -~, BUILDING DEPT. ~ ,_ , Date l-~~ .,-~-- "%r Qhone: 458-8407 (Work must be started within 120 days) /) N Name g .~ ~ r 1 ~'~' ?,~ Phone ) sa , E R Address " Zip Code Site Address ~'~~ -,' :'~ ~ '' O Assessor's Parcel No. ~j~ ~ ~ Lot Size (sq.ft/acres) a Subdivision ~ ~~ 'f Lot ~ Block r Y OR Short Plat No. Block Existing Structures, if any: c o N ~~ Name ~ -~~ ~ Contact Phone ( ) T R ~ Address City St. Zip Code a License No. `j f f ~~;`~ ~7 ~ -~ ~ '~1,~A /~ 1 rig Exp. Yelm Bus. Lic. No. ~ 1 7t'~ 1 Description of Work '" f~ ~. 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) ~/ ~ Y , ~ s Mechanical Permit # ~~~~~ TOTAL FEE "~ Plan Check B Minimum distance of structure from property lines: Issued By ~ ~ ~~. Front to of Road Final Insp:_/~ Side Side Rear Owner L&I Form _. Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- SubmittedJ/ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. .: .; ,, _ ., Signature ,.~;~~, ,. ,1'"?.~ 1:.,-,,.~, `'~ - f ~-- t' ~,a Date Quarterly Reports Firm: ~' Assessors/ ~~ i TRPC / / NtW UtVtLUNMEN 1 / Nt W GUNS 1 ftUl; I fUN l;Ift(:ItLIS 1 ` ~ BCD ~~ SITB ADDRESSs ` ~~ ~~ ~~~ ~~~.M~-r ~~EC~po~n Foar~~E) Z Z . 5~ Permit # Fee It Receipt ADD (~Lf~dL ~~~"C~lc) ~~~ 3 ~ , ~ ~ .~T~ ~ ((Applicable Applicable # Comments 5125.00 ~ -~ PERMITIINSPECTION SEWER PERMIT SEWER LATECOMERS ' ~ PER ERU HOOK-UP $1,000.00 , •SEWER/SEPTIC SITE PLAN ACCESS S DRAINAGE WATER 8UPPLY WATER LATECOMERS /} L~ "WATER METER ~ i d ' ~~ `~ WATER SERV. ORDER ~d~ ~ ~~ rl pee} Power 468-7731 POWER Yelm Tele. 458-2171 TELEPHONE 8TATE/CO. APPROVAL 8TREET CONSTRUCT IEW (~ ~r PLAN REV =nom ~ ~ 60 ERMIT~ ~ ~ / 9 r 5 Jr Z 7r OD _3 W - C, FcG BUILDING P PLUMBING PERMIT 53~'~ --~ `~ MECHANICAL PERMIT ~~ ~ 8 GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. 530.00 TFC - TRANSPORTATION FACILITIES CHARGE- ADDITIONAL COMMENTS ~„~ ~~ ~ yin ve veal F PRInR TO FINAL INSPECTION 8Y CITY OF YELM Building P..er• it ~°_ r 5 ~ ~ ~ BUILDING DEPT. Date Phone: 458-8407 (Work must bafstart within 120 days ~ ~ ~ '~ N Name / Phone ( ) - (,~ a Address ~~ ~ , City ! St. Zip Code `~~ Site Address ~ ?~ ! } ,/~.~ a Assessor's Parcel No. Lot Size (sq.ft/acres) 0 P a Subdivision Lot Block r Y OR Short Plat No. Block Existing Structures, if any: c N ~ ~ Name ~~ ) ~ Contact Phone ( ) T R - ~ Address City St. Zip Code T R 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 ~~ Sets of Prints Other Plumbing Permit #. WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # TOTAL FEE ~ ' ,: a Plan Check By P ~ ~ Minimum distance of structure from property lines: P ~ Issued By ~ i Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants 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 reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Assessor Floor Plan and Permit Submitted__/_~ Signature ( ~ ~ c: , ', ~~ , ~ ~? = Date d" ~~ ~ ~ Quarterly Reports Firm: Assessor ~ / TRPC / J ~~/ /r~) CITY OF YELM BUILDING DEPT. Phone: 458-8407 N Name E R Address Site Address ~~ ~~t P R Assessor's Parcel No. O P a Subdivision T ~ OR Short Plat No. Existing Structures, if r. :~ City {' ~. Lot Size Lot Name { n ! ` Contact Ph Address ~' ~~ ~ j• ~ „ S' ,. ~' ~ ~ ~ ~ ,R City ~~ /l St. '~ Zip Code '~~~~i a License No. ~~ ~ ~ '~ Exp. ~' Yelm Bus. Lic. No. ~~'~ Description of Work ~~ / f `~ ~~ •~ ~ 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 JJ j"W~ ~ ~ ' ~ •- ~ ~ ~ Other L. ; ~ ~ , ~ Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit #.1 ' ~fJ~ TOTAL FEE a r Plan Check ' ~ J d "j ~,.~ ,; Minimum distance of structure from property lines: Issued By° ~ '~~ Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~J ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. ..~----° -~;. f Signature , '"~ ',~~ ~~ ~'`~ r ~- Date :.3~ ~-~1 ,j Quarterly Reports ( +. Firm: (~ '~ (~ ~~. ~c< , --`" Assessor-/J TRPC ~ / Building P@rmit N~ ~ S Date (Work must be farted ithin 20 days) ;~ I..~ ~ ~~~ ~•7~ o Phone( ) '~ St.l,~,~ZipCode ~'~,~,7 Block Block one~t,O(~)DGJ~~t~ ~7%~ CITY OF YELM Buildin er °- 5 ~ ~ ~ BUILDING DEPT. Date g; , ~ _..t~~.mlF7 Phone: 458-8407 (Work must be started within' 120 days) o ,~' N i Nam ~ , _ Phone ) ~~~ - ~` R Address ~. (I ~J ? it t. ~ ip Code Site Address ;~~ ~~ ~~ ti-i' P R ~ Assessor's Parcel No. Lot Size (sq.ft/acres) 0 P a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: Name `~[,~ /~ ~ Contact Phone ( ) T Address °' '~ ! s , Cit I`i `r '~ ~ ~ St. ip Code `~ ~ ~(' j T R License No. L -~ ~~'7 Exp. '~ Yelm Bus. Lic. No. ~~ , ,J Description of Work /: ~;,/ ~'J?~' ; OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential ~ Sign Sewer Septic Approval No. ~ / Commercial_1~ 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 G, . , Plan Check By Minimum distance of structure from property lines: 7 Issued By ~ ~ U Front to of Road Finallnsp:~ / Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted) ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. _ ,.-r ; r.. ~' // Signature ~ /'' ~:.;~ r , ` ~ ~'_;; < ~!= ;"%~,' a ~ -, ~ Date ~~/:~~~ `% Quarterly Reports Firm: Assessor / ~ - TRPC ~ / _ >~ NEW UEVtWNMEN 1 / Nt W GUNS 1 KU(: I IUN ~NEC:rcLls 1 SITS ADDRESSt Permit # If Applicable SSWSR PERMIT !V /~ SEWER LATECOMERS •SEWER/SEPTIC ,~ ' `r SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~1/~ WATER SERV. ORDER POWER TELEPHONE 8TATE/C0. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT ~ ~~~ PLUMBING PERMIT - " v ~~~ MECHANICAL PERMIT 5 7 0 GRADING PERMIT 81DEWALKS/CURBS LANDSCAPING ~~~~~~ TFC - TRANSPORTATION FACILITIES CHARGE- ADDITIONAL COMMENTS PERMIT/INSPECTION PER ERU HOOK-UP Puget' Power 458-7731 Yeim Tele. 45&2171 ..,.,~ ~.-~ nwvwn- c np-nA m FINAL INSPECTION 8Y CITY OF YELM Building Permit ~° 5 ~ ~ .~_,r BUILDING DEPT. Date ~- t / Phone: 458-8407 (Work must be started within 12 ys) ~~ E t/' Names/~.2..~~ 6~~ f ~ Phone ( )'yf ~ ~~~i ~ R Address +' r ~ l~~ ` 7 '~ "~ " J f City St. ~~ ip Code ~~ ~ '' Site Address R Assessor's Parcel No. Lot Size (sq.ft/acres) 0 P a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structure , if any: N s Name ~ }~} ~'~ ,,?',~ ~.i~ Contact '~ ` Phone ( ) T R - ~ ~ Address City St. Zip Code T a License No. Exp. Yelm Bus. Lic. No. s'1 •' , Description of Work ,r '', - ~,~ ~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other ~ ~ ~ ~% ~y° ~`; ~~,~ ~ Plumbing Permit # r! f V WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # ~ ~ TOTAL FEE ~-• ~ Plan Check B ..i y , Minimum distance of structure from property lines: Issued By + Front to of Road Final Insp:~/ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~I ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. f ~ /~ '"- ' SignatSrs-..... _ _. , 1--_. ~:_ ,' ~ Date Quarterly Reports Firm: °;T,, rte:}~: ;,,j?~r"~r'Y"c' 'i{",r -.11?~ ~-'^r.n -~v!r~T,T~ji?C'~-~" Assessor~I CITY OF YELM ~ Building Permit ~o_• ~ ~ ~ 4 BUILDING DEPT. Date '~ ~" Phone: 458-8407 ~ (Work must be tarted within 120 days) w Name ilf' J't .,(,'( ~ ~- ,~' ll~~/.~'~ J t'~.?(~.'~ „J ~ Phone ( ) '7 ~C, -~ `~ . f R ~ Address t E City I St. Zip Code ` Site Address ~~~ T~ ~ ~~'~ ~~„~' ~_~"~ a Assessor's Parcel No, ~ ~ ~/ ~U~.~s~ ~ ~ Lot Size (sq.ft/acres) o a _ Subdivision ~ ;~y t~~ ~~ Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N ~~ j Name ~ 1~ v ~`' Contact 7 p Phone ( ) ~- ~ T Address ~' ~ ,7 City -` St. ~ Zip Code T °a License No. / ~ ~~ ~ r~ ~ ~ Exp. E Yelm Bus. Lic. No. Description of Work ~ ~ ~~, ~ OFFICIAL USE ONLY Permit Type: l Sq. ft. per floor: (1st) (2nd) Residentia 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 jj~~ Plumbing Permit # ~~tU WA. ST. BC. Fee (4.50-New Const. Only) '~~ ~ Mechanical Permit # ~~~~ TOTAL FEE Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants 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 reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. ~•-,, Sigm Firm: 7 Plan Check B~~, ' -.j1 j } Issued By ^'~,i Final lnsp:~~ Owner L&I Form Assessor Floor Plan and Permit Submitted~J Quarterly Reports Assessor-/~ TRPC 1 ~ NEW UEVELUNMEN! / NE W CUN51 KU(:l /UN I:HEI:ILLi51 SITS ADDRSSSs ~P'~jI ~ /" /~~Y ~• ~~ - Permit # Fee If Receipt IF Applfcable Applicable # Comments SSWSR PERMIT J~ $125.00 PERMIT/INSPECTION SEWER LATECOMER8 SEPTIC • N~~ 51,000.00 PER ERU HOOK-UP SEWER/ SITE PLAN ACCESS 8 DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER /l ~~}' WATER SERV.ORDER /~~~ pugs} Power 458-7731 POWER Yelm Tele. 458-2171 TELEPHONE 8TATE/C0. APPROVAL STREET CONSTRUCT ~ /~`~` ~~~ i~ ~ J PLAN REVIEW ~ 7 S 7 ~gJ% ~ ~j~ W . C, F G ' S0 IT BUILDING PERM ~ '1 ~ ~ ~ ~ ~ ~ ~~ PLUMBING PERMIT J y ~ v ~ ~ ` ~~ ~~~U MECHANICAL PERMIT ( GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. I I 530.00 TFC - TRANSPORTATION FACILITIES CHARGE- ADDITIONAL COMMENTS ..,..~ ~ srn on vw n- t: DR71nR Tf7 FINAL INSPECTION BY CITY OF YELM Building P r~nit ~~` ~„~~ 8 Q,. BUILDING DEPT. Date ! ' ~~, Phone: 458-8407 (Work must be arted wi hin 120 clays) r w Name N Phone( ) 7~~ R ! Address ~ City I St. ip Code ~ --,~ ~' 9 Site Address °~ f J' P R Assessor's Par No. ~ Lot Size (sq.ft/acres) O ~ ~ R a Subdivision ( i , Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name %" ,/ %~ Contact Phone ( ) T R ~ Address City St. Zip Code T R License No. Exp. Yelm Bus. Lic. No. Description of Work /~ ,~ ~~ OFFICIAL USE ONLY 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 ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~~ '~'~~ ~ ~ ~~ ~~ Sets of Prints Other Plumbing Permit #-i~-,1~--L ~~ ~-','~ f/ ' 7 r0 WA. ST. BC. Fee (4.50-New Const. Only) , Mechanical Permit # t. ~ ~ ~ i ~ , TOTAL FEE Plan Check By_..- Minimum distance of structure from property lines: .1 Issued By Front to of Road _J Final Insp:/_~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted/ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washingto ~' ~--t Signature Date Firm: Quarterly-Reports Assessor ~ J TRPC ~ -J s' ~,; r NEW UtVtLUNMEN 1 /NEW (:UN5l !lU(; IIUN l:Ht(:KLIS 1 SITE ADDRES5: ~~~~~'~¢ r' SEWER PERMIT SEWER LATECOMERS •SEWER/SEPTIC SITE PLAN ACCESS 8~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT 81DEWALKSICURBS LANDSCAPING YELM BUSINESS LIC. ~g Permit # Fee If Receipt IF Applicable Applicable # Comments 3125.00 -~`..-~ ~ ' PERMIT/INSPECTION ~' PER ERU HOOK-UP r/ ~ $1,000.00 ~ ~ ,~ PueeF Power 458-77 31 Yelm Tele. 458-2171 1~19.~5-.,, ~`1-~ ~ ~~, 5'98 ~r~l ~ ~ ~ '~' w.c, rr~G ~~~ 1 i 5.59 i 8' l~ 5"4 `~ `r -~ $30.00 TFC - TRANSpORTATIQN FACILITIES CHARGE- ADDITIONAL COMMENTS '"DUE AND PAYABLE PR/OR TO FINAL INSPECTION 8Y CITY OF YELM BUILDING DEPT. Phone: 458-8407 Building er~ No ~.~ r Date --~ (Work must be started within 12 days) ~~~~ w Name !~ ~' .., Phone ( ) R ~ ~ f '~ j ~ ~ ~ ~ Address ~ City f St. 7 Zip Code ( , ~ ~ r Site Address P R Assessor's Parcel No. ~ ~ Lot Size (sq.ft/acres) O P a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name ~ ~ Contact Phone ( ) T R ' ~ Addres City St. Zip Code a /y License No. ~~ "7 Exp. Yelm Bus. Lic. No. ~(~(,~ Description of Work ~~'/~~ ~c,-. t/' a~ ~~ ~ ~; ~~`8 ~1 F,,1 OFFICIAL USE ONLY ' '' ~'t - , ' i'" ~-'~ ~ F0 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 ~~ 7. 'f Plan Check Bye ~~ x ~ Minimum distance of structure from property lines: !' Issued By ~ ~ , Front to of Road Final Insp:J~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, 1 further certify that I am a currently registered contractor in the State of Washington. ..~ -. Signatur@ ~ , '~~, . .~.~ Date ~ 3 f Quarterly Reports Firm: Assessor _~ ~ TRPC ~ / ~~ ~~ . NEW UEVELUNMEN I /NEW CUN51 KU(: iIUN I:HE(a1L151 SITS ADDRESSs Permit # If Applicable SSWSR PERMIT SEWER LATECOMERS " ~ ~~~~' SEWER/SEPTIC l SITE PLAN ACCESS b DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER . ~ ~+ ~ WATER SERV. ORD R ~ ~~ ~~~ , ~(~ POWER TELEPHONE 8TATE/C0. APPROVAL STREET CONSTRUCT PLAN REVIEW ~~~ 2 BUILDING PERMIT '~~ PLUMBING PERMIT s ERMIT T~ ~ ~ ~ ~" 7 ~d MECHANICAL P GRADING PERMIT 81DEWALKS/CURBS LANDSCAPING ~D YELM BUSINESS UC. ~~~~`~~ PERMIT/INSPECTION PER ERU HOOK-UP Yelm Tele. 45&2177 TFC - TRANSPORTATION FACILITIES CHARGE- ~,~~~~ 9.3 ~`~~ ADDITIONAL COMMENTS ..,,.~ ~ ~~~ o~ v~Qr c vpinA Tn FINAL INSPECTION 8Y CITY OF YELM BUILDING DEPT. Phone: 458-8407 Building Pgrrnit ~® f ~ 9~~ Date -'c`j ;4~,.~~"T" °'`'-'1 ' j (Work must be started within 120 days) x-, °..~~lr~~) N Name ' n~~ ; ` >~'f ,,~,~.. ~,, q/ ,- J Ph/o~ne ( ) Y ~?" r . a Address ~~! 1 ~~//-/ ./~ 1 ~-_!/ _/ .iL.f/~ ~ ` \~~. .,'f/ i' City ! f.~... St./f~t7 Zip Code ~~ O •.~r~7;!ia Site Address / ~ jj' ~'` ~ ~~,,,,s "" P Assessor's Parcel No. (<p Y f1. ~yr~~ ~(~(~ Lot Size (sq.ft/acres) 0 P E Subdivision Lot Block R T Y OR Short Plat No. Block Existing Structures, if anv: o N Name , ' ' A~ ~~~ Contact Phone( ) R ~ ~ ~ Address City St. Zip Code R License No. (,~ ,~ ,~ ~7 Exp. f Yelm Bus. Lic. No. (i;,~ Description of Work /f , ~ t'"'nom ~ :rye ~ .L '~~ 4'~-~ 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 ~ ~.~r~ `~'~ ~ ~ Plumbing Permit # ~~ WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # ~ . TOTAL FEE , Plan Check By f Minimum distance of structure from property lines: Issued By ~ Front to of Road Final Insp:~-__/ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- SubmittedJ/ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signatur ~~~' ` ~ Date ~ ~~ ~r~ Quarterly Reports Firm: Assessor ~ / TRPC ~ ~ CITY OF YELM ~; BUILDING DEPT. Phone: 458-8407 ~_..~ ~,, Building P it No ,~. 1. ,~ n_ r ~~' Date (Workm~~ be sta~rte/d within 120d/ays, w Name r 'ry ~' ` , ,,, Phone ( ) ,~y~ ~ ( ~~~ R Address ,-* City ~ ~"r St G~C,.~~ Zip Code ~ 0 ,J Cf Site Address ~,(p t~t~ ~ fi~~~ i c.(.~tX ~~ ~'' P R Assessor's Pa I No.~ ~P ~ ,~ ~ ~~ Lot Size (sq.ft/acres) O a . Subdivision ! i ~' t;,') Lot Block T Y OR Short Plat No. Block Existing Structures, if any: '~ ~' ~~ ~ `% N ) Contact Name Phone ( ) / ~ ~ { T Address , t;~ j ~^ City ~~ St. ~ { `] ~ZipCode ~ t. ! ~ lJ T A .~~ J~ ,° License No. Y Exp. Yelm Bus. Lic. No. ~(r>~ . a Description of Work ~ ' f~;.~" OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential $_ign~_ Sewer Septic ' +~ Approval No. ~; Commer~ia bthef " b : ity Water Private Well Pnvate,Sy,&tem Shoreline.Permit Y ~ Heat: Electric Gas Other "` Y ~ ~, ' Sepa Exempt Y N ITEM .BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~ ~'~ ~j / /~, ~ Sets of Prints r~ Pl bi P it # ti Other um ng erm _ ~ WA. ST. BC. Fee (4.50-New Const. Only) r (; Mechanical Permit # ~/ ~ ~ s1 ~ ~ ° • / TOTAL FEE ,,, ., , ( v - Plan Check B • Minimum distance of structure from property lines: Issued By t i ~ ~ZS Front to of Road Final Insp: / Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- SubmittedJ_~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washing Signature Date Quarterly Reports f~ ~ )~~~ /~¢~. U/~ Firm: Assessor ~J TRPC / / NEW UEVELUI'MEN 1 /NEW GUNS 1 KUl:11UN CHEl:1LLIS 1 SITE ADDRESS: Permit # If Applicable SEWER PERMIT SEWER LATECOMERS •SEWER/SEPTIC SITE PLAN ACCESS b DRAINAGE WATER SUPPLY WATER LATECOMERS 'WATER METER WATER SERV. ORDER POWER TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT ~~ ~~ PLUMBING PERMIT ~~~ / MECHANICAL PERMIT ~ r GRADING PERMIT 81DEWALKS/CURBS LANDSCAPING YELM BUSINESS UC. TFC - TRANSPORTATION FACILITIES CHARGE- ADDITIONAL COMMENTS PERMIT/INSPECTION PER ERU HOOK-UP Puget Power a5ts--r rs~ Yelm Tele. 4b8-2177 a.~~ -~ w ~-n nw vw c~- ~ DA-nR Tn FINAL. INSPECTION 9Y CITY OF YELM Building~.P~rmit N° ~ c 4 '3UILDING DEPT. Date _ Phone: 458-8407 (W,brk most a started within 120 days) w Name ~ ~''' r't .,' ~'~' =' °J Phone ( ) a Address ~ ~ `+ " ~'% ~(,~,f e City f ~ f~ St. ~ Zip Code~- Site Address / J / ` a Assessor's Parcel No. ~ -~ '~~ ` ~ Lot Size (sq.ft/acres) 0 a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N -' Name i ~ `~ ,~ ~ %) ~'~' ,l~ . ~~ ~~~ 1`~ ~ Contact Phone ( ) f Address `~ f} ~~ a City !~ ~ ~ ip Code ~ ~ ~ ~'. St l ° , , G / ,~ , . . T a / License No. j~ ~ l°~,~ %1 t~:'~ t'r, f ~ ~ ~,(~ 1 Exp. r7 r~. ~ Yelm Bus. Lic. No. / / ;i (`a~ ,.---, - ~ Description of Work ''~ f'~ -- , ,,;!'-"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 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 # WA. ST. BC. Fee (4.50-New Const. Only) ~ Mechanical Permit # TOTAL FEE J,~, ~ Plan Check By '' ~ ~~~' Minimum distance of structure from property lines: . Issued By ~- + I .~'~ i Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants 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 reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Assessor Floor Plan and Permit Submitted~~ ."_°_" Signature =-t°"~a~-._ 1 / ~ dei ~_4-.._. , _ f',~ Date Quarterly Reports Firm: Assessor~~ TRPC J I J CITY OF YELM BUILDING DEPT. Phone: 458-8407 Building P,eri7tit N° ~ ~ 7-.. ~, r ~ r Date (Work must be farted within 120 d ys) N Name , j ,' ~ l Phone ( ) _ ' R ~ r ~ ~ ~ ~ ? ` 7 ~( Address , ~ ,~ C. City ./ Zip Code St. Site Address ~ ;" "? ~ (.y ~,~ 9 .t' '~' ~') , ;~ ! ~ ~ a Assessor's Parcel No. ~ . ~ `) f ~ ~ Lot Size (sq.ft/acres) P a ~~ Subdivision ~'` %'<~ " ,~11(. ~. ~ ` Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N Name ` ~ '~ ~ ~'''l'7 , Contact Phone( )"~~~~/~ - ~{f n Address ~ ~ 't ~~~ "t r '~ Cit ~.~ ° /f St. f Zi Code ,{'~ R J License No. T" ~; ~ .-, ~ j ,~ Exp. `-/ Yelm Bus. Lic. No. ,'~ ~~ Description of Work ; ~' ,!~ r' ~' ~ : '',. ~+ pp ~ /}-~~ I,r ~ ~. /~ ~ + OFFICIAL USE ONLY ~ r r ~, --~' ~; ~ ~ ~,~fib.. ;~ Permit Type: Sq. ft. per floor: (1st) (2n`d) Residential Sign h r O Sewer Septic Approval No. e Commercial t City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other -6epa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints ~ ~ ~ ~ ,{ Permit # ! V /~ Pl bin Other , g um WA. ST. BC. Fee (4.50 -New Const. Only) ~ I Y , ~~ /~ /n. Mechanical Permit # 1T!/'"t TOTAL FEE (~ "~ ~ 7~ Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants 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 reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Firm Date `? '~'~ ~ ~ Plan Check By_,~ + ~ ~ '~ ~. Issued By +- ~ ~ i Finallnsp:~~ ~ Owner L&I Form Assessor Floor Plan and Permit Submitted~~ Quarterly Reports Assessor~~ TRPC J ~ NEW UEV~W~~Mi=N t / NtW GUNS l Kuc; IIUN CH~c:nus i SITE ADDRE5S: ~,5~g3~ ~l~/~D /~YID./,~/',C~i~~~ ~ ~T~ Permit # Fee If If Applicable Applicable $125 00 SEWER PERMIT ~U~j~ SEWER LATECOMERS "SEWER/SEPTIC ~ ~~ $1,000.00 SITE PLAN ACCESS 8 DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~~~' WATER SERV.ORDER /l,1 ~~' POWER TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~ ~3 / BUILDING PERMIT ~ / 0 / ((I ~~ 5~ PLUMBING PERMIT MECHANICAL PERMIT ~~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 TFC - TRANSPORTATION FACILITIES CHARGF- ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY Receipt Comments PERMIT/INSPECTION PER ERU HOOK-UP PugeF Power 458-7731 Yelm Tele. 458-2171 W , C. F'e e CITY OF YELM BUILDING DEPT. Phone: 458-8407 w INamP. ~;~/ /J!!J/jri ) ~ Tl/7 (.'~~ Building Per it N . ,-~., ~ ~ ~ 6 Date ~ ~ ~'' ~ (Work must be sftarted ithin 120 days) ~~ ~ ~~ ~~~ Phone( )~~~i7 °~~~~ J~ N E R , Address % ~ D '~ City ~, St. Zip Code Site Address ~ ~ ~ ,~~, a Assessor's Parcel No. ~ ! `~~ 1 ~ ~~(~~ Lot Size (sq.ft/acres) 0 R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any : , , ~r~ (~ Name f ' r ~j ontact Phone ( )~~~ 7~/ Address ~~ ~ ~,)~~~ ~ , j Z~ City (~~~'}~1 St. ~,(,~~ Zip Code ~~~~ T R ,7 License No. r Exp. Yelm Bus. Lic. No. ~ ~ f~ Description of Work ~ ~' a /j~ fi ~ ' OFFICIAL USE ONLY r Permit Type: Sq. ft. per floor: (1st) (2nd) Residential ign 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 ,~ ~ ~ ~a(~ , ~(~ ~ '(~ (~. 5~ Sets of Prints Other Plumbing Permit #~e WA. ST. BC. Fee (4.50-New Const. Only) ~~ `,) ~ Mechanical Permit # ~~ ~/ ~ ~ TOTAL FEE Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants 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 reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Firm: Plan Check B Issued By Finallnsp:~ / Owner L&I Form Assessor Floor Plan and Permit Submitted~~ Quarterly Reports Assessor-// TRPC / / CITY OF YELM BUILDING DEPT. Phone: 458-8407 ,'..'e Building ermit ~~ ~ 5 9 ~~ Date ` ~- (Work must started within 120 days) N Name ~ Phone( ) ~J~ ~` ~ ` E a Address ~ ~ t ~ St. Zip Code ~ JW e~' Site Address ~ 1 ~j a Assessor's Parcel No. ~~ '~ Lot Size (sq .ft/acres) o a / Subdivisio ' ~` r" Lot ~ ~ Block r Y OR Short Plat No. ~ Block Existing Structures, if any: . ~ _.. :_--.~ c N - Name ~ ~ .. ~ act ~ .. Phone ( )~j - ~~~ ,; T Address ~ ~ ~ ~ t C.- ~ ~' St. ip Code ~ ~~ a License No. ~ ~ Exp. Yelm Bus. Lic. No. q y Description of Work a " ~?f 7 OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential ,Sign Sewer Se tic p A pproval No. Comm~raa(-~_ Other ' ~ ~ x ~~, City Water Private Well Private System ,,.. ,; ~horeline Permit Y N I ~ ~ 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 # ~ ~ WA. ST. BC. Fee (4.50- New Const. Only) { , ~~ ) ff Mechanical Permit # / ~/ / ~~ r~ TOTAL FEE ~~~~ ~ Plan Check By ~ ' ~f-f~,l Minimum distance of structure from property lines: Issued By +~' Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yielm reg- Submitted-/~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easeFnents and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. , Signature ,~~ ~ °~ Date ~ ~~' " - i Firm: .\ Quarterly Reports Assessor-/~ TRPC _/ J NEW UEVELUNMEN 1 /NEW GUNS I1ZU(:11UN (;HEl;/(LIS 1 SITE ADDRESS: ~~ Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 ~/~; ~ S~ T7 PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 PER ERU HOOK-UP SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~ 9~, WATER SERV. ORDER '7D~ ; Q~ POWER Puget Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~~~ ~ BUILDING PERMIT ~9 ~,~) ~ 9D • ~~ ~ Ywai z°5 , 5d ~' C' ~Ge PLUMBING PERMIT ~ ;~ fp~ ~ ~~' ~~ MECHANICAL PERMIT ~ ~~ ~ ~Q "7 I~. d~ ~C~ GRADING PERMIT ~`'~ ~ ~ $~'~ j SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 TFC - TRANSPORTATION FACILITIES CHARGE- ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY rur vcr e~ r~rnr nr~rn nror CITY OF YELM Building Per it N°_ 5 9 81 BUILDING DEPT. Date ~1-~ Phone: 458-8407 (Workst be started within 120 days) t w Name ~~ ~ "~ ~ Phone ( ) '~ - .~ ` R Address ,~ ( City '~ St. ~ ip Code ~ ~' Site Address ` f ~ !}' ` ~ ~ '~ ~ a Assessor's Pa cel No. ~ ~ Lot Size (sq.ft/acres) o / , a Subdivision Lot Block r Y OR Short Plat No. Block Existing Structures, if any: N Name C ~ Contact Phone ( ) T Address City St. Zip Code T °a ~ License No. .~ , ~ Exp. Yelm Bus. Lic. No. Description of Work ~ ~~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential_1C- 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 #_s~si'~CJ ~~ i Mechanical Permit # /~7~ WA. ST. BC. Fee (4.50-New Const. Onl y) ~ d TOTAL FEE Plan Check ByL Minimum distance of structure from property lines: Issued By ~ ~ • j :J Front to of Road Final Insp:l_~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature G'` ,, - ,~ Date Quarterly Reports Firm: Assessor~~ TRPC I ~ NEW UEVELUI'MEN 1 /NEW GUNS 1 KUG I I UN GHEE/tLIS 1 SITE ADDRESS: Permit # Fee If Receipt If Applicable Applicable # Comments WER PERMIT $125.00 ~ ~~ PERMIT/INSPECTION SE SEWER LATECOMER8 $1,000.00 PER ERU HOOK-UP •SEWER/SEPTIC SITE PLAN ACCESS 8 DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ,r~ 1 ~9D ~ ~Cy WATER SERV. ORDER FI~~~ C~C~ Puget Power 458-7731 POWER Yelm Tele. 458-2171 TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT / ~ ~' ~~ ~ I PLAN REVIEW =nca ~s ~ 5d 59 81 ~~ ~~• ~ ~ ~~ w ~ C. FcG BUILDING PERMIT ~~~ ~ o ~' ~a PLUMBING PERMIT T ~ ~ t~ v ~ ~® ~ I ~ t MECHANICAL PERMI 7 GRADING PERMIT 81DEWALKSICURBS LANDSCAPING 830.00 Jtv 1 `~~ YELM BUSINESS LIC. TFC - TRANSPORTATION FACILITIES CHARGE- ADDITIONAL COMMENTS wn~ ~c a ~-n ae ve RI F vRInR Tn FINAL INSPECTION 8Y CITY OF YELM BUILDING DEPT. Phone: 458-8407 Building~r ~o ~ 5 9 7 ~ Date ~~ (Work must be started within 120 days) w Name ~'~ +'/ ~ Phone (~ ) ,~ ~--~ N E ~ R Address , ~ ~ ~ + t. Zip Code ~~ Site Address ~ a Assessor's Pa I No. ~ ~ Lot Size (sq.ft/acres) 0 / R Subdivision /t~1,~lJ{J~ ~~ ~p,~J Lot ~~fr1 Block T Y OR Short Plat No. Block Existino Structures. if anv: c o N Name Contact Phone ( ) T Address City St. Zip Code T R License No. ~ Exp. Yelm Bus. Lic. No. Description of Work 1 j" 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 ~ ~ ~, ~~ Sets of Prints Other Plumbing Permit # ~~ WA. ST. BC. Fee (4.50-New Const. Only) ~ ~ Mechanical Permit # 7f ~ U .. ~Ll TOTAL FEE , Plan Check By.,. Minimum distance of structure from property lines: Issued By + iv Front to of Road Finallnsp:~ / Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the pr osed structure is in conformity with all applicable City of Yelm reg- Submitted_~~ ulations including those governing zon and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as: ntractor, I further certify that I am a currently registered contractor in the State of Washington. ~/ r" ,~` '' r,':,f /~' ;> ` -~" Quarterly Reports Signature y'i ,, ,. .; Dat ,y Firm: Assessor~~ TRPC ~ ~ NEW UEVtLUNMEN l /NEW GUNS I KU(: JIUN CHEI:ILLIS l SITE ADDRESS: Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 ~~ ~ ~ PERMIT/INSPECTION SEWER LATECOMERS. "SEWER/SEPTIC $1,000.00 PER ERU HOOK-UP SITE PLAN ACCESS 8 DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~ 9~ . t~C1 WATER SERV. ORDER ~J~Q ; ~(~ POWER Pugeh Power 45&7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW fc/ / 7 ~+' ~~J ~ ~~~ BUILDING PERMIT 5,~7~ 5 g~%~Q ~'~ ~ ttJ.C~ ~ e , ~ PLUMBING PERMIT p J~~J~O ~~~~~ ~~~-~'-T MECHANICAL PERMIT ~~~~~ 7 ~. ~L~ "~~~~-.~ ~, ~ , . GRADING PERMIT SIDEWALKSICURB3 LANDSCAPING YELM BUSINESS LIC. $30.00 ~~ ,~ _~ _) ~ Jt TFC - TRANSPORTATION FACILITIES CHARGR- ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY rrrr~ vrr ww nrrrr nr"rr- nr_nr CITY OF YELM BUILDING DEPT. Phone: 458-8407 Building Permit N°_ 5 Date ~~ ~ ~ ~%' ~~~ (Work must started within 120 days) ~~~~ 4~~~ w Name °' , /LJ ,'' , Phone ( ) ~ (rj " J ~`7'i N E /1' R Address ~ Cit ' ^ /~' St. Zip Code ~,/ Site Address ~ ~ ± ~ t' P Assessor's Parcel No. ~ ~(~ Lot Size (sq.ft/acres) R O A Subdivision ~ ~ Lot ,!~ Block T Y OR Short Plat No. Block Existing Structures, if any: N ° Name ~~ ,~ ~ ~t / t~"~,L/lL~ Contact ~ Phone ( ) T Address City St. Zip Code a License No. '~ / ~ Exp. // Yelm Bus. Lic. No. (~(,tj~ Description of Work ( ~ f , 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 Q ~ ~ ~ Sets of Prints 1 ij Plumbing Permit # 4 f5 Other . WA. ST. BC. Fee (4.50 -New Const. Only) I ~~ Mechanical Permit # ' ~~ 1~~ ~ TOTAL FEE ,, Plan Check By ` ~ ~ f f Minimum distance of structure from property lines: Issued By ~ Front to of Road Final Insp:_~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature - ~' ,~ Date ,~. ~ Quarterly Reports Firm: ~ ,...-r !`,r~,, ,..~,~,~~..-~-, Assessor~~ TRPC ~ / NEW UEVtLUI'MEN 1 /NEW (;UNS I IlUC:IIUN (;Ht(:KLIS I SITE ADDRESSt 9 Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 ~~Q~ / / ~/ PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 ~~ g'y PER ERU HOOK-UP SITE PLAN ACCESS 8 DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~~~,~ 'y~g WATER SERV. ORDER '~~a~ ~~ I (C1 POWER PugeF Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW /~ ~~~ `~ ~J ~ / BUILDING PERMIT 5 ~ 59~1.5~ ~?~y ~.~.~ e -~ PLUMBING PERMIT ~.~ ~ / 3J ~~ ~ I v / MECHANICAL PERMIT ~ 7 ~ ~ 7 5; ~(1' / / ~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 TFC - TRANSPORTATION FACILITIES CHARGE- ADDITIONAL COMMENTS *DUE AND PAYABLE PR10R TO FINAL INSPECTION 8Y CITY OF YELM `~~ ` ~ Buildin rmi ~°- -~± .....-~i ~ 7 ~ BUILDING DEPT. Date ~~"Q_ I"?_,~ Ph°ne: 458-8407 (Work must be started within 120 days) N Name ~ '~,~ j d') v Phone ( ) E R Address City St. Zip Code Site Address ~} P R O Assessor's Parcel No. Lot Size (sq.ft/acres) P R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: ~ Name S - ~ ' ~ , Contact Phone ( )~ Address e City St. ~ Zip Code ~g~f T R License No. 1 ~ V '' ""~ ,15 ~(J Exp. Yelm Bus. Lic. No. ~~~(~ of Work Sq. ft. per floor: (1st) Sewer -,City Water ~" Heat: Electric ITEM Building Value Other WA. ST. BC. Fee Private Well Gas BASIS FOR FEE (4.50-New Const. Minimum distance of structure from property lines c t, (2nd) Approval No. Private System Other FEE r) TOTAL FEE ~~. ~r Front to of Road Side Side Rear Applicants 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 reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of_.1C1GashirtgTBn." OFFICIAL USE ONLY Permit Type: / Residential SignResidential Sign f/ Commercial Other Shoreline Permit Y N Sepa Exempt Y N Floor Plan Y N Sets of Prints Plumbing Permit #~_ Mechanical Permit # ~A Plan Check By Issued By ~ / Finallnsp:J/ a Owner L&I Form Assessor Floor Plan and Permit Submitted_/J S.W..__ ~" r''if ,--. ,,. ~..__..,~_.--.-,. Date ry ... ~ t/ Quarterly Reports Firm: ---~ -~ /r ~ ~ AssessorJ_/ TRPC / / CITY OF YELM ~ ~ ~ Building P r ~ ~ 5 BUILDING DEPT. Date ~ '''` Phone: 458-8407 (Work must be started wit in 120 days) N ame riwnCt ~ E R Address t ~'/~ City ~ St. Zip Code Site Address ,( a Assessor's Parcel No. Lot Size (sq.ft/acres) 0 P E A Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: o N Name ~ - ~ 1 Contact Phone ( ) T ~ Address ~ City St. Zip Code T R License No. ~ ~ j V Z," ~ ! Exp. Yelm Bus. Lic. No. Q Description of Work I - ~'~ ~ ` ~ OFFICIAL USE ONLY f~, `' /~ `'" ~ ~ Permit Type: n Sq. ft. per floor: (1st) ( nd) Residential Sig Sewer Septic ~ pproval No. Commercial Other ~~ City Water Private Well rivate System Shoreline Permit Y N ~Heat:Electric Gas ~ther SepaExempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other `~~ ~ ~ f~ ~ ~~((~~,,~~~~ Plumbing Permit #-J"`t-`~ WA. ST. BC. Fee (4.50- New Const. Only) Mechanical Permit #~~ TOl~ AL FEE ~ ~, , (;~~ Plan Check By 4 Minimum distance of structure from property lines: ! Issued By i~ i~~n iv ui nuau rniai nisN. ~ i Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within tl~e 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 reg- Submitted-./~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If a_ pplying as a contractor, I further~rtify that I arr) a currently registered contractor in the State of htrfijTon:~ ~ //1 S nature .ems=----, /-~~- .-~ " ~~ Date J ,.~ ~ Quarterly Reports Firm: ~" --- S Assessor-/1 TRPC J -~ ~. CITY OF YELM Buildng`p-.fir 't ° g 7 ~ .BUILDING DEPT. Date-~-, Phone: 458-8407 (Work must be started ithin 120 days) ~ ~~:~~ N Name ~~ '~ Phone ( ) ~~- E ~~ a Address City St. ~ Zip Code Site Address ,~ ''~ ~, ~ P Assessor's Parcel No. (~ Y '3' ~~rp tJ C1 7 CJCJ/ Lot Size (sq.ft/acres) R O P E Subdivision Lot Block R T Y OR Short Plat No. Block Existing Structures, if any: N Name ~~ ~~'~, l~~ ~f.tlitrt~'~r` Contact Phone( ) T R ~ Address City St. Zip Code T a License No. Exp. Yelm Bus. Lic. No. Description of Work ~ /!,,~ -~-~ ~ ~ . l ~ `-' OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential / Sign r Sewer Septic Approval No. Commercial Othe ;City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ Sets of Prints Other Plumbing Permit # '~ ~ WA. ST. BC. Fee (4.50-New Const. Only) ~ Mechanical Permit # ~~/ TOTAL FEE ~ ~ Plan Check By ~ ' ~ 1J Minimum distance of structure from property lines: Issued By ~ ~~ / L Front to of Road Final Insp:~J Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted-/J ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature `~ ~ nr~+s Quarterly Reports AssessorJ-~ TRPC / / NEW UEVELUNINENi /NEW CUNSIflUCIIUN CHEC:KLISI SITE ADDRESS: ~ ~~ ,~~`~ ~~ Permit # IF Applicable Fee If Applicable Receipt # Comments SEWER PERMIT ~/~ $125.00 PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC ~~~ $1,000.00 PER ERU HOOK-UP SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER /~~~ WATER SERV. ORDER ~l~ POWER Puget Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~~% ~~ ~ `~ / BUILDING PERMIT ~~~~ ~~ ~~ ~1~~ C F'c e W ~' ~ I ~ PLUMBING PERMIT ~~j~ MECHANICAL PERMIT ~/~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 TFC - TRANSPORTATION FACILITIES CHARGR- ADDITIONAL COMMENTS '"DUE AND PAYABLE PR/OR TO FINAL INSPECTION BY CITY OF YELM BUILDING DEPT. Phone: 458-8407 w Name ~ rnonef f R Address ~~~ ~ ~ r ~ , City ~ St. Zip Code Site Address t ~ ~ ~ P R Assessor's Parcel No. ~ ~ (~[~ Lot Size (sq.ft/acres) O R Subdivision ~ Lot ~ Block l ~ Y OR Short Plat No. Block Existing Structures, if any: c N Name Contact Phone ( ) r Address ~, f ~. City 1 '~ St. ip Code ~j ~~~ R License No. Exp. { Yelm Bus. Lic. No. ~ 1 ! Description of Work ,1 ~` ~ W-,,.e OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign i l O h r C Sewer Septic Approval No. ommerc e a 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 Sets of Prints Other ~~ ,~ '~ Plumbing Permit #___ WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit #~ TOTAL FEE ~ ~ Plan Check B ~.1 Minimum distance of structure from property lines: Issued By ` ~ , Front to of Road Final Insp:J/ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature f ~,•i,_ Date ~-,r?~ '`P ~ Quarterly Reports Firm: Assessor~~ TRPC ~ ~ Buildinyr ` it °_ r 9 7 4 Date (Work must b started within 120 days) ~~~ ~ ~3 i NtW U~VI=LUI'MEN l / NtW GUNS I KU(; IIUN l:tt<:(:KLIS I SITS ADDRESSs Permit # If Applicable SSWSR PERMIT SEWER LATECOMERS "SEWER/SEPTIC ': `~~C ~~~ l)~ SITE PLAN ~ ~~I ~' D~C~ ACCESS b DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER T~ ~~L' ~~" rf' ~ ~ ~ ~ D WATER SERV. ORDER r, ~~ T ~~ i ti-~ POWER TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT p ~ ~ v PLUMBING PERMIT jj ~=~,1~.) U` i5~ MECHANICAL PERMIT Irv-f~-fir,,:,` g ~,~ ~~ ~ ~ 7~ GRADING PERMIT 81DEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. TFC - TRANSPORTATION FACILITIES CHARGE- W '~~ ~OCS • ~~ ADDITIONAL COMMENTS PERMIT/INSPECTION PER ERU HOOK-UP Puget Power 458-7731 Yelm Tele. 458-2171 ~5r~~ ..,..~ ~ ~--, ow vn n~ c Dgln/7 rn FINAI. INSPECTION 8Y ~ 16~ CITY OF YELM 6UILDING DEPT. ,'hone: 458-8407 Building P~ mit N~ r ~ 7~- ,.} /` Date C_ ~ ~ ~C ~` (Work st be tart d within 120 db s) N Name ~ Phone( )'~ E {"? ~ ~ R Address Cit St. Zip Code Site Address a Assessor's Parcel No. Lot Size (sq.ft/acres) 0 P R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name Contact Phone ( ) T R ~ Address City St. Zip Code T R License No. Exp. Yelm Bus. Lic. No. Description of Work !' 9~ OFFICIAL USE ONLY Permit Type: R d S n Sq. ft. per floor: (1st) (2nd) esi ential ig Sewer Septic Approval No. Commercial Other ~~ty Water Private Well Private System Shoreline Permit Y N neat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other r ~ t/ Plumbing Permit # /V WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # TOTAL FEE ~~, Plan Check B '' Minimum distance of structure from property lines: `• Issued By Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that 1 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 reg- Submitted/ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington., r~ Signature ~° -. '` 1. ' ~!~f, ,' Date Quarterly Reports Firm: Assessor ~ ~ TRPC ~ ~ 1 J NEW UEVLLUI'MI=NI /NEW CUN511iU(:IIUN CN~I;KLISI SITE ADDRESS: ~~ ~~ Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT ~'Cr,~ $125.00 PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC ~ ~~ $1,000.00 PER ERU HOOK-UP SITE PLAN ACCESS 8 DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~ ff~- WATER SERV. ORDER ~ • POWER PugeF Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~ 3~ ~~ ,~~~ BUILDING PERMIT J / 77 5 ~~ ~~ JC~/ /~ ~. C, F•ce. I ~ PLUMBING PERMIT / ~ ~~ MECHANICAL PERMIT /~,r~~~~- GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 TFC - TRANSPORTATION FACILITIES CHARGE- ADDITIONAL COMMENTS CITY OF YELM Building Permit,~~°_' ~~ 7 2 BUILDING DEPT. Date ~"- ,e r ~~ PhOn@: 458-8407 (Work m t be started within 120/'dayst) w Name .(ern t ,r"11~,~ ~~~M ,1 Phone( ) T~'D -~_(.~ ~ N a ^-7------- Address s , ~ City ~ St. Zip Code Site Address ,~ ~ ') a Assessor's Parcel No. ~p y'y~(~`~~©,~~ Lot Size (sq.ft/acres) 0 a Subdivision Lot Block r Y OR Short Plat No. Block Existing Structures, if any: C N J ~ Contact Name ~ ~ jl Phone ( ) 4 - ~'~ ~' j T ' Address /~~r ~(~~ '` , City St ~ ..,' ip Code T a Q License No. r Exp. Yelm Bus. Lic. No. /~'~~~ Description of Work ~ y~' t ~[ OFFICIAL USE ONLY . Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign l Sewer Septic Approval No. Other Commercia 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 ~ Plumbing Permit #_.L{L,Lf~ ~ ~~ l P i M h i WA. ST. BC. Fee (4.50-New Const. Only) , ec an ca erm t # TOTAL FEE f ~ , ~(~ Plan Check By ~ '7 Minimum distance of structure from property lines: , Issued By Front to of Road Final Insp:~/ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. -~'-'~~ ~ ~~; ~,!r.: 'y ~ ~ Date ~- r7~"-~~~`~ ~ Signature ~., Quarterl Re orts Y P _, Firm: ~ .. ~ ~'`''~ ~)~, ;!f~.t .,c, '^? - y ^..z... sl" . r ASSeSSOr~~ TRPC ~ / r/ r NEW UEVELUNMEN 1 /NEW GUNS I IZU(: -lUN (:HE(;KLIS 1 SITE ADDRESS: Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT ~~R $125.00 PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC N ~ $1,000.00 PER ERU HOOK-UP SITE PLAN ACCESS 8~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~~~ WATER SERV. ORDER ~''~~ POWER PugeF Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~0 7 ~ ~~ BUILDING PERMIT ~9'~Z 1173: S~l 5d W C. F~ e PLUMBING PERMIT ~~~ MECHANICAL PERMIT /U~f~ GRADING PERMIT SIDEWALKSICURBS LANDSCAPING YELM BUSINESS LIC. $30.00 TFC - TRANSPORTATION FACILITIES CHARGE- ADDITIONAL COMMENTS '"DUE AND PAYA6LE PRIOR TO FINAL INSPECTION 8Y CITY OF YELM BUILDING DEPT. Phone: 458-8407 w (Name Phone ( ) "`,~~'~ JJ.- E R / Address t ~ ~ City f ~' St. Zip Code / ~ ~` Site Address P R / Assessor's Parcel No. Lot Size (sq.ft/acres) o ,, a Subdivisio Lot Block r Y OR Short Plat No. Block Existing Structures, if any: N Name ' f' ~ Contact Phone ( ) T Address City St. Zip Code T oa License No. Exp. Yelm Bus. Lic. No. Description of Work ~ ~ ~ ` ' 7 OFFICIAL USE ONLY - 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 ~ , r ~ ~ Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) "~~ ~ Mechanical Permit #i,~~• ~' r TOTAL FEE `~ (~ Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants 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 reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. _ .-._ '"` r Signature<--~~-.,. ~ ~(,h._.~,~,.-_._-~e_ Date Firm: Building Perfxtit ~o - ~.~..- Date ~~ " (Work must be started within 120 days) N_ Plan Check By x tE Issued By ~ ~ ,~ Final Insp:_~~ Owner L&I Form Assessor Floor Plan and Permit Submitted-/l Quarterly Reports Assessor-/_~ TRPC ~ ~ NEW UEVELUNMEN I /NEW GUNS 1ItUC:IIUN CHEIa~LIS I SITE ADDRESSt Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 L~ 1 PERMIT/INSPECTION SEWER LATECOMERS "SEWERISEPTIC $1,000.00 PER ERU HOOK-UP SITE PLAN ACCESS 8~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~9~, ~ 7~ WATER SERV. ORDER ~J~~, ~~ POWER Puget Power 458-7731 TELEPHONE Yeim Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~ ~ J. BUILDING PERMIT , PLUMBING PERMIT ~~J ~ G r~ ,` 0 ! . ~C~ MECHANICAL PERMIT ~ r ~j ~ '~ C, ~ ~q~ GRADING PERMIT SIDEWALKSICURB3 LANDSCAPING YELM BUSINESS LIC. $30.00 TFC - TRANSPORTATION FACILITIES CHARGE- ADDITIONAL COMMENTS '"DUE AND PAYABLE PRIOR TO FINAL INSPECTION 8Y CITY OF YELM Buildin P it ~° -•-~ 6 g BUILDING DEPT. Date 9 ~ " t~ Phone: 458-8407 (Wor ust be started within 120 days ~~~GCa ~~ ~'( ', w Name ''~" ~ '~ ~ _` ~' - .,,.~1} Phone ( ) ~~ » ~„~17 ',~.;, N R Address ~;,~', ~ / City ~ St. Zip Code ~ + Site Address ~ ,~f' ~ ~ ~' ~ ~ R Assessor's Parcel No. Lot Size (sq.ft/acres) ° '' "~" R Subdivision .,~ Lot Block r Y OR Short Plat No. Block Existing Structures, if any: c N Name ~ Contact Phone ( ) T Address City St. Zip Code ~~ C R License No. Exp. Yelm Bus. Lic. No. Description of Work ,/ ~ :~ ~~ OFFICIAL USE ONLY _ ~ Permit Type: l Sq. ft. per floor: (1st) (2nd) Residentia 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 7 ~ ~~ ~ Sets of Prints ~~~~ Other Plumbing Permit # ~ M i l P it # ~ f ~~ h WA. ST. BC. Fee (4.5 0-New Const. Only) , an erm ec ca TOTAL FEE ~, ~~ ~ Minimum distance of structure from property lines Front to of Road Side Side Rear Applicants 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 reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, ~ further certify that I am a currently registered contractor in the State of Washington. ~' 6 ;~ -~-,, ,, ~~ ~ ~ ~ r~ - Si natur ` ~,_ ~ ° ~- ; ~.C .;~~ ' ' ,,, ' G' L.-` Date ~,~ e ~ .._ Firm: .~.- ~ i, `T"~., Y~. ~- ~ <.'~' ~~ ~F ( v~,'°"G1r'"(' /h,.1 . i Plan Check Bye-'` ° Issued By ~ ~ •f Final Insp:~~ y Owner L&I Form Assessor Floor Plan and Permit Submitted-/J Quarterly Reports Assessor J / TRPC ~ J NtW UEVtLUNMEN l /NEW (:UN5111U1:11UN (:H~(:IiLIS l SITE ADDRESS: _~ ~, ~ ~~ T~ ~ ~' ~~~~ / Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC `~. ~ $1,000.00 '~ PER ERU HOOK-UP SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ? g(~ F ~~ WATER SERV. ORDER ~ ~Q~ POWER Pugef' Power 458-7731 TELEPHONE Yeim Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~~ ~ I 0 BUILDING PERMIT .5~ ~ / 7gS.o~ =nom ~ ,~ Lv.C~ F~Ge PLUMBING PERMIT ~ ~ ~~~ ! a I ~ ~~ MECHANICAL PERMIT 5 7 ~ ~ 0 ~. ~~ ~~g~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. ~Q°•°'~. TFC - TRANSPORTATION FACILITIES CHARGF- ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY (P~ /111 ..% CITY OF YELM ` ~ - ~" Building Per it N°~~ ~ 7 d BUILDING DEPT. ~ I ~; I~_~ ~ ~ Date ~' r Phone: 458-8407 ~ _ (Work must be started ithin 1 0 days) w (Name (~ cY' t ~~' l t.~~' ~,_,,,~,f ,l Lt.~ Phone ( ) ~(~ ~-- / ~(„~ " Address i f City ~ St. / cip ~oae ~ Site Address ~, ~, .-'s r'' a Assessor's Parcel No. ~ ~~~~ ~~ ^ ~ Lot Size (sq.ft/acres) 0 a Subdivision Lot Block r Y OR Short Plat No. Block Existing Structures, if any: ~ %~ ' ^^ o N Name°° , Contact j^ r, f ~ },ri Phone ) T ,, "' Address /~ '~ '3 - City St. Zip Code T °a License No. Exp. - ~ ~ Yelm Bus. Lic. No. Description of Work ~ ~'~ ' , ~ f '~~ ~- OFFICIAL USE ONLY - t` 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 Sets of Prints Other t~ ~ ~'~,~ Plumbing Permit #-1t + ,-- WA ST BC Fee (4 50-New Const Only) Mechanical Permit #~. r') f j , : ~ TOTAL FEE ~ ~ Plan Check Byt ~ r ~ ~~ Minimum distance of structure from property lines: Issued By t t ' Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. r Signature -i-- Date /Z `~ Quarterly Reports Firm: Assessor~~ TRPC / _~ CITY OF YELM BUILDING DEPT. Phone: 458-8407 ~rrtit IV°_ 5 9 6 6 -~ started within 120 da s Building Date (Work mu: °w Name ) Phone( ) ~ N E R Address r City St. Zip Code Site Address 92 R Assessor's Parcel No. ~ ~ Lot Size (sq.ft/acres) o R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name ' '~ Contact Phone ( ) T Address ity St. Zip Code T a License No. /~ ~ ,~ Exp. Yelm Bus. Lic. No. 2~ , Description of Work ~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2 d) Residential Sign Sewer Septic r Ap royal No. Commercial Other , kCity Water '. Private Well Priv to System Shoreline Permit Y N Heat: Electric as Othe Sepa Exempt Y N ITEM ASIS F R FEE FEE Floor Plan Y N Building Value Sets of Prints Other 7 ~j ~ Plumbing Permit #-« s t v~ ~ ~ ~~ // ,,~~ ,,,~ ~ l P M h i it #~C~ WA. ST. BC. Fee 4.5 New Con Onl , ec an ca erm TOTAL FEE Plan Check By ~ e Minimum distance of structure from property lin Issued By `~ Front to of Road Final Insp:~~ Side Side Rear Applicants 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 reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of r~Ferd>,If applying as a contractor, I further certify that I am a currently registered contractor in the State of Was~Yf`ngton.% ~,~ Signature r, ,.-,~ , , ~ ~ Date~~ ~°„~ ~ -~ -s~. Owner L&I Form Assessor Floor Plan and Permit Submitted~~ Quarterly Reports Assessor-/~ TRPC ~ ~ 3 ~) !~ J `'~; i __ CITY OF YELM BUILDING DEPT. Phone: 458-8407 N Name ~~J,IY 1 /w E s a a Address Site Address /1~~~5~ ~~ P Assessor's Parcel No. R P R Subdivision T Y OR Short Plat No. Existing Structures, if any: c ~ - N Name o ~. Building Permit ~°_ ~` 9 6 7 Date ~~~~,-C~~~ (Work st be started within 120 days) f~ ~ / Phon/3e ( ) "Y ~/f~i ~'Jl ,/t#- . _~~. City f ~~)'V! St. ~l ~t~iZipCode ~~~~~ Lot Size (sq.ft/acres) ~~/~ ,~„ Lot ~ ~ Block Block ,Contact Phone ( ) j~~~ d 8~~ ~ Address City St. Zip Code "'~ Q T °a License No. ~ ~ Exp. Yelm Bus. Lic. No. ~a ~ 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 ~ (,~) 't ~ j Sets of Prints Other r, ~ ~'~~ Plumbing Permit #-1_s s / i WA. ST. BC. Fee (4.50-New Const. Only) ('~ r Mechanical Permit #L~ ~r w' r k TOTAL FEE , Plan Check B ~ + .~ Minimum distance of structure from property lines: Issued By ~ ~ Front to of Road Final Insp:~J Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signafu a "'~ a ~'( ~`~----- Date ~- Z --` ' Quarterly Reports Firm: Assessor~~ TRPC ~ / NEW UEVELUI'INENI /NEW (:UN51IlUC:11UN (:HEC:KLIJI SITE ADDRESS:1~~ ,,~.1N~LyXL(., ~~ ~l<'/ ~/~ Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 PERMIT/INSPECTION SEWER LATECOMERS "SEWERISEPTIC $1,000.00 PER ERU HOOK-UP SITE PLAN ACCESS 8 DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ,J ~~ WATER SERV. ORDER /~C~, ~'a POWER Pugef• Power 458-7731 TELEPHONE Yeim Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~ Z ~ ~ ~~ BUILDING PERMIT ~~~~7 I ~~• ~~ w'C' ~~e PLUMBING PERMIT ~~~~ ~~~ ~~ MECHANICAL PERMIT ~ 7 t'p I 7 I ~ ~(~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 C~ TFC - TRANSPORTATION FACILITIES CHARGR- ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM . 5 9 6 8 Building Permit ~, BUILDING DEPT. ~ Date i PhOn@: 458-8407 J..~ (Work must b@ start d within 120 days) ; S ~ ~,~~ o N ~ nor ~/' Name r /t~'+ ~ Phone ( ) ?` ~0 ~ 'Y ~ t a Address ~~ ~~~ ~' ~ ,/~ ~~ City f St. 'Zip Code ~ Site Address ~ i~ ~,1'. ,. ~~ f P R Assessor's Parcel No. ~ Lot Size (sq.ft/acres) O a Subdivision ; ,/ ~ ~ .`J„~ Lot Block r Y OR Short Plat No. ~ Block Existing Structures, if any: N Name /~I'° ~ ~ Contact Phone ( ) T Address City St. Zip Code T p License No. Exp. Yelm Bus. Lic. No. Description of Work ~ f~'~ ~ %~~ ~ } 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 ~, (,/ 1 ~ Sets of Prints Other ~ Plumbing Permit # WA ST BC Fee (4 50 New Const Only) '~i ~(J Mechanical Permit # TOTAL FEE ~ ,~fd' Plan Check By ~~ Cl ~~ Minimum distance of structure from property lines: Issued By f ~ Front to of Road Final Insp:~/ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature ~ -' y - .._ ,_ ~! _) ' r Date ~ ~ir ,~~ .~ Firm: Quarterly Reports Assessor~~ TRPC / J CITY OF YELM BUILDING DEPT. Phone: 458-8407 N Name~l.,>~jQJ ~ r E LL a Address ~ T7t Site Address P ~ r~ a Assessor's Parcel No. p r~ a Subdivision T Y OR Short Plat No. Existing Structures, if any: c ° Name N T R ~ Address nn ~n1 \ ~ 1, ~} °a License No. if/f"t ~ ~t'~.~~ ~`"/ 1 ~ / !'S. Contact Building P~rmi ®~~ -J-- ~ Date -~> (Work my~t be started within 12 days) Phone ~~~) ~"~0 r. City ~ ~}¢'~/ St. Zip Code !n Lot Size (sq.ft/acres) Lot Block Block Phone( ) City St. Zip Code Exp. Yelm Bus. Lic. No. ~ 1 ~/® Description of Work t ' OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) ~3 Residential Sign Sewer Septic Approval No. ~ % °~~ '' Commercial Other City Water Private Well Private System ~ 1 ~~ Shoreline Permit Y N Heat: Electric Gas Other s Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ , ~ ~~ Sets of Prints Other ,.~ !ter .~ Plumbing Permit #~] ~.+Cl 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 Final Insp:_J~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature ~...--° ti,.,f~.~_,. ...~--r-- ~ t Date Quarterly Reports Firm: Assessor-/~ TRPC ~ J l ~.~ .-- ' .., NtW UEVtWNMEN f / NtW GUNS 1ItUC;11UN l;Ntl:ItLls ~ ~ "y~f ~ S BITS ADDRESSz i Permit ~ Fse If Receipt If Applicable Applicable # Corrunenls 6125.00 ~ PERMIT/INSPECTION SEWER PERMIT SEWER LATECOMERS $1,000.00 ~ Q PER ERU HOOK-UP •SEWER/SEPTIC SITE PLAN ACCE8S ~ DRAINAGE WATER SUPPLY WATER LATECOMERS /~ ~ ~U ~ ~~ ~ ~ ~ 'WATER METER (JlJ / aD WATER 8ERV. ORDER ~ Pueeh Power 4b8-7731 POWER Yelm Tele. 4b8-2171 TELEPHONE 8TATE/C0. APPROVAL 8TREET CONSTRUCT l ~ /ry ~ ~ ~~ PLAN REVIEW ~ ~ nca i"5 ~ 5d ~ 59 G ~'fo ~, 54 w. c. F~~ BUILDING PERMIT ~ ~- ~j ~`~ ~ /p ~~~ U~ PLUMBING PERMIT " T 5 ?'J / ~l ~ 4~ a MECHANICAL PERMI GRADING PERMIT 81DEWALKSICURB3 LANDSCAPING 530.00 YELM BUSINESS LIC. TFC - TRANSPORTATION FACILITIES CHARGE- ADDITIONAL COMMENTS .r,r ~c n nrn ae veA! F PRIOR TO FINAL INSPECTION BY CITY OF YELM Building Pe mit_~o ~ ~ ~ ~ BUILDING DEPT. Date '~ ~~ Phone: 458-8407 (W~r¢k must be farted within 120 days) `/ ~ ~ ~~ ~~ _.~ ~~o~ w N Name ? E a _/ ~; Address ~ T11 '~ , Cit St. Zip Code Site Address / ~ , P R Assessor's Parc I No. ~ Lot Size (sq.ft/acres) P a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: - c o N Name Contact Phone ( ) T R ~ Address City St. Zip Code T a License No. ~ ~ Exp. Yelm Bus. Lic. No. ~,. e Description of Work OFFICIAL USE ONLY Permit Type: l Sq. ft. per floor: (1st) (2nd) Residentia Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System +`Shoretine 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) ~, ~(~ y "'` ~r Mechanical Permit # ~~. ,7 u TOTAL FEE '~ ~ Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants 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 reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. tf applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. ~~ Signature /` ~ ,~,ry~,..,a Date .` Firm: 7 Plan Check By + ~ ~ Issued By Final lnsp:~_/ Owner L&I Form Assessor Floor Plan and Permit Submitted/ Quarterly Reports Assessor ~ -J TRPC / / NrW UEVJ:LUI~MkN 1 / NtW GUNS 11iU1; IlUN (:N~I:ItLl51 ~1 ,-. BITS ADDRSSSs srwSR pSxrslT SEWER LATECOMERS •SEWER/SEPTIC SITE PLAN ACCE88 b DRAINAGE WATER 8UPPLY WATER LATECOMERS 'WATER METER WATER 8ERV. ORDER POWER TELEPHONE Permit # Fee If Re~pt If Applicable Applicable # 5125.00 ~ ~ s~,ooo.oo ,~ ?~1~. lJ~ t~ ~~ 8TATE/CO. APPROVAL 8TREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT 81DEWALKS/CURBS LANDSCAPING /~~i~~ 531 ~1.~~ 5~5~8 ~I~ ~t~ 530.00 YELM BUSINESS LIC. TFC - TRANSPORTATION FACILITIES CHARGF- ADDtTIONAL COMMENTS _.........~ .,.,..,, o~ ~ np~nn rn F~nln~ INSPECTION 8Y Comments PERMIT/INSPECTION PER ERU HOOK-UP Pupeh Power 458.7731 Yelm Tele. 468-2171 ~ r th~~ W,C. FcG _____- ~, 2 CITY OF YELM Building Permit N° ~~ g~ BUILDING DEPT. Date ~~~ ~ ~. Phone: 458-8407 (work'rnust be start d within 120 days) ~ ~ ~,,` ` w N Name ' '7 ~ 7 _, Phone ( ) ~ ~ ~~, ~ ',! R Address ~~ ~ City St. Zip Code '4~ j. ~k~ Site Address -~ ~~ ~ /,,!;/, R Assessor's Parcel No. ~ Lot Size (sq.ft/acres) a Subdivision i ~' `~~.~/ .`~'" ~~,~ Lot Block r Y OR Short Plat No. 3 Block Existing Structures, if any: c N Name Contact Phone ( ) r R ~ Address City St. Zip Code T R `, License No. +G// Exp. Yelm Bus. Lic. No. '~ Description of Work 1 OFFICIAL USE ONLY Permit Type: l Sq. ft. per floor: (1st) (2nd) Residentia 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 #-s~ WA. ST. BC. Fee (4.50-New Const. Only) °~ D r' t Mechanical Permit # ~ y TOTAL FEE ,~ Plan Check By Minimum distance of structure from property lines: ~ -~ ~r Issued By ~° Front to of Road Final Insp:/~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted-/~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. r , , __„ - " i l . ~ ` f '' I Signatp -~~''~;~ ~` ~~„~.-~C ~" !!~C-~ Date - ~ ~ ~~t'~' ~~ Quarterly Reports Firm: ~ Assessors/ TRPC ~ / '` ~~ NEW UEVELUNMENI /NEW (:UNSIltU(:/lUN CHEI:liLISI 6ITE ADDRESS: M. f ~Tl G .~ i ~ ~ ~J SEES SEWER PERMIT SEWER LATECOMERS "SEWER/SEPTIC SITE PLAN ACCE8S b DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT 81DEWALKS/CURBS LANDSCAPING i YELM BUSINESS LIC. Permit # Fee If Receipt if Applicable Applicable # $125.00 4~C x ~ I $1,000.00 d~~~o '1 ~ ~ • C.~C.~ q~,~S 5'g5q `7~~,00 535 l8t,~~ $30.00 TFC - TRANSPORTATION FACILITIES CHARGE- ADDITIONAL COMMENTS `DUE AND PAYABLE PRIOR TO FINAL INSPECT/ON BY Comments PERMIT/INSPECTION PER ERU HOOK-UP Pugeh Power 45&7731 Yelm Tele. 45&2171 I_ Y wcl z°'S ~ 5d W,C. Fc~ Y CITY OF YELM BUILDING DEPT. phone: 458-8407 Building Per it ~o ~ ~? Z _ ~ ~~--.~ Date ~~. '~.~~.'L-~~~ (Work rrtust be started within 120 days) ~f~ a~~~ N Name '/ Phone ( ) a Address ° ! '° ~^ City St. Zip Code r `T ~ Site Address r''; ~~ `~ R Assessor's Parcel No. ~^~ ~ .~ X ~~ ! ~~~ ~ J ` ,,! ~ ~f~~~ j ,1~~/~'~ Lot Size (sq.ft/acres) 0 P R Subdivision Lot Block r Y OR Short Plat No. Block Existing Structures, if any: N Name ~ ~ ~~~' Contact ~ Phone ) ~~ n c Address~~, ~ ,-~~j~ ,~,°j;~ Cit ~'f,~ ~.T~l~,~ Stj~ Zip Code °a License No. "~ Exp. Yelm Bus. Lic. No. r! ~ Description of Work ,!j Y .? OFFICIAL USE ONLY f~ ~' ~ ~".'~ ` ~~ r ,7 ' r ~~ Permit Type: L1 . . ; 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 r.~ ~- . ~~~ ~ ~ ~ ~ (/ Plumbing Permit #-J L~ J~ ~ / WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit #~!.r~5~ TOTAL FEE ~~ ~(~~ Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants 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 reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature i_, > .r'/ I~i~''o'.` ~__. ".'~,~ Date ~ ~ ~ -~'~ ,,~r* y ._~-_ Firm: ",''.:,,~ .< G~..~ .~.~ a Plan Check By ~ f ~ ,~~ ,1 t_ r ) Issued Bye' ' '~ ~ f EJ Final Insp:J/ Owner L&I Form Assessor Floor Plan and Permit Submitted~J Quarterly Reports AssessorJ/ TRPC / J CITY OF YELM Building Permit (!~® ~ 6 ~ BUILDING DEPT. Date ~ ~ ~~~~° -hone: 458-8407 (Work must be started within 120 dayrs.),,/~ .~ ,, rte/ ~ ~ 1 ., Sl` N Name ~ Y ~ Phone ( )~ E R Address City ~~ St. ip Code ~ ~ Site Address ~ ~ z ~~~, t P R Assessor's Parcel No. Lot Size (sq.ft/acres) O P E R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: ,_ N ~ + r'"1 Name ~ ~ ~ l7 ,~9 Contact Phone Address City '~~~ ~ ~ ip Code `~ T R ,. License No. Exp. Y Yelm Bus. Lic. No. Description of Work ~ ~ + f''~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 .feat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value X 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 Final Insp:~/ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit 1 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 reg- Submitted~J ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. r Signature ~ ,a,-~ Date Quarterly Reports Firm: »-Y /~' ,... Assessor~ ~ _ TRPC / / CITY OF YELM Building Permit N° ~ BUILDING DEPT. Date Lf ~ `?' " Phone: 458-8407 (Work must be started within 120 days) w Name `/~ ~ Phone ( ) _.__- - 3l~ N ~ ~ ~ ~ a , City St. Address ! ~ / ~ Zip Code Site Address ~ ~ `f '~ ~' ~ , R Assessor's Parcel No. ~ ~~ ~ 3 ~ ~ ~ ~ ,f(~ / Lot Size (sq.ft/acres) 0 a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, iY any: c N Name ~ Contact /!/ Phone ( ) ~ -. f l T Address _ City ~ St. ip Code n r R License No. ` ~ Exp. Yelm Bus. Lic. No. 1 Description of Work /~ ; 'j- ` ~ f ~-~ ! ~ OFFICIAL USE ONLY / Permit Type: l Sq. ft. per floor: (1st) (2nd) Residentia 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 ~ t (~ Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) ~ ~ Mechanical Permit # 1 ~ TOTAL FEE ~ Plan Check B ~ ~ Minimum distance of structure from property lines: • ,:• Issued By Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. 1 also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. ~' / ~, .% Y ~;~~.-~ °+~ Date Signature ;'e;r ~°~~,~ j'`~ f Quarterly Reports Firm: Assessor ~ ~ TRPC ~ / ~[ J t NEW UEV~WI~MEN1 /NtW (:UNSIItUl:11UN (:Ntl:KL151 SITE j-pDRESS s S SEWER PERMIT SEWER LATECOMER8 •SEWER/SEPTIC SITE PLAN ACCE88 3 DRAINAGE WATER SUPPLY WATER LATECOMERS 'WATER METER WATER SERV. ORDER POWER TELEPHONE STATE/CO. APPROVAL 8TREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT 81DEWALKSICURBS LANDSCAPING Permit # Fee 1I Receipt If Applicable Applicable # Comments 6125.00 l~~ ~~ PERMIT/INSPECTION 51,000.00 PER ERU HOOK-UP /v/~ 7~~.~L~ PuOef Power 458-7731 Yelm Tele. 46&2171 ~v/~ S9 D /5y. SD N lR ~1/A YELM BUSINESS LIC. I I 330.00 TFC - TRANSPORTATION FACILITIES CHARGE- ADDITIONAL COMMENTS =ncauars ~~ W.C.Fce. "DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM BUILDING DEPT. Phone: 458-8407 Building Per It ° 5 Date ~~ ~ ~~ '~ (Work must;~e started within 1207days) o w ~ ' Name J- ~ % ~ , - , Phone ( ) N _ ~ „ a '• q St. Address ! Cit' ip Code .rat Site Address ~ ,J~( R Assessor's Par el No. ! ~ Lot Size (sq.ft/acres) 7 ~ ~ a Subdivision of '~ ;~ Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name / Contact Ph e ( ) T Address City St. ip Code R License No. ~ - '' ''~ -~ Exp. Yelm Bus. Lic No. lrj Description of Work " ~ fr OF ICIAL USE ONLY ~ Permit ype: ~ Sq. ft. per floor: (1st) nd) Resid tial___j/_ Sign Sewer Septic A royal No. Co ercial Other City Water Private Well Pri to System horeline Permit Y N Heat: Electric Gas Oth r Sepa Exempt Y N ITEM BASIS F R FEE FEE Floor Plan Y N Building Value ~~ ~~ ~ C~ ~ Sets of Prints P P : ~ ~ Other lumbing ermit # ~~JJ ~ ~ ~` M h i l P i WA. ST. BC. Fee (.50-New Cons Only /~ ec an ca erm t # TOTAL FEE ~~ Plan Check B ' Minimum distance of structure from property i s: ~ , Issued By Front to of Road Finallnsp:~~ J Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. 1 also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If ap .ing as a contractor, I further certify that I am a currently registered contractor in the State of Washington. ; .__ Signature ,r'y ~---~~,-.~-c-.~-''"=' r'..-= --~°°•"" Date r~ ° ,~(}-`f Quarterly Reports f , Firm: f,,..._ .,,c, z..... ;;i,,~.~--+ ~ ..~. Assessor/-~ TRPC ~ ~ J ,~ i NtW UtVtLU1'MtN 1 / Nt W GUNS I 1 tUl;11UN 1:1111:/GLIB 1 /l ~ ~ n ~ ~_ SITS ApDRESSs SRWRR PERMIT SEWER LATECOMERS •SEWER/SEPTIC SITE PLAN ACCESS b DRAINAGE WATER SUPPLY WATER LATECOMERS 'WATER METER WATER SERV. ORDER POWER TELEPHONE Permit # Fee If It Applicable Applicable $125.00 sl,ooo ~~ r (ICJ ~t~~ ~ Q ~, ~I~J`~ ~ ~ ~ ~~~~ ~~ 7 j J`~t~ ~ ~ 7~~ ~~~5~ X15 ~~ ~`~ Receipt # Comments ~~ ~(~ PERMIT/INSPECTION 8TATE/C0. APPROVAL 8TREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT 81DEWALKSlCURBS LANDSCAPING YELM BUSINESS LIC. $30.00 TFC - TRANSPORTATION FACILITIES CHARGt~- ADDITIONAL COMMENTS ..,~ ~~ ~ yin ae veu- F PRIt7R TO FINAL INSPECTION BY PER ERU HOOK-UP Puget Power 458-7731 Yelm Tele. 468-2171 ~~ ~n~ L•s . 50 W,C, Fcc CITY OF YELM Building Pe~nit ~o_ ,r 4 ~ ~ BUILDING DEPT. Date r - ; Phone: 458-8407 (Work must be sta//rted within 120 dayss) A ~{~~i'~ ~~~~ N I Name i i ~ ?,~ , Phone ( ) ~ ~"~ ~~ R e '.... Address Cit 1 ,.rr St. s Zip Code '~ ~~~ Site Address ~~ t ~ ~ , . t - a Assessor's Parcel No. ~ Lot Size (sq.ft/acres) o ~ ' ~ a Subdivision 7 a Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name ~- f t ;h ~ ,,~ Contact Phone ( ) T R ~ Address City St. Zip Code a //~ ~~(( License No. ~ f~' /t < Yelm Bus. Lic. No. ~ f[7 C/ ~ Description of Work 7 ~ -~ ~ ~' j OFFICIAL USE ONLY Permit Type: /~ Sq. ft. per floor: (1st) nd) ResidentialI/f Sign Sewer Septic proval No. Commercial Other City Water Private ell Pr ate System Shoreline Permit Y N Heat: Electric Gas Oth r Sepa Exempt Y N ITEM BASI FOR FE 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 Byl..- ` Minimum distance of structure from property lines: Issued By Front to of Road Finallnsp:~J r Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit 1 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 reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. 7~n ~'` '~` Signature ,.,: ^~ Date -~ (1 Quarterly Reports t c_.._... _/ ..._... ~- Firm: " t= ~ ~ ~ _t...~.st .~ - . - ~*:~~ rl -~ ..-~..-' AssessorJ~ TRPC / J ~~ dNJ CITY OF YELM BUILDING DEPT. Phone: 458-8407 Building Permit ~~ ~.. ~ 6 ~, ~_. Date (Work must be started within 120 days) N Name~~ % ~~~ /~ ,~ l~r~ 1 r ~~ ~ ~/.f~~ /l r3, ~ ~ Phone ~ ll4r~) ~J ~"" ~~~d R Address ~ ,~ ~~~ ~ . ~ jr ~ / City ~ St. Zip Code ~~~. Site Address ~ ~;~ ~" ~ i° ~~,rC,=~, ,~ a Assessor's Parcel No. ~ ~'' ~ Lot Size (sq.ft/acres) 0 a Subdivision Lot Block r Y OR Short Plat No. Block Existing Structures, if any: ~ Name ~~' ~ `,+~,. y~ ~ ;'~~~?„1 ('~~~~f ~ ~,;~) Contact Phone ( ) Address City St. Zip Code T a License No. Exp. Yelm Bus. Lic. No. Description of Work ~ ~ ^ ,,/'} ~ ~,' .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 ~ '}`~ '~ ~~ ~ ~ ~ ~ Sets of Prints g , , ,.F.- ,' Other Plumbing Permit #~:,7 ~~ r ~ '~ f ~ r~.+ ci l P M h i it # WA. ST. BC. Fee (4.50-New Const. Only) j , ec an ca erm ~~ TOTAL FEE ~ 5 Plan Check By ~ ~ ! ~ ~~ Minimum distance of structure from property lines: Issued By ~ ` ~ !~ ~~` Front to of Road Final lnsp:J~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washingtgrr. Signature ~ i' / !~ rr ~ ! Date Quarterly Reports Firm: Assessor~~ TRPC ~ ~ NEW UEVELUI'MEN I /NEW LUNS 1 lZUI; IIUN (:HE(:KLIS I 6ITE ADDRESS: SEWER PERMIT SEWER LATECOMERS "SEWER/SEPTIC SITE PLAN ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS 'WATER METER WATER SERV. ORDER POWER TELEPHONE Permit # Fae If Receipt It Applicable Applicable # Comments $125.00 ~ PERMIT/INSPECTION d $1,000.00 PER ERU HOOK-UP Pugeh Power 458-7731 Yelm Tele. 46&2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKSICURBS 200, d.5' ~./ /t/~ ~G /r J~ ~~~~~y l ~. ~v ~ ~ (oq LANDSCAPING 530.00 ~~~q YELM BUSINESS LIC. TFC - TRANSpORTATIQN FACILITIES CHARGE- ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION 8Y real c"5 , 50 W.C. FcG CITY OF YELM Building Permit ~° ~, ~_q ~ 3, BUILDING DEPT. Date ~ - ~~ ~~ ~ ``~ Phone: 458-8407 (Work mus eb started wi hln 20 ay d- ~.. w Name a ~ `~' ai Phone ( ) °~ ... ,` ~'•`' N A Address ~~ ~.'' " `~ y" City ~ St. J Zip Code '~ ",} f ..r,?,r'i ,, ~- ~ ~ ~ Site Address f ~ ~~ ~ r ~~ l ' ' l d ~; L7 k ~.t i'~ (~ 7 R ~ Assessor's Par I No. ~ r '~Q ~ Lot Size (sq.ft/acres) o , ;~ "~ ~ a Lot Subdivision r ,,, Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name ~~ ,F ) Contact Phone ( ) r Address City St. Zip Code T a License No. Exp. Yelm Bus. Lic. No. ~ Description of Work %' ~ f ~`~ 1 !' ~ 'A ~ OFFICIAL USE ONLY r Permit Type: l Sq. ft. per floor: (1st) (2nd) Residentia 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 ~ Sets of Prints ~, ~ ~r'~ Other Plumbing Permit # r ../ ~ WA. ST. BC. Fee (4.50-New Const. Only) , 4~ (~ Mechanical Permit #st ~ ~ ~' TOTAL FEE , ( Plan Check By ~ Minimum distance of structure from property lines: L Issued By Front to of Road r Final Insp:~~ Side Side Rear Owner L&1 Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. ~~ ; Signature ,F~~r -~-~~!ri~-'~ Date !~c~!°'`j ~ Quarterly Reports ;f Firm: t, Assessor~J TRPC ~ ~ %,~ y NEW UEVELUNMEN f /NEW DUNS 1 itU(; l1UN I:HE(:KLIS I SITE ADDRESS: SEWER PERMIT SEWER LATECOMER8 •SEWERISEPTIC SITE PLAN ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE 8TATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING Permit # ~ Fee If It Applicable Applicable 3125.00 31,000.00 ~~Q~ ~~~ ~ Receipt # Comments \ ~Q~ PERMIT/INSPECTION PER ERU HOOK-UP PuBef Power 458-7731 Yelm Tele. 458-2171 f ~~, O~ s nc.~ ~s ~ 5 ~~5~ 53(,a~ ~ w.c, ~« ~{l'S~ ~~ ~I, r5~ ~ YELM BUSINESS LIC. I I 330.00 TFC - TRANSpORTATIQN FACILITIES CHARGE- ADDtTIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION 8Y CITY OF YELM BUILDING DEPT. Phone: 458-8407 N Name ~ ~ ~. ' a Address ,/~'~ ~ ~~~ Building errr-+t ~f, ~. 5 9 ~ ~ Date ~ ~ r ~r'~ i ' ~ ,~ (Work must be started within 120 days) /y)/~St. ,~l/ /~7' Zip Code `7 D li ~~ j Site Address "~ f ~' ~~ 0 P R Assessor's Parcel No. ~ Lot Size (sq.ft/acres) ? I ' ~ A Subdivision 1 Lot Block r Y OR Short Plat No. Block Existing Structures, if any: c N Name Contact Phone ( ) r Address City St. Zip Code r ~ R License No. 4~ r~,J Exp. Yelm Bus. Lic. N . Description of Work s %.~ OFFICIAL USE ONLY Permit Type: l Sq. ft. per floor: (1st) (2nd) Residentia 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 s Q ~ Sets of Prints g , ~,, _, ~ Other Plumbing Permit # ~r WA. ST. BC. Fee (4.50-New Const. Only) , Mechanical Permit # ~~ TOTAL FEE ~~~ Plan Check B Minimum distance of structure from property lines: ,`. Issued By Front to of Road Final Insp:_~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~J ulations including those go ing zoning and land subdivision, and in addition, all covenants, easements and restrictions of rec lyi as a cor~traetor,-I rtify that I am a currently registered contractor in the ~ State of Washingt~ 4 wd-"-``~" ~ ~ Signature "°°""""'"~""~'"""'"""""'""" ""'°'---~- - - -- Date Quarterly Reports Firm: Assessor ~ / NC3'~"1?S : ~.. ~'1~'C?}3~Tt•~i ZS4~~ In designated >'~I..QOd Main TRPC ~ J ?.. Prca>~?erty ~l.cb~sdec~ 2-~-96 and 12-9fa 3 . ~`le~r~d ~r~f.. inq rece~ennended 4. "(<v~ - fee nrdi>aan~e Flo. 59~ att-ached NtW UEVtLU1~MEN 1 / NtW GUNS 1 KU(:11UN (:Ht(:KLIS 1 SITE ADDRESSz~~J~J SL~1bdL ~1TIGA~T'~D~i F~.eS SEWER PERMIT SEWER LATECOMERS "SEWER/SEPTIC SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. Permit # Fee If Receipt If Applicable Applicable # $125.00 ~`~.~~'~j~ $1,000.00 ~l~i ~' jIVV.®V 5~~~ 5~y~~ ~ ~~~ 5yy7 ~l, l~~ 330.00 TFC - TRANSPORTATION FACILITIES CHARGF- ADDITIONAL COMMENTS *DUE AND PAYABLE PR/OR TO FINAL INSPECTION BY Comments PERMIT/INSPECTION PER ERU HOOK-UP Puget Power 45&7731 Yelm Tele. 458-2171 Z y~Gl t°'S W,C. Fce CITY OF YELM BUILDING DEPT. Phone: 458-8407 Buildin ` rt~t ~~ ~.f 5 9 4 7 Date ~ ~' ~~ ~~ ,..` (Work mus be sta ed within 120 days) ~~' ~'~'" f~~~~ `~ N Name' ~ ;; ,~ - Phone (~ ) ~ - ~ ~( E o ;7 ,7 ~ ~ R Address Zip Code St. '~ .-~ Site Address P R Assessor's Parcel No. ,[ )J~ ~ Y(fJ ~(~ z~ ,~~(~ Lot Size (sq.ft/acres) ~ R Subdivision A ~ i ,; s Lot ~ Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name Contact Phone ( ) T Address City St. Zip Code r -- R License No. Exp. Yelm Bus. Lic. No. Description of Work f, + ~ ~ 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 Plumbin Permit # l~ Other g 'y ~ i l P it # ~~ M h WA. ST. BC. Fee (4.50-New Const. On ly) an erm ec ca .~ ~ ~O TOTAL FEE Plan Check B Minimum distance of structure from property lines: ~ Issued By ! .. Front to of Road Final Insp:I/ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- SubmittedJ/ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If g as a gontractor, I further certify that I am a currently registered contractor in the State of Washington ~ - ~`, Signature`- ~.._.-----~~-""°" ~ Date Quarterly Reports Firm: Assessor ~ ~ r~ ~• a i.n rie~i- aced fic~®d .Lain 2. p~c.~erty flor.~ded 2-$-~°~£~ and 1:?-~6 "~. t<~.eaexi ~~^QC~f_ing rec~>I~nencleri TRPC ~ ~ 4. F'YT - See (~rriinanre I~fr~. 5Q~ attached. NEW UEVtLUi'MENI /NEW (:UNS1ilUC:1/UN (:HE(;nl.ISi SITE ADDRESS: _~~ ~ L' ~-I d dL-. MITI~ATtd~i F~.~~ SEWER PERMIT SEWER LATECOMERS "SEWER/SEPTIC SITE PLAN ACCESS 8~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKSICURBS LANDSCAPING YELM BUSINESS LIC. Permit # Fee If Receipt If Applicable Applicable # $125.00 ' h~ f' ,~ $1,000.00 7t~D,~ ~`~ ~_ Comments PERMIT/INSPECTION PER ERU HOOK-UP Puget Power 458-7731 Yelm Tele. 458-2171 7~, I ~ I 5~~~7 S~~~C~~ ~~(~ ~.c. ~~ $30.00 TFC - TRANSPORTATION FACILITIES CHARGE- ADDITiONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM BUILDING DEPT. Phone: 458-8407 Building P rCnit ~p J 5 Date ~ ~jf (Worly^rust be started within 0 days) ~ w Name ~ ~ `` ~~ ~ Phone ( ) ~~ N E R Address ~~ ~ ~ yj ~~~ ~- _,I ' ~~ f 'r ~~k- City U ~,,,-{jX~7 St. Zip Code I V Site Address ~(' '{ J ~ `~"'~~ ~ '' ~ '~ '-f~ +"'} ~ a Assessor's Parcel No. r~ ,;) t(/ 7 ~ ~ Lot Size (sq.ft/acres) o R ~ , Subdivision i ~~( /~ .J 1 ~~'~,~ ~ ,,~j ,~J ,/k ~ Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N Name 9~ ~ ~ Contact ~ ~/ Phone ( ) ~ ~~ ~~ j , T Address ~~ ~ ~'~~ (~ City St. Zip Code a License No. ~= 1 Exp. Yelm Bus. Lic. No. ~ ,. Description of Work r' ' + ~ ' ~ OFFICIAL USE ONLY ~~ Permit Type: l Sq. ft. per floor: (1st) (2nd) Sign Residentia 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 .- ..~~ ,,,,~~~~,, // Pl bi P i Other um ng erm t # '~ ~ P i WA. ST. BC. Fee (4.50-New Const. Only) Mechanical erm t # ~1 / { ~ TO TAL FEE ~.J f Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants 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 reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. _. Signature ,~'r _..___._.,._._____. Date ~ ~ C' j ~~ t. l . ~. ~. Firm: ~~°' _ _ Plan Check By~_ ``~ ~° / ~, Issued By Final Insp:~~ Owner L&I Form Assessor Floor Plan and Permit Submitted~~ Quarterly Reports Assessor~~ TRPC ~ ~ NEW UEVtLUNMENI /NtW (;UNSIItU(;11UN cHt(;KLIS1 siTE ~wnRESS: ~- /~ 3 Permit # ~ Fee If SEWER PERMIT SEWER LATECOMERS •SEWER/SEPTIC SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS 'WATER METER WATER SERV. ORDER POWER TELEPHONE STATE/CO. APPROVAL 8TREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING If Applicable Applicable $125.00 /~'/p $1,000.00 NH ~vi~ ~, 2~ ~~~~~~ ~ 57, ,~v YELM BUSINESS LIC. I "~ f~/ ~ I $30.00 - TFC - TRANSPORTATION FACILITIES CHARGE- , ~f~.~} ADDITIONAL COMMENTS ~±~ }€ r '"DUE AND PAYABLE PRIOR TO FINAL INSPECTION 8Y :~ Receipt # Comments ~' ~ 1PERMIT/INSPECTION PER ERU HOOK-UP PugeF Power 458-7731 Yelm Tele. 45&2171 tnca~ W,C.~c~ CITY OF YELM BUILDING DEPT. Phone: 458-8407 w (Name ~ ~ ; Building Pef mit e.,. ~. ~..~ 2 3 Date 1 " t' (Work must be started within 120 days) r~ Phone ( ) ~~~ _/ A /~ W'~ ^ AOOreSS l~liy Jr. Llp llOOe `~' ~ ~ 9 c_/1/~ ~" ~ ' ' Site Address 1 .(..;, a Assessor's Parcel No. ` Lot Size (sq.ft/acres) E Subdivision ~"` ,t ,~ "' ~ ~.~~~ 1 ~~;T ~ ~ ;'~ ~ Lot Block T 1 Y OR Short Plat No. Block Existing Structures,. if any: N Name 'k" 'r ' . ° --~'~ } ~~ ~ Contact Phone ( ) r R ~ Address City St. Zip Code °a License No. ~ 7~ ~ C ~ Exp. Yelm Bus. Lic. No. ~ Description of Work ' ,%. fi 1 s ~' ~ ~ - OFFICIAL USE ONLY Ir Permit Type: R id i l Si n Sq. ft. per floor: (1st) (2nd) g es ent a 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 ~~ ~ ~.--~ ~ ~iL ~ Plumbing Permit # WA. ST. BC. Fee (4.50 -New Const. Only) Mechanical Permit # TOTAL FEE ~, Minimum distance of structure from property lines: Front to of Road r, Plan Check By ~ r J i ' ~ ~) Issued By rr Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~J ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor I further certify that I am a currently registered contractor in the State of Washington.. - ;^. ~ ^~ Lei j, ,/ Signatur~_ ,..,y•>~ !~7~? ~s'~-.-~-G-~_/ ~-Lt.t~..;,.;r i,G~,l,,;•'~. ~ ,,-- Date -,y:?s"~ll'%... Quarterly Reports ,. mom„ Firm: I/ - Assessor ~ / TRPC ~ / ~, ~~ i ' 1 ~. ~ E I !~ 'rwJ ~ ~ ._.. CITY OF YELM BUILDING DEPT. Phone: 458-8407 Buildin Per it ~~ ~ 9 5 4 Date ~ -~ r--r -- `"r j (Work must be started within 120 days) w ti Name ;~l_ ~ ~ ,? ,'~~ -° ~ ~ "~ ~ ~ ~ "7,,"? Phone( ) N R Address ` ~d~ ~ l ~ j'% +F '`` r~ U' City ~, ~ St.~ ~ Zip Code ~ Site Address r r^' R Assessor's Parcel No. ~~ Lot Size (sq.ft/acres) 0 R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N Name ~` F ~,~ ~fo ~ ~ 'n~ j t f ~ , ,e,{~~'~ ;..~ ,~ Contact ~,+ } Phone ( )/ ~~ ~,~'!, o r .-i t ,,~ r"" ' ~ 1 ~I ~ , a ~ i'3 r ,- r J ~'. ~ Address ! '~ Y r ,. " . t:,,,, city ~ 5t. up cone , j r a License No. `7 Exp. ,• j Yelm Bus. Lic. No. Y , Description of Work 1 ~ ~ -; `~,'`~. ~ ~'; + OFFICIAL USE ONLY '.:` Permit Type: f 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 6 ~`~ j~',fJ ;•' ~ ~'~~ ~a ~ (~ ~ Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # TOTAL FEE ~ i /,,~/~ Plan Check By ~~ .,1r°x'{~-~ Minimum distance of structure from property lines: Issued By x ~ + r ~ Front to of Road Final Insp:J_~ Side Side Rear Owner L&1 Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted_J~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. . Signature , '~ ~ .' , ' ~ ~'` r' , Date % ,~ ~- % ! Quarterly Reports Firm: Assessor~~ TRPC J J CITY OF YELM BUILDING DEPT. Phone: 458-8407 Building P rmit ~® ,_ 5, 9 5 ~.J Date ~--~1~ ~~ ~~~ ,l (Work~~ry~,ust be started within X20 days) w Name ` ~ ~ ~ - Phone ( ) ~ ~''/ N a Address ~ • ~ ~ ~ ~ City ~~ St. Zip Code t Site Address ~~ G~ ~~~ ,~~.~ ~,i'J ~.~"l. ~°.' ~ ~ R :~ Assessor's Parcel No. ~~ '~, j~i ~ ,~ f' ~'~~~ ~ Lot Size (sq.ft/acres) 0 R Subdivision Lot Block r Y OR Short Plat No. Block Existing Structures, if any: c N r Name 1~/' ' ~ ~ .~) ~~~ ~• ~; ~„{ Contact ~` /~~ ~~ -~'-'Y~ Phone ( ) , r R ~ Address City St. Zip Code r R License No. Exp. Yelm Bus. Lic, No: , ° Description of Workf / ! ~ ' ~ - / ~ _.~ ~`'.~ ~ ~~' ,-~''. ,!~ ) OFFICIAL;US~°ONLY ~~ .. ~ ~` '~ •; ~' 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 Exemptl~~ Y N ITEM -= BASIS FOR FEE FEE Floor Plan ~,` Y N Building Value / ~~ f~ ~ ~` % , ,~ Sets of Prints Other Plumbing Perm)t # , ^~ ~;l WA. ST. BC. Fee (4.50-New Const. Only) ~, ~~ ~~ Mechanical Permit # ,` ~ f ~ / y ~ ~ l TOTAL FEE , ,~ Plan Check By;~ ~ ' li Minimum distance of structure from property lines: Issued By r ,~- ~ a~ ~ ~ Front to of Road , Final Insp: Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor-Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- SubmittedI/ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Date 7 ~ Signature ~•~ ~ i"r ~' '°~~~ ~ ~ ~ ,l.r :' F ~ Quarferl Re orts Y P Firm: Assessor-/~ TRPC / ~ r .1 al~ ii~ NEW UEVtLUNINENI /NEW (:UN5111U(:IIUN I:NEI:KLISI SITE ADDRESS: Permit # Fee If If Applicable Applicable $125 00 SEWER PERMIT ~U~A SEWER LATECOMERS "SEWER/SEPTIC ~~~ $1,000.00 SITE PLAN ACCESS 8 DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~,f WATER SERV. ORDER ./~,f .~ POWER TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~~' ~~ BUILDING PERMIT ~-l -/ ~ ~ ~ ~ ~' ~O PLUMBING PERMIT ~~~~ ~`' ~~ MECHANICAL PERMIT ~/mil GRADING PERMIT SIDEWALKSICURB3 LANDSCAPING YELM BUSINESS LIC. / v ~~ $30.00 TFC - TRANSPORTATION FACILITIES CHARGE- ADDITIONAL COMMENTS - *DUE AND PAYABLE PR/OR TO FINAL INSPECTION BY Receipt Puget Power 458-7731 Yelm Tele. 458-2171 Zv~caucCZ°5 `l, W,C, Fce Comments PERMIT/INSPECTION PER ERU HOOK-UP ~_ ._ CITY OF YELM BUILDING DEPT. Phone: 458-8407 Building P rmit N~ ~ ~J ..~ Date (Work must be started withi~i 120 days) ~ t n ~.~ ~~1 w ~ Name ' ` " ,~ i. 1~'~ v / r Phone ( ) f`f a Address /~ ~ ~ i~ City f~ , `f St. Zip Code Site Address ~ ~ ~ ~ ~ /' ~ t ~' ~ a Assessor's Parcel No. ~ Lot Size (sq.ft/acres) 0 a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N Name ? ~' ~ >~ .l Contact Phone ( ) T Address City St. 'Zip Code r a License No. Exp. Yelm Bus. Lic. No. Description of Work r' '~ ~ ~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign l O h r Sewer Septic Approval No. e Commercia 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 ~ % Sets of Prints Other Plumbing Permit #__~ ~ ~ F WA. ST. BC. Fee (4.50-New Const. Only) , : Mechanical Permit # TOTAL FEE j ,''° Plan Check B Minimum distance of structure from property lines: Issued By `~- ~ ;~ Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submittedl/ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature :>`'~ ~._yr> c ~t }~" ~ r r'.~) , ' T- ~ Date ~ ~ ..c~ Quarterly Reports Firm: Assessor_~J TRPC / -J r ~~ ..~ NEW UEVELUI'MEN 1 /NEW (;UNS 1 ItU(;1IUN I:NEI:/ILIS 1 SITE ADDRESS: ~. ~> Permit # Fee If If Applicable Applicable SEWER PERMIT N ~ SEWER LATECOMERS "SEWER/SEPTIC ~ -~ $1,000.00 SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~ ,~~ WATER SERV. ORDER / ~ ~~' POWER TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT ~ "'' ~" PLAN REVIEW J ~~~ 2 ~~' ~~ BUILDING PERMIT , / V~~ " PLUMBING PERMIT MECHANICAL PERMIT ~~7~ GRADING PERMIT SIDEWALKSICURBS LANDSCAPING ~r f ~ 530.00 YELM BUSINESS LIC. TFC - TRANSPORTATION FACILITIES CHARGE- ADDITIONAL COMMENTS 5125.00 J *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY Receipt Comments PERMIT/INSPECTION PER ERU HOOK-UP Puget Power 458-7731 Yeim Tele. 468-2171 tnC,l~~ W,C. Fc~ CITY OF YELM BUILDING DEPT. phone: 458-8407 . -, Buildin Permi ~ ~® Date "°` ~ ~ ~` (Work must be started within 120 days) ~-~,~- ~~ w Name -~ Phone ( ) ~ ...y R Address ~ / St. Zip Code ~'~ Site Address ! 0 ~ f P R Assessor's Parcel No. 3 Lot Size (sq.ft/acres) O R Subdivision Lot ~ Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name Contact Phone ( ) T Address City St. Zip Code T R License No. Exp. Yelm Bus. Lic. No. Description of Work ~ ~ " OFFICIAL USE ONLY Permit Type: S .ft. erfloor: 1st q P ( ) 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 ~ ~ ~"'Ej ~, ? ,~ Sets of Prints r , , Pl bi P i ~ ~ Other um ng erm t # ~ ~ r yf i l P i # M h { ~ WA. ST. BC. Fee (4.50-New Const. Only) T f t erm ec an ca TOTAL FEE ~~~, Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants Affidavit: I certify that 1 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 reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. ~ ~ ~~ ~ ,~ Signature ',;,' ~ ,~ Date~,r`,~ ~"/ ~ r ~ ~ ~ Firm: i .' I.~~.~1 1s f~l==tl6`14t.>,i,r ~~ . ~v ~i r~- s+ : 1~t1~` r 7 Plan Check Issued By u Final Insp:~~ Owner L&I Form Assessor Floor Plan and Permit Submitted~~ Quarterly Reports Assessor~~ TRPC / ~ NEW UEVtLW'MEN f / NtW GUNS 1 ftU(; f lUN cHtl:nL1S I ~ ~ ~ ~ ~~ Y ~~ L~ T~ / 7 ~ SITE ADDRESS: ~_ , i~l / l L ~ S ~+4 ~~ ~. Permit # Fee If Receipt ~Vl I ~I ~I~ i 1 DIV ~~ ~~ If Applicable Applicable # Comments $125.00 ~ ~' ''=~ ~ ' fi ~~ ~ PERMIT/INSPECTION SEWER PERMIT - r SEWER LATECOMERS $1,000.00 PER ERU HOOK-UP •SEWER/SEPTIC SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS ER " /~A~, =~~D~ ( ~ WATER MET . WATER SERV. ORDER ~QU ~ ~ ~ Puget Power 45&7731 POWER Yelm Tele. 46&2171 TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT /~ p PLAN REVIEW _ =nca ~'S ~ ~ 5 ~ ~~ ~y ~~~~~ (~~ '"~ ` ` ~ w ~ C FGG , BUILDING PERMIT 5 ~ ~~ ~~` VD ! '.\ '' f PLUMBING PERM17 MIT ~ 7 7 ~ 7 ~ - ~~ ~J~~~ -' '/ MECHANICAL PER ~ GRADING PERMIT 81DEWALKSICURBS LANDSCAPING YELM BUSINESS LIC. $30.00 TFC - TRANSPORTATION FACILITIES CHARGE- ADDITIONAL COMMENTS `DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM Building Pe mit ° 5 9 4 9 BUILDING DEPT. Date ~" ~~- Phone: 458-8407 (~W,o//rk mu+~s~'t1be~'s11'tlarted within 120 days) r"1 ~' !` j~ l ~ J N /f Name ,,. - Phone ( ) ..- ~ E ~ R Address it t. Zip Code '~ ~ ~ Site Address a Assessor's Parcel No. ~ ~ ~(~ Lot Size (sq.ft/acres) p ~ .-i R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name Contact Phone ( ) T Address City St. Zip Code r R 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 ~ ~ , ~ ~~ Sets of Prints Other Plumbing Permit # ~ ~~ ( ~ y~ s~ e~ WA. ST. BC. Fee (4.50-New Const. Only) ~ Mechanical Permit # _LCL y TOTAL FEE Plan Check Bye Minimum distance of structure from property lines: Issued By Front to of Road Finallnsp:~? /~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted) ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. r ,J'` r 'l ~ _ rwr C_ Y' l.~ Signature ~~: a j ~,., ....3'7`~,t..J.~-- Date ~r,If`~0"I f Quarterly Reports qr I t Firm: ~/;,~ . f. J . ~,--:..~. p: ' ;:~)£." I`' ~'~ ~ `ljL~ /f~+'t Cc,1f~ . Assessor/~ TRPC ~ ~ ~~ NEW UEVtLUI'MEN l /NEW GUNS I ilU(: I lUN I:HE(:KLIS I SITE ADDRESS: `~ j~~"/ /~'(J/ GU~d(,~~Yl L'L°~ ~~ ti~'~ S~~ ~14L . Permit # Fee If Receipt N~ 1~ i 1 ~~~'~~N ~E ~ ~ If Applicable Applicable # Comments SEWER PERMIT $125.00 '~ ~''~ %~~ " ; -~ ~- ~ PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 PER ERU HOOK-UP SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~Q~., WATER SERV. ORDER ~~• ~~ t Power 458-7731 P POWER uge 2171 458 TELEPHONE - Yelm Tele. STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~ ~~~ ~~ , ~~ ~~~ _>:~ ~ ncl i"5 , Sd BUILDING PERMIT ~/ 5 ~ I ~ ~} / 5~q` 5~ ~°~ ~~~~~--' t w~C~ FGG u PLUMBING PERMIT ////~~ ~~7CA ~~~ ~~ r r~ MECHANICAL PERMIT ~ `~ I ~ T / ~ ~~ ~ ~ GRADING PERMIT 81DEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. I I 330.00 TFC - TRANSPORTATION FACILITIES CHARGE- ADDITIONAL COMMENTS "DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM Buildin Per it ~ ~ ~ ~ ~ 4 .BUILDING DEPT. Date "I'"' 1 Phone: 458-8407 (Work must be started within 120 days) f ry w /` Name ~ U~- " / " -~ Phone ( ) a Address r' 1 i r ~ 4`~ City ~ ~ St. Zip Code Site Address ~ ~ '" ;? P R Assessor's Parcel No. ~ ~ ~ Lot Size (sq. ft/acres) O R Subdivision Lot Block r ~ OR Short Plat No. Block Existing Structures, if any: Name Contact Phone N T / .~ Address ~ ~ 7 City / ~j St. Zip Code ! T a License No. /t ,~ II~H/~~ ~.~n/r~ ~ Exp. / /' Yelm Bus. Lic. No. ,a // Y~ Description of Work s !~~ ? 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'~ 7 '~ ~ 7 , , c~ Sets of Prints Other Plumbing Permit # ~~~~ WA. ST. BC. Fee (4.50-New Const. Only) ~` , ,~ ~ Mechanical Permit #3 /~ TOTAL FEE , Plan Check BK.,.p i ~ tJ 1 F1. . i Minimum distance of structure from property lines: Issued By `'~ Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~1 ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, 1 further certify that I am a currently registered contractor in the State of Washington.. ~, '..~ Signature ,f,~' ~ ,,, r. ---~"" Date I'°!'c„J_ ~ Quarterly Reports ' r "' ~„- Firm: Assessor-/~ TRPC ~ ~ NEW UEVELUi'MEN l /NEW GUNS I llUl: I lUN CHE(:KLIS SITE ADDRESS: Permit # Fee If Receipt If Applicable Applicable # Comments SEWER PERMIT ~ $125.00 ~ J-~ l PERMIT/INSPECTION ~_~ SEWER LATECOMERS "SEWER/SEPTIC ~ $1,000.00 ~ 1~~~ r PER ERU HOOK-UP SITE PLAN ACCESS 8~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~ ~(?, QQ !.~~, s -{~-~ ~~ WATER SERV. ORDER ~~a,~ ~~~ ~ f POWER Pugef• Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~~ ~ ` o ~ ~' BUILDING PERMIT ~! "~' y ~ l ~ ~ ~C~ ' ' ~ ~ w ` C' F~c , ~ PLUMBING PERMIT ~~`~ Q l ~ ~' `~~~ ~ `~ / MECHANICAL PERMIT `I [ 7~ (p ~, ~Q `~~ ~~-~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 - TFC - TRANSPORTATION FACILIT ADDITIONAL COMMENTS IES CHARGE - i CITY OF YELM Building Per It ~° ~ ~ ~ ~ $ BUILDING DEPT. Date ~ -- 1~~'- C ~ / Phone: 458-8407 (Work must be started within 120 days) w Name ¢' ~ ~ /~ !-' Pihonnne ( )r'} - ~ ~ r a n~~~o~~ ~ ~~ !1;9 lI-~1 L / Pf P fin fan ,? i i t .~"1'r' _~~ C(tv~~ f~ /'t.7/ / St.l/ 1 }?' Zia Code ~~7 ~. ~r'~. ~ Site Address { r i~ - P R Assessor's Parcel No. ~, ~ ~ /~~~) ~~~ Lot Size (sq.ft/acres) O a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: ~ ~ _ ~ ~ ~ '~ df N ,, Contact Nam ~ y Phone ( ) R n ~ .c ~' .a 1.~ .> ~ /l ..i1 C" e';" _L~ ` i9 n r / . 1 /1 !'~ C"'i ..C',.'( ~ T R License No. ~ ~ ~ Exp. Yelm Bus. Lic. No. ~ Description of Work ~! ~ ~~~ ° ~ r /'~ ,f ~' ~' ) ~~~"' ~.~ 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 Sets of Prints Other Plumbing Permit # ~-i~= WA. ST. BC. Fee (4.50-New Const. Only) ~ ~ Mechanical Permit # ,, '~ C > TOTAL FEE Plan heck B '~ ~` i Minimum distance of structure from property lines: Issued By `, Front to of Road Final Insp:I_~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted-/J ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. 7 t 1 ~ ~~ Quarterly Reports Signature c.~'~~'~~.I, Y, ,-. !, l~ ~~(.'v ~ Date 7 1 { Firm: Assessor~~ __ TRPC ~ ~ NkW UtVtLUf'MtN1 /NtW (%UNSIIiUI:IIUN l;fltl:IlLl51 SITE ApDRES5s SEWER PERMIT SEWER LATECOMERS "SEWER/SEPTIC SITE PLAN ACCE88 b DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE 8TATE/C0. APPROVAL 8TREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT Permit # ~ Fee If If Applicable Applicable $125.00 $1,000.00 1~ 5`~~3 S .~ ~~~, ---- ~(~D SIDEWALKSICURBS LANDSCAPING YELM BUSINESS LIC. ~~~. ~~ 7~- ~3,~~ 3y ~~ $30.00 ADDITIONAL COMMENTS rinnr e Y Receipt # Comments ~~ PERMIT/INSPECTION ~;" PER ERU HOOK-UP Pueef Power 468-7731 Yelm Tele. 468-2171 W,C~ F~c CITY OF YELM Buildin %~ermit ~Q ~ ,~.~ 4 ~ BUILDING DEPT. Date Phone: 458-8407 (Work mu ;e~s`tarted wit n 120 days) W N rvnme ~ ~ ~ ~ ~ ~ v E R Address ~ ~ City ~ ~w~ St. Zip Code ;j Site Address ~ t'~~ '~ ~,,~ R Assessor's Parcel No. ,l ~,~~ Lot Size (sq.ft/acres) 0 R Subdivision Lot Block r Y OR Short Plat No. Block Existing Structures, if any: c o N Name Contact Phone ( ) T Address City St. Zip Code r a License No. Exp. Yelm Bus. Lic. No. Description of Work f ~ ~ e ~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign r Sewer Septic Approval No. Commercial Othe 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 ~Ja Plumbing Permit #_~.?~ '~ ~'~ l P i , v WA ST BC Fee (4.50-New Const. Only) J erm Mechanica t # i _ i TOTAL FEE ~j Plan Check By I Minimum distance of structure from property lines: Issued By :~ t '~ ~~ ~,, Front to of Road Final Insp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted_~J ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature , ~ ;,.. , - ~ ~, 4_. Date f f "%` f •=~ %° Quarterly Reports Firm: Assessor-/~ TRPC ~ ~ 4 ~~ CITY OF YELM BUILDING DEPT. +hone: 458-8407 Buildin Permit ~° 5 ~ ~ 2 Date ~ "" ~~~- ~~ (Work must be started within 120 days) w Name ` ;> i° '~ - l , a ,; ~ ii . - ~-- Phone ( ) ~ ` ` R Address ~ ~ "' !? ', ~~'~ City '~ ~ St. Zip Code Site Address ~ ,~;-'~ ~ i~ a Assessor's Parcel No. ~~ ~~~`~~~/~~ `~f~~f~ Lot Size (sq.ft/acres) 0 a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: r' ~ ~~,, t} c N ~~ ,1 r~ N , ' ~'n}'A Contact ~.. t Phone( ) -^ ~/ "' ame / Address '' G '-"T 1 Ci, ..J ' ~ '~ t. ip Code °a License No. J r Exp. Yelm Bus. Lic. No. Description of Work , '' ,;r!, ~'f` ~ ~ .~~ ~ '` OFFICIAL USE ONLY '~ ' " ~ / , '? ~ Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other . .City Water Private Well -Pr#vat2 System Shoreline Permit Y N .aeat: Electric Gas Qther Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ Sets of Prints ~ ~//,~ P Pl bi i # Other um ng erm t -~1~- WA. ST. BC. Fee (4.50-New Const. Only) '~ Mechanical Permit # J r~ TOTAL FEE ~ " Plan Check By + ~ F" ~ Minimum distance of structure from property lines: '""'" Issued By '~ _ j Front to of Road -- Finallnsp:~~ Side Side Rear Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that 1 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 reg- Submitted~~ ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature c -' j'~, ~"..- ~1-~ Date ~ ,~ ~ `~ Quarterly Reports Firm: `f Assessor / ~ TRPC ~ ~ NEW UEVELUr'MENr /NEW LUN5IKU(:IIUN (:HE(:KLISI SITE ADDRESS: Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT ~ ~ $125.00 PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC ~ ~ $1,000.00 PER ERU HOOK-UP SITE PLAN ACCESS il< DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER N WATER SERV. ORDER ! U POWER Puget Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~~~ ~~ BUILDING PERMIT ~}L I ~ `7 7t? / ~p I ~~~ ~~/ ~ v~a1 i°5 , 5d ~'C'' ~Ge - PLUMBING PERMIT / Y MECHANICAL PERMIT ~~j~' GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ~~ TFC - TRANSPORTATION FACILITIES CHARGR- ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY ~ruc vcr n~ a: ui Hoary ncnr 1; . : ~~ : '~ ape ~l ~ `. - ~ ~~~ ~ ~ rr} c t~ >e~ try ~ ~~ >e* iI?~ ~ sa ~ _ I I I I .I I I I I I I I I v ... C O 3 ... C G _-, I C7 ~' ~ H I ; ' I '-: `; a '{ ~ ^~ =M. ,C "' = O z ~; v ` }"'' _ U_ •~ a ~ I > ~ i ~ i I ~~ 1 ~, __ ~~ Z~ o~ _~ .. n .~ n _ ao H I-l '~ ~ x 1! r !'£ ~ ~'. . • .. ~ V ~.~ ;.: iii ~~ ~; ~~ '~~i I~ ;~I ~-I-- ~~~ i~i-~ I ..t. .ter. .= . - 1 I 1 i 1 ! j I I i , I 1 ! I I I ~ ; I ~ I ~. w .. n i ~ I I .1 it i i 1 ~ R