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Building Permits``~i ,:. CITY OF YELM Building Permit ~®~ 5 ~ ~ ~ BUILDING DEPT. Date ~-; ~ = ~ =y phone: 458-8407 (Work must be started within 120 days) vQi / _ _~ Name r( :5 ~ / t. ,rl r o ~, "' ~ Phone ( ) ~''n ` ... N R ~ ._ . 1 ... Address ~ ~ ~'`~ % 1 Cit ~ t ; St. / Zip Code '~ r7 Site Address f~,') ;?rJ 1 ~~ r)f ~'~ f.~/ ~ ~ ~r R Assessor's Parcel No. ~ ~ - ~„%~•J[~ ~~ ~~~ Lot Size (sq.ft/acres) 0 E Subdivision f ,~y,y y~~j'~-~y j ,~~ ~/~ r,? x Lot `~ Block 7 4 Y OR Short Plat No. ~" Block Existing Structures, if any: N Name 1r ~ ,' 1)~1 Contact Phone ( ) '~~' ~' ~~` r ~ Address r , ~ ~ r ~'~, C ~ : ~ , s' St. ~ Zip Code ~ %~ °a License No. /{, r"` Exp. Yelm Bus. Lic. No. ' ' /` ~~ Description of Work ,;' ' ~ ~/°Y',;, ~ 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 seat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ° 'F `~ ~ ~ y ~~ d '~ Sets of Prints r ss,, ~~ ~ Other Plumbing Permit #__~1_~LL~ ~ ~ " l P i M ~1!s~ WA. ST. BC. Fee (4.50-New Const. Only) `I j , erm echanica t # ! ~L~ ~ ~ TOTAL FEE , Plan Check By, ' Minimum distance of structure from property lines: r f r r"~ Issued By' Front to of Road i 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_JJ 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 / L Date ~. /~ ~ !~ - ~ ` Quarterly Reports _, .. Firm: ~ ~ ~ ~ ~?~, Assessor~~ TRPC ~ ~ ~~ ~~ SITE ADDRESS: Pennil !! Fee If Receipt If applicable Applicable ~ Conunents PERMIT $125.UU ~I `+-j ~ PERMI f/INSPECTION SEWER SEWER LATECOMERS -- C --- -- - " ----_ $1,000.00 ~ ~ ~ PER ERU Ii00K-UP SEWERISEPTI -- - -- SITE PLAN _ -_. - ACCESS & DRAINAGE ___ _ WATER SUPPLY ____ - WATER LATECOMERS "WATER METER ~-------- - ~QD,(~D ~~j ~J~"~ - WATER SERV. ORDER ~Q Q, VQ ~ I ~~~ _ -- ---- - Pugef' Power 458-7731 POWER - -- _ -- __ _ - -- _ ---- Yehn -Tale. 45(3-2171 TELEPI-LONE STATEICO. APPROVAL STREET CONSTRUCT _ !~' r I ~ ' I ~ ~ ~~~ PLAN REVIEW _ _ v ~ , ~ ~0' J ~ ~7 ~, Q~ i.c~. C., F~ ec' BUILDING PERMIT (p 5Z ~~ % J' ~~ ~"1 a PLUMBING PERMff --- -.- MECHANICAL PERMIT 5 ~~f~ ~~ ~ ~Q ~~_ GRADING PERMIT SIDEWALItSICURBS - LANDSCAPING _ YELM [iUS1NESS LIC. $3U.UU __ /1UDITIONAL COMMENT'S '^DUE /1NU P/lYA©LE PRIOR TO FfN/IL INSPEC7IUN 8Y `~'. CITY OF YELM Building Permit ~° ~ 7 6 ~ BUILDING DEPT. Date 1 ~. - `~t°~) ` ~.,'`~' Phone: 458-8407 (Work must be started within 120 days) ° ~„ ~ - ; ' ~~ '' Phone (~) 0 ~ ~- 'T 5 w Name . , N E a Address i St. ~ Zip Code ~ ~ ~.. "'? Site Address ~~ ~ G / ~ ~~ ) J~ ,~~~~;~''; ~~~i~' ''r~C ~ o . Assessor's Parcel No. ,j ~ -° [~ ~~ ~~ !{.,/~~1~, ~,F"~'~ ~ ~~~ ~~~f~ot Size (sq.ft~ac~es) a Subdivision /j J 1 ~ t ~;i'~'f~ Lot ~ ~ Block T ~`~-- Y OR Short Plat No. Block Existing Structures, if any: N Name / Contact Phone ( ) T Address City St. Zip Code ~ ( ~ a License No. Exp. Yelm Bus. Lic. No. ? Description of Work t ~ _~ ' ~~ ~ f 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 cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEES FEE Floor Plan Y N Building Value '~ '~ ~, ~v Sets of Prints Other t, ~ ~' Plumbing Permit #c~ ems. '' ~ ~~ WA. ST. BC. Fee (4.50-New Const. Only) ~ , ( t Mechanical Permit #~/ 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 exa ned t information contained within the application and know the same to be true and correct. I c ' fy t t the pr osed str~CIurE~s.in..co4tQrmity with all applicable City of Yelm reg- Submitted_/_~ ulations including ose go restrictions of rec rd. If a r n~~ "hd land subdivision, and m Ilion, all covenants, easements and I ' as a co tractor, I further certify that I am currently registered contractor in the State of Washingt , ~ - ~ .-" Signature _~-- ~""""°- -_ ---°---~-- ~°°-------°"~`""-"~~~ Date Quarterly Reports Firm: AssessorJ~ TRPC ~ ~ ~~ s i~~ SITE ADDRESS: ~~/ Pern,il # Fee II Receipt If Applicable Appiica0le - ~E Con,-nents ------------- R PERMIT - -- _ $17.5.00 ~I ~(~ ' P[RMI I/INSPECl-ION SEWE 7 SEWER LATECOMERS " $1,000.00 (053 PER ERU 11001(-UP SEWER/SEPTIC _ (. SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LA1 ECOMERS "WATER METER ~~D rte`-` l~ - WATER SERV. ORUER _ ~~~, ~ ~(~ j~~ - - Pugef• Power 458-7731 POWER _ Yeln- ~I ele. 458-2171 TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT f`~~ ~'~j ~ ~~' ~~ ~ } `~`" '-" - PLAN REVIEW ~ / ~ ~ ~~~~ ''~" ~ L~~ ` ~~ E.~ c. BUILDING PERMIT ~ ~ ~~ ~~' ~~ `~~ PLUMBING PERMIT - MECHANICAL PERMIT 5~~f~ ~Ic~~ ~(,~ ~ -l~ GRADING PERMIT __ SIDEWALKS/CURBS -- LANDSCAPING YELM BUSINESS LIC. $30.00 - ADDITIONAL COMMENTS '`DUE /1ND P/-YA©LE PIZIUR TU (-'/N/IL INSPECTION 8Y ~~ CITY OF YELM Building Permit N°_ ~7 ~ 3 BUILDING DEPT. Date ~ :~:~ ` `' ~- ~ ~~ phone: 458-8407 (Work must be started within 120 days) w ` ' ~ ~~ ~ / Ph 7c~ ) ~~~ ~°" 7 Name , } .. one ( p . N a Address i ~, ~ St. Zip Code f Site Address ~ `~ 7 ,~'~ a ,, 4 Assessor's Parcel No. ~ Q ~ ~ { Lot Size (sq.ft/acres) P a ~' ~ 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 ~ a ~ j G ~ Exp. Yelm Bus. Lic. No. ~' ~ License No. Description of Work ` 1 ' ~ OFFICIAL USE ONLY Permit Type: / / Sq. ft. per floor: (1st) (2nd) Residential t./ Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ f ~ ~ 5 /~ Sets of Prints ~~ ~ Other Plumbing Permit # ~- ~ ~~ r l P M h i it # WA. ST. BC. Fee (4.50-New Const. Only) , an ca erm ec TOTAL FEE ~ , Plan Check B~4 l Minimum distance of structure from property lines: Issued By ' f + 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 tfr~"fa _~ proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including tho ~vephing zoning and, land subdivision, and in addition, all covenants, easements and restrictions of record. If aPRl~ing as.apcoritractor, (further certifiytf~at I am a currently registered contractor in the State of Washington. ~, )~ t Signature °-- - Date Quarterly Reports .-..a__,,,._... _,._.....-,- Firm: Assessor~~ TRPC ~ ~ T ~"" SITE 1-llURESS: ~~~ Pe<<„u ~t Ir Applicable r-ee Ir Applicable r~e~elpt 1~ Comments SEWER PEEtMIT $125.UU ~r ~'J ~~ PERMIi/INSPECTION SEWER LATECOMERS "SEWEftlSEPTIC $1,000.00 ~ _~ 1 PER ERU I TOOK-UP _ SITE PLAN _ ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ,*~~ ~DQ ~~/ I ~~ WATER SERV. ORDER `jQ~ , ®® t POWER _ Pugeh Power 458-7731 TELEPHONE Yelin Tele. 458-2171 _- __- ___ .___ STATE/C0. APPROVAL ___ STREET CONSTRUCT - __ -_- _ _ __ _____ _ ___ PLAN REVIEW v / ~ (~' ~ / ~ ~ ~'~~-' " _ BUILDING PERMIT ~ ~(p~ / ~ ~ ~ ~ (/ _ _~~ ~_ L~~, C'-. E~~e c_ PLUMBING PERMIT . ,. ~~~ ~ o `' MECHANICAL PERMIT cJ ~ ~~ ~` ~~ ~~ GRADING PERMIT SIDEWALItS/CURBS LANDSCAPING YELM BUSINESS LIC. $3U.OU ' ADDITIONAL COMMENDS '"DUE /iND PlIY/IBLE PRIOR TO F/NAIL INSPECTION BY CITY OF YELM BUILDING DEPT. shone: 458-8407 Building Permit ~Q 5 Date~~~ ` ~' r7<' (Work must be started wi hin 120 days) w f A Name s / ' ! '~ ; /i ~ Phone ( ) ~ ~ - c , ~+/'~` R f _` ~ ~ .'~ ~ ~ ~ Cit } ~ ' ~ ~~~ St! Address , `" / ~ '~ : Y r Zip Code ~ ~ - f •. Site Address ~ ~~ ` ~ ~~ ~~ ;~ '~ )'~ ~~ ~~ti~'~ I ~~ P A Assessor's Parcel No. ~'r Lot Size (sq.ft/acres) O a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: ~ ~ / Contact N ~~ ~ ' `~~ ~' Phone ( ) J~f - ame (a~~~~ ,~ -, s ~ p Address City St. Zip Code T R License No. Exp. Yelm Bus. Lic. No. Description of Work ~ ~ -"`; '? ,y' 4:"a-/ ~ OFFICIAL USE ONLY , Li 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 feat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other , / } Y ~ i~~ ~ ""!'• Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit #-- . ~ ~ ~ / 1 ~% n TOTAL FEE ~ ,~, ( ( Plan Check By_. ~ e 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. Y: Signature ~ ~ 'Date (~ I'~~ Quarterly Reports ..~- _ , Firm: ~' Assessor / J TRPC ~ ~ t'~ rt ll ~, ~ f1 CITY OF YELM __ BUILDING DEPT. bhone: 458-8407 _ ~ ~ w Namt+ `` , ~ ~ ? '~ j~/ N ~1 Y ~S Y- I 1 , Citv ~ Building.,Permit ~ _J 7 ~ 2 Date i ~_~- ~ i -- [ ~-~ (Work must be started within 120 days) _. ~ J!` Phone ( ) ~.l~f +~- / ~ ~~ /r ~~:~9~ C'l/l St.l ~ /i7 Zip Code i ~ ' / ~ ~ d' Site Address R Assessor's Parcel No. ~,~ ~ f~ (~} ~ (~~ ~~J f Lot Size (sq.ft/acres) 0 a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: o N ` ~ "~ °" ~ ~ ntact ~ Phone ( ~ ) ~ ~~ N ame; g ~, .. T A ~ r l '' ~ / Cit Zip Code ~ St ~ ddress , i y , , R License No. '? ~ ~, '~ Exp. ~ Yelm Bus. Lic. No. ~ ~® Description of Work i~ ~` I ~ yC `" ~ ) ,;1 ,T ."~ - ~ ^ •`% OFFICIAL USE ONLY ;% r 'J . r ,,~~ '~ ~ ~ Permit Type: ~ Sq. ft. per floor: (1st) (2nd) Sign Residential Sewer Septic Approval No. Commercial Other _, City Water Private Well Private System Shoreline Permit Y N 'L e heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~~ `% ~ Z , ~ ~ Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) ~~~ , ,~~ Mechanical Permit # TOTAL FEE ~ '~ ) Plan Check By.-~ ~ ~ ~'.s) 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 Date Firm: Quarterly Reports Assessor~~ TRPC ~ ~ -- f. CITY OF YELM BUILDING DEPT. phone: 458407 ~~d~ Building Permit ~~ 5 Date ~ ~ --- (-~~- ._ C.~, ~° (Work must be started within 120 days) ~~ , ~r ~ Y~ ~~3-~ w ,, ~ Z~1( ~~~ `~- `j~ '-~ Ph Name ~) j one ( N E F a Address , Ci ip Code ~ Site Address , a , ~~ ,i~~~, /®(~~~~~it Size (sq.ft/acres) Assessor's Parcel No.S,~-~5(p(~ ~/f~ o R . ~ Subdivision ~~) ~ jI,•„'/~j Lot ~ Block T ~ ~ OR Short Plat No. Block Existing Structures, if any: c N Name s Contact Phone ( ) r Address City St. Zip Code r a License No. Exp. Yelm Bus. Lic. No. Description of Work t .? ? ~ / 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 seat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N -- Building Value ~ 't-~ ~ r , Sets of Prints C 1 Other Plumbing Permit # 5z . ~ ~ '? ~~ / l P M h i it # i~~1~ WA. ST. BC. Fee (4.50-New Const. Only) ec an ca erm TOTAL FEE ~ Plan Check B y< `. ' Minimum distance of structure from property lines: c~ 6 , Issued By i~ ' Front to of Road Finallnsp: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 t roposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations including th a governin on g and land subdivision, and in addition, all covenants, easements and restrictions of reco d. If plyinq• as a ontractor, I f-,~ urther certify that I am a currently registered contractor in the "" =' State of Washingt r ~ ,,, _.~ - ~ ~^~~ " ~ Si nat " --------°-----~°" ~ Date / f ~ 9 Quarterly Reports t Firm: Assessor~~ TRPC ~ -~ y~ J SITE AUARESS: Permit tt f"ee If Receipt If Applicable Applicabl© 1R Cornmertts R PERMI'P ~ 12J.00 ,(~`~ ~ / ~,) (1 I ( `J d PERMII/INSPECTION SEWE ` . SEWER LATECOMERS $1,000.UU Dj~~--~ PER ERU HOOK-UP "SEWERlSEPTIC SITE PLAN ACCESS ~ DRAINAGE -- WATER SUPPLY WATER LATECOMERS _ R " nn ~d0 <~V ~~~ WATER METE , WATER SERV. ORDER ~Q~', DD ~/~ - PugeF Power 458-7731 POWER __ - Yelm Tele. 458-2171 TELEPHONE STATE/CO. APPROVAL - STREET CONSTRUCT ___ ___ _ _ - - - /~ r ~ 1 ~ v/ ` ~ ( ~~~ PLAN REVIEW J .p 'Tiic-~uc r~~ 5c5 (~ ~ 57 / ~ "~ ~.~a ~~ Lit' ~~~ f ~~ BUILDING PERMIT ~ T ~~`J ~ ~('t~Q PLUMBING PERMI _ L PERMIT J ~ 7cp ~~j ~C~ MECHANICA , ~ GRADING PERMIT SIDEW,ALKSICURBS LANDSCAPING 1 ' ~ ~~ YELM BUSIN -_ ADDITIONAL COMMENTS '`DUE /IND P/IYAEiLC PRIOR TO FIN/IL INSPEGTION BY ~' CITY OF YELM BUILDING DEPT. phone: 458 8407 , j ' 0 w N E .i i / i.`'7 Buildin Permit ('+~° 5 7 5 8 Date ~ ~` ~~' ~' ~"~t ~ - (Work must be started within 120 days) Phone( ) ^ Atltlress ~ - y / ~-- ~.ity ~ f ~~. ,,f LI~! I~UUC /~ Site Address `/ r~ "~'~ ~ t '~ ~ ~ ,~ f R Assessor's Parcel No. ~~ ~'' l ~-~~ ~~/ fi~~ f " ~~ ~ Lot Size (sq.ft/acres) o a Subdivision Lot Block r Y OR Short Plat No. Block Existing Structures, if any: N N ~ f ~ ' , ~f ~ ` ~ A ,°' Contact } ~-~- ~~ Phone ' ~~ ( ) ~ ame . f ~ ,. T Address City St. Zip Code r R License No. ~ { ~, ~ ~ } > '~f Exp. Yelm Bus. Lic. No. Description of Work ., ~ ~/ ~' ~ '1 t' '~~' '~~ ,A ~~~' OFFICIAL USE ONLY ` ~ {~ t ._ --~^ Permit Type: Sq. ft. per floor: (1st) (2nd) Residential/ Sign J Sewer Septic Approval No. Other Commercial V City Water Private Well Private System Shoreline Permit Y N ,seat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value _ ""~"'-~^ Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permi # TOTAL FEE •~~1.1 '~_ 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, 1 further certify that I am a currently registered contractor in the State of Washington. Signature Date Firm: I` I j°~ Plan Check By-~~ o ~ ~ ~ .~ f ~/ Issued By Final Insp:~~ Owner L&I Form Assessor Floor Plan and Permit Submitted~~ Quarterly Reports Assessor~~ TRPC ~ / SITE ADDRESS: SEWER PERMIT SEWER LATECOMERS "SEWER/SEPTIC SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE STAT~EICO. APPROVAL P©nnn It If Applicable r-e©Ir Applicable Receipt ~ N~I____ STREET CONSTRUCT ~w ~ _ -~ ~~ PLAN REVIEW (~ BUILDING PERMIT - ------- PLUMBING PERMIT _-_____-_____ ____ _ -. --- MECHANICAL PERMIT GRADING PERMIT -____________ SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. _ - $3U.UU ADDITIONAL COMMENTS '"DfJF. /1ND PAYADLE PRIOR 'TO rIN/tL INSPEC170N DY Comments PERMIT/INSPECTION PER ERU (IOOK-UP I PugeF Power 458-7731 Yeli~~ ~(ele. 458-2171 - .T 11~ I Lt~ t5 ~ 5Cf t L~ , C.-, F~~e c. i y,: CITY OF YELM Building Perm't ~° 5 ~ 5 ~ BUILDING DEPT. Date ~ ~ ~° ~~ °- ~'~~ phone: y4~5~8ry-8407 (Work must be started within 120 days) N f - ~r ~ Name '' Phone ( ) R ~ / Address l' y City ` St. Zip Code ~r ,!1 ~ Site Address ~}~ '~~ ~ ~ ';~~, P R 'I Assessor's Parcel No. ^'/ ~ ~(~ j -- t Lot Size (sq.ft/acres) 0 a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N Name 4 ~~ a Contact Phone ( ) ~ - ~, r ' ,r ": St. ~ Address _ (3 , Zip Code T °a License No. '`r ~` Exp. Yelm Bus. Lic. No. Description of Work ~ .~ 1 ~ ~ '+ +',~° ' ;f OFFICIAL USE ONLY + `' ~~~ ~ ~ '~ ~`~ `~", Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign l Sewer Septic Approval No. Commercia Other City Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value """- ~'.__ Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # A ~ ~ ~ TOTAL FEE ~"`""` Plan Check By ~ ~~ ,!! ~ Minimum distance of structure from property lines: r L.~.l~Y1 Issued By i Front to of Road r 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 Date Quarterly Reports Firm: Assessors J TRPC ~ ~ r r~` SITE ADDRESS: Permit # ~ Fee If ~ Receipt If Applicable Applicable # Comments SEWER PERMIT ~~~ $125.00 PERMIT/INSPECTION SEWER LATECOMERS "SEWERlSEPTIC ~~~ $1,000.00 PER ERU HOOK-UP SITE PLAN ACCESS 8~ DRAINAGE WATER SUPPLY WATER LATECOMERS A "WATER METER ~ ~` WATER SERV. ORDER ~ ' POWER Puget' Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW .~ 'S i1 ca L<t t`S ~ ACS BUILDING PERMIT ~ L~~.C-' E~e~ PLUMBING PERMIT ~ f MECHANICAL PERMIT GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. I I $30.00 ADDITIONAL COMMENTS '`DUE AND PAYABLE PRIOR TO F1NAL INSPECTION BY rr rr Vrr ^^ nr Nr n111r/'~ nCPfT CITY OF YELM BUILDING DEPT. phone: 458-8407 Building Permit ~Q 5 7 Date `~ ~``~ ~ ~` `' %~ ,,.~ (Work must be started within 120 days) ~~c~~ ~ ~ ~~`~ /~~ N Name / .^~ '' '' ! e Phone ( ) E a ~ r i ~ ~ ~ Address ~~ 'f ' ~`" t. / / ~ Zip Code l ~ "~ ~ ~, Site Address / ~ '~ '~ ~ f -`'% l ~ `~ R 11 Assessor's Parcel No. ~ ~(~ ~(1 ~~ ~ ~(~~ Lot Size (sq.ft/acres) ' ~ ~ a ,jJy~ /1= Subdivision ~ if E~'(.l J Lot ~ Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name ~ l p ~ ~ Contact Phone ( ) T Address City St. Zip Code R License No. ~~ ~ ~ / ,~ Exp. Yelm Bus. Lic. No. °5 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 .-leaf: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~~ % ~ O o ~ . '~ ~ ~(~ Sets of Prints ~~ ~~ ~~lICC..~~ Other Plumbing Permit #SLG._L_L '~`~ ~~ M h i l P it # L WA. ST. BC. Fee (4.50-New Const. Only) ~ an ca erm ec ~ s 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 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.; ;~y~ ~ :f ~ -~2. t 2. , Date ~~ ~''~ , ~ `' j Quarterly Reports Firm: e{.t °' ~'r) ~-~ / t ~%'_ G7t~ <i~.r`_" ;~ /iG'~a_ Assessor~~ TRPC ~ ~ P P ~.~.... w.....~w......".. , ..~.. .. ., .. _..,... _,.. ..... ......... SITE ADDRESS: ~~s Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 ~~~~ PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 QI PER ERU HOOK-UP SITE PLAN ACCESS >~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~~Q,(~D ~~ WATER SERV. ORDER ~~(~,~ POWER Puget- Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATEICO. APPROVAL STREET CONSTRUCT PLAN REVIEW / Gj ~ /' ` ~ r 1 ~~ BUILDING PERMIT r~ 5. l,~i~? ~~ ~ ~Q' 7 ~~ / ._ ~1 c.l L(~ ~5 , 5G~ l,i.-~>C. F~e~ PLUMBING PERMIT SZ~ 1 ~I ' ~~ ~~ ~ I MECHANICAL PERMIT ~ ~~/~ 1' ~ ~ Q d ~g ~ j GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS '`DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM BUILDING DEPT. phone: 458-8407 N (Name ~G.X .-t.-~'/~..~ ar' .~ ~J~ ~' d Building Permit ~® Date ~,' { r-~,~ ~ , I'~ ~? ~.. (Work must be started wit in 120 days) ~ Phone ( ) Y ~O °" ~~ R Address % f ~ ' city " j ` st. ~ up code ~ -7 ~ Site Address ~ U // y ~~ u T wK ,s, ~ ~ ~tJ r P R Assessor's Parcel No. ~,~~ ~(,~,~ Llt~ T ~ 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 J , f ~` ' 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 .seat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~ ~ ~ ~ . /.,'`~~ , ~(~ Sets of Prints }} Permit # ~G Plumbin Other g WA. ST. BC. Fee (4.50 -New Const. Only) '~, Mechanical Permit # ~c-? ~` TOTAL FEE , ~ 51 ~ ~ y~-..-r~~ ~ f~, Plan Check B ' Minimum distance of structure from property lines: Issued By ~~~'/ ~ ~r'~ l f? 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- 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. ( 1 11 t„ ~,.. Signature may. Date ~ t - - / ,; Quarterly Reports t"", Firm: ~~ -~ , .> _ ; .~ Assessor~~ TRPC ~ ~ SITS ADDRESSa Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 y~ Cp PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 ~% /._ PER ERU HOOK-UP SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~~~`~ ~~~~ .~ ~gLC(GtY-NcC-P~U WATER SERV. ORDER 7QLI ~ ~~ ~~L~~ POWER PugeF Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW f Z ?+ Za Q / BUILDING PERMIT ~r15J ~ 5-~~ 3, ~'D 'Tila~tc~ ~"5 ~ 5Cs ~L~ b L. ~~z e_ PLUMBING PERMIT S~J~ ~~' ~~ MECHANICAL PERMIT ~J "7 ~ '~ ~, QD GRADING PERMIT SIDEW~ILKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM Building Permit,.N_ 5 7 5 3 BUILDING DEPT. Date !~ E ~ ~" ~~~ 'hone: 458-8407 (Work must be started wi hin 120 days) w Name ~ ,f"5 r~ ~ '~ ~ Phone ( ) ~° ~-- N a ~ _ . ~._ '~ ' '~ ~' ~ City` i~ St.~ Address Zip Code ~),~ "~ 7 ,~ ,-- Site Address ~ / ~ ~ ~;i- P R Assessor's Parcel No. a~~ ~ Lot Size (sq.ft/acres) O a ~ Subdivision ~ "P Lot Block r Y OR Short Plat No. Block Existing Structures, if any: N Name / ~~'~ ,f Contact Phone( ) T Address City St. Zip Code a Yelm ~ Exp N Li No Bus Lic any-- ® `j~ . o. , cense . . . ~ Description of Work '? ~.' 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 seat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~ ~ , Sets of Prints ~lr Plumbin Permit # ~ / Other g ~ ~ al Permit # ~~ / ! M ha i WA. ST. BC. Fee (4.50-New Const. Only) , ec n c TOTAL FEE / - ~ ~. f ~ e:J V ~~ Plan Check Bye- ~ , ~~ 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 l ,.., % Date /j_. ~,/-`~,: Quarterly Reports Firm: ~~ ~~ Assessor~~ TRPC J J t~ ~,~~ ~~ SITE ADDRESS: I~n~A~~ U//'~~,~~~.~ (/~~.17~~~~1 L.~Z~ ~ '~"~~~ / U Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 D~~ PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 O I~' PER ERU HOOK-UP SITE PLAN ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~~}~, ~ ~~~ WATERSERV.ORDER ~(~~,(,}~ t~/lLJ POWER Puget Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~ ~ ~I ~~rU BUILDING PERMIT r7 ~ ~ ! ~ ~ S~Z'7 : d~ ~ `r. i1 r.1 Lc~ r~5 ~(, 5G i.~-_ C~ F~~c~ PLUMBING PERMIT ~ Z= ~-/ ! ~ ` ` MECHANICAL PERMIT ~~~~ ~ ~l, ~Q i~ _ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS '`DUE AND PAYABLE- PRIOR TO FINAL INSPECTION BY ..-..~ ...~. .. .... ..• ...u~ r. rr~r CITY OF YELM BUILDING DEPT. 'hone: 458-8407 ~~~ +~ ,~ w Name ' `7 E R Address ~ }~ ~ ~ ~ Cit ' % ~ ,^~ St. Zip Code ~ ~ vG,l~ 'x Site Address ~ ~ 7 ! ~" ~ ~(• r ~~ i`~ P R Assessor's Par el No. ~~ a(,,7 Lot Size (sq.ft/acres) R Subdivision r' ,(..~ ~± Lot ,!', Block r Y OR Short Plat No. Block Existing Structures, if any: "' P N Nam Contact hone T Address ~ ~ ~ -i R City ~ ~~ {~ ,r~ St. Zip Code O t~C.~~lJ T a License No. Exp. Yelm Bus. Lic. No. Description of Work , ~ f OFFICIAL USE ONLY Permit Type: ~ Sq. ft. per floor: (1st) (2nd) Sign Residential Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N ,feat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE , / ;' C,J ~~' . Floor Plan Y N Building Value ~ J"O ice, ~' ~ ~ ~Q , ~~ Sets of Prints C~ ~~ p Plumbin Permit #~ Other g ~ ~ r '~ ical Per it # M ha WA. ST. BC. Fee (4.50-New Const. O nly) ~ + ec n m TOTAL FEE ,~~ ~ ~J(~ Plan Check B 9 .7 ,1 X-''~ . Minimum distance of structure from property lines: Issued By ',~' J - .f 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 t. ~; ~ ;;,5 Quarterly Reports Firm: f(r~i ~'<_~ ~ s -~-r v r_. f ~ ~,r_ o"h Assessor ~ ~ ___ TRPC ~ ~ Building Permit ~°_ 5. Date ,~ `"'~'~ ''' (Work must be started within 120 days) ~~ ! `.. ~ ; r z~. ~ ~ .~ ,; ; ~~ . hone(<~.~ ~ ~,'1~i~~r, SITE ADDRESS: -# Z2 Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 ~/J ~ PERMIT/INSPECTION SEWER LATECOMERS "SEWERlSEPTIC $1,000.00 ~ ~ PER ERU HOOK-UP SITE PLAN ACCESS 8~ DRAINAGE WATER SUPPLY WATER LATEGOMERS ' "WATER METER ~~~; ~~ ~ ~ WATER SERV. ORDER ~~'~ , lJ~ U POWER PugeF Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~ Z 5, ~Q 1 ;~ l ~ 6 BUILDING PERMIT ~ / ~~~5 7 SD~~ 5~ ~r rlrlu~ r~ ~ 5G ~~-~.C~ E-~e~ PLUMBING PERMIT J Z ~Y ~ ~ ~~ QQ MECHANICAL PERMIT ~~'~~ 'y ~~ D~ ~ S GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO rINAL INSPECTION BY 0 w N CITY OF YELM BUILDING DEPT. ~h~one: 458-8407 ~~ R Address ~~ ~~~ ~ '~ ~ ~ ~"~., ~ ~i ~ t. i~ Zip Code ~ r Site Address 1 /' ~ ~ ~ l . a Assessor's Parcel No. M, '~^- ~ Lot Size (sq.ft/acres) 0 P a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N Nam ~ ~ 9 ~ Contact Ph ne (~ C.{p)'~ - .-. ~~ . T ^~ Address yl yj ~,q ~!l i- f St. Zip Code U 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 .seat: 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 '~~ ~~~ t Minimum distance of structure from property lines: Issued By ` i ~ ._.F'^ ,J 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. ~. Sinnature y hate > C]uarTerly Rennrfe Firm Building Permit ~° r. ~ 7 4 ~ j-~-~ _~ Date Cf '! ~~ r> (Work must be started within 120 days) Assessor~~ TRPC / ~ CITY OF YELM Building, ,Permit ~° 5 7 5 2 BUILDING DEPT. Date ~ ~~ ~~ .-~~~ ~ `~ y~ 'hone: 458-8407 (Work must be started within 120 days) ~. ~ ~~ w Name ~g~ `,;~ - f, r ~ .. _ ; _~ ~v~~{-_ _ Phone ( ) ..~' f~ ~ _ ~ !z; N R ' Address _~_' ~ ~ ,, ~` ~~~ City ~ - St. ~.~ Zip Code ~ 0 ~+~~ ^ x ~. ^i Site Address ~j () ~ .. ~ ~ ,~i J .2,..jC ~~_ /I, / ~-~..- a Assessor's Parcel No. ~~ ~ ~ ~7 {~,? ~ 1 ~} ~ .~ ( 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 ( ) ~ ~ ~ ~- j ~~i'(J (~ Address ~ (} ~~ ~v ~., r ~ . ! k J i .<~ >,,., ' „1 ~' /~~ City ~ ~~, St. ~ ~y (~ Zip Code ~-7 6 ~~.) {~, 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 seat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other ~~ ~^,, fir, ,'~~ ~ ,• ~~ r ~ ; ~ ~'1 ' Plumbing Permit # WA. ST. BC. Fee v (4.50-New Const. Only) Mechanical Permit # TOTAL FEE /-~ ~ {;;,i ` ~; Plan Check By r,' v ~ 'r'' ~ - Minimum distance of structure from property lines: Issued By ~ . t' ~ _,P..yt,~~~'""` 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~`},1~~,,. - Date ~u ~{~ ;} -~- ~;'" _ •~~ Firm: ~, `) _~!`~.~jl- , ~ Quarterly Reports Assessor-~~ TRPC J J 1 CITY OF YELM ....BUILDING DEPT. ` ~hone:458-8407 Building Permit ~®. ~. 5 7 51 ~-, Date ~<~~~' ~CS~__ ~<-~ (Work must be started within 120 days) w ,; Name ~ t'!,c~ Phone ( ) ,;r'~!-t"Y - '~ E R f ? l ~ `'"` ~ ;~ `~~ ~`~ City ~ St. Address Zip Code Site Address ~~ ~ ,~~?~ '~k...-t`.~`C~f ~IC ~ ~ f ~,* a Assessor's Parcel No. ~ ,~ ~~ ~ r~ (~„7 (~~ ~ (~; ~~ Lot Size (sq.ft/acres) 0 a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N Na ~ Contact e ~~) ~ ~ ' Phone ( ) ~'`~~~- ~r m , r= G_. T n A ~ ' ~ ~ ~ ` '! ~ '~ `~ ~~ `j ~ ~ c City 4 St. ; _ ~ , Address Zip Code ; , T R -,. S ~,, r ~ , ~ r ; ~_~ License No. ~> '~' ~ Exp. Yelm Bus. Lic. No. `~ ~ < 1 '' ~ ~` "s ~ ~ '/ 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 cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~ Lry',~~~ , ; Sets of Prints Other Plumbing Permit #;j) c~ ~ ~~? ~ .;~ ' `. i l P it #~ M h WA. ST. BC. Fee (4.50-New Const. Only) t erm ec an ca TOTAL FEE ~,. j (;~, ~~~ Plan Check By~ ~ ~,l~~t K ~(1 ~ Minimum distance of structure from property lines: , Issued By .1 ' ~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. r Sinnature ~ t ~ n .. ~e .~ a ! e . Date f/"7 _ /t ~ quarterly Reports Firm: Assessor J J /' ,~'...~ v.a,_~ ~"~, TRPC ~ ~ IYL...r IJ L.Y LY-v. Y•Ya-1YY • ..~.v v~.•s~. ...v .-•.v•-•.~ ~••~^.. . 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 >li DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~~~- WATER SERV. ORDER ~I~ POWER Puget Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATElCO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~ ~• d~ ~.~-~ 1~ ~~ - BUILDING PERMIT 5 75 ~ 2 JrCo + ,,~ ~ ~C6 ~ Lc~: CY F ~ec_ PLUMBING PERMIT ~~~~p z~ ~ ~~ -~~~ ~% MECHANICAL PERMIT ~.~y~ ~~ i ~C.~ 7 J , GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS '`DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY _, CITY OF YELM BUILDING DEPT. phone: 458-8407 w Name ~ ~ ,~ E R Address i r' i ,r r, ,r'i .7 ;-. ~~~ ` ~ r ~~ Building P rmit ~,~- , 5 ~ 4 5 ,, .~v Date ~,~., __ } ;,,~ _ t-, r", (Work must be started within 120 days) 4 1 -}-Phone ( ) /~7.~11 'G ~~~f ~ City ~ 1~,~,.`'J~'i~1 St. Zip Code ~~C) ~ ~~ <'i~ ~. cite Haaress ~ C a Assessor's Parcel No. Lot Size (sq.ft/acres) o R Subdivision I ' !~;'~j 1 Lot _ r~ Block T Y OR Short Plat No. Block Existing Structures, if any: c N , ~,lY~f ~ ~~ Name ,~~~ Z„(i',..'~,,1 Contact Phone ( ) T ' Address City St. Zip Code r a License No. ~ ~ ~ Exp. Yelm Bus. Lic. No. ~? Description of Work ` ~ 9 '~ f ~ '- "F' 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 0 ~ / ~ ~, ~ ,~ , (~~ Sets of Prints _ Pl mbin Permit #~ Other u g "~ ~ M h i l P it #~ WA. ST. BC. Fee (4.50-New Const. Onl y) , an ca erm ec TOTAL FEE ~ , ,~(,~ Plan Check Bye. ~ ~~)~?~~i , Minimum distance of structure from property lines: Issued By `:~~ r ~' 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. g ~,~ ~ --°~~~-~-°--°--" Date Si nature _~~_ Quarterly Reports Firm: Assessor ~ ~ TRPC / / SITE ADDRESS: Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 a ~ PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 j I ~ ~; ~' PER ERU HOOK-UP SITE PLAN ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~~,~ ~ 7C~C7 WATER SERV. ORDER ~'D~, '~ ~ ~ ~ c==~' POWER Puget Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW 7 ~~ ~~ `~j Iv ' `~ BUILDING PERMIT ~7~)J~ ~ / 7 J~~lo= 5~ ~ / ~ C~ 'r~1c~u~ ~5 ~ ~C~ iL~ = ~ ' E~ ~ ~~ PLUMBING PERMIT ~ ~ ~~ ~~ r ~~ tC~ MECHANICAL PERMIT ~ ~~~$ 'y~, Jr` (~' ~~~~ GRADING PERMIT SIDEW~4LKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO f-1NAL INSPECTION BY CITY OF YELM BUILDING DEPT. phone: 458-8407 Building Permit ~~ 5 ~ Date ~~ - / 2 - ~1 S~ (Work must be started within 120 days) ,~~~~ ~ ~ ~ ~ t~ w -- Name ~~~~ , r Phone ( ) R ,( n Address ~ ~'~ ~'~ /, ~ City /,~ ,-~ St. ~ Zip Code ° Site Address ~ ~ '~ ~~ ''. ~,, t ~~,•~ 1 ~ `~ a Assessor's Parcel No. ~~„ ~ ~~~ Z-~(,,+ ~ ~ Lot Size (sq.ft/acres) 0 R Subdivision Lot Block r Y OR Short Plat No. Block Existing Structures, if any: c ~ •: ~ N Name 1 ` ~ Contact Phone ( ) A c Address ~ ~, r ~ - ~ (~ ~~ Cityi~ ~_,_`~,~",.~ St. l~ ~ Zip Code ~ ,~ ~ (~ ~,,~ O R +~ ~ ~3 License No. l Exp. `~ Yelm Bus. Lic. No. (~ ~ S, Description of Work ~~ ~ ~ `~ i ~ ,~ ~~ .~~'.r'~%t_;1 OFFICIAL USE ONLY L '~ 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 .seat: 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 Bye ~ 1, ~ '~~ Minimum distance of structure from property lines: Issued By 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- 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,,! ~;~ / ; 7 ~''~ ~ '~ ~ Signaturg_--'~;.~ --~ _,•;? .~_e `~ Date( ~~,' '`.~ `~'~ ~ Quarterl Re orts .,•' y P ,~ ,r Firm: ,,^~~^ z ~ : r~, t-L ~ .~-'~ C._ .. /• Assessor_~~ TRPC ~ ~ r9L~ ~> CITY OF YELM _`BUILDING DEPT. 'hone: 458-8407 Building Permit ~°_ 5 7 4 9 Date ~©° /~~ ~~ (Work must be started within 120 da s) _.., N Name ~ r~/!f^ _a1f ~~• - _ Phone ( ) R City St. Zip Code Address ~ (~, ;~. ``'' , / ri Site Address /Q `~'7[,f (J !C.--"jrt-LG,1`'~ /€ fi~ _~ ~ R / Assessor's Parcel No. ~ ~ '~ ~ ~~ ~~ (-~ ~ Cpl Lot Size (sq.ft/acres) 0 R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N Name - ~!, ~ ~~•'''~ ~ '~: °: Contact ~C,-C~+,,,~,, ~'~~~ ~:Q2~~,... Phone( ~) ~¢~ - _ ~~, Address - ~ ~ j ~, ~ /," City ~ St. ~` ZipCode ~ ,~ ~~ T R 1 - License No. L (~ ~ ~. ~' f ') ~% /~ Exp. Yelm Bus. Lic. No. .~,~i~7C~'Y! Description of Work ~ - G t~ ~"' OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval (Vo., Commercial Other City Water Private Well Private System .` " Shoreline Permit Y N ~ 1 ,Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other / fi ,'f ~'~',s?~ - /~ ~.,,~c..r'~ + 7 ../ v~ r~ CI ~~ ,~ '> (; ,~ Plumbing Permit # WA. ST. BC. Fee (4.50-New ~nst. Only) Mechanical Permit # TOTAL FEE ~ ~, (~ ~ Plan Check By ,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_~~ 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 Washi on.~`~~,~ Signat re Date Quarterly Reports `: Firm• :r AssessorJJ TRPC ~ ~ CITY OF YELM BUILDING DEPT. phone: 458-8407 w Name i ',~9/k~ l~~r~ ~f ~%;''~l t_~,~~~ E Building Permit N~ 5 Date ~ ~ 1 ~~ (Work must be st rted wit in 12 day0~ s) ~~~. ~~`i °" Phone ( ) .. MUUf tlJS (,/ ~ ~ "'~l i "r ~ r v v i Site Address ~ , ..~ P R Assessor's Parcel No. CT/ ~~~ ~~~ ~~ ~~(~ Lot Size (sq.ft/acres) O R Subdivision Lot Block r Y OR Short Plat No. Block Existing Structures, if any: o ~ ~~ Contact N ~ ~ ''~ Phone ( )f (p °' ~~(: N , ame T ! 4 q ~ ` St k ~ ~ Ci Zi C de ~ ` ~~ . t ( Address f a c, p o ; ( R ~ .a ~ ~ Yelm Exp Li N ~ // Lic No Bus ! ~,~~ . cense o. r L l~ . . . Description of Work ( ' ` ~ / /~ !J X ~ f ~" OFFICIAL USE ONLY yL % .~ ~ kl ~ 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 .seat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other ~ (~~ ~ y~ i Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # TOTAL FEE ~, ~ Plan Check ~ ~~ ~ ~ ( t... Minimum distance of structure from property lines: Issued By '---~ .~ v 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 Washi gton. Qinn~r~~~c ~ ~ A , i ~ t 1 Dafe Quarterly Reports 1~,, //yIf I~} 1 +~ CITY OF YELM Building Permit ~° 5 7 4 7 _, BUILDING DEPT. Date ~'`~'' _ ~ ~ ~-~ { phOn@: 458-8407 (Work must be started within 120 days) N - - , Name " ~ ~ ~~ ~'`--" l ~,, Phone ( ) ~ a h Address Y ( '~ ' ~'' ~`'! ~ , City St. Zip Code Site Address ~,~ ; ~~ '3' ~ P R Assessor's Parcel No. U ~~,~ '~~~ Lot Size (sq.ft/acres) O P e R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name t~ 1 Contact Phone ( ) T Address City St. Zip Code T a License No. Exp. Yelm Bus. Lic. No. Description of Work 'r t f~ , f~,~~ OFFICIAL USE ONLY Permit Type: ~ Sq. ft. per floor: (1st) (2nd) Sign Residential Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N t ,Meat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~' ~ ~(~ ~ ~~V Sets of Prints Permit # 5.~ ~;~, Plumbin Other g ~ ~ 53 ~~I P i WA. ST. BC. Fee (4.50-New Const. Only) ~ ( . Mechanical erm t # /s ~, TOTAL FEE f / ~• t P r Plan Check By Minimum distance of structure from property lines: Issued By ' r ~. 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 applying as a contractor, 1 further certify that I am a currently registered contractor in the State of Washington. Signature 4 -7..a.-, . Date Quarterly Reports Firm: AssessorJ_~ TRPC J l `~ ,~~~~ j SITE ADDRESS: ~/ (~ Permit # if Applicable Fee if Applicable Receipt # Comments SEWER PERMIT N(A $125.00 PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC ~//A $1,000.00 PER ERU HOOK-UP SITE PLAN ACCESS R DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~/~ WATER SERV. ORDER ~UI~ POWER Puget Power 458-7731 TELEPIiONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW 5~' 75 ~~(~ ~ "1` BUILDING PERMIT ~/rI ~~ 7 / ,c~ ~ j t ~ ~IC~ ~~ J` ~ra1c_1Lt~ r5 , 5C5 i~~:C~ f ~zc_ PLUMBING PERMIT 5 Z y5 ~~ ~ ~ ~ ~j MECHANICAL PERMIT 5~~9 ~ 5, (~~ ~~~ j GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $3U.OU ADDITIONAL COMMENTS '"DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY ~~ ~. 0 w N E R P R CITY OF YELM BUILDING DEPT. `hone: 458-8407 ~I~~ ~~~ (Assessor's Parcel No. 7.~~~~1 / J~~~~J Lot Size (sq.ft/acres) 3 a Subdivision L~/tom ~lr'~~ ` ~ ~,t//~jj~~ ~."Z~/ Lot ~ ~ Block T 7 ~" ` Y r s OR Short Plat No. Block Existing Structures, if any: 0 N Name ^ r 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) Sign Residential Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N eat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ G„ Sets of Prints } P it # ~~ 1 Pl bi Other erm um ng WA. ST. BC. Fee (4.50-New Const. Only) ~ ~ ~ ~ Mechanical Permit # N TOTAL FEE ~~ r ,~ Plan Check By ` ~ ~ r 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- 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. ~, ~ re ~\ Firm: (, ~,~:', 1 t t ~ H 'r4. ~` . r l; '~-~ .. / ~~ ~; Quarterly Reports Assessor ~ I TRPC ~ ~ Building Permit N°_ 5 ~ 4 2 Date ~{'-1 ~p - ' 1 (Work must be started within 120 days) I~L..Y. Ir F.-Y LI.-.sY 11.._.IY . . Y a1-. • .. .. I. s . _ .~~ •~ a. ~+.~~ v....~ - SITE ADDRESS:/~/~~• ~~~ ~, ~~ ~~~ ~/ Permit 11 ~ 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 PERMI7 GRADING PERMIT SIDEW~ILKS/CURBS LANDSCAPING YELM BUSINESS LIC. If Applicable Applicable $125.00 $1,000.00 Receipt ~ Comments p PERMIT/INSPECTION 1~~ -~~, I PER ERU HOOK-UP _ . ~: ~i~ I ~ °~~~ Puget Power 458-7731 Yelm Tele. 458-2171 C~q,25 ~~~~f~- `S a1 r.I Ltt r'S ~U S~~II ~l, o~ ~~~~. 5335 X11, 0~ r~~~~ $30.00 ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION 8 Y CITY OF YELM BUILDING DEPT. phone: 458-8407 ~~~~ Building Permit ~°_ ~ ~ 4 0 Date 1 CJ? - ~~> ~- ~~ ~--~ (Work must be started within 120 days) °w .~ Name '~" -~ Phone ( ) ~~ -' (j ~. N a ~ o ~ `J' ~ / f City St. ~ J Address Zip Code l Site Address a Assessor's Parcel No. ~ ,[~ Lot Size (sq.ft/acres) o R ~ € ~V Subdivision s ~ ? '~ Lot Block r Y OR Short Plat No. ~ Block Existing Structures, if any: N II Name q ~~~fi~ ~~ [~f,,,(/~'~„Q„/~~,Ir Contact Phone ( ) T Address City St. Zip Code T a /~ License No. Exp. Yelm Bus. Lic. No. ~CCa~ ~ ~t '~ Description of Work OFFICIAL USE ONLY Permit Type: ~ Sq. ft. per floor: (1st) {2nd) Sign Residential Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N seat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ 1 ~ ~ ~(~ Sets of Prints ~..j ,- Pl mbin Permit #~ 'rS~ Other g u ~ ~ ~ M h i l P it # ~~ WA. ST. BC. Fee (4.50-New Const. Only) , , an ca erm ec ~~ ~ P k B ~ ' C TOTAL FEE iJ ~(, y lan hec 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 Washing ton. .. Signature 1, ~ ~-- ` ' ~ _ Date ; Q lr? Quarterly Reports Firm: `..__;.-cJ ~ - Y~-~` ,~, ` `-, ! ~- i C__: Assessor~~ ~. r TRPC ~ ~ 4 SITE ADDRESS: / ~3~~~~~/I/I~ ~_~~~ ~~~ '~~~ Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 i~ ~ ~~ 1 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 ~d ~ ~ ~~ ~ ~~~~1 ~j BUILDING PERMIT ~7 ~ ! ~~ ~~~ •~~ ~ ~~ `-~`J 'r l1 c.1 tc~ ~5 ~(, 5G Lc~yC' ~~~ PLUMBING PERMIT ~~~a 9°3'd® ~~~ MECHANICAL PERMIT ~J~~'7 "~' ~t 5~ ijC~L~j,j GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY ~ ., .~,.~ t`... 1 ~~ f t ~ ~ } ~~-~9 l CITY OF YELM Building Permi>~~r,., ~ ? ~ ~ BUILDING DEPT. Date ' _ "~ phone: 458-8407 (Work must be started within 120 days) .LOT ~S~ ~~~~~.~~ ~ ~~r,~~ °w ., - ~ Name ~r,J ~.. Phone ( ) `~~ "1~~~ R Address ~ Ci F ~~~~ - St Zip Code "~5 ~~ Site Address i J ,~' P R Assessor's P el No. ~ Lot Size (sq.ft/acr'es) O a ry ~ J~ '~~ Subdivision 1 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 T a License No. Exp. Yelm Bus. Lic. No. , Description of Work / %' ~ OFFICIAL USE ONLY Permit Type: ~ Sq. ft. per floor: (1st) (2nd) Sign Residential Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N seat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ '~, ~ ~;,~ Sets of Prints r~ ~ Gf ~ Plumbin Permit #~ Other g WA. ST. BC. Fee (4.50-New Const. Only) '~, ~ ~~ Mechanical Permit # u TOTAL FEE Plan Check By ~ Minimum distance of structure from property lines: ;j 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 apptying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. ~ ~ ~- . .-~ r ~. _; Signature it ,~.~ "~'~~~, ,~.~ .- Date ,4f' r ~ -~' Quarterly Reports Firm: Assessor~~ TRPC ~ ~ © IYL-.IV LL..YI-I.. ..I IYI..-/f• I Iv~.v vv1..+.I... r.I.-IU ~.....-.... SITE ADDRESS: Permit # if Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 ~I {~, a PERMIT/INSPECTION SEWER LATECOMERS ~ I "SEWER/SEPTIC $1,000.00 ~ J~,~ PER ERU HOOK-UP SITE PLAN ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER ~~ ~ ~ ~~ 9 POWER Puget Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW QQ ~~7• ~~ ~~~~~ BUILDING PERMIT ,cI ~~ T ~ ~~ 3, d Q ~ ~Silc.lu~ r~5 ~(~ 6t~ i~~ L C' f ~e PLUMBING PERMIT JZ~Z 9V,~Q ~~~ MECHANICAL PERMIT S~~~j "Y ~- ~~ GRADING PERMIT SIDEW~ILKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO l-INAL INSPECTION BY ~ ~' i )i- f i .., CITY OF YELM BUILDING DEPT. hone: 458-8407 Building Permit ~_ 5 7 4 4 f J Date ~° ~ (Work must be started within 120 days) 1 i ~r ~~ .~_~i _ 1 'f ._ ~ -~°~ w 1 t N ~ w ' r~ ~ _ ~~ -" ~ " Phone ~1 ~y~ ) ~ ~ ~~ 7 ,...= , . l ame .~~ ~. .~-.j ) ~l . R .~` r _~ ~ ,~" A C'''' _ `'.~r^,. ~ t A St ~ Cif G Add ~ ~ i. r1,.?°,-_-~ ~ Zip Code h > ~ '"~ t j .. ~ ; . -. ress .. , ,: .- _ i ., ~ r Site Address " "~~"Y ~~''~ t `3 ~ - „~ , ~.,.-- 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: c N Name ~,, ~` ~-'~~ j~ Contact Phone ( ) T Address City St. Zip Code T R license No. Exp. Yelm Bus. Lic. No. , e (,{ 4 ,~~ Description of Work ~ .-k' ,' ;~ . ~,.,_~ ~ ~>' ( .~ "l-'~1 OFFICIAL USE ONLY , , , ,., " . Pf/ ; `t ~~ _. ~ ;~~. _ ~ ,~ ~ Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N peat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE ;•-i FEE Floor Plan Y N Buildin Value b h (~ - ~' ' ~l g ? _~ ~ '- t ~ ) 1~'~ Sets of Prints g ` ,. ., . ,~" ,, , Other ~ Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # , TOTAL FEE ~ i Plan Check By`~--~ /~' ~ ~ ---~. Minimum distance of structure from property lines: Issued By~y~~• ~ ~~-' Front to of Road Final Insp:J~ 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 Washingt~. ;~~ ~~ Signature % F{' Date j Quarter) Re orts y p Fi ~ ~' %~ ' ~ ~~ i'~ `~ ~ - ~ rm: , ~ ~ Assessor~J TRPC ~ ~ ~w _.-~~~ - ~.~~ ~ CITY OF YELM Building Per it N° ~ ~ ~ '~ BUILDING DEPT. Date ~ '~ ~ .. 'hone: 458-8407 (Work must be st ted within 12 days) °w Name...,.,,-; ,~(,k `f G' ~" ~~' ~~~ !"f.~, ~~~.~- ~ Phone ) a J Address J ~ ~% 1 ~ ~~ 1~ ~ . !i ~ J - '~ ~ /'~ City ~C.C ~~ '~ St. ~ Zip Code ~ ~ ' ~ ' Site Address 7~ ~ R Assessor's Parcel No. 11~~--~ ~ ~ {~ ~j~~ ~ Lot Size (sq.ft/acres) o R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N Name ~ /- '~ ` ~ Contact ~ ~' C ; ~ `~~ ~ ~/~ ~. M ~L -- ~ r Phone ( ( ~(~) '~" ~ ,r, ~ . ., - . T ~ Address City St Zip Code ~' T °a License No. l Exp. Yelm Bus. Lic. No. :a, Description of Work ~' ` 4 l' ,~~ E, ~ , OFFICIAL USE ONLY '~.~ Permit Type: - Sq. ft. per floor: (1st) (2nd) Residential -Sign ~ Sewer Septic Approval No. Other Commercial City Water Private Well Private System Shoreline Permit Y N ,Meat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR EEE F 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:~~ Side Side Rear Owner L&I Foam 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. Signature ~ --- -- ' ~'" .~ Date °~..!~~• ~~~ Quarter) Re ~,,. Y- .,,€ .... --- - ,.-e ~. ~ _, Y Ports Firm: Assessor ~ J TRPC / / ._ CITY OF YELM Building Fie mit ~o~ ~ a 3 g BUILDING DEPT. Date ~,t~-I _~ ~ Phone: 458-8407 (Work must be started within 120 days) ;~ -t.~. ,~ ~-~ J-~ c w Name ~,: "~ ,~', `~ Phone ( '"' R Address ~~ ,l_ ,1~~ ~ - ~} -,,~~~ 1 Cit ~ ~'~}l' E r St~f~ Zip Code `'~ `~ ~ /~ Site Address ~_'~~~~``~5~_...s R Assessor's Parcel No. ~~ N`}~ ( )~~ ~ ( ~ , 1'~~,~ Lot Size (sq.ft/acres) 0 R Subdivision Lot Block r Y OR Short Plat No. Block Existing Structures, if any: N Name ..i , `/ t ~' Phone( )'~ -- ~, T Address /~ '~ '~ _ ~ City ~,y~ ~''~ jn ~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 ,feat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ v~ ~~ j ~ n _ f 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: Front to of Road Side Side Rear Applicants Affidavit: 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- 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. Issued By Final Insp:_~~ Owner L&I Form Assessor Floor Plan and Permit Submitted~~ Signature ~-~ 1 '' j . ~:',``~ ~ Date ~ ~-' a 7'°'Q„ Quarterly Reports Firm: ~a~l f.' Assessor/ C/~ TRPC ~ ~ ,_. .%- / ~~ ~ x' ,ll ~ ~~ ~, CITY OF YELM BUILDING DEPT. yhone: 458-8407 Building P~ it ~o Date ~ ~~ (Work must best rted with n 120 days) ,_~~ , ~ ~v ~l:/C'~ t-R ti/ w Name ~,r~ 1 ° ~ .! ^ Phone ( ) 'Y,' U ~-/(~/,;~ R E h '~ ~ Address ` CI ~~ City ~ v1 St. ~ Zip Code f, r'~ ~ °~ Site Address ~~ ~ ~~ ~ ~'j ~, ~~ , ~- I' a Assessor's Parcel No. ~f, "Y ~f~ ( ~~ ~ ~~ ~/ ~!° Lot Size (sq.ft/acres) 0 P E R Subdivision Lot Block T ~ OR Short Plat No. Block Existing Structures, if any: N Name ~' `' f~ f .~ ~ 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: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial ~ Other City Water Private Well Private System Shoreline Permit Y N leaf: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ f ~ ~ ~ 1 (~' , ~i ,~ Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) 'f 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. l ---.- ~ n ~ Firm: Plan Check By' ~ r1 r Issued By ~ '(~- ~- Final Insp:~~ Owner L&I Form Assessor Floor Plan and Permit Submitted~~ Quarterly Reports Assessor_~~ TRPC ~ ~ SITE ADDRESS: Permit # IF Applicable Fee It 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 POWER PugeF Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~'T~ ~d BUILDING PERMIT r7 p 5 < ~ p I I l ~: J~ ~ 'T_ i1~.ILc~ r~5 ~ 5CS iL~:C, E~~c~ PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEW~4LKS/CURBS LANDSCAPING YELM BUSINESS LIC. / V'~~' $30.00 ADDITIONAL COMMENTS DUE AND PAYABLE PRIOR TO FINAL INSPECTION 8Y CITY OF YELM BUILDING DEPT. phone: 458-8407 w Name ~~ ~- ~ N ,. .r~ ~_C? ~ J -~ Building P,&r it ~Q . ~. 5 ~ 3 6 r ,~_; -- Date (Work must be started wi in 120 days) ~~: i~~~ Phone ( ) '~~~- ~~ `,/~ a Address ~ '}- City St. ~ Zip Code `~~ 2 ._ ~ ' ~ ~ ` Site Address ~J ,/~I/ JY ; -f? Gl ~ ~ R Assessor's Pa I No S ~~ ~ (`~~ ~~ ~ ~ ~O t Lot Size (sq ft/acres) . . ~ . o a Subdivision ) ~ .f ~ Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N ,~~./I Name `~ ~ " ~ '~ ~ Contact r Phone ( ) ~ ~ ~ Address ~, City F`~% ~ ~•'` St. Zip Code `~~ T a License No. Exp. Yelm Bus. Lic. No. Description of Work f `,1 OFFICIAL USE ONLY Permit Type: ~ Sq. ft. per floor: (1st) (2nd) Sign Residential Sewer Septic Approval No. Commercial Other City Water Private Well Private Syste m Shoreline Permit Y N ,seat: 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 #s~_L_ al Per M h i it #~ WA. ST. BC. Fee (4.50-New Const. Only) ec an c m TOTAL FEE ~,~ , -~ a Plan Check By '' L. ~ _ , _ ~ Minimum distance of structure from property lines: Issued By ~ . Front to of Road Final Insp:~JI 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 J"~ ~ ' 95 Signature`"~~j~' -''~.' ~~ Quarterly Reports Firm: ~~ ,~ ~ u . ~ ®f' Assessor_~~ TRPC ~ ~ SITE ADDRESS: ~~ Permit # If Applicable Fee It Applicable Receipt # Comments SEWER PERMIT $125.00 O ~ ~~ PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 ~ ~~`~ PER ERU HOOK-UP SITE PLAN ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER 3~~J ~.J'~J' iafj WATER SERV. ORDER '7~ , ~ ~ ~ l /"' POWER Pugef• Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~ ~~ ~ ~~ BUILDING PERMIT S~~ cJ~~p,~ ~~ 'aC a1c-~ Lc~ r`5 ~ 5u ii~,C, E~~z~ PLUMBING PERMIT ~~-~-~~ ~~~ ~ " I _ MECHANICAL PERMIT ~~~ ~ ,~ / "7 C ~ ~C~ ~ GRADING PERMIT SIDEW~4LKS/CURBS LANDSCAPING YELM BUSINESS LiC. ~-~ 1 J r, , , $30.00 ADDITIONAL COMMENTS '"DUE AND PAYABLE PRIOR TO f-lNAL INSPECTION BY CITY OF YELM BUILDING DEPT. `hone: 458-8407 w ,` f Name " R '~ `'~ `~'~ Address f Site Address (~(~ ~~ ~f a Assessor's Parcel No. 0 P a Subdivision T Y OR Short Plat No. Existing Structures, if any: 0 N ~ ~`} Name i ~' r R ~ Address T o I icanae Nn_ ..Building rmit ~o ~~ 5 ~ 3 a ~ I e-~;- Date _ ~'+ ~ (Work must be started within 120 days) _~ ~ r Phone ( ) ~!'~ d'" --;`~ ' ~ ~ C~ '~ ~ ` ri ~ City ~'~~ St. '' Zip Code 'j ` ' f ~(~,~ ~ Lot Size (sq.ft/acres) Lot Block Block ~,J,~'%` ~i~J Contact Phone ( ) City St. Zip Code Exo. Yelm Bus. Lic. No. Description of Work ~ ~`~~~ ~ 3 .~.~''.~ / ~ `~ (~ OFFICIAL USE ONLY ' Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. r Commercial Other_ '~~ City Water Private Well Private System Shoreline Permit Y N leaf: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~, Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # TOTAL FEE ~ f , ~~ r ~} ~ Plan Check By s` '1~..r + r- , _ ~ ~ Minimum distance of structure from property lines: - r 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. Si nature ~~ ~ j ~ ~ Date ~ .. Quarter) Re orts ~.~ Firm: Assessor~~ TRPC / J ~~ } J CITY OF YELM BUILDING DEPT. 'hone: 458-8407 0 w N E R .~ ~, ~ rcF ~ ~ ~ ~ i - `" ~ ~ ~ Site Addres r. ~ , ' ~{ ~~ t_.i ) - 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 NameF f ~'" Contact Phone ( ) ~ (~ ~ ~ , T ~_ Address ~ ~ ~. '~` 4, t ~' ~ t. Zip Code ~~ T R -r^/ ~ License No. Exp. Yelm Bus. Lic. No. 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 .seat: 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 ~~; ~ 9 ,l TOTAL FEE ,,~~ Plan Check ByV ~ CJ' r!J '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 f 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~. wry- - Date `f = Firm: Building ~rm.it ~~ r,_ ~ 7 ~ 4 Date ~ " --~ ~,~ _ :~~ (Work must be started within 120 days) i Quarterly Reports Assessor J _l TRPC ~ ~ CITY OF YELM BUILDING DEPT. ?hone: 458-8407 Building P it ~° 5 ~ 3 5 Date ` ~~- _ (Work must be started within 120 days) ~ _ w ,~1 r' r ~ (~ ~ Name r Phone ( ) ( f N E R Address " . -~ ' r ~'' ~ ~ City f ~ St. Zip Code f ~~ ~ ~ ~ t t Site Address-• ~ ~ ~ a Assessor's Parcel No. ~ 1 ~~ j ~'~ j ~~ Lot Si ze (sq.ft/acres) 0 P E R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N Nam '~ 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: Sq. ft. per floor: (1st) (2nd) Residential Sign i l O h C Sewer Septic Approval No. a er ommerc t City Water Private Well Private System Shoreline Permit Y N ~~ 1eat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value , ~~ ~ , ~ Sets of Prints Other Plumbing Permit # WA ST BC Fee (4 50-New Const Only) Mechanical Permit # z~ - h n U ~ fly , TOTAL FEE , ~~ Plan Check By tC.l Minimum distance of structure from property lines: Issued By ~, ~~ / 1 ., 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 thi~• 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 ~"" Quarterl Re orts Signature ./"1t sos.:-~ : ,_.. i!I ,_ `} 'r.?~rz_ _ 11~R9J q 5 Y P Firm: Assessor~~ TRPC ~ ~ P +~ ~~__ ~x; _-> CITY OF YELM Building P~ymit ~~ 5 7 3 3 BUILDING DEPT. Date ` ~ `- ~~~` -1 'hone: 458-8407 (Work must be started within 120 days) w (Name N Phone( )''vj ~d'j~~ ,^ d .-, R Address ~~ ~ f; ~ r City ~' .~~' St. Zip Code `~,' '~ ~~~- ~ Site Address( ~ R Assessor's Parcel No. 2 %~ '` Lot Size (sq. ft/acres) 0 R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N N ~ kontact " Q 1' ~ Phone ( ) ~- y~ - ~~; y ame - ,, , T Add ~ r '~ ~. In r ` ' ' ~ Zip Coder U S St ress ,~ / y ~ . ; T R License No. - `~ Exp. Yelm Bus. Lic. No. Description of Work ~~;' '~~ r'~`1 ~ ~ ~~' y~ ~ ,,f 'f ~ ~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign V Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N .seat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other Plumbing Permit # WA ST BC Fee (4 50 New Const Only) Mechanical Permit # - ~ ~n TOTAL FEE ~ , ~ Plan Check By , Iss ed B ~ ~ ~ / Minimum distance of structure from property lines: , y u .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. > ~ ,~ Signature , {, ' ~' j {" Date ~= -.1 .k- c^~'~ Quarterly Reports Firm: Assessor~~ TRPC ~ ~ `~~~~ SITE ADDRESS: Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT /'J $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 ~ f WATER SERV. ORDER ~f ~' _ POWER PugeF Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW 1,J ~7 Z / ~ (~ l l O~~ BUILDING PERMIT ~'~~5' /~~~~~ ~~~ Tllr.lu~ r'S ,5cs i~~.C, F~~z PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEW~ILKS/CURBS LANDSCAPING ADDITIONAL COMMENTS *DUE AND PAYABLE PR/OR TO FINAL INSPECTION BY CITY OF YELM BUILDING DEPT. phone: 458-8407 ~. Building~rmit ~~ ~ ~ 3 Date ~~ ' ~'~ _ (Work must be started within 120 days) N Name Phone( ) , R Address , Ci '1 '' St. L~, Zip Code / . r'.-- ~€ Site Address ~ / ~ ~ :> (~ R Assessor's Parc I No. G,3 ~'~~~~ (~ ~{~~ Lot Size (sq.ft/acres) a Subdivision ~ ~ f'j t%' ~ ~~ (~ ~ Lot ~ f 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 License No. ~ .- Exp. Yelm Bus. Lic. No. ~. t 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 .seat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~ ~~ ~ 5t~ Sets of Prints ,~~~X~ Pl bi P i Other um ng erm t # "~ ~~ WA. ST. BC. Fee (4.50-New Const. Only) , Mechanical Permit # TOTAL FEE (~ , (,~~ Plan Check By 1 ~~ , B ~ ~~ Minimum distance of structure from property lines: Issued y Front to of Road t 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 ap ying as a contractor, 1 further certify that I am a currently registered contractor in the State of Washington. ~ ~ Signature ,~,-/ -'-' Date ~ Quarterly Reports Firm: Assessor ~ ~ TRPC ~ ~ a~ SITE ADDRESS: Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.UU ~ ~~, / `~' PERMIT/INSPECTION SEWER LATECOMERS "SEWERlSEPTIC $1,000.00 ~~,~ ~~ PER ERU HOOK-UP SITE PLAN ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~d~, (~ '~`''S~~ WATER SERV. ORDER ~ ~~~ ~ ~~~ ~~~-~ POWER Pugef Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW l Z to ~ ~Z ~~~~~ BUILDING PERMIT `J ~ ~ ~ 5D~, OC1 '~~ ~r. a~r.~tc~ r=5 ~ 6c5 1,~~, L' ~ F•e~ PLUMBING PERMIT 5 Z 3 ~ ~ ~ ~ CJ~ ~~~_~ MECHANICAL PERMIT 53;31 ~ ~. OQ ?~~~'~ GRADING PERMIT SIDEW~ILKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO 1=1NAL INSPECTION BY ~... ii a....~..~.~ar CITY OF YELM BUILDING DEPT. phone: 458; ~~07 w Name ~`~~ ~ ~ N ~. ~ R Address ~ ~ „r' Site Address ~ ~~ ~) j`~ R Assessor's Pa, I No. ~ ~~ ~ s?(~ (~ ~,> (ej (~} P 1 ~r~ R Subdivision T Y OR Short Plat No. Existing Structures, if any: 0 N Name Contact T R ~ Address °a License No. ~nx Y~~'T -~ 7 ~ ~ r! ~ /~ I e..1 C...~r Cit Lot Siz/e Lot !/. City Exp. Description of Work `~' ~, OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential V Sign Sewer Septic Approval No. ~ ~ ~ ,~ Commercial Other City Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ )~y. ~~, ~ Sets of Prints Other 11~ ,, 22 ~~ Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) ~, ~j~ Mechanical Permit #~ r TOTAL FEE ~ , Plan Check Bye , ' ~ Minimum distance of structure from property lines: Issued By ~'`~ 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. Si nature ~~ .~ .--e- ~~,j~7 Date /// ~~;~ g ",. `~'-l `~ ` `d Quarterly Reports Firm: r) ~ Assessor~~ TRPC ~ ~ Building Permit ~~ _ 5 ~ 2 g Date 9- ~`~ - (Work must be started within 120 days) ~~..~z.~- ~ J ~ ~ 9 ~!>/A St.t./~"l Zip Code ~iT,~/ol~ Block Block Phone( ) St. Zip Code Yelm Bus. Lic. No. ~ ~~ /rLrr /....r~...-v~ ~.~~~.. ~ ~~~rr ..vi......... .......r ....~... ._._. SITE ADDRESS: Permit t~ Fee if If Applicable Applicable SEWER PERMIT $125.00 SEWER LATECOMERS /i Receipt ~ Comments PERMIT/INSPECTION *SEWERISEPTIC $1,000.00 ®~'~ PER ERU HOOK-UP SITE PLAN ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS ~~nn "WATER METER ~~ iUV ~~' WATER SERV. ORDER ~~Qi~ ~ ~ L POWER TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~~~' ~~ G BUILDING PERMIT ~~ Z'~ ~~ `~ '~D PLUMBING PERMIT 5 ~~~ ~/ ~ ~O MECHANICAL PERMIT 53~ -Y ~' o~ ~9 GRADING PERMIT SIDEWALKSICURBS LANDSCAPING YELM BUSINESS LIC. $30.00 Puget Power 458-7731 Yelm Tele. 458-2171 z~lcltcd~5 `(~ 5u icy ~ C, F'z ~ ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO rINAL INSPECTION BY 0 w N E CITY OF YELM BUILDING DEPT. phone: 458-8407 ~~~ ~="~9 r7 r"T ~-'~ it ~/ " Address' G cit st up coae V U_ Site Address ' ~ r~ `~ 7 ~" R Assessor's Par4gl No. ~`~ ~ _7 ~ (,~ Q -~ ~, ~) ~) Lot Size (sq.ft/acres) o R T 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: ~ Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private Syste m Shoreline Permit Y N ,seat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~~ '~j~ , ~ Sets of Prints ..~..~,;,~ `~, Pl bi Permit #~1~ 1SQ Other um ng s. _ '~ ~~ WA. ST. BC. Fee (4.50- New Const. Onl y) ~ Mechanical Permit # A 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 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. Firm: ~ !~~+~; ,~~ 4,~~ ; r ( , Quarterly Reports Assessor-/_~ TRPC ~ J Building Permit N~ ~ ~ 2 Date ~- /~. ~' ~~ (Work must be started within 120 days) IYV!! /L.YL... ~/i IlI1.1l1 11!~!I vVllv ll~..v11 ~I! ~... ~....~.... ~ 1 ' ~~ '~ ~~~ '~~~ / /> ~~i~ SITE ADDRESS: I~//I ~ ~ - Permit # Fee If Receipt If Applicable Applicable # Comments SEWER PERMIT $125.00 ~ ~ ~ PERMIT/INSPECTION SEWER LATECOMERS $1,000.00 ,!~ ~ ~ PER ERU HOOK-UP "SEWER/SEPTIC SITE PLAN ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~~~ ~ ~ ~ ..~ WATER SERV. ORDER 7~~1~ i~l\ 731 PugeF Power 458-7 POWER 1 1 7 Yelm Tele. 458-2 TELEPHONE STATE/C0. APPROVAL STREET CONSTRUCT / CJ.~j 1P ~' (v ' 6 PLAN REVIEW 'r~1c~Ltt ~5 15D n o ! Zo ~ ~OC~ 1 ~~ ~ ~ i~~: Cl F~~~ BUILDING PERMIT . ° J Z ~~ ~~ ~ ~ ~ ~ PLUMBING PERMIT MECHANICAL PERMIT ~~ Z 9 ~l + ®(J ,~j9 GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDtTiONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL /NSPECTION BY P .r }~ .. ..~. ~~ CITY OF YELM BUILDING DEPT. 'hone: 458-8407 Building P rmit N°_ ,, J ~ 2 Date ,~`~ ~/ - ~"I S (Work must be started within 120 days) h ~- ~t ~~l ~-D N u T ' ~ ~ ne ( ) `}~ Ph ~ ~ ~ N ame , , , o C T R Address ~ 1 ~ ~ ~~,, City ~~ ~~ St. Zip Code ~(~~~ Site Address ~ ~ , .A ~~ "~ P . R Assessor's Parcel No. 3 (p U UO ~ C/ ~ ~ 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 ( ) T R ~ Address City St. Zip Code T 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 ,feat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value r~ ~ ' ~j t ,• . .~ , ~ ~ Sets of Prints Other 2 ,/ Plumbing Permit #~ ,~~.~(( ~ . ~JZ~ M i l P i WA. ST. BC. Fee (4.50-New Const. Only) , (,/ echan erm ca t # ~ ~ ~ ~ ~~C TOTAL FEE r Plan Check By , ' Minimum distance of structure from property lines: Issued By Front to of Road ~J 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-/_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 ' ~ '_ ~?~j:~1' Date `~-~~/ `~ti Quarterly Reports ~ Firm: Assessor~~ TRPC _~ / l~ /1L11 VL.VL. w-VI ll/1.../t1 / 1111 VVI.v.~~~vll.i ll ~...-... ..-. .~. 4, y 0 ~~ . _ ~. ' . ~ l Yn - /mil/ In A ~ ~ ~ ~ SITE ADDRESS: Permit # Fee If Receipt If Applicable Applicable # Comments SEWER PERMIT $125.00 ~ ~ y PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 ~ ~` PER ERU HOOK-UP SITE PLAN ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER p~IJD ~(J~ ~~~ WATER SERV. ORDER 7aO.Od ~~ Puget- Power 458-7731 POWER Yelm Tele. 458-2171 TELEPHONE STATEICO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~"` ~~ j ~'~~ ~7 'I ~1r 1 Ltr ~5 1 6u BUILDING PERMIT ~ / z ~~ ~~~' ~D % ~ (',~~, CI F~~~ PLUMBING PERMIT ~'Z ~~ O l `~~ MECHANICAL PERMIT c~~~0 1' ll~~ 5 ~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 / ADDITIONAL COMMENTS DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY ®.. m CITY OF YELM Building Permit ~°_ 5 ~ ~ 6 -...BUILDING DEPT. Date ~' ~ `~ _. ~1 -hone: 458-8407 (Work must be started within 120 days) w r. ~ '~ ~~ ~ `t Ph "'~ ~ ~ Name o e ( ) R 'i. .~i Address ~' dl ~ Citj~,,,~' ~ / St. Zip Code ~~ ,~ [~ ,,,~7 a Site Address ~ Z '~~ ~ j'`` 9 ` R Assessor's Parc I No. U ~} (J 9 QU Lot Size (sq.ft/acres) P a / ? Lot Subdivision Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name ,~n ? Contact Phone ( ) r Address City St. Zip Code 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 Meat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ,~ ~ , ~ ~ Sets of Prints r ,,~ l Pl bi P it # ~ Other . erm um ng ~ ~ " M h i l P i # ~~ ~ f WA. ST. BC. Fee (4.50-New Const. Only) ( I e an ca erm ec t l ~ ~ ~ ~ y , ~ ~~ ~/~~' 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 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. t. "i ' ~ ' ! `°~ ~ ~ '~~' .,.1; r~ , Date Signature / Quarterly Reports Firm: ~~ ~" '~ Assessor~~ TRPC ~ ~ ~~ t~ J J SITE ADDRESS: Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 ~ z ~ 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 7aD.LX~ POWER PugeF Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW 1 ~ ~ 7' 7~ ~d BUILDING PERMIT 57 z,~~ 5ZZ.5~ R)G~`~ ~' ~rr~cttc~ ~3 ~ 5C3 l.t,-:C, f •~~ PLUMBING PERMIT 5~ ~~ ~ j ' ~Q ~ ~l `~ MECHANICAL PERMIT 5327 ~ ~, DD ~~ ~~, GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY ~-~ ..,~ CITY OF YELM BUILDING DEPT. 'hone: 458-8407 Buildin P rmi~ °_ 5 7 3 9 Date y (Work must be started within 120 days) n N Name („_~~ '~ _ ~' ~.: ~~.~: s _ _ Phone ( )j~.. 3~ .~-- ~ R '~ t ' ~ ~ ~' ~, J ~ ' ~ ~ 1-.. -~-'~ f ~ Address - ~, ~ ~ ~ City ~- ~ _ ; Zip Code • St.r Site Address ~ 1 / ~1 ~ ~f o Assessor's Parcel No. ~ r~ ~,=~ ~~- i`~ ? ~'''j~~'(~ Lot Size (sq.ft/acres) P E R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N Na e ~ 'V %' ` =~'~„~'. ~ r~\~' Contact -. Phone ( )/ ~ 1.~.~1' _' m ..( J .._, .[...~ ~ l t~-~I , r Address `-1 City St. Zip Code °a License No. '~`-`„ L. ~.,. ~-~ ~ 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 .seat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value "~ t ~~ ~ "' _ ... . `... ~ Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # 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 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 ~ - ~ ~~ (I ~,~ Date ~ r~~i-`?~ Quarterly Reports Firm: Assessor ~ ~ TRPC / / ~~~ f -Ai ~~. CITY OF YELM BUILDING DEPT. phone: 458-8407 w Name N E R Address ~ ,,? / ' Site Address U~ P R Assessor's Parcel No. O P E R Subdivision T Y OR Short Plat No. Existing Structures, if anvi-. Building a `i ~ 3 Date (Work must be started within 120 days) ~~. -3~ Phone( ) City St. Zip Code Lot Size (sq.ft/acres) Lot Block Block N Name ~" ~ Contact Phone ( ).: ~- "" J~.._ n c Address } ~ ~ r ~`' " ~ ~ a~ City ~ ~" 3~ St~{.~ Zip Code ~ ~~ R License No. _ ~ `~ .~,.J(~:~ ~ ~ ~ 1 Exp. Yelm Bus. Lic. No ~'~ ~ Description of Work - (,-,! (~' ,.,~` OFFICIAL U E 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 .cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FO R 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~ v- Minimum distance of structure from property lines: Issued By Front to of Road Final Insp:~~ .,? Side Side Rear r•: Owner L&I Form T..~ 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 ,• .+.-~- ~,,,. ................,~ ~,-. Dated ~:~ ~ °'`~ j' Quarterly Reports Firm: ~~" J~,l r .~ ~' j Assessor)-~ TRPC ~ ~ ~~ , +'~ r ';~*~¢r ~~ CITY OF YELM BUILDING DEPT. phone: 458-8407 °w Name 6 N ~` ~ ~bd r-6~) ~Gi Building Pe mit ~~ ~ ~ 2 5 Date .u ~ ~ ~/ ~ (Work must be starte ithin 120 days) ~ Phone ( ) ~`l ~Y , ~ i'r~ t A ) /1 r ./ a Address ' ; 'fit` ' `~ r~ City ,, f St. Zip Code `t Site Address ~~~ ~ ~ ,~.~' G 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 Name ~® `~'" Contact Phone( ) "~'~~ .. r ~' r Address 1~ ~ ~ ~ ~. ~,, (~ ~" ~: City St. Zip Code ~ `~~~~ T r °a ,,.. ~ License No. ~ Exp. t 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 .feat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other y ~ 7~ ~ f _ Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # ~~ TOTAL FEE ''~ Plan Check Bye, ~ r. y ~fi~.J Minimum distance of structure from property lines: Issued By '~ ~ Front to of Road Final tnsp:~/ 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. Signature ~ r Date ~ v ,~. -S Quarterly Reports Firm: ~ ~ k -~-~-~ r- ~~ p ~ '~'~. Assessor _~ J TRPC ~ ~ CITY OF YELM BUILDING DEPT. phone: 458-8407 w r ,• Namel i' r~ ~ -;I '~~ a Address ~~ ~ +~ ~ '`f/ ~ , City ~ ,, 1. °~ St. ~ Zip Code ~ ~ ~ r Site Address ~ ~ ,~ t-'~/~~r', f,,t 1 ~(~,,,/fi ~` ~ t,.t,~) O ~"r ,q ,.~y / Assessor's Parcel No. ~ % ~~ C~r~tJ~f ~~~ Lot Size (sq.ft/acres) P e R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N Name ~ ~ - ~ ~ tact Phone ( ) T Address City St. Zip Code T R License No. Exp. Yelm Bus. Lic. No. ~ ~. r ~ + Description of Work ' ~ ~' `~-~ ~ '~ f ~'`~ ~s<i, 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 cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value. ~P ~~ ~ '- Sets of Prints P ~~ ~~ Other Plumbing ermit # ~ ~ ~® M h i l P i ~ WA. ST. BC. Fee (4.50-New Const. Only) , , ec an ca erm t # ~ ~ ` ~ TOTAL FEE Plan Check Byt-~ ( ~~`A, 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. ~' Signature rf0 /`'~'v-+ Date( g ~ Quarterly Reports Firm: Assessor ~ ~ TRPC / ~ Building Permit NQ 5 717 Date ~-°~G.~--~_ ~/71~'~ (Work must b~within 120 da/ys) Phone( ) y ;t~~ ~~f~~r`~d"~-°~ 'nC-'/` V iYL/Y I../LYL.. VI I.ILI.I / I..-./ VVi.v ...u vlYVlw ~-.....-... ..._.... SITE ADDRESS: 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 & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~~~ WATER SERV. ORDER ~ .~ 6 POWER Puget- Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATElCO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~ ~~• 5D ~C~ BUILDING PERMIT ~7 ~ ~ ~~~ ~ SCE ~G,~ 'S 11C ~ Ltf ~`5 15C~ ic~~ C. F~•~~ PLUMBING PERMIT 5 Z Z (~? J`"Z. 15G MECHANICAL PERMIT S~J f 8 3G ~ ~D 5 1 GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. ~~/~~ $30.00 ADDITIONAL COMMENTS "DUE AND PAYABLE PR10R TO rINAL INSPECTION 8Y / j ~ ~+' CITY OF YELM Building ;Per jit ~~` +,~~, ~~ 1 ~ BUILDING DEPT. Date `"~ ~~ ~ +~ gone: 4588407 ;-.) (Work must be started wi hin 120 days) `~~ C ~ ~ ~~~ ,~ ~ N Name ~%> Phone( ) ,p-^' ~ ,~`, R Address '~ '~ ~` r9 ', Cit M 'J St.f Zip Code Site Address ~ ! ~~' r `~~ s'/S t'~ ~ , ~ .~1.~~~ (J ~ O Assessor's Parcel No. E;, G ~ j (~ ~ ~ [~ ~ ~~~ Lot Size (sq.ft/acres) P e R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N Nam ~~ ~, "~ , ~ , Contact ,,. Phone ( ) ~~+~~- r ~1 r ~ ~ ~ Address City Zip Code St. T a License No. Exp. Yelm Bus. Lic. No. C~ - Description of Work / ~ ? r ~ 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 Teat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other ~~ ~(~ CV ~ a , ~(~ Plumbing Permit # WA. ST. BC. Fee (4.50- New Const. Only) Mechanical Permit # TOTAL FEE ~®~ Q(~ 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 t~ Signature ~ ~ ; ''~ ~.~ ~ ;, Date ~i-"°" Firm: i~ Plan Check By ~ ~f Issued By ~ Final Insp:/~ Owner L&I Form Assessor Floor Plan and Permit SubmittedJJ Quarterly Reports Assessor J / TRPC ~ J CITY OF YELM BUILDING DEPT. !hone-:-x~458-$4~~ ,~ ~ t ~ w Name , / ~ i' ~, ~ N E /~ 7 R Address r~- ,G.. Site Address ~5 / ~~j ~,~~/f ~~ P Assessor's Parcel No. ~'~' ~ R O , P E Subdivision R T Y OR Short Plat No. Existing Structures, if any: N Name :'~i .lj ~ ~.~ OJ? . R ~ Address a License No. i~ ~ j~~ A- ./7 ~./'3~r71 4 ~~ / Buildin Pgr it ~®i °~ 5 ~ ~ +~ Date 9 (~s~y~l °•. f (Work must be started within 120 days) T" f ~ ~ ~L~ ~~~ _.~ .~-...J ~, Phone ( ) ~-~~~,~ ~' j ~~ City St. Zip Code ~~ Lot Size (sq.ft/acres) Cam. ~ r'~~'~D Lot ,` ~ Block Block Contact Phone ( ) City St. Zip Code Exo. Yelm Bus. Lic. No. ~7ff1'~ 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 ,feat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~. , ~ ~(~ , ~ (~ Sets of Prints Other Plumbing Permit # 5 z 3.~ WA. ST. BC. Fee (4.50-New Const. Only) °~, (~ Mechanical Permit #~.~e TOTAL FEE ~® ~ ,,~ Plan Check By ~, "a~~1 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. t~}/,,,~ Signature ~, ~.- 4' r~.~`Pz-~. Date ~`',~ ~~ ~7 Quarterly Reports ,~~.. ~r ~{ Firm: ; ~f ~ .' -- ~., - Assessor_~~ TRPC _/ ~ /~`./ /1...~1-w..u1 /Ilf~l.l / 1..-.I-uVl.v •.t~~l.vl• u..r~--•-• SITE ADDRESS: Permit ~ ~ Fee if ~ Receipt SEWER PERMIT SEWER LATECOMERS *SEWERISEPTIC 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. If Applicable Applicable # Comments $125.00 ©~~~ PERMIT/INSPECTION $,,000.00 ~ P~~~ ~da,ao 70p~d0 PER ERU HOOK-UP Pugefi Power 458-7731 Yeim Tele. 458-2171 L ~ 'Z ~1c~ Lc~ ~-~ , 6v `7 Zy c5~~, J`~o '~j~ ~~~ ~ C, F•e ~ z 33 ~1,OC~ roe ~~ $30.00 ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL /NSPECTION BY 0 0 w N E CITY OF YELM BUILDING DEPT. shone: 458-8407 ~D~~~~ Hooress ~ /~~ ~ l+ny ~ Jl. LI~J IiUUC /y-, Site Address ~` ~~~ ~ a 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 ' t Contact Phone ( ) T Address City St. Zip Code T a License No. ~ i ~ Exp. Yelm Bus. Lic. No. ~ Description of Work r ~ ¢ OFFICIAL USE ONLY Permit Type: ~ Sq. ff. 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 ~ , ~ J'`/ G}~' Sets of Prints ~ ,,~ ~ ~L'' Pl bi P it #~C Other . um ng erm '~ ~ ~ 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 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. ti ~~ ~.. `~ Date ~ ~ '~ Signature ~~ ;,, Firm: ~_.' ~ . ; . :~, ri i. ~ "t (! k l ! :%,~ f ~` ' Building Permit ~® ~ ~ 2 ~ Date ~~ 1'~- (Work must be started within 120 days) Plan Check By ,,1 -'t ~ Issued By Final Insp:_~~ Owner L&I Form Assessor Floor Plan and Permit SubmittedJ/ Quarterly Reports Assessor~~ TRPC ~ ~ ~.~rr u~.r`....v~ .uu.. ..r~.r vv..v ....+........ ....~... ._.._. SITE ADDRESS: Permit t~ ~ Fee If ~ Receipt SEWER PERMIT SEWER LATECOMERS "SEWER/SEPTIC SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE STATEICO. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. if Applicable Applicable # Comments $125.00 G1' ~~ PERMIT/INSPECTION $1,000.00 I ~ C~ PER ERU HOOK-UP a~lxJ ~ ~ ~ 3 ~ ;~ ?oD r D~ ~ l G ~:~ ~~ Puget- Power 458-7731 Yelm Tele. 458-2171 ~,9, z5 C~c( ~ 57z3 55~', 5C~ .~ ~3 5z3z 93.60 ~~~ J~3Z ~ ~cl ~ 5~ ~`~ $30.00 ADDITIONAL COMMENTS '"DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY '=~1C-LcdrS ~(~ 5u l.l.~: C. Fz~ CITY OF YELM BUILDING DEPT. ?hone: 458-8407 ~r~~~ ~a Building Permit N~ ~ ~ 2 Date ~ - ~ a - 9~ (Work must be started within 120 days) w Name ? ~ _ Phone ( ) [/ '~/~ ~" ~~7G N E a a I Address ~! '~ r ~ / ~% St.if Zip Code a/ r ,.1 ~ Site Address ~ ~ l y - +~ 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: N Name ~ ~ Contact Phone ( ) T R ~ Address City St. Zip Code T R License No. ' '~ Exp. Yelm Bus. Lic. No. Description of Work ) '~ ~ %°p~ OFFICIAL USE ONLY Permit Type: ~ s V 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 ~ ~ ~ ~ ~ "y (~~1, Sets of Prints Other Plumbing Permit # ""`~ 5~ P WA. ST. BC. Fee (4.50-New Const. Only) , Mechanical ermit # ~ ~ ~ '~ TOTAL FEE j , Plan Check By "~~ Minimum distance of structure from property lines: r Issued By v 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 Washin ton. Signature r-~'l ~-r-t Date ~~~ UC ~~7 Quarterly Reports Firm: C.UUCi j C r '~° % f"'~~- :/ ~ /~ ~ , . L . ~ Assessor ~ I TRPC ~ ~ C.~ J I~L-I^ /VYLr-vl n~6./.1 ~ ~..-.F VVI.v i.... ... ~..~• ....n-... __._. SITE ADDRESS: /`,~qy~ ~~/_~fZ ~ ~ 1/I~ der ~,Q.~i~..~) l /~~- ~~ •~~~~ Permit # Fee If Receipt if Applicable Applicable # Comments $125.00 r~ PERMIT/INSPECTION SEWER PERMIT ~ -1 SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 l ~ ~ PER ERU HOOK-UP SITE PLAN ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS ,~ "WATER METER ADD-D~ ~~ ~~ ~~~ WATER SERV. ORDER '7oD~L~ ~ ~ 7l1 ~~~ Pugef' Power 458-7731 POWER Yelm Tele. 458-2171 TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~ ~' ~/ BUILDING PERMIT ~ [ ZZ / / ~ .d~ PLUMBING PERMIT ~Z`3 ~ ~~~ Q~ MECHANICAL PERMIT 5,~~~7 ` ~` ao GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS *DUE AND PAYABLE PR10R TO f-'INAL INSPECTION 8Y '=i1c iLCdz~S ~(~ 5u CITY OF YELM Building Permit ~-° ~ ~ ~ BUILDING DEPT. Date ~~ °~ ~' ~ - r~ ~~ phone: 458-8407 (Work must be started within 120 days) w Name r~ - ' / Phone ( ) {~'''7 7 N ~ ~~ a Address ;'~ C ' f ~'`~ t. ` ip Code ~-~ Site Address J ~~~~~~~L~t' ~~( l(/;,~fl~Lr`~c~,(.V ~~ r ~C~ ~"~ P Assessor's Parcel No. e ,."~ ~~ Lot Size (sq.ft/acres) R 0 ~ ~ R Subdivision Lot ~ Block T Y OR Short Plat No. Block Existing Structures, if any: N Name ~ ~~~1 .~~J4 > Contact Phone ( ) r R ~ Address City St. Zip Code T ~/ a License No. 1`/ ~~/f/'}!~ ~ /) / ~ i~ .~ Exa. Yelm Bus. Lic. No. .~ ~ 'Y .~ Description of Work ~~ '~ r,.% r. 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 cleat: 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) 'yJ ~~ Mechanical Permit #~~~ ~~ 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/ 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^-ti Date ~ ~ ~~ UH, ~, Quarterly Reports Firm: ~1.~ i /~` C. i"rte `~ 1 ~`~1 ~` `°. ~ s`l>C . Assessor ~ _/ TRPC / ~ I~l..~~ /L..YL.. w.. of I.IL..I.I I I•....I VVI.v ..~~vli~+l~ .+..~-~. .~-•'~• SITE ADDRESS: Permit # Fee If If Applicable Applicable $125.00 SEWER PERMIT SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 SITE PLAN ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER 'ZQQ, POWER TELEPHONE STATEICO. APPROVAL STREET CONSTRUCT a~~ Receipt 1~9 ~8 Comments PERMITIINSPECTION PER ERU HOOK-UP Puget Power 458-7731 Yeim Tele. 458-2171 PLAN REVIEW ~ ` r g~ ,~ 7~ '= y1~ 1 Ltt ~~ YI 5u BUILDING PERMIT 57Z ~ ~~ . ~d 5 ~ ~ % i~~ : C, F~~ PLUMBING PERMIT '~Z~ o ~' ~~ ~ ~ ~ MECHANICAL PERMIT SJ~Z ~ "t ~• ~a ,G ~`/ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADD1710NAL COMMENTS *DUE AND PAYABLE PR10R TO 1=lNAL INSPECTION BY CITY OF YELM Building Permit ~° 5 7 2 4 BUILDING DEPT. Date ~ ` ~ ~ - y.~ ~ho n 458- 8407 e : thin 120 days) Work must be startedwi ( 1 - ~ ^ ,+y f ~(~ ~ / U J /' _" ~ ~7 ~' N Name ,I ~ ,~-. Phone ( ) ~ , ~ -- "~ ~ a Address rl ~ f"~ ~ 't ' t. ~ Zip Code Site Address ,~./,~ ~~ , R Assessor's Parcel No. Lot Size (sq.ft/acres) ~ / s a Subdivision ,/i ,~ Lot Block r Y OR Short Plat No. Block Existing Structures, if any: c N Name Contact Phone ( ) T Address City St. Zip Code °a License No. /1)l7i'~~i't ~ ~ 1 ~ rf ~ ~ /~// Exp. Yelm Bus. Lic. No. ~j ,.~~ y.~ 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 ( , ~C}'~, ~ Sets of Prints Other ~ ~ ~ ~./ Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) ~, Mechanical Permit #~~~~ .~ TOTAL FEE Plan Check By 4 . 7 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. Signatur//e ~ t-~ -- C-~-. ' - Date ?2/1 1~1( '~ ~''y' Quarterly Reports Firm: C.- ~i,G'C~' ~ f~-t_.~r ~G = ~ / ~C Assessor~~ TRPC / _~ SITE ADDRESS: SEWER PERMIT SEWER LATECOMERS *SEWER/SEPTIC SITE PLAN ACCESS l;i 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 ~-~9 if Applicable Applicable # Comments $125.00 ~ ~ PERMIT/INSPECTION $1,000.00 PER ERU HOOK-UP __ ~CY~,I~D'..~3 ~3 ~.~~ IQ`7 5'? Z~ ~a9,Gt~ ~zz9 9~~ b0 r 53Z Z ~/v, v~ ~ ~ $30.00 ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL /NSPECTlON BY Puget Power 458-7731 Yelm Tele. 458-2171 i,~~~c, F~e~ CITY OF YELM Building Permit ~® 5 7 9 9 BUILDING DEPT. Date ~ ' ~ a - ~/ .S~' phone: 458-84p~7 (Work must be started within 120 days) N a Name /~ ~ .~ rj ~ '~l Phone ( ) O ~(,/ ~^' ~ l'jc a Address ~ ~ Cit ` ip Code ~ Site Address ~ ~ , ~ P R Assessor's Parcel No. ~ Lot Size (sq.ft/acres) O ~ R Subdivision r Lot ~ ,~ Block T Y OR Short Plat No. Block Existing Structures, if any: c N ~ ~~~y.~~~ ~ r, ~ Nam `/r~> C~ ~,~ 1~J{J Contact Phone ( ) R ~ Address City St. Zip Code T °a License No. Exp. Yelm Bus. Lic. No. ~ '~" f ~ Description of Work j OFFICIAL USE ONLY Permit Type: / Sq. ft. per floor: (1st) (2nd) Residential V Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value t ~ ~. , ~ '~, Sets of Prints Pl bi P i ~ Other um ng erm t # ~ ~~ WA. ST. BC. Fee (4.50-New Const. Only) J Mechanical Permit # TOTAL FEE , .fi Plan Check B Minimum distance of structure from property lines: t 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- 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. Signature _ y'' -- ~ ~:.~,_. -' Date ~~ ~ ~ V G- e Quarterly Reports Firm: ~ _-~~;U ~ (/ j ~ ^ j ~ ('v i R/f AssessorJ/ TRPC ~ / 7~ l~ Irt... va.r~r. v. ...u.. . .......r vvi.v ..... ......... ....~... .~.~ . SITE ADDRESS: Permit # Fee If Recaipt if Applicable Applicable # Comments PERMIT $125.00 ~ ~~ PERMIT/INSPECTION SEWER SEWER LATECOMERS " $1,000.00 Q~ 8~ PER ERU HOOK-UP SEWER/SEPTIC SITE PLAN ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS METER " ~~~ ~Q ~~ WATER p , WATER SERV. ORDER ~~~,~~ I ~ ~7 7731 Puget- Power 458- POWER 1 Yelm Tele. 458-217 TELEPHONE STATEICO. APPROVAL STREET CONSTRUCT ~ `~ ` ~ `~` PLAN REVIEW '=~1cILc~ ~5 ~ 5v ~5 ~ j 9 ~~9~ ~~ ~ 3~ i~~ : C, Fz ~ BUILDING PERMIT , ~Z Zo ~~' ~~ f ~ ~ PLUMBING PERMIT MECHANICAL PERMIT ~~~ 1 7 ~. ~~ ~ -I ~~ GRADING PERMIT SIDEI{yALKSlCURBS LANDSCAPING YELM BUSINESS LIC. I I $30.00 ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM BUILDING DEPT. phone: 458-8407 w Name ~j~ `.~~~ E r A ~"1 i .i..~~ Building PQrmit ~® 5 ~ 1 ~ Date _~ ~ `~ ~- (Work must be start within 120 days) Cf ~ ~ya~ Phone c ) ti'~'~ 3~ ~~ ^ AtltlreSS ;/ ~' 7 Vi[y ~[. up i.oae Site Address f //('~ " '' `-? ) ~'~ a Assessor's Parcel No. ~~ ~~~ ~~(~ ~Q~ Lot Size (sq.ft/acres) 0 P e R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: 0 N Name ~ Contact Phone ( ) r Address City St. Zip Code r R License No. Exp. Yelm Bus. Lic. No. Description of Work ~ !/ ~R ~ ~~ OFFICIAL USE ONLY Permit Type: , ~° Sq. ft. per floor: (1st) (2nd) Residential 6/ Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~ ~ ('~ (~ Z ~, ~ Sets of Prints ,~' ~ Plumbin Permit #~ Other g '~ ~~ Mechanical Permit # WA ST BC Fee (4 50-New Const. On ly) , ~ TOTAL FEE , Plan Check By( ~ ~u ~.~rv 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- SubmittedIl 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 WashingtdrY: ri Signature °~,~'~ ~' ao ,~ ~~ Date ~-. ~-~ ~~~'~, Quarterly Reports Firm: Assessor ~ ~ TRPC ~ ~ 1YL)~ Ll L..Y1-...vl 1lli..l.l / 1~~1/ vvl.vl....v ll~+~~ •...r ... .-..-. SITE ADDRESS: ll~~ ~Q~ Permit tl Fee If Receipt if Applicable Applicable # Comments ~ /~ /~ $125.00 PERMIT/INSPECTION SEWER PERMIT /u I~ SEWER LATECOMERS /L $1,000.00 PER ERU HOOK-UP "SEWER/SEPTIC JY SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ,/~ 1r~' WATER SERV. ORDER ,/~ .~' Puget' Power 458-7731 POWER Yeim Tele. 458-2171 TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW 5lL 1 ~ ~ 10 ~ 7 ~} '=i1cl Lc~ ~5 1 5U BUILDING PERMIT 5 ~ ~ ~ Z,~ /~! f ~~ ~ ~c~ ~ CI FCC PLUMBING PERMIT ~Z Z 7 ~f z. D~ ~ MECHANICAL PERMIT 53 za 2 ~ ~ ~© ~ q ~ rI GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING SS LIC. ~" ~~ $30.00 YELM BUSINE ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL /NSPECTION BY CITY OF YELM BUILDING DEPT. phone: 458-8407 N ~ r~ ~ ~~ ~ E ame ~J ~ • . fi'. R Address Site Address /~ J G7w~ ~~~ `f ~~ P R Assessor's Parcel No. P .~ ~ e R Subdivision T Y OR Short Plat No. Existing Structures, if any: c ~ N Name x T R ~ Address T °a License No.lf /l~I/(' ~- n "7'1) rI ~L .~ Contact -tom Lot Size Lot Exa. Description of Work r ,~ OFFICIAL USE ONLY Permit Type: ~ Sq. ft. per floor: (1st) (2nd) Residential V/ Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building, Value ~` ~ ~ ~„ 1 ~,~ " Sets of Prints Other // ~~ Plumbing Permit #~L~ WA. ST. BC. Fee (4.50-New Const. Only) r ~~ Mechanical Permit #s~~~ V;3 TOTAL FEE , 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 Washington. .-~. ,~ Signature ', ' ~~..- I _ ~ ~, ~ -.._r... "'Date ` Z. ~ ~~r y Quarterly Reports '~ , Firm: f v - 1-'l .~_ ~ ~ ~--' ~::; (r ~ ~ .r Assessor-// TRPC ~ ~ Building r~n~t ~ ~ ~. ~ ~ ~ e V ~ Date J J~ ~ '~~ (Work must be started within 120 days) ~ ~~ Ph ne ~,[ ~ St. /~ Zip Code `1 li .~f [rJ Block Block Phone( ) St. Zip Code Yelm Bus. Lic. No. ._ SITE ADDRESS: 1s~~~ ~~~~' -L,~~' ~ ~~ Permil # 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 ~~~ , OQ ~) ~~'~~ WATER SERV. ORDER ~~~ ~ J 7 POWER Pugeh Power 458-7731 TELEPHONE Yelrr~ l ele. 458-2171 STATElCO. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT ~~~J ~ ~~, S~ ~.~~.~ ~~`~.~ ~~ - _ ~~//~~, ~~:7~~' '_'~~c,lu~ ~s ~ 5d l,c.-,C~ F~e~ PLUMBING PERMIT ~~ ~ ,' ~~ ` QG -' ` .~~j MECHANICAL PERMIT ~'~,~ "7 J ~ ~J ~ ~~~~~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ' ADDITIONAL COMMENTS '"DUE AND PAYABLE PR/OR TO FINAL INSPECTION BY ~~~. CITY OF YELM Building Permit ~® 3 7 ~ ~ BUILDING DEPT. Date ~~ ~ lT~`~ phone: 458-8407 (Work must be started within 120 days) N i Name ~ ,~ ' ~~~ ? _~ Phone ( ) R l Address ! / ~~ ) 7 City /,, ~ ~ ~ /° St. Zip Code ~ Site Address P R Assessor's Parcel No. ~~ ~ ~ ~~,~ ~ ~j~ f Lot Size (sq.ft/acres) O P e 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. id , Description of Work r ~ 1 ~ % OFFICIAL USE ONLY Permit Type: Sq. ff. 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 it # ~~ Other um ng erm ~ ~~ # `J"~ l P i M i WA. ST. BC. Fee (4.50- New Const. Only) echan ca erm t 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 including those governing zoning and land subdivision, 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.~~ ,~ ;r Plan Check B ~ ~^ / o Issued By ' Finallnsp:lJ _ Owner L&I Form Assessor Floor Plan and Permit Submitted~~ Quarterly Reports Assessor-/~ TRPC J / SITE ADDRESS : ~/_i~ r/~ ~ ~ ~ ~~ ~ C/ ~ #~ 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 E ~C'_ ?D ~3LDG, I~~M! WATER SERV. ORDER `7~d.~ ~~ i~ (/a rJ POWER Puget Power 458-7731 TELEPHONE Yelm Tete. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~ ~ ~~ Z~ ~~~'~~-~~ BUILDING PERMIT S~JIt/p '~~~,~~ ~~~17~ 'Z 110..1 ltl t 5 ~ 5C5 i~l~C, E~e~ PLUMBING PERMIT Sz~ 7~, ~/(~ ~,~ ~,/_~" MECHANICAL PERMIT S ~j7 J~(!~. J`~' ~~~(',~, -- GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY \~ CITY OF YELM Building Peer it ~ ~ ~~~~ ~ ~ '~ 5 BUILDING DEPT. Date ~ i° phone: 458-8407 (Work must be started within 120 days) w ,, Nam `' ( ,. ~ ,/ -~ c Phone ( ) '-' v~ 0 i,~ N R Address ' ~ ~ ~ r~. City f f ~ St. Zip Code Site Address n ! ~ a Assessor's Parcel No. ~ ~ d 1 ~~'~~ ~(,~+[~ f Lot Size (sq.ft/acres) o - 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 T R License No. Exp. Yelm Bus. Lic. No. Description of Work "~ a ~ ~ ~ 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 Neat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ 7 '~ ~ Sets of Prints Other ~ -~ ~~r Plumbing Permit #_~Z ~ Z '~ [ / j ~~~ f t~ s WA. ST. BC. Fee (4.50-New Const. Only) ~ Mechanical Permit # 1 ~ ~ T OTAL 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: ,~ ~ / Plan Check By r .J !` ~ i` , Issued By Final Insp:~~ Owner L&I Form Assessor Floor Plan and Permit Submitted-/~ Quarterly Reports Assessor~~ TRPC ~ ~ ~r~..r .. ~.ra.....w ~uu.. . ~.~.• .. ... i.~...w... ...i. .,..._._. .._., .. . SITE ADDRESS: f~ ~l Y ~iS ~ ~, ~.~ ~U ~~/ Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125A0 ~j~ (~ ~ PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 / ~'~ I <~'~ PER ERU NOOK-UP SITE PLAN ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER 7vl~.C~~ >='' ~~33-~ ~c,~P~x sE"r -~~- ~~ p 1 5 4 . WATER SERV. ORDER '7~~ ~ (~~ ~ ~ ~(.O<~ POWER Pugeh Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW 59 ~ ~~ ,~~?~~~' ~ BUILDING PERMIT 5 7 ~ 5 ~~ ?~ ~~ ~-~~ ~' ~~ ..Z.+1C..ILtt t5 , 5v ~~~ ~ ~' ~.~ PLUMBING PERMIT Jr ~ ~ ~ ~ ~' C)CJ t~~ ~'~ MECHANICAL PERMIT 53 J (~ ~~o ; J~C~ ~~~.-~-~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS '"DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM Building P r it N° ~ ~ ~ ~ BUILDING DEPT. Date -' j-> Phone: 458-8407 (Work must be farted within 120 days) w P ~ ~~ Nama / „ t ~ ~~ Phone ( ) - ~4? N a Address ~ ! f,f~ ~~ .~:" ~~ J City ~~ ' ' St. Zip Code ~'~ ~ f .~ ~' ,~ Site Address °` ~„ a Assessor's Parcel No. ~ 7 ~~~ 7 d~[<'j+~ y~ Lot Size (sq.ft/acres) 0 R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c ~ N Name j 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. Other Commercial 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 # ~ ~- 'j ''~ TOTAL FEE . ~ ~ Plan Check Bx Minimum distance of structure from property lines: Issued By {, ~~ , Front to of Road ,i 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 r d. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Wa mg n. .~ Signature Date~,,~ Quarterly Reports Firm: Assessor-// TRPC ~ ~ ,l ,11 L..YY /~YL-r-x.f f.•L-xxr f 1.n-rY vvxx....xx.-rrf.-x. ~...._ ... 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 Yetm Tele. 45B-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW r ~ `~ ~~ ~~~ JJ ~~~(~?~ BUILDING PERMIT r~ 5~ / ~~ r~ ~j r ~ `• ~v ~ ~~~ `S. i~c.I Lcc r"5 , 5c5 ~~~~~' ~.~~ PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS DUE AND PAYABLE PRIOR TO FINAL INSPECTION 8Y CITY OF YELM BUILDING DEPT. Phone: 458-8407 Building P it ~ E~---5 7 Date ~ ~ --~ __~ (Work must be started within 120 days) .~= ~~`~ r ~~~ ~~ w f Name '~ ":,~; ,~;, [/ .y Phone ( ) 1` `~~ "' ~.~(r E R / ' ' J} ~ Address ,( ;1,~ `'~~' ~f„- City ~, ' ~ St. ' f Zip Code t~ j ; Site Address ~i l,~ ~~ (~' ~%~~ ~ '( ~() ~J~7 , ~~ a Assessor's Parcel No. {~l L~ ~ U'p~~r1~~>C./ Lot Size (sq.ft/acres) 0 a Subdivision Lot Block r Y OR Short Plat No. Block Existing Structures, if any: N ~ Name ~d~t`~~~ ;~~:' ,~ ~~~ [_°'~~[,~''}'j ~,fj ,J Contact Phone ( ) T Address City St. Zip Code T a License No. ~ Exp. Yelm Bus. Lic. No. ~,--;~ •i ,~ ` ,9 ~ ~w~~~/ ~ ~~ ~ ~F ~ ~ ~~ } ~ ~/~ Description of Work ~' >}~~ OFFICIAL USE ONLY , Permit Type: Sq. ft. per floor: (1st) (2nd) 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 ,~ ~ ~ „~ ~ ~ ~ ~ ~(,J Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # ~ ~ ~ ~ yr ' TOTAL FEE , l , Plan Check Bye - r i - ~, , Minimum distance of structure from property lines: Issued By ~ 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. f Signature ~~,, ~i )~w,~ ~._~. .w Date Ir ~-.1~,., Quarterly Reports `, Firm: Assessor~~ TRPC ~ ~ 6.,..+ ~ ~~~ ~} }ri" CITY OF YELM BUILDING DEPT. .Phone: 458-8407 Building r I ~o ~. Date ~ ~ _ ' (Work must be st ed within 120 days) ~~~-~~1-. ~ ~~ ~ N Name j ~ ~ ~ ~ ~ r"~ ~. f7~ Phone ( ) R Address ~~~ ~ ./,} o City ~ ~ / F St./t Zip Code "7 Q~~r ~({{ Site Address 7~ ~,? ~~ I /r~1 -r J~-,f~/L <~ ~'~,~'i'~ X:~ tJ 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 A Name ~' ~ ~~,~~ .7 ~ ~~' Contact Phone ( ) Add ~~~~ ~, Jf> `~~ ~~ ~/~ Cit ~ ~ Zi Code '~~`~~ St ress r ;i 1 y --; p . r a License No. ~ ~ ~ Exp. Yelm Bus. Lic. No. Description of Work .~ ; ~-!"a_.- ~ ~ ~ ~ `' 1 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 . Beat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other ~ ~° ~.._. C.,..'C,... /~ ,,. ,- ~~Cr' `~ ~ Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # TOTAL FEE ~ (~Q 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~pplying as a contractor, 1 further certify that I am a currently registered contractor in the State of Washington. ,.• ;- r ~~ _ r Signature ~"` j' - C ~ -~~-;,-, ,~ Dat ~~ / V P Firm: r 1~ ~ C: tf C-~ ~ ..`G y':',`~i ° f~l e L/ S I / i// ~~r~ Plan Check By ~ ~~~ Issued By '~ E ~- Final Insp:JJ Owner L&I Form Assessor Floor Plan and Permit Submitted-/_J Quarterly Reports Assessor~~ TRPC ~ ~ ~~ ; ~ , ; ; , . ; _. CITY OF YELM BUILDING DEPT. hone: 458-8407 '~.D7" ~' Building Pe mit ~® ~ ~ 1 Date '~~~ ~ ~ ~~ (Work must be started within 120 days) ~~ t ,Q i` sne Aaaress a 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: c N Name Contact Phone ( ) T R ~ Address City St. Zip Code T °a License No. j Exp. Yelm Bus. Lic. No. -~(.,L~„ ?, Description of Work ? n ) OFFICIAL USE ONLY Permit Type: S Sq. ft. per floor: (1st) {2nd) Residential_IC- ign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N ,feat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~~ ~ Sets of Prints . ~ ~~~~ Other Plumbing Permit # '~ ~~ ~ / /~ ~ ~ r WA. ST. BC. Fee (4.50-New Const. Only) l Mechanical Permit # ~ 7 TOTAL FEE 5 (~(~ 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. 5; G~ Plan Check By;, w ~ Issued By ' Final Insp:lI Owner L&I Form Assessor Floor Plan and Permit Submitted_~_J Signature` ; `_~'" ~"~`""~- Date - `7~ Quarterly Reports Firm: Assessor-// TRPC / ~ IYL..YY VI-YL.. I... v1 IIIt-I11 11.W.vY VVIY..~II.... .~1I..~I• v..~... .-._... 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 ,~a~ ~ ~~ ~~~ WATERSERV.ORDER 'J©~~ ~~ ~~'"7` {' POWER Pugef' Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~I , l ~ ~~~ BUILDING PERMIT ~ ~IQ ~~Q 1 d0 (~, (~ J l 14~ .S y1c.1 u~ ~5 15c5 ~'~'~' C' E .~ PLUMBING PERMIT J~ZZ3 ~ ~ ° ~G MECHANICAL PERMI7 ,~~ J~c/ 'y I I ~~ ~'l ~< GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL GOMMENTS DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM Building ermit N~ _ 5 ~ l~ 9 .BUILDING DEPT. Date ~ ~~ ~` `"' `~~`~ =~ Phone: 458-8407 (Work must be star d within `120 days) ~ /,~^p w Name !'r/~ L(°J ~~~~~,~f~!'c.a Phone( ) 7/CI"'~,~~'r~`y~`{f ,. Haaress ,~ ~ ~ ..uy ~~. ~~N .,~~~ - r Site Address f(;~(~~ t if~~f,~'-~ f`~j/j,,Q/y'L~.~ t~C.CJ ~ P 0 Assessor's Parcel No. r~ ~ i ~ ~ ~ `~ ~ ! ~~) Lot Size (sq.ft/acres) a Subdivision Lot Block Y OR Short Plat No. ~ ,~ ~-~ ~~ ~ 1 Block Existing Structures, if any: 0 N Name R `` , `Pf" ~ 'Contact ~ Phone ( ) „~ Address fY ~ o° r' f'' City °~ ,~,. St. Zip Code ~(}~~ %~~ R License No. N ;,,) ,(., A N ~ ~ ~ ~ ~ ~ ~ Exp. Yelm Bus. Lic. No. Description of Work i ~ .~ , ~/ ~r OFFICIAL USE ONLY Y ~ _ ~ 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 Neat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value '~ ~ ~ ~ ' ~ J ( ~ Sets of Prints Plumbin Permit # 7 Other g WA. ST. BC. Fee (4.50-New Const. Only) r ~, ~ (~ Mechanical Permit # `1 TOTAL FEE 1 {} ~ Plan Check By. ,' ~ 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 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. Signature Firm: ~~ Quarterly Reports Assessor-/J TRPC ~ ~ YII L.. 11Y UL..YLw-~/f Ir1L1rr f IYa-rY vvlsvr•~.-~~~f 1~~'•• ~•••^--•~-'-~"' SITE ADDRESS : I D~(~ ~ ~ ~ j~~ l/f ~ ~~~~{~ Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 ~ land 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 ~~~, ~ ~~~~~`y'~' POWER Pugeh Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~ ~~~ ~~ O, . ~ BUILDING PERMIT .~ 7~ ~ p /' S ~ J ~ ~v ~ ~ ~ ~ 'r_ i1 r-I tt~ r'S ~ 5u ~~'~ = ~' E .~ PLUMBING PERMIT ~~' ~ ~~ 8 j 1 ~~ ~ I MECHANICAL PERMIT j~~/,~ ~(a; J`~d ~ `~ / GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS '"DUE AND PAYABLE PRIOR TO f-'INAL INSPECTION BY CITY OF YELM BUILDING DEPT. hone: 458-8407 Building ermit No 5 6 4 Date ~~~~ (Work must be started within 120 days) w f~ , _ Name ~ r ~ ? , Phone ( ) , --~ N ~ ~ R Address City S i Zip Code ~ ~ `_..- Site Address / ~ F R ~r: Assessor's Par I No. / ~ Lot Size (sq.ft/acres) o a , Subdivision i ) '~ Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c ° N Name ontact Phone ( ) T Address City St. Zip Code R License No. ~ ~ .- Exp. Yelm Bus. Lic. No.'~ -- (,~ 'r`//,~,;;~ Description of Work 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 ,seat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~ Sets of Prints Other /} Plumbing Permit # rte. ~~..L '~ ~ 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 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, 1 further certify that I am a currently registered contractor in the State of Washington. ,., Signature ` ~~~"(;~, Date / Quarterly Reports Firm: '4~' ~~ i~~•,~ Assessor~~ ~~ t - ~..~ TRPC / _~ ,+ 7 ~2 J_~ SITE ADDRESS: / 1~~3z."~~ 1. /,./ ~a 1~~. '1~~`'~' ,kJ~-~~ ~. ~.-L~ l t7 /l / Permit # f=ee If Receipt If Applicable Applicable # Comments SEWER PERMIT $125.00 ~ I ~~ PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC Z $1,000.00 ~~t ~r%~ PER ERU HOOK-UP SITE PLAN ACCESS 8~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~ ~ . ~ 3~c~ ' rte... -`' ~ , °~~...; ; ~ 9` ~ .~', ~" P`r~ WATER SERV. ORDER ~~~ Lip ~ ~ '~~~,~ -~ ~,~~~~ POWER Puget' Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~ ~~' ~ ~~~~ ~~~ } ~ l u~ ~5 ~r llc ti(~ 5cy , BUILDING PERMIT ~}y°~"1~/~ '/~/ jA( ~ ~`'y \ . / ~ v PLUMBING PERMIT ~Z- ~~ 1 ~ l ' S(~ MECHANICAL PERMIT ~ ,~jQQ S5. ,~(~ ~ % I--~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ' ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM Building Permit ~°_ ~ ~ ~' ~ BUILDING DEPT. Date 7/'~~ ~C~'~~ ~hone• 458-8407 (Work must be started within 120 days) L 'i w Name ~r Phone ( ) , (~°' -~ E a ' Address ~,f~ ~ ~ City St. Zip Code / Site Address ~cr ~ ~ ~, ~ f P R Assessor's Parcel No. ~ ~vs 7~CL ~ "'~L"~ Lot Size (sq.ft/acres) E Subdivision ~,),%~~ ~ f / ~C l~~ ,~~~ ~/ ~ Lot ~ ~ Block T Y OR Short Plat No. Block Existing Structures, if any: N Name ~ f' ~ Contact ~ Phone ( ) C.~4 --'.+';~`; Address ~~ ~ ~ ~ ~iC ~`~ ~ City /~~,.~ St. ~X ~_!~~ ~':' ~~~ Zip Code ~ , J i T a License No. l.L. ~l j ~ ~- -~ 1 ~"'~r ~ ~xp.~ Yelm Bus. Lic. No. ~ - ~`~'%r dl~j~s. Description of Work ~ ~ ~ ~~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential ~ Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N neat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~~ ~L) r, f ~ / ~ , lJC~ Sets of Prints Other Plumbing Permit # `S"~ °`~ ~ WA. ST. BC. Fee (4.50-New Const. Only) , i ~~ Mechanical Permit # ~~'~! TOTAL FEE `' ~ / Plan Check By ' J Minimum distance of structure from property lines: Issued By Front to of Road Finallnsp:J / 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~J Signature Date ~ / - ; Quarterly Reports _-- ;. Firm: / ~ h~~ ~ , ,,,_ (,,. ~ r,~„ .,c. ~., Assessor/~ TRPC ~ ~ s:~ SITE ADDRESS : /~/~ /%/,? -~- I~ Permit # If Applicable f=ee If Applicable Receipt # Conunents SEWER PERMIT $125.UU ~ I ~~ PERMIT/INSPECTION SEWER LATECOMERS "SEWERlSEPTIC 7(~ $1,000.OU PER ERU I-IOOK-UP SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~C Z. 3GC~ •~~ WATER SERV. ORDER ~(~ ~~~ , ~~ POWER Pugef Power 458-7731 TELEPHONE Yelm l~ele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT - PLAN REVIEW BUILDING PERMIT ~r~C~~ /~,~j ~ `~ r ~ ~~ ~f n ` ~~`'' '~~ ~^~~~~. ? ~ -r~lc.lu~ ~5 ~ 5d ~'r'I` C~ ~.~~ PLUMBING PERMIT 41 ~ 1 ~ ! ~~' ~~ ~ ~ `-'' MECHANICAL PERMIT ~ ~(~ ~ ~:5. ~)~ ~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS '"DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM ° _ 57+x? Building P rm i~, ~,, s BUILDING DEPT. J~ ~ Date phone: 458-8407 (Work must be started within 120 days) ~ ~T~ ~.~ ~ -. ~ ~~~1 w f; ~ Name !~ r, Phone ( ) ~'; ~ ~; ~~ N E R ~ Address ~ ~, ~ ~~ City ~ ~ St. Zip Code Site Address , ~~f ,~ ~ ~~ yl /~ g~ ( ~ '~ ~ P R Assessor's Parcel No. ~ g~ Lot Size (sq.ft/acres) O R , SubdivisionX' Lot Block r Y OR Short Plat No. ~ Block Existing Structures, if any: 0 N Name ,,) Contact Phone ( ) T Address City St. Zip Code o License Nn. N C) It ~ /~ "7"' .~) I ~ ~ T ExD. Yelm Bus. Lic. No. Description of Work OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential V Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value (`j~q ~~~ , Sets of Prints Other ~r~ Plumbing Permit # ~~-~-~" WA. ST. BC. Fee (4.50-New Const. Only) ~~ ;~~ 1 Mechanical Permit # T I t// TOTAL FEE ~ . ~ (~ Plan Check By -r 1 . Minimum distance of structure from property lines: ,~~''~~ ;;~~~ Issued By ~'~ + %~:G/.~{.!!~ Front to of Road ": Final Insp:I~ 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~~ 7 Signature ,~ Date Quarterly Reports Firm: Assessor~~ TRPC ~ ~ SITE ADDRESS: 1~~~2 ~2 /2~ ~~; ~`~ v~-Q ~ ~~7 Permit If If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 ~ )~~ PERMI-C/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 ~~.1,~~' PER ERU 1-IOOK-UP SITE PLAN ACCESS 8~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~~Q6~ ~ ~ ~ - - C WATER SERV. ORDER 'J~Q ,~ ``~` -- POWER PugeF Power 458-7731 ~ TELEPHONE ele. 458-2171 Yelrn l STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~ / ~ 7 ~~i ~~' , j`~/ I1. ~l<`' ~~~ r~lc,iu~ ~5 ~ 5d BUILDING PERMIT ,1 ~J 7~7 ,~ ~> ~~•QC ~1 f ~ 1,~~,C. F~e~ PLUMBING PERMIT ~~~~ ~~% ~~ r~ ~. ~ MECHANICAL PERMIT ~j ((~ ~~SS '~~,SjC~ ~ ~(~/ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ' ADDITIONAL COMMENTS '"DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY ./ CITY OF YELM BUILDING DEPT. phone: 458-8407 ~.dr~~~ ~~+8"1 Building P rmit to t.---' S ~ ~ Date ~ - / --~ (Work must b starte within 120 days) r~~.~~.~~~i o w Name ~ ,~ Phone ( ) ,.~'`~" ... 3 N E a Address ~. ~ ~ ~ City St. Zip Code Site Address ~~Itj~ j ~~ rT /,~1'~ ~,„ R Assessor's Parcel No. t ~} /~ ~ Lot Size (sq.ft/acres) o R Subdivisio ° " 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 °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 .-leaf: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value / ! ~ ~ ~ ,~~ Sets of Prints P Pl bi it #~ Other um ng erm WA. ST. BC. Fee (4.50-New Const. Only) / p? LJ Mechanical Permit # TOTAL FEE `'~ ~D 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 1 am a currently registered contractor in the State of Washington. / Signature /~,.~.,./ Firm: Plan Check By.- ~ i ~ .,,J Issued By .~ i, Final Insp:_~~ Owner L&I Form Assessor Floor Plan and Permit Submitted~~ Quarterly Reports Assessor-/_~ TRPC _/ / IYL..II Nr_.Y L,.-V1 II,LI•I I IYLrY vu.o4 r,.++++rlv,M .+..~-.. _, , SITE ADDRESS: /,'j / ~ ~ ~9~ ~'1C~~ ~~ Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 ~ 1 ~~ PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 ~~'~' PER ERU HOOK-UP SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER 3vo ,~ N'31-~y, WATER SERV. ORDER `vO- ~ --~ POWER ~ ~~ Puget Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATEICO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~^i ~, r!O~ C C~l~'~ 1 BUILDING PERMIT 5 ~d t'Q' ~9~ ~ ~(~j j ' .~, +r.ilr.lur ~5 15G ~~~~ CI E+~~~ PLUMBING PERMIT 5~ 1'~ ~~, ~r°~ c ~ MECHANICAL PERMIT 53x9 ~,~, ~~ ~ ~ I ',- GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 r-~r ~;~J ~ ~ ADDITIONAL COMMENTS '`DUE AND PAYABLE PRIOR TO l-1NAL INSPECTION BY ~~~ .~~ CITY OF YELM .BUILDING DEPT. 'hone: 45$-8407 N (Name .~) (,f~~ ~1-.f~ .-~ Building Pe mit ~°_ Date (Work must be started wi .#~ ~~~ Phone( i.l 7~r3 in 120 days) R Address City ,,~ st. up ~.oae v~ Site Address -a{ ! ; f ~ a Assessor's Parcel No. "`~" Lot Size (sq.ft/acres) R Subdivision ` ' ~~ f ~ Lot ~ Block Y OR Short Plat No. Block Existing Structures, if any: N ( ~' ~1 Name ~ ~ , " Contact / Phone ( ) %)"~f ~ - 'r '' ~ T Address. `! ~ City / / St Zip Code T .~...' .~c. ~ ~ '^ __ _ _ ...... ~ . ~x Lic No r-~~--a Yelm Bus ~ R License No. ~ p~.,. . . ~ v tion of Work Descri ~~ < `~ OFFICIAL USE ONLY p Permit Type: ~ Sq. ft. per floor: (1st) 2 Residential Sign Sewer Septic ~'r ? . Approval No. , Commercial Other City Water Privat VV~ell Private System ^,/ Shoreline Permit Y N ,teat: Electric Gas to Other Sepa Exempt Y N ITEM ,js. BASIS FOR FEE r~, FEE Floor Plan Y N Building Value ~, / ~ f Sets of Prints Other ~`°-~ Plumbing Permit #~ _ Z .~t 2 '? ~ , ~ ~^ ~ I 7 l P i #~ WA. ST. BC. Fee (4.50-N o nly) erm t Mechanica +~ TOTAL FEE ~ ~ Plan Check By4 ' .,° 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- 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. u .,` Signature r ~ , ~~~ ' ~~`,, ~ _.~C,_,.,~o Date ~ Quarterly Reports 3 ~ Firm: Assessor _~ l ~ . TRPC _~ / CITY OF YELM BUILDING DEPT. Phone: 458-8407 Buildin~Pe mit s~ . 5 6 9 3 Date ~ ~ ~ ~ (Work must started within 120 days) N ,~ ~ Name ~ ~, ~~ / %~ ~' ~) Phony( ) a Address 1~ ~ Ci '' St Zip Code Site Address ~ ~ ~ ~~,/~ ~ , P R ~ Assessor's Parcel No. ~j ~~~ ~ ~ 7~ja ~~(~(~ Lot Size (sq.ft/acres) O P R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N ame " Contact Phone ( ) (~ ~G T ~ Address , 2 /-"' City ~ St. Zip Code ,~ R License No ~ ~ Ex Yelm `~u/( Bus Lic No ~~^ (}~ ~ p. . , . . . Description of Work 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 ~ Z , ~ (~ Sets of Prints Pl bi P i #~ Other erm um ng t WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit #~ °' TOTAL FEE ,} -~77 ~ G. J ~ . CJ~ 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~~ 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 Wa ington. Signat re ; Date ~"~ phi) Quarterly Reports i Firm: ` Assessor-/_~ TRPC ~ I ~~ SITE ADDRESS : ~,~'~ ~~'~-sl%Lt--(., .,. ! V Permit # Fee If Receipt If Applicable Applicable # Comments SEWER PERMIT SEWER LATECOMERS "S EWERS EPTIC SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE STATElCO. APPROVAL STREI=T CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMlT SIDEWALKS/CURBS LANDSCAPING V /f` $125.00 ~ f` ./ U /~f $1,000; 00 lV/~ ~/ lZ6•DO ~ 5 s~93 z~z.oo ~za~ z~,so ~9a YELM BUSINESS LIC. I I $30.00 ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION 8Y PERMITIINSPECTION PER ERU HOOK-UP Puget Power 458-7731 Yeim Tele. 458-2171 CITY OF YELM BUILDING DEPT. 'hone: 458-8407 Building Per it. ~ ~ ~ ~ 4 Date ~ t ~ (Work must be started within 120 days) N Name ~ ~. ~ ~ Phone ( ) a Address r- ~' ~~~ /7~~'`1 ~ City ,~(~ St. t -~ Zip Code ~' Site Address, a ~ ~~ ~ ~ (~,d'~•1 , l.~-~•f P R Assessor's Parcel No. Lot Size (sq.ft/acres) O a Subdivision Lot Block T Y OR Short Plat No. Block Existing tructures, if any: ~ '~ N Name'-- .~ .'~ ~,,, ~ ~t Contact _ } - ,~ Phone ( ~ T -,^ Address i ~~ ! ~~~ ~~ . City .r-- ~ '?'3~ St. ~~~ Zip Code T a License No. ~ ~~ ("' ~ ~ Exp. Yelm Bus. Lic. No. Description of Work - i OFFICIAL USE ONLY ~ ~ f Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value - ~._~_..~(~~ r Sets of Prints Other -...-_ ~ ~f4~ ~ ~)(`~ Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # TOTAL FEE ~ ~ Plan Check.$y ( ~~ Minimum distance of structure from property lines: Issued By -~% ~~~-' ~-.4 .~ l 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 State of Washington. Signature ~'~ {{~~,, •,~. ~j~ _1 Date Firm: {r_J° ~ /C~ ~~' C4 16t ~ i ~T"" Quarterly Reports Assessor-/ J TRPC J ~ __ CITY OF YELM BUILDING DEPT. phone: 458-8407 Building P r 't ~(®`~ ~ 5 ~ V Date ~~~ ~ ~ ""/ -~ (Work must be s at rted within 120 days) ~~ ~ ~I w Name % ~~ Phone ( )'y~~^- '~'~ ~ R ~ ~ ~ Address ' 9, ~ ~ City/ St Zip Code ~ ~~ Site Address 1 f ~ - ~ `/~ ~ i` P a ~ Assessor's Parcel No. ~ 1`r 't ~ Lot Size (sq.ft/acres) 0 P R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N 1 Name % ,~,~'~,e Contact Phone ( ) T R n c Address City St. Zip Code °a //~' {, License No. ,,} ~, ~~ Exp. Yelm Bus. Lic. No. ~~ 't~l;7C,/ ~ T e f iJ ~J ~ ~ ~ Description of Work '° ' ~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) A Residential +/~ Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N .feat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~ ~, ~ ~ Sets of Prints .~~, ~~ JJ ~~// Other Plumbing Permit #~ ~ ~ ,,^~ ~,~C~ WA. ST. BC. Fee (4.50-New Const. Only) / , Mechanical Permit # TOTAL FEE ,~ (~ ~ :~ Plan Check By._. Minimum distance of structure from property lines: r- 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- 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 1 am a currently registered contractor in the State of Washington. ---: . ~n ~. ~ - ~ ~', ; f Signature ~ ;~ .!~` t~ GC a-°. ~~ Date - - ~ Quarterly Reports Firm: ~ Assessor _~ ~ TRPC J J 7! ~~ r J 1 SITE ADDRESS: Permit # If Applicable Fee If Applicable Receipt # Connnenls SEWER PERMIT f~'~` ~ $125.00 PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC ~'Ll ~ $1,000.00 PER ERU i-IOOK-UP SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~~,1 •~ WATER SERV. ORDER f1 ~ ~ , -~-~-' ' -- POWER Puget Power 458-7731 TELEPHONE Yelnt Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW /~ ~ `7 • Z J ],~/ IC.^~C~ BUILDING PERMIT '=llc,lu~ r'S , 5d PLUMBING PERMIT ~~ ~~ ~ ~ Y' S~ ~' MECHANICAL PERMIT 5~(~'~ ~~, 5u ~~( GRADING PERMIT SIDEWALKSlCURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS '`DUE AND PAYABLE PRIOR TO FINAL INSPECT ION BY CITY OF YELM BUILDING DEPT. phone: 458-8407 Building Perm' ~ ~ _,5 5 9 5 Date ~ ~7 (Work must be started withi 120 days) ~r~~ ~t. ~ ~ D ~ 4 '~ Phone (~Q~) ~ N Name ,+ r r E R Address ' .~ City St. C~ ,~ Zip Code Site Address -7~•~Y1 ~~ , P R Assessor's Parcel No. Z ~ ~ 19 ~~ ~ (~ `~ Lot Size (sq.ft/acres) O P E R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N Name ~- 1 r Contact Phone ( ) '~~ -- City f St. Address '~ ' • ~ '' ~' ~ ip Code r q T a License No. ~ Exp. Yelm Bus. Lic. No. Description of Work ~ 9 ,~ ~ ~ , 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 cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~~ 2 , Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # TOTAL FEE ~, , 9 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-/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 "-f"'- c ,,.G~Zo , 4 _ Date "7 - j~_ C'' Quarterly Reports y ), ~ r Firm: / ~,„~_h , ,- ,;,~_ "~ ~- ~ c. . f Assessor~~ TRPC _~ ~ r' ~C~ ~% /! SITE ADDRESS : '~~ 'y ~~~~ ~~" .~;.~ ti~r Permit # IF Applicable Fee I( Applicable Receipt # Comments SEWER PERMIT SEWER LATECOMERS ~~' ~ $125.UU PERMI-I~/INSPECTION "SEWER/SEPTIC ~/u' ~- $1,000.00 PER ERU HOOK-UP SITE PLAN ACCESS 8~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~.~ ,~ r WATER SERV. ORDER ~,,'~ ~- POWER PugeFPower 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW J ~ / ~~ OC.% / ; / IC~~`~G } BUILDING PERMIT ~~^ %~ ~~Z . dCi J ~~ ~ ~ ~ ~~ PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKSICURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ' ADDITIONAL COMMENTS '"DUE AND PAYABLE PRIOR TO 1=1NAL INSPECT ION BY CITY OF YELM Building ~er it ~® .; 6 ~ ~ BUILDING DEPT. Date ~ shone: 458-8407 (Work must be started within 120 days) ~~: ~~~~ w Name Phone( )~y ~ Z 7 N . R Address " ~~ Cit ~ ~ St. Zip Code '~ Site Address ~~;' / ~%, ~ __ ;~~ ~~ P R Assessor's Parcel No. ~ ~ ~~ ~j~ ('~ % ~~ Lot Size (sq.ft/acres) O a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N Name ~ Contact f ' f i A ,/f ~ ~.-, .. ~, ~ Phone ( ) ~r T Addres City St. Zip Code r a License No. Exp. Yelm Bus. Lic. No. Description of Work ~~ OFFICIAL USE ONLY Permit Type: i l Si n Sq. ft. per floor: (1st) (2nd) g Resident a Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other ., , Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # /~ C.~C.! TOTAL FEE ~~ ~ Plan Check By F 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 ~! s ~ ,~ Date , I7 ~1,j"' Quarterly Reports Firm: ~L ~ Assessors/ TRPC ~ / a CITY OF YELM Building Permit ~°_ ~ ~5 $ BUILDING DEPT. Date ~ 1 ~ ~~^ phone: 458-8407 (Work mu a star within 120 days) w (Name ~~, ~~ Lry./1~. ~ ~ ~ r N '~ g Phone ( ) `~~~ ~ ~ ~c~ ~~ ~. ~ a_ _ .~P~'/ rlaaress yt„ ~ City ot. cip ~.oae ~ / Site Address f {~ ~ '~~' 1 ~ P R Assessor's Parcel No. 'Y,~ ~j 9~L 1 ~~(~ Lot Size (sq.ft/acres) a Subdivision '~` r" _ ^ Lot Block r Y OR Short Plat No. Block Existing Structures, if any: c N Name r~ 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 Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N neat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ , ~ 1 ~~ r ~~ Sets of Prints Other ~ ~. Plumbing Permit # ~'' WA. ST. BC. Fee (4.50-New Const. Only) '~~ Mechanical Permit #!1S,erG/.l TOTAL FEE ~ r 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- 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 Date ? ~ Quarterly Reports Firm: ~ ~ `1~, 1.: t,,,J, ,{;:.l~ Assessor)-~ TRPC ~ ~ SITE ADDRESS: 1~~1 ~ '~/, 7 ~fh ~~, ~~~'"_ ..C_.-~ ~ / / hermit # I( Applicable Fee It Applicable Receipt ~ Cornrnents SEWER PERMIT $125.00 ~ a ~ PERMIl~/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 ! ~' ~1 PER ERU HOOK-UP SITE PLAN ACCESS 8~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~~~~ i ~~ ~ ~ ~l (j WATER SERV. ORDER ~~~,~Q ~ d (~ I POWER Puget Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~ Z: ~~ ~ U ~-l ~ --- ~rna~uc ~ BUILDING PERMIT ~j/ p ~/CC-? ~0 •C,/ ~a ` ~ ~~ ~~~ ~ ~ ~~' C' ~.~e PLUMBING PERMIT cS~ ~ ~~ ~ r ' ~~ C~ ~ - MECFIANICAL PERMIT 530 ~(~ ~ ,j~ ~ J GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ' ADDITIONAL COMMENTS DUE AND PAYABLE PRIOR TO rINAL INSPECTION BY CITY OF YELM BUILDING DEPT. 'h~ T 5 ~~ Building Permit N°- 5 ~ Date ~ ~ % ~ `~ ~ ~~-- (Work muSZlbe st ed within 120 days) N Name r ~ Phone( ) - ~~ ' R Address r,~U ~ ~ # City St Zip Code (~ Site Address ~ '~ ~ T~ ~ 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 0 Contact Phone ( ) T R ~ Address City St. Zip Code °a License No. ~' ~ ,~ Q ~ Exp. Yelm Bus. Lic. No.9~ ~j(f 7 Description of Work ? `j ' f ,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 ~~ ~ ~ ~j ~~ Sets of Prints Other Plumbing Permit # ~.J ~~-- ~~ '~ / P ~ ~~ WA. ST. BC. Fee (4.50-New Const. Only) , Mechanical ermit # - ' TOTAL FEE ~ , Plan Check By--- ~ C 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- Submitted1~ 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 `>c•`'` Date ~ ' ~~ Quarterly Reports Firm: ~ )., . ~...,~ : ~ a. ~" - Assessor~~ TRPC / ~ SITE ADDRESS : ~~~~3~~J ~~ f ~~ ~~ ~ ~~~ .C~-~ ~ ~ ~~ Permit # If Applicable Fee If Applicable Receipt # Continents SEWER PERMIT $125.00 ~r ~ .~ PERMII~/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 PER ERU HOOK-UP SITE PLAN ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~~ a ~ (,I('} ~~a WATER SERV. ORDER ~~~- ~~~ ! POWER Pugef' Power 458-7731 TELEPHONE Yelrn Tele. 458-2171 STATElCO. APPROVAL STREET CONSTRUCT - PLAN REVIEW BUILDING PERMIT ~~~~~ ~~~~~ Z5~ ~~ //~~ ~iJ ~i ~t1 ~ D~ l ~, ~5 ~~C'-~ s'r1a1Lt~ ~5 ~ 5d ~'v' ~' ~.~~ PLUMBING PERMIT ~° J z ~Z ~~~~ ~- r '~ y ~ MECHANICAL PERMIT ~3~~ 'y~, ~~ ~ J 90 GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS '"DUE AND PAYABLE PRIOR TO !"INAL INSPECTION 8Y CITY OF YELM BUILDING DEPT. Phone: 458-8407 ~. ~ ~ ~' w Name N o ~ 'h A ./ Y Building Permit ~® ~ ~ ~ ~ .~,. Date ~u-~~,` ~ `7 ~'_S (Work must.~b started within 120 days) ~ Phone ( ) ~yq ~-/ ~3~ Site Address ~~~~~~ ~,~~~ ~~, P R Assessor's Parcel No. ZtJ 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 ( ) r R ~ Address City St. Zip Code T R License No. Exp. Yelm Bus. Lic. No. 9~- Description of Work 9 ~ OFFICIAL USE ONLY Permit Type: " Sq. ft. per floor: (1st) (2nd) ResidentialJ! 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 # ,,~~'' ~~ ~~ ~~ s-L~L- WA. ST. BC. Fee (4.50-New Const. Only) '~. Mechanical Permit # ~~i~ TOTAL FEE (~ 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. 1 also certify that the proposed structure is in conformity with all applicable City of Yelm reg- SubmittedJ_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 Washingjq.~` ~: Signature '. ~~ G~- ~ -~,. ~. _ ' Date ~' ~ Quarterly Reports Firm: ( r, ~ c; _ j ,4., >~_Z-~ ~ ~~ AssessorJ~ TRPC ~ J CITY OF YELM BUILDING DEPT. ~h^^one: 458)-8407 ~. f1~ ~/~ w (Name C..L/C~.1~'Y.[/L! ~f~~,i~.~l). ~J~'G`L,(fJ, E n .--. : n n ~ ~ -.L.1- n Building Pe mit ~® ~ 5 ~ ~ 2 Date r (Work must be starte within 120 days) ~ ~~~~~. Phone ( ) ~~~-~~`~ I ~ ,~.-+ ,.,~ " Address L T'*" City `- St Zip code 7 ;~ / i7 Site Address P R sessor's Parcel No. ~ Lot Size (sq.ft/acres) 5 ~ ~ R Subdivision(~1,~~~ ~ ~~ .~,~./~~'' ~ Lot ~~ Block Y OR Short Plat No. Block Existing Structures, if any: c N Name J Contact Phone ( ) T Address City St. Zip Code r R License No. Exp. Yelm Bus. Lic. No: Description of Work e ~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential V Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N Meat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~, ~ ~ Sets of Prints ~r' Pl P bi i Other um ng erm t #s ~ M h i l P i WA. ST. BC. Fee (4.50-New Const. On ly) ~ an ca erm ec t ,a TOTAL FEE (,~ Plan Check By .~ r 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 Washing~n. .~ ?~ _}/~ ? i ~ i Signature (~«. ~{ , ' ~.'~ , Date ~ ~ ,~s `"" Quarterly Reports ~~ ~ Firm: ~,,_",tt ~ ~'y ~ ° ~ ~ ° t,_~-.~ iii..(` Assessor~~ TRPC _/ / _...-- - .-.-- t'8 ec0! Vb'Vm.r.vr mrr~.anr r rar.:r. ,... ......... .. .. _.. _.._-. --_ -- .. _ . SITE ADDRESS: ~/,37 ~~~ ~, ~~~ ~(! ~~ ~~ Permit # I( Applicable Fee I( Applicable Receipt # Comments SEWER PERMIT $125.00 ~ ~ ~~ PERMITl1NSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 ~/ ~5 PER ERU HOOK-UP SITE PLAN ACCESS 8~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~~O,LYa J~3~Z WATER SERV. ORDER ~~, K u p ~~~ ~Q ,SJ~ POWER Puget Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATEICO. APPROVAL STREET CONSTRUCT PLAN REVIEW / ~/ z' ~~ ii ,/ I ~~~~r"-~ / lLtc~ t'~ °Y 'SCE 1 BUILDING PERMIT 1!~//~ /(!J ~~- ~~~~ ~~ ~j /`~ /~v r i+t G ~~-~• ~-• f" ~ ~ PLUMBING PERMIT ~ZI~ ~~ t ~ ~./ MECHANICAL PERMIT ~~~0 ~jt (~a ~~ GRADING PERMIT . SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM .- -...BUILDING DEPT. phone: 458-8407 Buildin P rmit ~0 5 Date (Work must be starte within 120 days) C,~~ r~~ N Name ~ f Phone( ) - R Address ~ ~ - ~ "#~ City St. Zip Code ~~ Site Address P R Assessor's Parcel No. T ~~ ~~l~~ 7L~U Lot Size (sq.ft/acres) o ~ ~ 1 a , /J~f~ f Subdivision ~~ f r~ ~G ~ ~ ~ ~~~d ~ .'~,~ rCL 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 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 Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N ~y,,rieat: 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 f Other erm um ng t #~ L °~ ~ WA. ST. BC. Fee (4.50-New Const. Only) ~ Mechanical Permit # TOTAL FEE ,~+ JC~j ~ '~~ P C k B 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 ~` ~(~ ' ~~,;'~ ' Date ~~ ~, _ _, ' ~ i Firm: ~~ -Ll C L c~ ~ yt, ~**~"' ~1\. t! Ian hec y P Issued By ~ Final Insp:_~I Owner L&I Form Assessor Floor Plan and Permit Subm itted_~ / Quarterly Reports Assessor~~ TRPC ~ / _...__._ .. __.. i"E LS97 tl tJ Vl.bvr rorr..rrtr r rsa.;n. ,. v....,, ... .... _.. _..__. ._._.. __ .. .. _.. SITE ADDRESS:~~~~~ g~~ ~~; ,S~ ~®~ ,. Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 ~ (~ ~ PERMITIINSPECTION SEWER LATECOMERS "SEWERlSEPT1C $1,000.00 ~~ PER ERU HOOK-UP SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~~,~~ 5 WATER SERV. ORDER ~~ ~~~ '7D1,,~i ~~ Q~'~ POWER Puget' Power 458-7731 TELEPHONE Yeim Tele. 458-2171 STATEICO. APPROVAL . STREET CONSTRUCT PLAN REVIEW ~ ~ ` Jr~ ii I ~L<<~~~ ~~ sv ~ ~ BUILDING PERMIT ~6 91 S~~I 5f ~ . r ~t LL~• ~-• f- ~ ~ PLUMBING PERMIT 5~~ ~l ~ d ~ J MECHANICAL PERMIT J Z 9~ ~ ~` ` ~ ~d ~J J GRADING PERMIT _ SIDEWALKSlCURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY ,~,~.~f CITY OF YELM Building P rmit ~® 5 6 ~ 1 --.BUILDING DEPT. Date ~ `~ ~ ~` -hone: 458-8407 (Work must b started within 120 days) N ~~ Nam ~ "i~' Phone ( ) "`~~ - `~ ~ a Address / City ~ St. Zip Code ~' Site Address ~ l~ t ~ ~ ~ .~ 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 T °a License No. Exp. Yelm Bus. Lic. No. Description of Work ~'~ ,~ ,~ ~ OFFICIAL USE ONLY Cl Permit Type: ./ Y Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N `' ,Meat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~+ (~ ~ ~ ~ (~ ~ ~ Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50- New Const. Only) Mechanical Permit # TOTAL FEE JJ ~y ,,,~~,,ss~~~ L_..~ `~.Ju 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. Firm Plan Check By %, .~ ' %' , Issued By .z Final Insp:/J Owner L&I Form Assessor Floor Plan and Permit Submitted~~ Quarterly Reports Assessor-// TRPC ~ ~ CITY OF YELM BUILDING DEPT. phone: 458-8407 Building Py..e~r t ~,p~ ~ ~ ! 2 Date ~ j ~ ~~~ '~~ (Work must beistarte within 120 days) N Nam ~ ~~'~ Phone ( ) ~ ~ E R Address p'7 City ~ St. Zip Code Site Address il~Z ~~&~~iL~ ~~~ a Assessor's Parcel No. ~" Lot Size (sq.ft/acres) 0 P R Subdivision Lot Block T Y OR Short Plat No. ; ~ Block Existing Stru lures, if any: c N Name J Contact Phone ( ) T 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 f i + ` ,' Shoreline Permit Y N r9eat: 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 # //''~~ 't TOTAL FEE , ®C/ 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, 1 further certify that I am a currently registered contractor in the State of Washington. r ,.___..._.,w__ .._,_.,_... -. Signature _ ,/ ~ = G~~°;r. .._....... .a.. ~Z~ Date ''~'" - "'~ Quarterl Re orts Y P _~,... _. . Firm: Assessor // - TRPC ~ J 7 CITY OF YELM BUILDING DEPT. phone: 458-8407 Buildin P r i . ~ 5 t' -' Date ork must be started within 120 days) ~~-'"'n~ C- ; . `~ G ~ ~ N Name Phone ( ) , .- a Address ~ ~ ? City St. Zip Code !~ Site Address~~~~ ~ ) P R Assessor's Parcel No. ~ ~ Lot Size (sq.ft/acres) O P e A Subdivision Lot '~ Block T Y OR Short Plat No. Block k ~>- " Existing Structures, if any: c N Name Contact Phone ( ) T R ~ Address City St. Zip Code T a _ License No. ~' Exp.. Yelm Bus. Lic. No. ~ ~ t7y ~ r 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 Meat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ,~ ~, ~ ~ ~`~`~,~ ~~ Sets of Prints Other Plumbing Permit # Z-~~ ~o P ~ WA. ST. BC. Fee (4.50-New Const. Only) i Mechanical ermit# ? 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 ulatians including those governing zoning and land subdivision, 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 - •..~.~...~..._,_ °•. ate Quarterly Reports Firm: «~ ~•~~~~'~~ Assessor)-~ TRPC / ~ ___ 7'HAf%! Id'~J V1.M~V1 rnv.rnr ~ rarn. .. n... SITE ADDRESS: SEWER PERMIT +•+.•-,..._•. _~. Permit # if Applicable -_ Fee If Applicable $125.00 Receipt # ~~r. omments PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC X~ $1,000.00 ~~ ~ PER ERU HOOK-UP SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER 'x ~ ~0~ ~ (~ ~2 ~ p uPC.t ~ WATER SERV. ORDER ~() ~~U. Puget Power 458-7731 POWER Yelm Tele. 458-2171 TELEPHONE STATElCO. APPROVAL STREET CONSTRUCT W r~ ~Z~' `~ PLAN REVIE ERMIT ~~"" p p ~ a o ~ Q v ~~~ ~® ~^~ ~~ ~ ~ ~l+L C,ILCc~t t"S `Y r 5L) L~'~' L' F~ BUILDING P V ~ Z~(p r ~l' ~~ ~ ~ r~, PLUMBING PERMIT MECHANICAL PERMIT J ~ ~ ~ ~T ~ - ~~ ~ / GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ~ 3 ~ O ADDITIONAL COMMENTS DUE AND PAYABLE PRIOR TO FINAL /NSPECTlON BY rrrA aie~/ ww I7I/1/ Ilrwrn f'1 l~YfT CITY OF YELM BUILDING DEPT. phone: 458-8407 w Name ~ f j ! f N R Address ~ l , Site Address~~(!~ /~~~~ ~~~ R Assessor's Parcel No~. ~ ~~~p(~1~ 0 a Subdivisio~(~j O~~j!f f~;t ~1 ,, Y OR Short Plat No. ~ Existing Structures, if any: 0 N Name T R ~ Address T ~ I I~on~o N~ C' R t7 Ll/1 I .!L ~ r5 ~ ~ ~I Contact Buildi g ~i ® 5 ~ ~ 7 Date ~. (Work must be sta ed within 120 days) Phone( ) r ~- ~' 'yQ City St. Zip Code Lot Size (sq.ft/acres) Lot ~ ~ Block Block Phone( ) City St. Zip Code Fvn Velm Rnc I in Aln s~ ~ ~ ~ ~~ Description of Work .._. ~ ~~''~ OFFICIAL USE ONLY t Permit Type: Sq. ff. per floor: (1st) (2nd) ~ / Residential t/ Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value P, $ (~~ ~(,~ Sets of Prints Other Plumbing Permit # ~~~~ .. WA. ST. BC. Fee (4.50-New Const. Only) 1 , ~~ r•' Mechanical Permit # ,~ ~ n TOTAL FEE Plan Check By_ Minimum distance of structure from property lines: Issued By ~~ r 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 '-~~. ~ ~ t-._..---_ Date ~ Z $ ~i S- Quarterly Reports Firm: Assessor ~ ~ TRPC / ~ ('BLS%7 V1.: Y1~/n L. IC/Ib1~la Y aaa.:V• +••~•~•. ~•• ~••~-• _.~., . .SITE ADDRESS: Permit # Fee If Receipt If Applicable Applicable # Comments SEWER PERMIT $125.00 ~ I ~~ PERMITIINSPECTION SEWER LATECOMERS "SEWER/SEPTIC ~ ~, $1,000.00 SITE PLAN ACCESS 8~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~ ~ ~~~ WATER SERV. ORDER IVY ~R-~ qq~~ /v~j~' POWER TELEPHONE STATEICO. APPROVAL STREET CONSTRUCT "~ I PER ERU HOOK-UP 5~~ ~_ I yy Dtt~LC~ Puget Power 458-7731 Yelm Tele. 458-2171 PLAN REVIEW ~~. (~~~~ _ 5~0 / 1J ~~. V~ 1'+tC.lLtc~z'7 °~~ SG) BUILDING PERMIT ~L~• ~-' f- ~ ~ PLUMBING PERMIT ~~~~ ~ ~ ~ ~ ~~ ~ ~~ MECHANICAL PERMIT J~Zq(~ `7?, ~~ ~ r~ ~' • GRADING PERMIT _ SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LtC. $30.00 23~5~ ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM BUILDING DEPT. phone: 458-8407 w Name P K ~/ .~ r~ Building Permit N® ,._, .~ ~i Date (Work must b sta{rt~(~eJ~d(/°~)yithin 120 days) r. ~ ~ °/ ! 1 Phone( 1 J a Address City Zip Code f- St Site Address ~~ ~ ~- 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 ';1 ~, ntact ,'l Phone ( ) ~ , r Address City St. Zip Code T a License No. Exp. Yelm Bus. Lic. No. Description of Work / , OFFICIAL USE ONLY 'f~ -/ Permit Type: Sq. ft. per floor: (1st) v (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 2 ~ e ~~ 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 Plan Check Bye ~ i Issued By ~ Final Insp:__/~ Owner L&I Form Assessor Floor Plan and Permit Submitted~~ Signatura,~-'""'j ~~ ~` ~ ~~"- _ 1, _,J.~`} _ _ ~~ Date ; ~ f-_. ! Quarterly Reports Firm: Assessor ~ J TRPC ~ / ~ , t 5 °% f ~ i CITY OF YELM Buildin P rmit N_o ~-, 5 ~ BUILDING DEPT. Date a Phone: 458-8407 (Work must b started w hin 120 days) N Name ~ '' ? Phone( ) R E ~7 (Jh tr Address f Cit t. ~~ 7fJ Zip Code ~ Site Address +~ t ~ ~ ~ P Assessor's Parcel No ft/acres) ~~ Z~ 3~~Z ~ Lot Size (s R q. . O 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 T °a License No. Exp. Yelm Bus. Lic. No. Description of Work `~ar~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign ~ / i l Othe C tC Sewer Septic Approval No. ommerc a _ r _ City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # TOTAL FEE Plan Check By Minimum distance of structure from property lines: Issued By Front to of Road 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 Washin ton. ,., Signature Date Quarterly Reports Firm: .. ~'~.,~,. '""_ '`') ~t.•~ Assessors/ TRPC ~ / _ ._.___. ._ _ !'!LS%7 7d'~J Y~fr~nvl re~w.nr^ i~ aaa..rn. .. v....,, ... .. .. ~.. __._-. .__. __ - t ~ ~1 /~ SITE ADDRESS: ~ 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 & DRAINAGE WATER SUPPLY ~ C :~~ I~~~ WATER LATECOMERS n~ "WATER METER a~~~ , , ~~ ~ , ~ ~ ~~'(~.-~ ~Yy~ WATER SERV. ORDER -~ F Power 458-7731 POWER Tele. 458-2171 TELEPHONE STATElCO. APPROVAL STREET CONSTRUCT PLAN REVIEW p BUILDING PERMIT ~~ D ~ ~ ~~' ~y ~ ~ r '~ PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS L1C. $30.00 ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL /NSPECTION BY CITY OF YELM BUILDING DEPT. 'hone: 458-8407 ~~r~-~3 Building Permit ~® J 6 Date .~ r ~ ~ % -% (Work mus~ b started within 120 days) ~~ ~x~~ w Name - Phone ( ) ~ ~~ N R Address ~` ~ City 1 St. , Zip Code `°~, Site Address f ~ i P R Assessor's Parcel No. ~ ® Lot Size (sq.ft/acres) O a Subdivisio 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 r 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 Other Plumbing Permit #_s2 ~ P ~~ WA. ST. BC. Fee (4.50-New Const. Only) i Mechanical ermit # TOTAL FEE ~ 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 Washington. .~ Signature , ~ 'f J,.'~/,/'r ~,~ / ~,~ "F,;~; ,, _-- Date ~ f~~ ~j .~ Quarterly Reports Firm: Assessor ~ ~ TRPC / ~ 'd r'ecsea uf.:wm:wv, re,n..n, v ....,~,. •--~- -••-'. SITE ADDRESS: Permit # Fee IF ,. ,. It Applicable Applicable SEWER PERMIT $125.00 SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS Receipt # Comments --~ PERMIT/INSPECTION PER ERU HOOK-UP "WATER METER ~~~S , ~C! !~ WATER SERV. ORDER C3RGt N~~Dk-- ~{ (J /--a~ r /1l9 ~~ POWER TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~2 ` Q BUILDING PERMIT ~~ o ~ ~ ~ I ' ~~ PLUMBING PERMIT 5 Z~~ - ~ `' ~~ MECHANICAL PERMIT ~ 29'~ '~ ~, ~Q GRADING PERMIT SIDEWALKSICURBS LANDSCAPING YELM BUSINESS LIC, ~ I $30.00 ADDITIONAL COMMENTS DUE AND PAYABLE PRIOR TO FINAL /NSPECTION 8Y Puget Power 458-7731 Yelm Tele. 458-2171 i-t C-ILCc~ e'7 ~~~ 'SCE 5 ~ 9 .~ ~L~. ~. 1-- 5~s ~' ~' ~r ~. CITY OF YELM BUILDING DEPT. Phone: 458-8407 N Name , ' ,~ E ~ a Address Site Address l ~j~~J a Assessor's Par a No. ,? o , a Subdivision r Y OR Short Plat No. Existing Structures, if any: c N Name ~ T R ~ Address T ao License No. Building /P~ermit ~Q 5 ~ ~~ Date `~G~iytL ~ l . ,~ ~l ~_~ (Work mu a started within 120 days) ~ ~~ ~~~~ .~ r Phone( ) City , St. Zip Code ~ ~ l Lot Size (sq.ft/acres) ,! Lot ~ ) ~ Block Block Contact Phone ( ) City St. Zip Code 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 , 2a , Sets of Prints Other ;;'' ~~~,,~~~ Plumbing Permit #_,~e~ 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 ~Y ' 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 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 / lr <i~ i '~- %/~!!~'~,~"7")0:.,. Date , .c_ j °~ Quarterly Reports Firm: Assessorl/ TRPC / / ._._.__. _ . -- - 77 LS7f IIfJ YM1ILfnL1 iel b~q t a aa..,n• ,..... SITE ADDRESS : Z ~ .. SEWER PERMIT ..,, ... ...... .. _.. Permit # if Applicable _ _: __ _... _. Fee If Applicable $125.00 .. _. .:: ... ~`~' Receipt # Comments ~ ~ PERMIT/INSPECTION SEWER LATECOMERS $1,000.00 ' ~ PER ERU HOOK-UP *SEWER/SEPTIC SITE PLAN ACCESS 8. DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~~(,q,O~ J~~q? / > ~ '( ~"~~ WATER SERV. ORDER E~2U ~GY~K-u P ~~ , QQ 1OSZJ~~ ~ ° ~ J ~ ~~ Puget Power 458-7731 POWER Yelm Tele. 458-2171 TELEPHONE STATEICO. APPROVAL STREET CONSTRUCT 1 ~ f 7'~~ ~Z ~ a ~j ~j PLAN REVIEW Ji1'~GILCc~ c'7 ~~. 'S L) BUILDING PERMIT ~~ ~~ 5~ ~ ~ 7 QQ 5 ~ ~ Li.'. L. f- r' ~ 5~~2 ~ `' ~~ ~~ PLUMBING PERMIT MECHANICAL PERMIT ~~~~ ~ ! +~~ ~ ~ 9 GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING ~- '. YELM BUSINESS LtC. $30.00 ((;~` ADDITIONAL COMMENTS DUE AND PAYABLE PRIOR TO FINAL INSPECTI ON BY CITY OF YELM BUILDING DEPT. Phone: 458-8407 ~~~ ~ ;~~ Building Permit N® 5 ~ ~ Date / ~ (Work must started withinpl 0 days) h./.li~ N Name ~~- ,+<.h J~-C' Ir ~L~~ ~-~ _ Phone ( ) ~ Uti3 `" f )~ E a - . ,~ i Address ~° ~ ~' , City / St. Zip Code ~~ Site Address ~ ,~/,zP '~ ~ ,,,~ , R Assessor's Parcel No. ,,, f 7 {,~ 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 T °a License No. Exp. Yelm Bus. Lic. No. Description of Work 1 `~ f tl h.'?,~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N 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 #_~L <rS . L-l . WA. ST. BC. Fee (4.50-New Const. Only) ~ ~ ~ } ) Mechanical Permit #~ ~ u TOTAL FEE ~ ~ , Plan Check By Minimum distance of structure from property lines: r Issued By r ~ ~` . Front to of Road Final Insp:I/ 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 ~/ '~ ~ Dat r ~ ~ %°'~' Quarterly Reports , , ~ __. Firm: AssessorJ/ TRPC ~ / ~~ n~ _ --...__.. _~-- t'L iCS77 W1.: Y1tih1/1 ICII+nri P ~ar,n. .. v....,, .... .... ~.. _..--'--_, _. _... SITE ADDRESS : 9 r~f ~ /°~ /~~1~'VI~Q.,r'~/iL. _ d`l I~ iC.-(J ~ '~ ~~ ,. ~ _ .. Permit # ((Applicable Fee I( Applicable Receipt # Comments SEWER PERMIT $125.00 ~ PERMIT/INSPECTION -SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 I ~ ~ PER ERU HOOK-UP SITE PLAN ACCESS 8. DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~Qa , vQ SZq~p ~o ° I ~' ~~ WATER SERV. ORDER ~R.ll ~-1~K-tlP ~ QQ t QQ fdJZ~ (o ` ~ J~'' _ q.1 POWER Pugef' Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATEICO. APPROVAL STREET CONSTRUCT PLAN REVIEW l Z ~ ~~ GlL~c~c'7 `~ 5c> i BUILDING PERMIT 5~+~~ ~~'' oo ~~ 9 r ~ti iL'.L. (-r..~ PLUMBING PERMIT 5~ I ~ `' ~~ C ~G~ MECHANICAL PERMIT ~Z~Z '~ ~ + DD ~ ~ l GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ~. ~G ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM BUILDING DEPT. Phone: 458-8407 f''~~"~ 1 Building Permit N~ ~3 Date l b~ l ~1'~h.~ (Work mu~ started within 120 days) N Name ~ ~ Phone (t~ ~ ) ~~ -- ~ ~ , . . t a Address %~ C ~ > St Zip Code !~ Site Address ~. , a A '7 Assessor's Parcel No. ~C._' r ~ 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 R ~ Address City St. Zip Code R License No. ~ ~ ~ Exp. Yelm Bus. Lic. No. -~ a ~-#- `~+~ O 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 ~ ~' '~ L./ j ~,~ Sets of Prints ~~ ,,~~//~~ Pl bi P i Lt/ ~~ Other ng erm um t # - ~ ~ ~ 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 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 Washing n. z Signature - ~.~--L-~-~~ j4 ~~~ Date ~~~~9 ~ Quarterly Reports 1~ Firm: ~/J ~ /) C r` f S'+^ ~ ! L ~'Lt ~' `' / Assessor / ~ TRPC ~ / _ ,,,~ 1 _~(../ ~~ _._ t~LS79 I. f.: Y~FaML~ ~aae. nra ~ aaa...u• ~......».,,... ..... _.. -..__ SITE ADDRESS: ~_~/1~~ ~~~~~ ~.~' ~ ~-1 Permit # Fee IF Receipt If Applicable Applicable # SEWER PERMIT $125.00 ~~ SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 Q'~ SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER g~yypp ~~ t C~c1 WATER SERV. ORDER ! ~lJ r POWER TELEPHONE STATE/CO. APPROVAL Comments PERMIT/INSPECTION PER ERU HOOK-UP Puget Power 458-7731 Yelm Tele. 458-2171 STREET CONSTRUCT ~ .,.v ~ ~- - - PLAN REVIEW 7 BUILDING PERMIT ~~rC~ ~ 511~*C1 ~ ~~ ~~ ~'~ Lc,'. C-. f- t' PLUMBING PERMIT ~~~ U ~' ~~ ~ t MECHANICAL PERMIT ~Z ~ ~ 'Y ~~ ~ rj ~ ~ `~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING i YELM BUSINESS LIC. $30.00 ~~ y~~ ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY 0 w N F CITY OF YELM BUILDING DEPT. 'Phone: 4 8-8407 ,~dT ~~ ~ Building Permit ~~ ~J Date ~ 1 ~~ (Work mu a started within 120 days) !~,(,,~` 5 ~ y ~ " Address `' Ci t. / Zip Code ` Site Address ~ ~ ~ ~ P R Assessor's Parcel No. ~ / I l2 (~~ ~(~ Lot Size (sq.ft/acres) O a Subdivision ~ sr 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 R License No. e ~ T c:,r7„y. j~'' Exp. ? Yelm Bus. Lic. No. _Jo~ (-t ~,.,~' (~ 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 ~ r ~ Sets of Prints , Other Plumbing Permit #~„ ~ ' '~ ~ ~ /~ ,~ ~ WA. ST. BC. Fee (4.50- New Const. Only) ~/~ .~ Mechanical Permit # ~ j ~ i 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 ,,,~,e.L~~-,-s`~ `;~ (/ . 4~C.~,.-G+- /~ ,..~--- Date ~%(„ f Firm: Gjs`GGlJ C/~'r" ~ j ~G~~ ~' /X~ ~ ~~ Plan Check By < ~ Issued By / ' ~ Final Insp:lJ Owner L&I Form Assessor Floor Plan and Permit Submitted_/_~ Quarterly Reports Assessor~~ TRPC / ~ SITE ADDRESS: SEWER PERMIT SEWER LATECOMERS "SEWER/SEPTIC SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE STATElCO. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKSlCURBS LANDSCAPING Permit # I Fee if if Applicable Applicable $125.00 $1,000.00 ~,Od 5 ~C~d.L~ I ~ /2lr (~2 16/77 ~~ 8~ ~9~, ~l~ ~ ~ ~ X199 8C,®~ 5z9D ~C~~ ~~~1, YELM BUSINESS LIC. I I $30.00 ADDITIONAL COMMENTS '"DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY rrrr vrr e~ nrm nr~rr+ nr_nr Receipt Y {~ Comments PERMIT/INSPECTION f ~/ -~._ >~~f~', PER ERU HOOK-UP PugeF Power 458-7731 Yelm Tele. 458-2171 ~'~°gJ~ i~lc,tt,<<~~'~ `~~ SV Li.'.c.. f=tee CITY OF YELM Building Permit ~°_ 5 6 7 ~~ BUILDING DEPT. Date 4~--~ ~ rv~ ~ tcy ~ Phone~~8~407 (Work must started~hin 120 days) ~. t~ ?t ~ b F w Name ~ 'i : ' Phone ) ~~~(~° N ` _ _~ R Address ~ ~, C' St. Zip Code E ~ / it Site Address ~,~ ~ f%'' ~~',,~~~ ~.. ~ ©1 C...,,• P Assessor's Parcel No. ~~ ll~. ~ Lot Size (sq.ff/acres) R P R Subdivision ,~i'~, ~,? Lot Block T Y OR Short Plat No. Block Existing Strpctures, if any: 0 N Name ,~ /~ ' ~ % ~~ Contact Phone ( ) T -' '"-` Address City St. Zip Code T a License No.1 r )/)/1 n/~ ~.L'T /1 ~ ,~ .~ Exp. Yelm Bus. Lic. No. ~ ~ ~ ~, C,1 Description of Work ~ , '/~ ' OFFICIAL USE ONLY Permit Type: Sq. ff. 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 Sets of Prints Other ~''" / Plumbing Permit # ,LL-ZQ- WA. ST. BC. Fee (4.50-New Const. Only) f` / .~~ r ~~ Mechanical Permit # ~ TOTAL FEE ~~,~,1~ Plan Check By ~~ r ,r~ Minimum distance of structure from property lines: Issued By '~ G 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 applying as a contractor, I further certify that I am a currently registered contractor in the State of Washi ton. /'~ ~ Signature -<-`-~-~7' ,. --~G.~,,<..__ Date ~`'~lti~`'i ~ Quarterly Reports Firm: l ~{.^i~ ~/~ C t'~~ ~~ f"""( (! `Lt.~ `' ,~ ~ . Assessor~~ TRPC ~ ~ ._.. 7`8 [S97 Fd'6: Y'-aiMVi ir.iF..i ~1I r ~aa.:na .,. w•a •ro.... ... .. _.. ....____. .SITE ADDRESS: Permit # Fee if Receipt ;.,, I(Appiicabie Applicable # Comments SEWER PERMIT $125.00 ~ C ~ 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 t~1d0~--L(P l (,/V i ~JIL ~~ - PugeF Power 458-7731 POWER Yelm Tele. 458-2171 TELEPHONE STATEICO. APPROVAL STREET CONSTRUCT ~~~ ~~ ~~// ~v"y77 ~~j ~ /~ ~~" PLAN REVIEW BUILDING PERMIT ~~ (~ S~~~~~ ~ ~ ~ ~~'~'~" f~~"~ ' ~` ~v ~~ ° ~~ J ~ ~ ~ PLUMBING PERMIT MECHANICAL PERMIT .~G~ 0 9 y5, ~~ j SS ~ GRADING PERMIT SIDEWALKSICURBS LANDSCAPING YELM BUSINESS LICa I I $30.00 13~ ~ ~i U ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL fNSPECTION BY CITY OF YELM BUILDING DEPT. Phone: 458-8407 .~..C~7"`~'2 N Name~~LC~"7~KL1~ e T" E ' R Address //~~ Site Address I~~Y~ ~///?/ Building Pe mit N~ 5 ~ 7 $_ Date ~i-t~tp / 6~ / ~~.~ (Work must I started within 120 days) =~' ~~~ti ~ ~`" JPhone ~) ~ ~- 3 Cit .~// /.~ r/01/~. // io Code~f h' S ~/ 1 a Assessor's Parcel No. Lot Size (sq.ft/acres) P ~ ~ -"s 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 a ~I License No. ~1 JI?/?T~.rtir T" I / ~ n fF Exp. Yelm Bus. Lic. No. -~ ~ Description of Work 1 ~ ~' %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 ,,~~ '' ~~ ~~ Plumbing Permit #~ WA. ST. BC. Fee (4.50-New Const. Only) '~, ~~ Mechanical Permit #s1 9 l t. TOTAL FEE ~ , Plan Check By ~ ;,'' . Minimum distance of structure from property lines: Issued By Front to of Road Finallnsp:./_~ v 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, 1 further certify that I am a currently registered contractor in the State of Washin n. Signature __.~,<- ~r --''~ Date « / ~? Quarterly Reports Firm: /,~G ~' s) t;' r~-~ ~ J _ 1 - ~i.-•,-f ~' t,,'' Assessor~J TRPC ~ / NEW DEVELOPMENT /NEW CONSTRUCTION L'IlECI(L151~ SITE ADDRESS: ~: Permit # ((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 ~~o~ ~~ ~~a~ WATER SERV. ORDER (^~ j}~~- j,(.~ ~~~, ~ ~~ ~_ POWER Puget Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT d ~(dp ~ ~ ~ Z~' ~ ~ 5Q ~• ~ ~ j n ~~-7 ~ / ~ t~``l ~ ,-~o ~ ~~ ~ i~ inGlt,c~~ls'5 `~,50 ~-~-"•G.. {rr~e PLUMBING PERMIT ~ l 7 ~ ~~ ~ ~~ ~ k `I MECHANICAL PERMIT ~ ~ ~ ~ '~5, ~~ ~ y GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ~. ~~ 4[, ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM BUILDING DEPT. 'hone: 458-8407 ~.~ ~~~ w Name ~f~(f~,//t~ Buildin P rmit ~°~~, 5 6 7 7 Date ~ (Work must be started within 120 days) ~~ ~~~7 .,~ Phone ( ) ~~3 - ~ ~~,~ E R Address '~ ~ City ~ ;,J St Zip Code (f Site Address r ~ ~ r~L ..------~--"'""" R Assessor's Parcel No. Lot Size (sq.ft/acres) R Subdivision ~/,{ ~ ~~ f~,,/~ ~„~~ ~,(~% Lot 1 / Block T "~ -.~ 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 .seat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value i J /y /Za ~ (~ ~, C,J ~(,~, ~~ Sets of Prints ,,~~'~~ ~~~~-- Pl bi Permit #~f2 Other um ng ~~ // `y ~a M i l P it #~~ ~~ h WA. ST. BC. Fee (4.50-New Const. Onl y) ,J an ca erm ec TOTAL FEE ~D''~,J~ Plan CheckjBy "~ ~~ cj1 Minimum distance of structure from property lines: Issued By v'l r 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. ~~ r ti Signature ( ~ ~,,~ ~ ~ ` ,t`~-- Date ~y, ,~ t ` ~/ J- Quarterly Reports Firm: ~ _` , ~.;11~=. '~ i k-;' t Z~, p'~f ~ Assessor~~ TRPC ~ ~ _. !'-[S'1Y fA f3 vfwfnv~ ~r. n+.rn~ r iacn. ~......,., ,... .. .. _,. ....-_._ SITE ADDRESS: 1~/` ~Lg g5t~ ~~, ~~~. ~~ •~~ /l SEWER PERMIT SEWER LATECOMERS "SEWERISEPTIC SITE PLAN ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER t~C~OK~- up POWER TELEPHONE STATEICO. 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 ~~ ~ ~~ ~~ , t~d Receipt # Comments ~~ PERMIT/INSPECTION ~1 rz~: oa 10~ ~ 5'(~ ~ 7 5~~! ~ 5a ~ i 51 ~ ~ 8 l . DD ~~ 5~~'~ ~11~~ ~~~7 $30.00 ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION 8Y PER ERU HOOK-UP Pugef• Power 458-7731 Yelm Tele. 458-2171 CITY OF YELM BUILDING DEPT. phone: 458-8407 n Building Permit ~°_ J Date ~~ -- c~ ~ (Work must be started within 120 days) ® ~ ~~V ~~ ~/ J ~~ w Name '~~ Phone ( ) -3 4~ N a ray Addresr 1 , e Ci St. Zip Code // Site Address /~p/! t R Assessor's Parcel No. (~~~,' ~~(~~ ~~~~ Lot Size (sq;ft/acres) -- - ~ a Subdivision Lot ~~ Block T Y OR Short Plat No. Block Existing Structures, if any: N o Name ~ fJ~ j"~' ~ ~ of f7 1 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 cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ r? ~ e ~(~ Sets of Prints Other f ! / ~~ Plumbing Permit #_~~ '~ ~~ l P M h i i # WA. ST. BC. Fee (4.50-New Const. Only) , ec an ca erm t ~Z TOTAL FEE Minimum distance of structure from property'lines: Front to of Road ---I 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 ~~ 4.~ Plan Check By ~ r Issued By ~ Final Insp:// Owner L&I Form Assessor Floor Plan and Permit Submitted~J Quarterly Reports Assessor ~ ~ TRPC ~ _/ _.. _.._ I'O LS4- 18 ~.i Y'Yw FnV/ IAIFrl~(1 P IaL.:n• .. vi. •=.n..... ~. .. ~.. ...._ _ -.. SITE ADDRESS: ~Q T ~ 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 Receipt If Applicable Applicable # Comments 75 $125.00 ~~ `~9 J PERMIT/INSPECTION $1,000.00 ~ ~L ~-,~ PER ERU HOOK-UP ~DOlI~~ ~ ?DO , o~ 10 Pugef' Power 458-7731 Yelm Tele. 458-2171 i 3 a : ~~ to ~Yqy ~ i g9 g~ ! ~ 5 ~~,~~ 5Z~5 ~ ~ a ~ 5~~.~`~ YELM BUSINESS LIC. I I $30.00 ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION 8Y CITY OF YELM BUILDING DEPT. phone: 458-8407 ~ ~L. ~t i ~- ,,' ~ ~' ,: ,,- ~.. Building Permit N® ~ ~ ~ 6 r ~%" Date ~3 ~~ ~ ~~J / J~ ~~ (Work must be started within 120 days) w Name I f ~ ~ r ' i" ~ /'~. ivi~ /`,~o" ~.~ Phone ( ) ~ ~ - ; " N a Address ~ ~} ~ ~~ f v ~ ~ ~; ~' -' City - ,r";- St. Zip Code ~J, h%° ~~ Site Address ~ ~ a Assessor's Parcel No. ~~ q~ ~~ ~ ~,~ f' }~~~%'~.~~ Lot Size (sq.ft/acres) 0 P a Subdivision Lot Block T Y OR Short Plat No. Block ,-- 1.^ Existing Structures, if any: ~ ~:- ~~`y! c N Name Contact Phone ( ) T Address City St. Zip Code T °a License No. Exp. Yelm Bus. Lic. No. Description of Work .;,,,,j ~~ { k / OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N ,-teat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value .c~,-._.-. _._ .,,_,~; : ~ ~-~~= ~ ,y,F .? ~%~. l'(~ 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 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 L/ Signature ,~ -~-,_._ ,.~_~<: ~;_ ~ ~ .~:* ~_.c_-, ` ~ ( Date Quarterly Reports Firm: Assessor ~ ~ TRPC _/ _~ CITY OF YELM ~- ~ BUILDING DEPT. hone: 458-8407 N Name ~ysC.r~--~ ~--{a..a-~7 ~.X R !~~U. l~ Address //""~~ Site Address ~ ~ ~ti C.~C,~ta...4., R Assessor's Parcel No. ~} ~~ '~ 0 P e Subdivision R T Y OR Short Plat No. Existing Structures, if any: c ~ ~ r~ ~~ n N Name .. 6Cr~' T Address (p d ~ ~ ~ Q T R License No. Building Permit ~a ~ ~ ~ 4 Date ~ (Work m be started within 120 days) ~~, ra+-' Phone ( ) ~~ . ~nkl~a,t'' City ~~ St.~~ Zip Code `~~5~ f - l.~c-~Gr 5 ~ 1~~-.-P ~ 1 ~~ ~ ~ '~ Lot Size (sq.ft/acres) Lot Block ''• , Block Contact may} ~_ f., Phone (2d~>) ~ j5- City W (~Q(Q St. ~,~. Zip Code ~~~ 7a-- Exp. Yelm Bus. Lic. No. Description of Work ~ ,t{,,r,.-y.~„a ~_( OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N =Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other ----~ ~~ ~ _„)~' (~ [} (,~ Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # TOTAL FEE r~' v ~ Plan Chec k B y~ ~' ~j~ F~/ ............... ,......-. ...., .,. .............. .~ ..~~~ r.....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~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 9 ~ <-~-t~-.,,~ Date ,~~ E /~~ Quarterly Reports Firm: / ~. G-l~--- ,~e r~{-G~v c_ l~ ~ ~`T~'~ «~- Assessor~~ TRPC / ~ ~'~v CITY OF YELM Buildin Pe mit N° ~-~ 6 ~ $ . BUILDING DEPT. r j ~;i Date r, phone: 458-8407 -~ (Work m us b started within 120 days) l ~~ ~~~1 N Name ~~ '' ~ '~ , ,, Phone ( ) Address y ~ ~ `~ (~ Ci ~r St. Zip Code ~ ,~'~. Site Address ' .., ~'1- P R Assessor's Parcel No. ~ ~ ~Q ~ ~~ / ~~ 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 ~- h Contact / Phone ( ) ~ ~ ~~ (L+Jyi ~ ,vaaress ~ ~ ~ -~ t;ity ~t. cip coae T A _ License No. r ~ Exp. n Yelm Bus. Lic. No. ''~ , iJ 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 ~ t (~ !'1i$ , ~ Z , 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 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 '"' ll ;? r Signature ';~,~ ~ ,+,_. Date U .$ - 9 3 Quarterly Reports Firm: ~ _ ~ f. ~ ~ ~' n,,,f s` ~ Assessor~~ '~ n ~' rL ~ ? 3 ..~ ~ - G )... ~ t'~ _~ CITY OF YELM ),-' ~~'~°" BUILDING DEPT. ~~~ _ ~ > ~~~~ 'hone: 458-8407 Buildin~ P rmi °_ 5 6 ~ 3 Date ~~ ~ ~ (Work must a started within 120 days) w t Name ~. i { : ~ ~~ . - .. ~ L.-j ~{_ ' ~ ~ _ . Phone ( ) , a Address ~ J ?~ ~. ~ ~~ ~ f ~ ~` ~.. City ~ '' 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 aq N Name ~_._„~~~. ~ ~'~' ~ / ~ _ ~s,(_~'~-,, Contact Phone ( ) "~ - ~ " ~ f ~, n c {~ ~ Address i'~~~rL' Y ~°~~ ~ ~`.~.k_~: ~ ,~~; ~,~ ,t ~_'~ ,~(F_. ~'~ Ciiy~,_, ~...' 3 ~ /' , S{~ 1,.' Zip Code` < ~~.} l_.1,•--. T ~ R License No. Exp. Yelm Bus. Lic. No. Description of Work - \ ~, .~~~~.,• ( ~ ~ ~-,~ 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 ,seat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ,-- ~,1 ~ ~ j ~) ~ ~~ ~ ~~ Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # TOTAL FEE Plan Chec y r ~ ~ ,1 ./: Minimum distance of structure from property lines: Issued By. ~~- ~-' %~'~` ~' t ~ 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.S -,:_~_ `? ~> Quarterly Reports Firm: Assessor _~ _~ TRPC / / CITY OF YELM Buildin P rmi ° ~ 6 ~ ~ BUILDING DEPT. ..~ Date ~ ~ -hone: 458-8407 (W rk must be started within 120 days) N ~ ~ r ~ __ Phone (~t ) - ~ ~ N ame . r z~ t 1 , E a i Address ~' /f City ,/s/ St. Zip Code `~ Site Address o Assessor's Parcel No. ~ ~'~i,(~ y~° ~_ Lot Size (sq.ft/acres) P E 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 °a License No. Exp. Yelm Bus. Lic. No. Description of Work ~ (` ~~ ~ 1' 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 cleat: 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) 3 Mechanical Permit # ~ TOTAL FEE Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants Affidavit: I certify that l have read and examined the information contained within the application and know the same to be true and correct. t 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: /' ~ ~ ,, Plan Check By r Issued By Final Insp:lJ Owner L&I Form Assessor Floor Plan and Permit Submitted~~ Quarterly Reports Assessor_~~ TRPC ~ J CITY OF YELM Buildin P rmit ~i° 5 ~ ~ BUILDING DEPT. Date ~ ~ phone: 458-8407 (Work must b sta ed within 120 days) `~ ~ i C~ _~ ~' ~ ~ ~ 41~, w Name _ ~ ~ " ~ ~~ Phone (Zd~) ~°~,;~ - ~. j ~, R Address ~ ~ ~ City( St. Zip Code ~ ~,~ `~ r r^ ~!' , Site Address P R Assessor's Parcel No. ~ ~~(~~}~ Lot Size (sq.ft/acres) O P R Subdivision Lot Block T ~ OR Short Plat No. Block Existing Str ctures, if any: c N Name ~ Contact Phone ( ) r R ~ Address City St. Zip Code T R License No. Exp. Yelm Bus. Lic. No. Description of Work t ~ ? ~~ 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 cleat: ElectPic Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~. ~ (~ + ~'~ ~'~r ~, (~~ Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) ~' Mechanical Permit # TOTAL FEE ~ ~~, 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: t": CJ e Plan Check By=~~ - ~ ~ <i Issued By ~ r Final Insp:~~ Owner L&I Form Assessor Floor Plan and Permit Submitted~~ Quarterly Reports Assessors / TRPC ~ / __.._ 1'~~.%71d ~u Y't~.MVr If/rranl 0 raa..n• Nvaa+.n i..~~.. ~.. -..__ _. SITE ADDRESS : ~~JJ' ,~ ;.~ Permit # If Applicable Fee IF Applicable SEWER PERMIT ~ /' ,Q, f ~ t~ ` $125.00 SEWER LATECOMERS "SEWERISEPTiC ~ $1,000.00 SITE PLAN ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE STATEICO. APPROVAL . STREET CONSTRUCT i -~ r~ Receipt # Comments PERMIT/INSPECTION PER ERU HOOK-UP Puget- Power 458-7731 Yelm Tele. 458-2171 PLAN REVIEW Z? 2 • ~D `~~~ BUILDING PERMIT ~(p (~ ~ ~~~• 5~ ~ L~'~' ~"' F- PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL /NSPECTION BY CITY OF YELM BUILDING DEPT. `hone: 458-8407 --. Building ~ermit ~~,_. 5 6 6 Date ~ I ! ~ " (Work mus b started within 120 days) w Name+ 1 ~ - _r Phone (Z ) N R f Address ''r ~ City St. Zip Code Site Address ~ ~ R Assessor's Parcel No. fD '~j/ CXJ~~ 7 00 ~~ ~ Lot Size (sq.ft/acres) 0 R 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 License No. Exp. Yelm Bus. Lic. No. Description of Work t I ~f b O tM 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 ~ I ~ ~ Sets of Prints Other ,,~~~~ ~~pp Plumbing Permit #~1L(Z WA. ST. BC. Fee (4.50-New Const. Only) ~ ` a 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 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 / / ____ I'B Lald IA'~~V~t*u.vl 7t/n. nr~ r n.-.n. .. w.•. T+,,..~ ...-,. _..--. 1~I/r7~ /}~/Y ~~ SITE ADDRESS: ~DJ~~) x ~(JLf/Y „ Permit # I(Appiicable Fee I( Applicable SEWER PERMIT /~~~ $125.00 SEWER LATECOMERS "SEWER/SEPTIC ~ .~ $1,000.00 SITE PLAN ACCESS 8 DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~ / i/ 1Y Receipt ~# Comments PERMIT/INSPECTION __----- ~ PER ERU HOOK-UP 0= WATER SERV. ORDER E-~, ~~ '/'QL% , ~~ ~~ l 0 POWER TELEPHONE STATEICO. APPROVAL . STREET CONSTRUCT 7S ~ • 3 7 PLAN REVIEW BUILDING PERMIT ~~(~ / ~ ~~ z' ~ ~ $~ 7 ~'~~ G PLUMBING PERMIT MECHANICAL PERMIT 5~ ~~ 7 l ~ D~ GRADING PERMIT SIDEWALKSICURBS LANDSCAPING YELM BUSINESS LIC• $30.00 ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL /NSPECTION BY ~..~ .i~• ~~ w. •.• •~•~.A e~.+wT PugeF Power 458-7731 Yeim Tele. 458-2171 ~i~tC,lL~c~c'7 `~(~ SO LL'. cr. (= ~ e 0 w N E R Site Address ~ ~~~ ~~)~ ~ -~_~.~ ~t--' ,! `__~ ~ P 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 'ti ~Q_~ Contact Phone ( ) T Address City St. Zip Code T R License No. Exp. Yelm Bus. Lic. No. Description of Work _ ,,~ ,L.- ,~ ~ OFFICIAL USE ONLY , C 1 _.l Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign er~~ Sewer Septic Approval No. Commercial Othery City Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ( ,(; ~:~ ,,,~ ~~ Sets of Prints Other ~'~ '~ n ~ ~~ _ ~ Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Per 't # ' TOTAL FEE ~ Plan Check/By ~ y Minimum rlictanca of ctnirtura from nrnnartv lina s~ ~ Issued BV/ 1~=% 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. / ~ 3 t <~ Signature`11~f1~.A~ ,(~).,~„~' /,, (<<„ir,.~~__ .~~ Date ~ Quarterly Reports Firm: Assessor-/J TRPC ~ ~ ~. ~ ~ ~~ CITY OF YELM ~~ ~~.-~ _ ~~~ ~ ~, ,~ 1,~ .. ~- ~ 1~-~ ~~j Buildings Perm't ~°.,. ~ ~ BUILDING DEPT. 4 ~ `~-u~ ~ '~'~, ~ ~''` -. -~t ~~"~ . ~~ ) Date ! ~~ ~~ hone: 458-8407 '~" (Work must be st rted within 120 days) CITY OF YELM Building P rmit ~° a ~ 5 BUILDING DEPT. Date ~ ~+~ tihone: 458-8407 (Work must b started wi hin 120 days) -,. ~~~ ~~ w Name Phone r~ N R 3 City St Address ~ D Zip Code ~ . ~ - Site Address 1 tJ 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 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: Si n R Sq. ft. per floor: (1st) (2nd) g esidential ~ T ~`~~ " Sewer Septic Approval No. Commercial Other City Water Private WeA Private System Shoreline Permit Y N ,4eat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~:1~1 ~ . t Z ~} Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # TOTAL FEE /~ ~~} , V ,g Plan Check B Minimum distance of structure from property lines: Issued By U Front to of 'Road Final lnsp:JJ 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 confo~mftyiVvith all applicable,Ctyp of Yelm reg- Submitted~~ ulations including those governing zoning and land subdivision, and-in-addition, all covehanfS',~asements 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 DateL~o~~ - Quarterly Reports Firm: Assessor~~ TRPC ~ ~ CITY OF YELM BUILDING DEPT. 'hone: 458-8407 ~-~~ N Name ~~V ~,LJ1ct~~[~1L~ ~U, : ~.l/ ~ Building permit ~° 5 6.x.4 ..~ Date .. ~~1~~~-~lfl~ ~G~~t..._~ ~-.~ (Work must be st rt d within 120 days) Phone( )'~3 ~-,}~19~3 ^ Atltlress t L,, city' ~ st. up c;otle ~,/ - /~ Site Address ~ t ~ R Assessor's Parcel No. ~ Lot Size (sq.ft/acres) o a Subdivision Lot 52 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 R License No. ,_ -~ Exp. Yelm Bus. Lic. No. ~ - Description of Work • ,~ ,• ~ J OFFICIAL USE ONLY ~_., Permit Type: :~~-ti ~ 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 ~ ~ ~ 7, ~Q ZZ , ~[~ Sets of Prints tither ~' / p -~ Plumbing Permit #~ '~ ~© .,'' C~ J ~0 M P WA. ST. BC. Fee (4.50-New Const. Only) ~ echanical ermit # TOTAL FEE Z 7 ~ Minimum distance of structure from property lines Front to of Road Side Side Rear Applicants Affidavit: 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- 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 ` -_._ • `~ ~.~. S" .'~ ~ ~ (;~ ,X.1/~ Date ~~~- ..~ ~ -Lj` t / Firm: " ``~ ~ ~ }r:,~' ~d r ~ '~ :,~. ~_ +_..C` P., u^ :~ .. Pi! Plan Check By ~ .~ ~ i Issued By ~ Final Insp:J~ Owner L&I Form Assessor Floor Plan and Permit Submitted_/~ Quarterly Reports Assessor ~ J TRPC ~ ~ t'OIC: `r'i t~R ~~] v'1r,".va r:',rn.nn v w .u.: o ~. ,.. ..,, , ,. _, ...... , ... ..... SITE ADDRESS: J~ Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 ~ PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 ~~ L~,L. PER ERU HOOK-UP SITE PLAN ACCESS >3< DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER `f' f-EOIDr'C- ~.C. P ~~~ ~ ~ ~ .~ / WATER SERV. ORDER ~~~, ~ b POWER PugeF Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~ ~~, ~Z, BUILDING PERMIT ~~ ~ ~ 5'~'7 ~ ~~ `~ `i'1 c,ltc~~ ~'} °~, 50 PLUMBING PERMIT ~I 0 ^] ~ 1 t Q(l _~~~ ' MECHANICAL PERMIT 5`~ ~~ ~ ~' ~ ~~ ~~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 . ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY THE YELM BUILDING DEPT. CITY OF YELM Buildin Per 't N°_ ~ ~? 9;:, BUILDING DEPT. Date ."'''~`~ ~~ :~ `%~~~~- _r 'hone: 458-8407 - ``~- ~ (W must be st d within 1 0 days) N E Name ~ ~ , - 1 Li J Phone( ) ~ = R r . .- 5 ~ Address ~~ ~. City ~ .~ l St. (1 Zip Code ~ Site Address ~ / 7 r /~ 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: c N T i ,~ ,~},~ Name ~`Lt~,~~p J /,7.~Q.~( .~'L./~~/I~ Contact Phone( ) R ~ T Address City St. Zip Code R License No. _-~' ~ '' Ex Yelm Bus. Lic. No. of Work OFFICIAL USE ONLY G.J Permit Type: / Sq. ft. per floor: (1st) (2nd) , Residential / Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N cleat: 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 # WA. ST. BC. Fee (4.50-New Const. Only) '~, ~ Mechanical Permit # ~~ Oa~ 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: I certify that I have read and examined the information contained within the application and know the same to be Assessor Floor Plan and Permit 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 ~ _ ~~,~.~,.~~-\i..~' j -._ D ~ ~ ` t ; t ~ •, a e ~l ~. ~ _ - Quarterly Reports ~ ' Firm: '~ ` ~/~. ~'~ `u', ~ ~~ ,_ ~ . ; ~ ~ -,~ }.J ~ A ssessor/-./ TRPC _._/ / SITE ADDRESS: Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 ~~ PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 ~, (~. 1 ` PER ERU HOOK-UP SITE PLAN ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER t kbblL-zt~p ~~,,~~rr,~, ~C~~.[J(1 533 WATER SERV. ORDER '7~~ , (J~ l ~, POWER Puget- Power 458-7731 TELEPHONE Yelrn Tele. 458-2171 STATEICO. APPROVAL STREET CONSTRUCT PLAN REVIEW l 3~`J a (pZ '~~ BUILDING PERMIT i,L", G, f- r' PLUMBING PERMIT / ~ I S6 ~ r ~ ~~ MECHANICAL PERMI7 5Z ~Z ~ ! ~ ~~ E 3 GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS '`DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY THE YELM BUILDING DEPT. CITY OF YELM BUILDING DEPT. 'hone: 458-8407 ,~ oT ~5/ t Building Per ~'~ ~ ,--.. 5 ~~ ..--" Date ~" -"~ (Work must be started ithin 12 days) N Name ~ ~ ••~ ~ ~., Phone ( ) ~ ~y R , Address / ~ ~.~ f. Cry ~/~ St. Zip Code ~ ~ I Site Address t ~ ,~ - ~ ~ P R O Assessor's Parcel No. ~ ~ Lot Size (sq.ft/acres) ~ ~ a Subdivision Lot l Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name j Contact Phone ( ) R ~ Address City St. Zip Code T a° License No. ~ Exp. Yelm Bus. Lic. No. U~.- ~ (5i5U 7; Description of Work L OFFICIAL USE ONLY Gf ,_ ~ -_ 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 ,seat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE floor Plan Y N Building Value ~ ~ ~ ~ °l Sets"af Prints Other -- Plumbing Permit # :a % ~'S~ WA. ST. BC. Fee (4.50-New Const. Only) '~~ ~ "~ J Mechanical Permit # ~ l f TOTAL FEE Plan Check By Q " I 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: 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-/._J Si nature~~ ~~..~ ~ ~~ g ~+~-' ~`L-'~ ~. ~--'~~'" Date Quarterly Reports Firm: Assess J y or- / TRPC / __/ :.tt'E~ 1."~LL:..".rt•:'.lC:7E9 ^ caL:~^~ !~~M,.qr.,:.~.,. ~.~. ,~,.,...,,, ..... SITE ADDRESS: //~ /7•~ 17 /f /4i~/D ~ ('.~ D%.G l:il/.~'7~~ .~G.~~~ Permit # If Applicable Fee IF Applicable Receipt # Comments • SEWER PERMIT $125.00 ~~~ PERMIT/INSPECTION SEWER LATECOMERS . "SEWER/SEPTIC $1,000.00 l ~'~ PER ERU HOOK-UP . " SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER -t NDOK-LtP ~~~ `~© ~~/~ WATER SERV. ORDER ~~~ ~ ~~ ~ b POWER Puge4~ Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW C 3 ~ - ~7 /~ lJ • BUILDING PERMIT ~(p~p2- ~~~p:C1© ~ i~1 C.lu~~ ~'S °'t ~ 5L~ Li.',C~. Fie PLUMBING PERMIT ~ j 0 ~~~ ~c3 MECHANICAL PERMIT ~~ 8' J ~5, ~~ ~~~ ~' GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS UC. $30.00 ADDITIONAL COMMENTS '`DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY THE YELM AUILDING DF_PT_ CITY OF YELM BUILDING DEPT. :one: 458-8407 Building Permit N_ • 5;6 6 6 Date 1,~~~~f~•7, ,; ~T ~F ~~~?:.._- (Work must be st9rted within 120 days) N Name ; ~ ~;,~ f` r `/~ ~ ~ % Phone ( ) ;r~' ``~~t E R t Address ,,'~p;•, ^ ,~ ~ ~' ~ s' , _ f `-<' r City F,?= r'rlr St. Zip Code `. ~` `' Site Address ` r i ~'e a Assessor's Parcel No. ~ ~(~f'; j / ,~ti eJ ~~~ Lot Size (sq.ft/acres) 0 P R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N Name ~;~,~!r ,~.' ;,,/ ~` <,~,,{ Contact ,~°`, Phone( )~`.~'Ej'y `_ `~ r ~r Address 1~,: ,~.~~;r' ~~ r~v; ~ CitW`r,r/•rU~c=? St. Zip Code ~ ~ ~r~~~ /1- a License No. ~,,~~ ~~ s ~ ; " ~ ° ~~ P `r~ r~<~i," Exp. ~' 1l;fr'L?~a + / / Yelm Bus. Lic. No. f 5~ / a .~ fJ 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 .at: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~~ <~ ~ "r ~~ Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # TOTAL FEE ~~ ~ `{' ` ,,~,: L%~ Plan Check By Minimum distance of structure from property lines: Issued By ~ •~p'r/`~,., ~.-_~ 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---/J `° Signature Firm: Date ,~-~<~'~.S I Quarterly Reports Assessor-/J TRPC / / i .. ,~ _._ r~ CITY OF YELM Building Per it ~ ~ ~ 8 ~ -BUILDING DEPT. Date ~ >/ `~~~~ ~l~~~~ hone: 458-8407 (Work must be staked- withi 20 days) N ~~ Name ~- ~ ., `VC ~ ~ ~ a Phone ( ) ,~~a ° ~~ R Address ~ l' ~ ~ '' , ~~ ' City ~ St. Zip Code ~~ P Site Address ~- o Assessor's Parcel No. ~~ Lot Size (sq.ft/acres) P e ' Subdivision ~ ~ R , , Lot Block T Y OR Short Plat No. Block Existing Structures, if any: ~ _,a~. n r Nam fL,~'1 , f ~~~ ~,~/~!~ ,Contact Phone ( ) ~j~~' ~~~~ a Addressq(~3~ SL~1>1~ y}~n,~y) ~'~~~Y/mil ~~I ~ City ~C St.~j Zip Code ~~JP~~~ a License No.~~_ r~ r Exp. Yelm Bus. Lic. No. 9'y- r~i'~ ~/ ?f Description of Work OFFICIAL USE ONLY - - f - Permit Type: Sq. ff. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N -Meat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~ f ~ ~,~° , ~O Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) '~, Mechanical Permit #~;~ y~ TOTAL FEE ~ ~ Plan Check By~~ Minimum distance of structure from'nperty lines: Issued By Front to of Road Final Insp:J_/ 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 ~ ,. ~ ,t ,G r. _~ Date ~j Quarterly Reports Firm: Assessor-/_~ TRPC -J _~ NEW DEVELOPMENT'/NEW CONSTRUCTION CHECKUSI SITE ADDRESS: Permit # IF Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 PER ERU HOOK-UP SITE PLAN ACCESS 8 DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER ~~ POWER Pugef• Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~a b(', 3rf BUILDING PERMIT ~ j ~~9 ~ j j ~ ~ c~(~ ~ B PLUMBING PERMIT ,, j j'y$ 9~, ~(~ ~~ MECHANICAL PERMIT ~~~~ .SJ~ j ~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY THE YELM BUILDING DEPT. +; r~ ° ..~ CITY OF YELM BUILDING DEPT. -hone: 458-8407 Building Per N°I ~, ~ s 6 Date ~W Cr (Work must be tarte thin 120 days) N Name Phone ( ) 7~Z „ ~ O ~,( R E Address ~ City ~/ /, St. Zip Code ~~ /D Site Address ~~,~ '~ ~ , ~, P R Assessor's Parcel No. ZZ ~ / ~ '~ f Lot Size (sq.ft/acres) O P e R Subdivision Lot Block Y OR Short Plat No. ! ' - Block Existing Structures, if any: c o N Name Contact Phone ( ) T R ~ Address City St. Zip Code T R License No. Exp. Yelm Bus. Lic. No. Description of Work Sq. ft. per floor: (1st) Sewer City Water .feat: Electric ITEM Building Value Other WA. ST. BC. Fee ,~,,~ ,, (2nd) rF~` Septic Approval No, „ „ !s Private Well Private System ~~ Gas Other BASIS FOR FEE FEE l~ , G (4.50-New Const. Only) 1 ~ TOTAL FEE "Y ~. 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. „ OFFICIAL USE ONLY Permit Type: std Residential Sign Commercial Other Shoreline Permit Y N Sepa Exempt Y N Floor Plan Y N Sets of Prints Plumbing Permit # Mechanical Permit #T Plan Check By jj") ~ e Issued By ~~ Final Insp:J_~ OwnerL&I Form Assessor Floor Plan and Permit Submitted~_/ Signature~~---~ -- .-~ ~'' Date P ~; ~ ~ - Quarterly Reports Firm: j Assessor-/J r TRPC J / ~,-~- CITY OF YELM BUILDING DEPT. `hone: 458-8407 Building Per i~° ~ 6 5 6 Date (, ~\ (Work must a farted within 120 days) N Name ~ Phone ( ) E R Address ~ ,L , f~ City St. Zip Code Site Address ~(~ o Assessor's Parcel No. ~~ ~ ~ Lot Size (sq.ft/acres) P R Subdivision 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. 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 cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # TOTAL FEE f ~, ~~ Plan Check By Minimum distance of structure from property lines: Issued By Front to of oad 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. /~ j Signature /(~~ )~~. I~r' tt`~ ~ ! .~-~ ~~.y~~ _ (~.-Zil'~C L,1G~1 ~,.. Date 1 `/~~~a ~ cj Quarterly Reports Firm: Assessor __/ __/ TRPC / / CITY OF YELM BUILDING DEPT. phone: 458-8407 w N Namet r C`'~ J R Address ~~ ~~ ''r Site Address ~ Q ,. P R Assessor's Parcel No. O P R Subdivision T Y OR Short Plat No. Existing S r uc tu r if an y: t e s N T ~~ ~ J ~ ( ~ ~j ~ '; ~ ~f Name Address ~, ~, ~~~ T a License No. Contact i' `/ l..%`~ Building Pe m t o ~-- ,..J X 5 0 Date /o'~rk must be st rted w~ hin 0 days) 1, Phone( 1 n City St. ~ Zip Code Lot Size (sq.ft/acres) Lot Block Block Phone ( ) ~ ~~ -- 7 9, Cit ~ l St. Zip Code g~(~ Exp. Yelm Bus. Lic. No.~~" QQ~~~~,~.J 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 Jleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value b ~~ ~~~; ~'~ ~? ~ ~}~ Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # ~ TOTAL FEE ZQ, D~ ; , Plan Check By ~[.~~. Minimum distance of structure from property lines: r j Issued Bye Front to of Road j 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`` ~ _'' -- ""~ _ Date ~ ~ Quarterly Reports fi Firm: '~ 4~_'ti + Assessor/ TRPC ~ __/ r% ~~ ~. 0 w N F CITY OF YELM BUILDING DEPT. 'hone: 458-8407 ~~ 1 ~ Building Perm' 0 5 6 & 1 Date (kVork must be st rte within 120 days) t ~ " Address Cit St. ,Zip Code Site Address P R Assessor's Parcel No. ~;~ f 8 Lot Size (sq.ft/acres) O 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 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 V Other City Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N fTEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ Sets of Prints ,~'"~ Q,(~ Other Plumbing Permit #~ WA. ST. BC. Fee (4.50-New Const. Only) p/~ Mechanical Permit # ~~ S+J TOTAL FEE ~~~'~ ~t 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: `~ Plan Check By Issued By U Final tnsp:/~ Owner L&I Form Assessor Floor Plan and Permit Submitted/ Quarterly Reports Assessors / TRPC / ~ IV ~:.VV UL'ViJ.-:... lfl ~l+ll .aa.-~~ is i.+cY. ~ ~s~.~ ~n.i ,.~i: .~, .._ ~... -. SITE ADDRE5Ss ~ .~ + Permit # If Applicable Fee If Applicable Receipt # Continents SEWER PERMIT N ~ $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 Puget Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW t-~ r7 ~ 5 !I ~ / 1G+~~ BUILDING PERMIT ~~(P ~ ~7 / i ~~ t~~~'~ ~ , ~ ~ ~' r ' ° t l PLUMBING PERMIT ~[ 0 ~ ~~ I Q© ~~~f MECHANICAL PERMIT ~zS~ ~~~ ~-~~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS UC. ~ ; ° 1_ ~~'•~ ~ ' ,± \ / ADDITIONAL COMMENTS '"DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY THE YELM BUILDING DEPT. ~~ ~.~3~~ CITY OF YELM BUILDING DEPT. phone: 458-8407 Building Pe mit N~ 5 ~ 5 9 Date ~`5 ~ ~ `7 ~ ~. (Work must be started within 120 days) N Name Phone ( ) '~ - ~~ E R A Address ! ' City St. Zip Code Site Address 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: c ~ N Nam . Contact ~ Phone ( ) ~- '!i 7 T R n c ' i 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 neat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ '~y,l ~ ~ Sets of Prints Other Plumbing Permit # ~~ WA. ST. BC. Fee (4.50-New Const. Only) `~ 4 Mechanical Permit # TOTAL FEE ~ , oQ 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_/J ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contract r, I further certify that I am a currently registered contractor in the State of Washington. ; ~,r ~,~ ~. Signature .~~~ l~f,ys ~t~ Date ~ ~ ~~- ~S ~ Quarterly Reports r Firm: Assessor // - TRPC / ~ i SITE ADDRESS: ;~ .`>~ •~~~, ;: F ~ ~ . ~ 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 & 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 /~ r/ ~~~G' ~ ~ r ~`~~ BUILDING PERMIT ~~~~~~ ~ 7 ~0 ~ ~~ ~~~'~ ~ ~L''~" f`~~ PLUMBING PERMIT ~~ g~ ~~' ' ~~ MECHANICAL PERMIT ,S~3lZ '~(~, ~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY T!-fE YELM BUILDING DEPT. w N E R P Assessor's Parcel No. <~j` ^~,~('~'~ ~~ ~~ ~ Lot Size (sq.ft/acres) R O P R Subdivision Lot Block T Y ~., ..~_, .,~_..~_ .., txistma structures. it anv: c N Name Contact Phone ( ) T R ~ Address City St. Zip Code r R Licensb No. Exp. Yelm Bus. Lic. No. Description of Wor i 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 cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other ~ 1 Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # TOTAL FEE Minimum distance of structure from property lines: 1 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 By Issued By t Final Insp:/~ Owner L&I Form Assessor Floor Plan and Permit Submitted~__/ Quarterly Reports Assessor-/J TRPC / ~ ____ CITY OF YELM Building Permit N® 5 6 4 7 BUILDING DEPT. (~ ~ fl D 1 ~ ~ ~~~~~ ~ ~"' Date ~' ``_..~ gone: 458-8407 (Work must be started ithin 120 days) CITY OF YELM BUILDING DEPT. ,'Phone: 458-8407 Building Per it N° 5 6 5 r Date ~~~ (Work must a started ithin 0 days) U,~ ~ ,, -~ 1 ~_~~'/~ s ~~ w N Name qF- ( ) , z hone 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: c ~ N Name Contact Phone ( ) R ~ ~ Address City St. Zip Code T a License No. Exp. Yelm Bus. Lic. No. Description of Work Sq. ft. per floor: (1st) (2nd) Sewer Septic Approval No. . _, City Water Private Well Private System Heat: Electric Gas Other ITEM BASIS FOR FEE FEE Building Value Other WA. ST. BC. Fee (4.50-New Const. Only) j / // r TOTAL FEE / [/~ 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,gvitt>in the application and know.the same to be true and correct. I also certify that the proposed structure is in cortforfn`itq with all applicable City bf 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 Firm: OFFICIAL USE ONLY Permit Type: Residential Sign Commercial Other~/_ Shoreline Permit Y N Sepa Exempt Y N Floor Plan Y N Sets of Prints Plumbing Permit # Mechanical Permit Plan Check By Issued By ~ Final Insp:_~/ Owner L&I Form Assessor Floor Plan and Permit Submitted~_/ -- Quarterly Reports Assessor-/_~ TRPC / _~ SITE ADDRESS : ~/~/7 ~) ~ ~ ,,:, '~°~:f, 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 Puget Power 458-7731 TELEPHONE Yelm Tete. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW 'y~, r~ ?? J ~ l ~~~ BUILDING PERMIT ~~ ~°J ~l~(I ~ JU' l i,L', ~. f-r'c° PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS UC. f /~'~~ $30.00 ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY TFIE YELM BUILDING DEPT. CITY OF YELM BUILDING DEPT. phone: 458-8407 ~d T -~/D w Name /` N c` ~ ~ i ~..- + Building Permit N°_ 5 X5.4_._... --~!,~/ .e~a~ - Date ~~~-,~ , l_ (Work must be start r within 120 days) ~~~ Phone( )'y 2 ~~ CitY /~(, St.1f ~ Zip Code ~ fj',~/ ~ Site Address /~~~G ~ ~~ r'~ ~~", ~~° ~~ ~' R Assessor's Parcel No. Lot Size (sq.ft/acres) R suoarvision ~ a - Lot (,J Block r Y OR Short Plat No. Block Existing Structures, if any: c N Name ~ Contact Phone ( ) T A ~ Address City St. Zip Code T a License No. Exp. Yelm Bus. Lic. No. ,- "~ Description of Work ;a ' 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 ~ / '~ ~ j Sets of Prints Other r~ Plumbing Permit # 4 ~ WA ST BC Fee (4 50-New Const Onl ) ~ ,~'- ~ - ~ Mechanical Permit # L LZ . . . . . y f _ s 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~P plying as a contractor, I further certify that I am a currently registered contractor in the State of Wast/u'ngtoy~ '"._`'~ i Signatur ;~ ' Date SJ /(~ Quarterly Reports Firm: ` / v (" ` N, ~ .g Assessor/ TRPC J J IVCYY UCVL'LVJ'IYIL'IYI / IYL'YY VVIIIJIIwv~~Vl• w~~..~.-•- SITE ADDRESS t 1~7Z'~ ~~ ~/ ~ ~~ ~~ Perrnit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 ~ PERMIT/INSPECTION V~~; ,;... SEWER LATECOMERS '' •~~~, "SEWERISEPTIC ~~ $1,000.00 ~ PER ERU HOOK-UP 31" "'~; ~'' SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER i~~i~ • ~~ J~'~'~ WATER SERV. ORDER ~ ~ , ~~; L~~~~ POWER Puget Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~~e~rt~, ~ zKj . c,.v ~~ ~ BUILDING PERMIT ~(C~~ ll~~ ~~71 5~ 7q,~, '~ l!l j ~iltC-li-cc~r'7 4Y,5C~ LL',Cr. f-z'e PLUMBING PERMIT ~r 8Z $ ~ • dd - MECHANICAL PERMIT ~~ °?9 '~~ ~ ~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS *DUE AND PAYA6LE PRIOR TO flNAL INSPECTION BY CITY OF YELM BUILDING DEPT. 'hone: 458-8407 Building Permit ~_ 5 6 5 5 ..Date ~ '!~. '" ~~ (Work must be started within 120 days) N Name ~~/~L.t~17~r~.1~ ~~u- y~ ~ !V ~ ~2, 1 Phone( ) a Address ~ ~b ~ ~ ~ ~ City ~j ~ ' St. ~~ Zip Code Site Address Q ~ - ~° P R O Assessor's Parcel No. ;~~ ~ (~ ~ ~ ~ ~ ~ (~ Lot Size (sq.ft/acres) P e R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N Name ~~'vt ~ ~ Contact Phone( ) ~ -d R ~ rl~~--J Address "J~ Q ~ j'~-,~ l ~ ~ ( c ! r) City a((:dC~~1"YL= , St W f} Zip Code ~ ~? t T R License No. Exp. Yelm Bus. Lic. No. ~. J~~, Q Description of Work r,~jvr~ ~ .¢.,~{ ~~ - OFFICIAL USE ONLY ;;% Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other - -.City Water Private Well Private System Shoreline Permit Y N ,_ ~ Neat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other ,~,,,,..~ ~~ ~,....~" ~ ~, ~ (~ Plumbing Permit #_ WA. ST. BC. Fee (4.50-Ne Const. Only) Mechanical Permit # TOTAL FEE ~ '} , t,) Q Plan Check By Minimum distance of structure from property lines: / ,~ , Issued By ~~ ~12~!',,C.o`C~:,-~;;rz,,.. Front to of Road Final Insp:~./ Side Side Rear Owner L&I Form A licants Affidavit: ` PP i I certify that I have read and examined the information contained within t e application and know the same to be true and correct. I also certify that the proposed structure is in conformity~ith all applicable City of Yelm reg- ulations including those governing zoning and land subdivision, and in additiom, 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 SubmittedJ_I ~ Signature Date ' Quarterly Reports Firm: ~ Assessor / / _ _ TRPC / J _ CITY OF YELM ,BUILDING DEPT. phone: 458-8407 Building P rmit ° 5 6 5 3 Date ~~(Work~must be start within 120 days) ~..,..~ l.1 ~r/t f °w N Name ~ Phone ( ) R _ Address City St. Zip Code Site Address ~ P R f ) 7 2 / O Assessor's Parcel No.ZZ ~~/ QZQ~/ ZZ~ ~~lZ / tl~~ Lot Size (sq.ft/acres) O R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: o N Name J '~' ' Contact Phone (2(3 ) ,~ T , Address ~ City St Zip Code T a M / H License No. J/ ~ f 51 ~ ~ ~ ~ I ~ ~ ~ f Exp. ~- ~- qy'J Yelm Bus. Lic. No. Description of Work s ~` Su ~~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~ ~~ r (~ Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # TOTAL FEE ,~, , ©Q Plan Check By r Minimum distance of structure from property lines: Issued By Front to of Road Final lnsp:~/ 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: ~ C E ~ < {.. ~ Assessor-/_~ .~.' ~ TRPC ~ J 7 -_~ ~~ j' CITY OF YELM Building P rmit ~_° ~ s ~ 2 ~T"EMPo~fl~v Bu~~QtNU ¢UILDING DEPT. Date ~ ` ' ~' ~ done: 458-8407 ~dr ~~~ PDP~A IZy ~GC51 NESS (Work must be started wit 120 days) ~ ~ ~~~~ N Nam Phone( ) ~ R Address Cit ~ St. Zi Code E P ~~Yl1I Site Address ~~Q~ t,.~t'~ ~,~", ~, a Assessor's Parcel No. '? ~ ~ 2 J ,~ ~ ~ / - .} - _ , ~ ~^ t , Lot Size (sq.ft/acres) E Subdivision Lot Block R T Y OR Short Plat No. Block ~ Existing Structures, if any: 0 , c N Name Contact Phone ( ) r R ~ Address City St. Zip Code T a License No. Exo. Yelm Bus. Lic. No. Description of Work d OFFICIAL USE ONLY 7 ~ ~ ~ e 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 Meat: 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 2 ~ 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 Date Quarterly Reports Firm: Assessor ~ / TRPC / J CITY OF YELM BUILDING DEPT. 'hone: 458-8407 ~~ ~ ~k~~ Building Permit N° 5 6 51 Date _ ~ ~ ~I ~ ~ (Work must be star` d within 120 days) N Name k ~ ,c,<-, Phone ( taC1) 7- ja' - ~~~~ E R __, Address ~, U , J ' r'j '_ (, City St. ~%f~. Zip Code y g X Site Address % '' ,- o Assessor's Parcel No. ~ Lot Size (sq.ft/acres) P ,_ e R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: 0 N r Name ~~m~t„IZ_ Contact Phone ( ) R ~ Address City St. Zip Code T R License No. Exp. Yelm Bus. Lic. No. of Work '~5..t ~ _ 1 - ~ .~ ~, ~_ , Sq. ft. per floor: (1st) (2nd) Sewer Septic Approval No. City Water Private Well Private System cleat: Electric Gas Other ITEM BASIS FOR FEE FEE Building Value Other ~ WA. ST. BC. Fee (4.50-New Const. Only) _ 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 Date Firm: s4,/: OFFICIAL USE ONLY Permit Type: Residential Sign Commercial Other Shoreline Permit Y N Sepa Exempt Y N Floor Plan Y N Sets of Prints Plumbing Permit # Mechanical Permit # Plan Check By ~- ~ ~~~ ~~ Issued By ~ ~'L'!;!i~-~"-+ Final Insp:JJ Owner L&I Form Assessor Floor Plan and Permit Submitted~_/ Quarterly Reports Assessor-// TRPC / / CITY OF YELM - ~UILDING DEPT. hone: 458-8407 / ttT~ 7 Buildin Per i a 5 6 4 4 Date _ ,--~' (Work must a sta ed within 120 days) ,l ~, -t+ O N Name t ~ ~ , Phone( ) q r R Address ~ City j St. Zip Code ~ Site Address j P R Assessor's Parcel No. w Lot Size (sq.ft/acres) O a Subdivision ~~~,~'~ f~ J} tJ~ 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 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 Sewer Septic Approval No. Commercial Other ~ - -City Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FE Floor Plan Y N Building Value ~ ,~ ~ Sets of Prints Other ~~~'~~ Plumbing Permit # 5'/~3 WA. ST. BC. Fee (4.50-New Const. Only) r ~ Mechanical Permit # ~~ r TOTAL FEE ,~ ~ ~ Q Plan Check By 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: 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-/_~ r _.{. Signature ~,1.- ~c~.,a '{ ~ -~< "" Date - - ,$~ Quarterly Reports Firm: A '~ a ,F~., .......~_~°`.. Assessor // - TRPC ~ ~ I L I I IJ A.. Y L 1.. v 1 I I I L 1 1 1 I I I ~... Y v v 1 1 V..~ v v 1 1 v 1• li ...~ ~.. ....... _ ,, SITE ADDRESS: Permit # IF Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 DD~V V PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 wU'~ PER ERU HOOK-UP SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~~~ T ~~~I 71~ L/ U J!'~Z~ ~o ~ _~Z ._GJ~ WATER SERV. ORDER POWER PugeF Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW 13~; f ~ ~~ BUILDING PERMIT ~~ ~ ~~ j; ~~ ~ ~r. L1c' I Lcc~rS , ~c~ i~~: C. F-~e~_ PLUMBING PERMIT ~f 93 ~ ~~ ~ ~~ MECHANICAL PERMIT 577 !~~ ~~ ~~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS '`DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM BUILDING DEPT. Phone: 458-8407 ~~.#,y Building Pe m' N° 5 6 4 3 Date ~`~ (Work must be starte within 120 days) N Name ~ Phone ( ) •- (~ ~ E R Address Cit ~~ St. Zip Code Site Address P R O Assessor's Parcel No ~~ ~ Q Lot Size (sq.ft/acres) P ~ ~ a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name J Contact Phone ( ) R ~ Address City St. Zip Code r R License No. Exp. Yelm Bus. Lic. No. Description of Work Sq. ft. per floor: (1st) (2nd) Sewer Septic Approval No. City Water Private Well Private System Heat: Electric Gas Other ITEM BASIS FOR FEE FEE Building Value ~ Other WA. ST. BC. Fee (4.50-New Const. Only) TOTAL FEE ~~ X^ ,.~~ 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. ,-, OFFICIAL USE ONLY ~~ Permit Type: Residential Sign Commercial Other Shoreline Permit Y N Sepa Exempt Y N Floor Plan Y N Sets of Prints Plumbing Permit # ,~/ ~Z Mechanical Permit # ~Z 7 Plan Check By .~ Issued By Final Insp:J/ Owner L&I Form Assessor Floor Plan and Permit Submitted-/J signature ~ .L.~'~,,.-~.,,,,,_~ Y Date _ / ~ .. 5' Quarterly Reports Firm: ~.t r .,,,,,,,,,, ~ ~ Assessor// ~~--t' TRPC / _~ SITE ADDRESS: Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 J~Q'~ (J U PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 ~~` PER ERU HOOK-UP SITE PLAN ACCESS 8~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~~ ~/~ ~~~ ~ (~~ ~~ ~ ~ ~ ~ ~ Z Z ~ 9~ WATER SERV. ORDER POWER PugeF Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW r ~ 8, ~~ ¢¢~~ JU~ Cam' BUILDING PERMIT ~~'~~ ~5$, ~~ ~ _r i1 r.-1 u~ ~ 5 ~(, 5cy ~~~: L' ~ F~~ct° PLUMBING PERMIT ~ ~ Z q~, (,g~ MECHANICAL PERMIT ~Z ? ` ~'~ ~~ ~~ , GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS '"DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM Building Pe ~ ~~ 5 6 ~ ~ BUILDING DEPT. Date ~ f >hone: 458-8407 (Work must be starte within 120 ys) N Name ~ + , Phone ( -) G E R Address ~ Cit ~ St Zip Code Site Address 1 z P R Assessor's Parcel No. ~ Lot Size (sq.ft/acres) O . a Subdivision ~,/~IJ}f jJ> ~~~/~~ Lot ~ Block r Y OR Short Plat No. Block Existing Structures, if any: 0 N ' n• Name ,~.~~ r~J/ ~~~ Contact Phone ( ) r 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_J~ Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value , ~ , ~~ Sets of Prints Other ~/ q Plumbing Permit # ~/ 91 WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit #y~ ~: f ..~ TOTAL FEE , Plan Check By Minimum distance of structure from property lines: 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. 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 . ;~... ,d``~.; ;./ ,/„ ~7'°"~- Date - /`J ~ '„j Quarterly Reports .f Firm: : ~--z ~` ~ ' ~"e s - . .... ,_....„.<<~ r:z. _~,<., t~ ~ Assessor ~ / r TRPC / / ~~ SITE ADDRESS: Permit ~ If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 ~yf Q PERMIT/INSPECTION SEWER LATECOMERS "SEWERISEPTIC $1,000.00 PER ERU Ii00K-UP SITE PLAN ACCESS 8, DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER 5 /_ .(/~ ~O 7 ~~iC/y Q© ~J z.~ ~ ~ 3 "' Z Z - 9~ WATER SERV. ORDER POWER PugeF Power 458-7731 TELEPHONE Yeim Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW r 37. ~7 S BUILDING PERMIT ~~' ~Z ~~~, ~© ~~ ' ilr.lu~L~S , 6v iti~~ C' ~ E~•c PLUMBING PERMIT ,~ ~ ~ ~ ~3 ~ l O ~ ~~ MECHANICAL PERMIT ,rZ 7~ '~~. 5f~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS '"DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM BUILDING DEPT. ?hone: 458-8407 w N Name i.u-°~~./.t,~~, t`~-t1. ~~~ ;~~~` ~ ` R Address , j i ~ ~ ; j ).~ Site Address ~%~ ~ ~ ~ ~ %~ ~ a Assessor's Parcel No. ~ I /~ / ~ , / 7 Z'7-7 `iG 0 P e R Subdivision T Y OR Short Plat No. Existing Structures, if any: c N ? / Name ~1~.t`:~'}~G-~ ~t~ ~~~~•`~i.~.! n r ~ '~ ~ ~ ~ c Address ~, / ( ( R ~,. License No.~';%//1)/~ J / (r ~/~r ~.~G~. Building Permit cN°_ 5 6 4 9 Date Y~ °f ~t " f (Work must be started within 120 days) ~~ Phone( ) City (~ ;;~~i' {~i1 St. ~,~ J~ Zip Code ~~"~~ f i J Lot Size (sq.ft/acres) Lot Block Block City',~~~lyf St.fJ~;,/f~` Zip Code Exp. ~ Yelm Bus. Lic. No. Description of Work ,4 , , ~ ..'t/f l ~ ~~ ;~ r ;. 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 seat: 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. (f ~ `,~/ Minimum distance of structure from property lines: Issued By + Front to of Road Finallnsp:JJ , 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. 0,,~ ,~ Signature ,/9I ' ~ !~ ~ Date c / -/ ~'' ~ S Quarterly Reports r~,< Firm: t ~/,~r ,~f 1~~~ ~ - - Assessor-/~ TRPC _/ J ~"J;G 4'V ~.Ab 4~Ls'fw.n T~~,.iYlf:.!"d1 r AY~:~tlP on e~Ti rwaa.. ~,n ,,.,•m,~. i,. .:,-,,,,. .... ......, ,.. `'` SITE ADDRESS: ~~~~ ~j ~~~ ./~ ~, Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT +~ ,f,~ i /b $125.00 PERMIT/INSPECTION E S • SEWER LATECOM R "SEWER/SEPTIC N ~ $1,000.00 PER ERU HOOK-UP - SITE PLAN .u a;; ~~~~•t, °, ACCESS & DRAINAGE -~ _ WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER Puget Power 458-7731 TELEPHONE Yeirn Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ,~ , v• 7J~ ~~~~~ BUILDING PERMIT 5~ 7 ~ ~3 ~/ (~~ ,~ ~/, I ' '~ • r~ PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS °_ *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY = , ~~ THE YELM BUILDING DEPT, CITY OF YELM BUILDING DEPT. !hone: 458-8407 t BuildingP~ mitt o .,,,,-5 6 ~ 8 Date '`'F ~ ~ ~ 1 `7 --.)Work must be started within 120 days) F N Name ~_.-° r ~.~ )'w .~1~~. ~.~ Phone j ) a Address 1 ~ ~~ ~; ~,~ ~ City - ~~( St Zip Code Site Address M_._~1~,"~''~~.-~ R Assessor's Parcel No. Lot Size (sq.ft/acres) 0 P R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: o N Name , ' - _,,) .. C.- Contact Phone ( ) ~ ~ ~ Address Cit ~..~„~,~St. ip Code (r, ,,> T R License No r.. ` ~ ~ ~ E ~ rr'' ~~ JY l B Li N . , . xp. m e us. c. o. Description of Work -/ . n - OFFICIAL USE ONLY ~ ~~.~ Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~ ~ t ~ ~": ~~ Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # v TOTAL FEE , ~~ Plan Check By Minimum distance of structure from property lines: Front to of Road Side Side Rear Applicants Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm reg- ulations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. ~~' Signature Firm: Date / -~f - 7,$ Y Issued By Final Insp:// Owner L&I Form Assessor Floor Plan and Permit Submitted~J Quarterly Reports Assessor ~ / TRPC / / CITY OF YELM BUILDING DEPT. -hone: 458-8407 ~~ ~ ,~~-~ Building Permit _ 5 6 4 6 Date (Work must be star within 120 days) N Name ~.,r ~ ~ Phone ( ) ~ -- ~7 E a Address ~ p7 City ~ St r Zip Code , ~~~ rr Site Address ~ J j ' ~ P R Assessor's Parcel No. ~ ? f Lot Size (sq.ft/acres) O P e R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N Name ~ ,f `~'~ r ~' ,~ Contact Phone( ) ~~ AddressZ ~ ~ ~ h ~ City St. ~ Zip Code Z T a License No. Exp. Yelm Bus. Lic. No. A Description of Work % .,i1 OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial V Other City Water Private Well Private System Shoreline Permit Y N ! 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 #_~ / q ~ 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 U 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~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 ~ ~J f Date Quarterly Reports Firm: ~ - ~ r Assessor /~ - TRPC ~ / #, ~.. `~ ~~/ J I~~VW UIt~ViL:L'vi"Ii7rLl1~ IV1L"G3' L~LJ1tJPJ9U'~Jtis7G t.u111_~,.~7i~_...., 'SITE ADDRESS: ~ ; ~~ ~ i,~: ; Permit # Fee IF ~, b~ ~ K 1 i t If Applicable Applicable ". '~ ~- SEWER PERMIT $125.00 SEWER LATECOMERS Receipt YV' ~~ "SEWERISEPTIC $1,000.00 hJ SITE PLAN ACCESS & DRAINAGE ~'~ WATER SUPPLY t'~ ` ' ` WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE STATE/CO. APPROVAL STREET CONSTRUCT Comments pERMITlINSPECTION PER ERU HOOK-UP Pugeh Power 458-7731 Yelrn Tele. 458-2171 PLAN REVIEW ~ ~~~ ~~~ Ids BUILDING PERMIT 5~~(p ~ 'l~,v~ ~~ ~~ ~~~- PLUMBING PERMIT ~~ `7 T ~~ ~ ~~ MECHANICAL PERMIT GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS '"DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY THF_ YF_LM BUILDING DEPT_ CITY OF YELM BUILDING DEPT. phone: 458-8407 ~~~ Building P unit ~_ 5 6 4 5 ' G G'~____. ~ ~ -t_. Date (Work must started within ~-y , ~ _- 20 days) ~ ~ C N ,~ Name ~ Pone( ) E R Address ~ '~ ~ City St. Zip Code Site Address l i P R Assessor's Parcel No. L Lot Size (sq.ft/acres) O P a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N Nam .Contact Phone ( ) - Z r Address ~ City St Zip Code r a License No. a ~ Exp. Yelm Bus. Lic. No. ~ 3 i 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 .seat: 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 ~ Minimum distance of structure from property lines: ~ 1 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. 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 ~ •~i' '%~ ~-lzz~;~'~ Date r _, - S Quarterly Reports ,, ~ Firm: ~ . ~%~ ", y- ~ ~ Z_T- n:!? C:F 'C ~f G~~~~~C`.~! Assessor~J TRPC ~ / 7 T ~--J t (~ ;1~ :_ ~~.. ~) CITY OF YELM BUILDING DEPT. ?hone: 458-8407 w N Building Permit ° 5.fi 41 Date '~-.- ~~'~J (Work m~ bk ~t~t within 120 days) I! ~ Phone ( 1 ~Y.`7 ~`- ~'~t: R Address ~ (~ ~ `` ~ City St. Zip Code ~ r Site Address ~~ ~ 6<tJ f_i'_.V.,~+f_,_y.. ~ f f~ a Assessor's Parcel No. ~ t ~ t'_=';" ~ /;,~? ;~ 1 Jb ~ -~ Lot Size (sq.ft/acres) o P e , a Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: N Name L ,~ ,9 ~ -`r , ontact , Phone ( ) ~ ~~ T Address ~ Cit ~`~ ~~~ ~/ St. Zip Code T R License No. ~ r Exp. Yelm Bus. Lic. No. :+ Description of Work ,~ '~' OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System ~. `shoreline Permit Y N eat: 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 # Gr .~ TOTAL FEE ~, Plan Check By ~ ~f~ ~~) Minimum distance of structure from property lines: Issued By' r 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. 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 '~ ~ , .h~ .~ ,e ~.,-~' Date Quarterly Reports Firm: ~ ~ `~ f' ~ i S `. ~ - `2 ~"~ ~ -_ J Assessor-/~ TRPC / J { F CITY OF YELM BUILDING DEPT. Phone: 458-8407 Building P i N® 5- Date (Work must be sta d within 120 days)" N Name f Phone( ) R ~ ~ Address City St. ~~ Zip Code s Site Address -~ ~ a 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: c N Name Contact one ( ) T R ~ Address City St. ip Code T a License No. Exp. 4 Yelm Bus. Lic. o. - ~ ~ ~- S Description of Work ~ OFFI IAL USE Of+1LY Permit Typ Sq. ft. per floor: (1st) (2nd) Residential ,.Sign Sewer Septic A proval No. Commerci Other City Water Private ell Pri to System Shorelin Permit Y N 'Heat: Electric Gas Othe Sep xempt Y N ITEM BASIS F FEE FEE Floor Plan Y N Building Value ~ ~ Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4. -New Const. nly) Mechanical Permit # _ TOTAL FEE ~ ~ ~1 Plan Check By ~ ~ 1 ~`*`,~ ^^ r Minimum distance of structure from property li es ,,, ~~" ,A Issued By I 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. 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 i 1~, ..; CITY OF YELM BUILDING DEPT. hone: 458-8407 ;~~,5~ Building Permit N°_ 5 ~J ~ 0 Date _ ~`7 ~' ~. ~l' '~ (Work must be started within 120 days) N Name / / /'~ ~ ~ ) ~f ,, f Phone ( ) R Address Cit 1 St Zi Code _e ~~~ / 11~~YYj (mil ~-~+ 1...~(/ Y ~; (Y~rYI { ,t d P `'10 ~~ Site Address !~~~ __ i;./! ,e f'~ (~~ (.(./ u a ~ 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 Nam Contact Phone ( ) y~~'- j ~~ Address , ~ z City ~ St. Zip Code L j ~r T R `, /' License No. Z "l ~~ Exp. Yelm Bus. Lic. No. ~~- a ~`Y ' 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 Neat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~, ~/ L1,~ ~~'~, ~(~ Sets of Prints Other ,~ ~ ~,~ ! / Plumbing Permit #~ U - 7 as, y ~ r WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # / /{ ~ ~ ~ ~ 9 TOTAL FEE ;/ ,, ~ ~! Plan Check By a 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. Signatur Date ~..~ ~ Quarterly Reports Firm: Assessor / / TRPC ~ / a )~ r SITE ADDRESS: ~~j~2 Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT N ~ $125.00 PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC N A $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 7ele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~~I ~~ ~~ ~ d 3 ~-1 BUILDING PERMIT ~(p 7~ 'y ~%i 5~ ~ ~ ~i't~~ PLUMBING PERMIT ~ ~ 8D ~ p ~ ~C~ ,Gj ~ ~'~ MECHANICAL PERMIT ~Z 7 y ~ ~", ~Q GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM BUILDING DEPT. Phone: 458-8407 (Work must a started within 120 days) N Name / Phone ( ) ~ ~ - '7 Y E a ~ Address r ~ City. ~ St/ Zip Code Site Address~~j~ ~~ ~ f ~~~(~ lQ_JL~ ,(itJ; ;f ~ ~~ ~~ R Assessor's Parcel No. Lot Size (sq.ft/acres) P E ~ • / r ~ Subdivision '~ J ~ Lot Block R , T Y OR Short Plat No. Block Existing Structures, if any: c ° N ;~ r Nam .~'1, , Contact Phone ( ) .~~` ~~ ~ 7 T Address X'~~, ~~ S City St. Zip Code T a License No. ~~Z 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 ~ ~ ~ / ~ Sets of Prints Other r r Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) ~ Mechanical Permit # ~ ~ TOTAL FEE ~ 0 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. r Signatur C ,~,L.~._..- Date ~ 9~ Quarterly Reports Firm: _ ~• Assessor JJ _ TRPC / ~ Buildin mit ® ~ ~ 3 Date "l SITE ADDRESS: ~ ~ Permit # IF Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 ~ l / w r PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC 7(~ $1,000.00 ~'~ a PER ERU HOOK-UP SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER x ~ ~ J~f WATER SERV. ORDER • POWER PugeF Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW 9~, Q~ ~ ~°' BUILDING PERMIT 5~ ~'y ~"J ~,t! 5~ l U /-~%~ rl~ r."1Lc~tr~~ ~ 5f~ i~ : C. , F`e PLUMBING PERMIT J~(rI ~ ~ ~/~, 5C~ ~ MECHANICAL PERMIT ~v~ ~I(~ 55~ ~~ ~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY ,` ~ _~ CITY OF YELM BUILDING DEPT. bhone: 458-8407 Building P r iit ~ ~ ~ ~~ Date (Work must be s ~ed_yvit in 120 days) N Name , ~ Phone( ) '7 ~ p7 '. a Address r ~ f f ~~ ~ ~ , City /' ~ St. Zip Code ~ .J Site Address c ~ ~ ~'~~~ .,(j~' ~~ ~~ P R O Assessor's Parcel No. Lot Size (sq.ft/acres) P A Subdivision Lot Block T Y OR Short Plat No . Block Existing Structures, if any: c N Name Contact Phone ( ) R T Address City St. Zip Code a License No. C~ r~ Exp. Yelm Bus L ir. Nn of Work V1M !) ~/I ®/' ~ J~ Sq. ft. per floor: (1st) (2nd) Sewer Septic Approval No. City Water Private Well Private System .feat: Electric Gas Other ITEM BASIS FOR FEE FEE Building Value j ~ ~( ~ ~ Other ~ n WA. ST. BC. Fee (4.5 -New Const. Only) r/ TOTAL FEE nl O1, /~/~ 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 ; ~% ~ ~~' ~: OFFICIAL USE ONLY Permit Type: Residential Sign Commercial Other Shoreline Permit Y N Sepa Exempt Y N Floor Plan Y N Sets of Prints Plumbing Permit # Mechanical Permit #_ ~f Plan Check By r Issued By Final Insp:~/ Owner L&I Form Assessor Floor Plan and Permit Submitted_1_/ Quarterly Reports Assessor / ___/ TRPC / J CITY OF YELM BUILDING DEPT. phone: 458-8407 ~~ Buildin Fjerm,t _ ~ ~ 8 2 ~~ r V ' r Date ~ `~:~~d ~ ~-?~~ '.~ (Work muse start~in 120 days) w N F ~ / ~! Nam I ~~ ? ~ ~ Phone( ) R Address ~' Cit'' ~ St. Zip Code '~ Site Address ~ ~ 9~ `~ e P R O Assessor's Parcel No. Lot Size (sq.ft/acres) P E R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N C~~ ~~J~ Name l~)~k~' Contact Phone( ) R ~ Address City St. Zip Code T oa 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 .} q? ~, ~,~ Plan Check By ~ ~ Minimum distance of structure from property lines: ,~ i Issued By Front to of Road ;~ Final Insp:J/ 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 i' . ,~.-' '~~ ~,~,,,...-- Date ~ Z2..- Quarterly Reports ., ~',') Firm: ,,...{..~ ~,- .,.~,,~ ~ ~ Assessor-// ;~ TRPC -I / _-- __ ___- ~ __ -- __ _ CITY OF YELIVI BUILDING DEPT. _ ~' Phone; 458-8407 ~-Q~ ~3 ~ ~ ~a ildin9~. a rnit P,~o 6 ~ s C~ to N Name ~ s ~~ ~~~-~~ (Work must be started within 120 days) E ~` Address ~ c(L-~~("' ~' ' ~.~ Site Address C ry~ .2 Phone ( ) .{'J.C' / J ? City r T / ~ ~7~/ o Assessor's P ~ ~ arcel No, St. P Zip Code ~~' a Subdivision ~ r Y Lot Size (sq.ft/acres) OR Short Plat No. Existin Lot ~~ g Structures, if any; Block c N Name R '~ Block n Address Contact T R License No. Phone( ) City Description of Work St. Zip Code ~ , - ~ 9 Exp. Yelm Bus. Lic. No.~ a d~~ ~ Q Sq• ft• Per floor. (1st) OFFICIAL USE ONLY Sewer Permit T Septic (2nd) YPe: ' City Water Residential_~ Private Well Approval No. ~ Sign.- = Heat: Electric Private S Commercial Gas Ystem ~ Other_ ITEM Other Shoreline Permit Y N Building Value BASIS FOR FEE ~7 r Sepa Exempt Y Other ~ / Y~~ ~ ~ / FEE N Floor Plan sr. Jam- ~v ~ ~(~ Y N WA• BC. Fee Sets of Prints (4.50-New Const. Only) Plumbin p ~~ 9 ermit #= Minimum distance of rOrAL FEE A Mechanical Per structure from pro e ~ ~~ ` ,JS /ti mit # ~ ~,~' Front p rtY lines: CJC/ Plan Check By c... y to ~C,~+ Side of Issued By ~ ~ :~ Side Road Applicants Affidavit: Rear Final Insp: I certify that I have read --~~_/ correct. I also certif Owner L&I Form true and and examined the information contained within the a ulations includin Y that the proposed structure is in c restrictions of record ~f 8 overning zonin PPlication a -~ State of g ppl in 9 and land subdivision, onformity with all a nd know the sa Assessor Floor Plan and P Washin ton. Y g as a contractor, I fu and in addition, PPl~cable Cit me to be ermit rther certif all covenants, Y °f Yelm reg- Y that I am a currently registered contractoran~he Submitted~J~, Signat re Firm: ~, ""^°~ Date ~ '- Quarterly Reports Assessor~~ --/~_ rRPC ~~ _~ ----- i SITE ADDRESS: Permit # Fee If Receipt If Applicable APPlicab le ~ Comments SEWER PERMIT SEWER LATECOMERS $125.00 ~~Q PERMIT/INSPECTION "SEWER/SEPTIC - SITE PLAN $1,000.00 PER ERU HOOK-UP ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER WATER SERV. ORDER POWER TELEPHONE Puget Power 458-7731 STATE/CO. APPROVAL Yelm Tele. 458-2171 STREET CONSTRUCT PLAN REVIEW BUILDING PERMIT ~~~ ` ~~~• QQ (~ p S~ i1C..1 Lt~ r5 Y, 5C~ B `~~ L PLUMBING PERMIT ~ L . C-~ ~ c r MECHANICAL PERMIT vZ 7Z ~~ 4~ G~C7 GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS '"DUE AND PAYABLE PRIO THE Y,ELM Rl ai n~,~~.~• ~ ~., R TO FINAL /NSPECTIQN BY ~ ~~ ~ ~ ~ ~> CITY OF YELM BUILDING DEPT. P ne:458-8407 :'"f'F ~~ ~~"(j Building ~~r it ~a,.~` ~ ~ ~ ~ Date ~ ~ ~` J (Work must be started within 120 days) N Name ~ ~ r`~ ,? ~ `~ . ~° ,/ ~-, Phone ( ) Address ~`i ' ~ City ' '/ St. Zip Code Site Address ~~f, P R O Assessor's Parcel No. Lot Size (sq.ft/acres) P A Subdivision Lot Block T Y OR Short Plat No . Block Existing Structures, if any: c N T ~ , Name 1 ~ % ? Contact Phone( ) T Address ~ ,~ ~ City j St. ( ~ZipCode °a License No. Exp. Yelm Bus_ Lir. Nn 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 ~~ , ~ Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # TOTAL FEE ~ J r Plan Check By' _t~.~~ Minimum distance of structure from property lines: i Issued By Front to of Road \J Final Insp:J~ 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-l/ Signature ~ %, ~~ ~ ~ , `~""'~ Date ~ ~ (J ' ~ ~=~ Quarterly Reports Firm: A ssessor-/__/ TRPC J / CITY OF YELM 6UILDING DEPT. 'hone: 458-840/7 ~/ Building Permit ~_ 5 6 3 7 Date / 4~ ~l'1~~ ~~ (Work must be started within 120 days) N Name tj' ;" '~ '9 ~ Phone ( ) Y ~~- 3 ~(' R ~ ~ ~ ~ `'~~ Address City S Zip Code ~~ ~ ~~ Site Address (, m ji(./YK ~ 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: i9 / " ~~- ~~~ N Name Contact Phone( ) Y T Addressf ~~ ~~9~ ~ ~ ~ ~ Cit 1 St ~ Zi C d ~5 ~~ 1 , y . p o e 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 -7 G~ r ®~ Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # ,+~ ~y ~ ~ ~ ~ TOTAL FEE CJ G/ ~ v Plan Check By ~ Minimum distance of structure from property lines: 1 ~` Issued By GGc 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 appftGable 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. " Signatur -r"' -''~ ~' ,,.. ,.~ -'%' ~ Date t,-. ~ Quarterly Reports Firm: . ~ r ~^~ , ,~~ ~..-- Assessor /~ - TRPC / ~ _ 1 ~/ a/ CITY OF YELM BUILDING DEPT. hone: 458-8407 ,C117"~ I~l~.r,~. ~ ~k~~ Building Permit ~° 5 6 3 5 Date ~ ~ ~ ~) - (Work must be started within 120 days) N Name ~ Phone ( ) '~ -- ~~~ ' ~ R E Address , ~ ~~ City /y '~ } St Zip Code /~V~C/ Site Address ~ y~ ~ I f R o Assessor's Parcel No. ~ ~ ~~ Lot Size (sq.ft/acres) P a ~ Subdivision , _ J , Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name , Contact p~/ Phone ( ) 0 7~ -~ J9 7( Address , City St. Zip Code ~~~ r R License No. ~L ~~ 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 neat: 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 #~,LLi__~ WA. ST. BC. Fee (4.50-New Const. Only) ~ ~~ Mechanical Permit #s5o2 ~/ TOTAL FEE ~ ~(,~ Plan Check By . /~ ~ ~ Minimum distance of structure from property lines: Issued By Front to of Road Finallnsp:I / 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, 1 further certify that I am a currently registered contractor in the State of Washington. Assessor Floor Plan and Permit Submitted-/J Signature ~ f Date U- Quarterly Reports Firm: Assessor /~ - TRPC / / SITE ADARESS S 1~~~5°¢/Ga3/`7 ~-~~~ep~/lL7 ~i ~G ~~ ~ ~ ~~ Permit ## If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 ~ ~ PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC x ~ $1,000.00 ~~ ~~'~ `---/' PER ERU HOOK-UP SITE PLAN ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~(' ~ ~ ~~, DD ~~~ WATER SERV. ORDER POWER Puget• Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~7~ QG} i ~ ~~ ~~ ,. BUILDING PERMIT ~~j~~ ~8d~ ~~ ~~ ~ ~ `=L~C"'Lt~ r5 ~(, 5C~ i,c~ ti C. E~~e~ PLUMBING PERMIT 5f~8 ~~~~~~ ~~ ~ ~ MECHANICAL PERMIT ~~ ~~ ~~, ~(~ ~ ~' , GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS __ _~~~,~ ~° 5533 CITY OF YELM Building Pe ° _ 6UILDING DEPT. Date ~ ~~.~ 'hone: 458-8407 (Work must b starte within 120 days) N Name ~ ~ Phone ( ) 1' ~1 1 -~J~~ E a Address City t. ~~ .Zip Code Site Addressr~y~9 L'IIC~(. ~ (,~( , 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: N Name ~' ~ , Contact ~-7 Phone ( ) ~ 1 -~ C„j5 T - Address , Q , '~ ~ City St. ~7 ,Zip Code ~d 5 ~t0 T °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 Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # ~ ~ ~ ~ TOTAL FEE (aC i 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~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 Date Quarterly Reports Firm: Assessor ~ J TRPC / ~ P '~y 5'~'ii ''J j, CITY OF YELM BUILDING DEPT. phone: 458-8407 Building emit ~° 5 6 ~ 0 Date ~-=- ~ (Work must be start d within 120 days) N `r Name £~ ^ ~) ~/ / j Phone ( ) 7 ~ U - ~~~ R Address ~ tth City ~ ~? 1 St. Zip Code Site Address '~ j~ ~ ~'~~ j,}-y ~f~~,/jI(~ ~ j,E~ ., R 0 Assessor's Parcel No. `~ ~ ""7 '~ .~ ~ ~~ 3 (;}(~ Lot Size (sq.ft/acres) P e R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: ~ , . N T Name °~- Contact Phone( ) - j Address ~d ' ~~ City ~ ~ St Zip Code T R License No. Exp. ~ Yelm Bus. Lic. No. of Work /~~f~~1;r ~ r~i , Sq. ft. per floor: (1st) (2nd) Sewer Septic Approval No. City Water Private Well Private System cleat: Electric Gas Other ITEM BASIS FOR FEE FEE Building Value (~D ~ ~~ `~~ Other WA. ST. BC. Fee (4.50-New Const. Only) TOTAL FEE ~jl~.~e~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 contractor, I further certify that I am a currently registered contractor in the State of Washington. signature Firm: ~- OFFICIAL USE ONLY r Permit Type: Residential Sign Commercial Other Shoreline Permit Y N Sepa Exempt Y N Floor Plan Y N Sets of Prints ~ ~ ~ Plumbing Permit #~!~~) /(~/ Mechanical Permit #~ Plan Check By Issued By ~ ra Final Insp:I_~ Owner L&I Form Assessor Floor Plan and Permit Submitted--/_~ Date ~ +( 9 ~ Quarterly Reports Assessor--/_~ TRPC / / SITE ADDRESS: ~~~ ~~~~~;~ ~ Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 ~//A 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 Puget Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW / c~ ! r ~~ BUILDING PERMIT / ~(p ~C ~ o2~J 7, ~~ _ ~ g =ncau~ ~5 , 5d W ~ C ~ F'e e. PLUMBING PERMIT 5~~ ~ ~ ~, d~} ~~ '> MECHANICAL PERMIT /~'~ ~ ~ f G~, 5G} GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS '"DUE AND PAYABLE PR/OR TO FINAL INSPECTION BY CITY OF YELM BUILDING DEPT. Phone: 458``-338407 Building Permit ~o_ 5 ~ 3 Date ~ ~ ~ - `~ ~... (Work must be started within 120 days) o N ,~ -_ , Name , ~ ~ f t..,!.~, f' ~ Phone ( ) 7 ,~} ~1, R f ? Address City ~ St ' Zip Code ~- (J r ~' ~ ~~ ~ ~ ~ ~ Site Address ~( , ~~ ~ ~ , , d R a Assessor's Parcel No. ~ ~ ~}~~(~ Lot Size (sq.ft/acres) a ~ Subdivision ~ ~ .'„a Lot ~'~` Block ~ r Y OR Short Plat No. Block Existing Structures, if any: ~ N Namet ~if ~~? ~ ~ ~ ~;~> J Contact Phone ( ) r R ~ Address City St. Zip Code T °a License No. ~Q Exp. Yelm Bus. Liq. fUo. ~` ,. p6,7~./ ~ .. Description of Work ~' .~' i%/ 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 Neat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~j '~ ~ R ~ '~f ~ ~ , Q ~ Sets of Prints Other r ~ -~ ~ Plumbing Permit #~"ZL_L~.L WA. ST. BC. Fee (4.50-New Const. Only) ~ ~ ~ Mechanical Permit # ~~~ ~/ p ,y ~'/ ~ '~~ TOTAL FEE T 0 ~ ~,tG! Plan Check Bye ~ /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_/~ 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 `"" Date - Quarterly Reports Firm: 1 Assessor ~ / ~~ TRPC / ~ _ t ~~ SITE ADDRESS : ~D. j 7 ~ .1,~11'I vw~LT , ,~~ ~®"~-~~SI Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 ~ f7 ,/ 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 STATElCO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~p ~, ~ ~ ~ O~ BUILDING PERMIT ~~~3~ '~ ~~j,SD ~_~ ~ ~=61C.lLt~~~S ~ 5U i~~,C_, F~~c~ PLUMBING PERMIT 5 ~ ~ J~ ~ ~ + ~ ~ MECHANICAL PERMIT ~Z(`,t~ 310, ~~ ~ 5 GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS '"DUE AND PAYABLE PRIOR TO l=1NAL /NSPECTlON BY CITY OF YELM Building P rmit N~ s~-- ~ 6 ~ 1 BUILDING DEPT. Date ~~:.- ~hone: _458-8407 (Work must be started within 120 days) w Nam ~ ~t # '~ ~- r ;i ' ~~ ' -~ n„ 0 Phone ( ) N E R Address Cit '/ St Zip Code Site Address /f~~ysj-~ !~~'~'~ ~lYt~1k ,1 , a Assessor's Parcel No. r0 ~~ r ®(,~ Lot Size (sq.ft/acres) R O ~ / a Subdivision ' 1 Lot f Block T Y OR Short Plat No. Block Existing Structures, if any: N Name~~ ~~~, ~n('~, Contact Phone ( ) 7 ~0 " ~ ~ j 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 #~LL~~_ WA. ST. BC. Fee (4.50- New Const. Only) '~,, Mechanical Permit # ~ ~ '~~~ TOTAL FEE ~ Plan Check By ~ r~'' J ,) 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 'ws -> -~-G'~ ~ ,- Date ~'~' 1~.~ ~ Quarterly Reports Firm: '.~ ~ 17 ~/,/~~~ j ~ Assessors/ TRPC / / SITE ADDRESS : ~1 ~/ y- J(~'ll~/~J' ~2/f/)~,~~~~~jJ~ ~~ "~ ~ Permit # IF Applicable Fee IF Applicable Receipt # Comments SEWER PERMIT $125.00 ~ ~~~ PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC X Z $1,000.00 ~ PER ERU HOOK-UP SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~ ~C~~' C1 C~ U ~ ~ WATER SERV. ORDER POWER PugeF Power 458-7731 TELEPHONE Yelm Tele. 456-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~CI c~• ~~ ~~ \~~ BUILDING PERMIT ~~, ~ ~ 1 ~ ~ , vU _ ~~ 'Iblcltt~ r~ ~(~ 5u 1.t; : C ~ E ~~ ~- PLUMBING PERMIT ~I7y ~ ~~a+ ~~ MECHANICAL PERMIT ~Z~ ~ '1 ~, ~~ ~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS '"DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM BUILDING DEPT. phone: 458-8407 .4,,. D Building,, mil o J Date ~``.-- ~ +_,~,~ ~~ (W rk must.jbe~st-a~rted within 120 d s) N ~'P Name Phone ( ) '~ ~= R Addres ~ P City/ ~ ~a St Zip Code ~ r ~~ ~' Site Address ~ ~,~ , R Assessor's Parcel No. ~ ~~7cX!/ !~~`l~~_.E"J Lot Size (sq.ft/acres) 0 P e R Subdivision Lot Block T Y OR Short Plat No. Block Existing Stru lures, if any: 0 N Name f Contact Phone ( ) T R ~ Address City St. Zip Code T 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 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 `a'. 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. 9 Signature r ~ Date / Quarterly Reports r Firm: Assessor / J _ TRPC ~ ~ f.~ r~ _~~ , CITY OF YELM Building ermit ~~,~~ ~ ~ ~ ~-.BUILDING DEPT. hone: 458-8407 Date ~ ~ t ~ "~) (Work must be start d within 120 days) r ..V ~ r i l ~ ~,. N Name '~ Phone ( ) 7~~~ ,~ ~~~ E a Address , , / City St. Zip Code '~ Site Address ~ ~~ yi q/ ~~ 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: _z„ _: c N Name 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: 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 #~ WA ST BC Fee (4 50-New Const Onl ) ~~ 4i Mechanical Permit # dJG?( ~P . . . . y . 1 , TOTAL FEE ~j, F Plan Check By a 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.,tT}applying as a contractor, I further certify that I am a currently registered contractor in the State of Washington. J ~J SITE ADDRESS: T~ Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 // ~V~ PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 /~ PER ERU HOOK-UP SITE PLAN ACCESS ~ DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER i` o ~ ~6a 3 WATER SERV. ORDER +7 ~Q ~ ~~ ~~ ~ ( - POWER PugeF Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~~ ~ ~J~S. ~~7 /G~~3C~ -- BUILDING PERMIT ~(~a9 / / ~ ~ cap ~~ Y ~1c.1 u~ ~5 ~ 5D W ~ C, F~e~ -_. PLUMBING PERMIT 5j 7 ° ~~: d 0 ~-= MECHANICAL PERMIT ~~~? ~ ~~ Q~ ~~~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS '"DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM BUILDING DEPT. phone: 458-8407 Building~e mit ~. G~ Date (Work must be started within 120 days) ~l w N ~ Name Phone( ) ~ - ~~ E a Address _ Ci ~~~ t. Zip Code Site Address o Assessor's Parcel No. ~ "Y .~~,,~~/~~ ~/Q f Lot Size (sq.ft/acres) P E A Subdivision Lot Block T Y OR Short Plat No. Block Existing Struc ures, if any: c N Name Contact Phone ( ) R ~ Address City St. Zip Code T R License No. Exp. Yelm Bus. Lic. No. Description of Work~~~],(~,3 //,n~~) ,~, ~J~ Z ~ ~ , Sq. ft. per floor: (1st) (2nd) Sewer Septic Approval No. City Water Private Well Private System neat: Electric Gas Other ITEM BASIS FOR FEE FEE Building Value ~~ Other WA. ST. BC. Fee (4.50-New Const. Only) 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. OFFICIAL USE ONLY Permit Type: Residential Sign Commercial Other Shoreline Permit Y N Sepa Exempt Y N Floor Plan Y N Sets of Prints Plumbing Permit # Mechanical Permit # Plan Check By . Issued By' Final Insp:_~__/ Owner L&I Form Assessor Floor Plan and Permit Submitted./ Signature ~!" Date Quarterly Reports Firm: Assessor-I _ / TRPC _~ / SITE ADDRESS: Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT /I f/~ / " $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 STATElCO. APPROVAL STREET CONSTRUCT PLAN REVIEW o2 ~, lPD ~ ~ • BUILDING PERMIT ~a, (~Q ~~ ~ '~ ''~ ^~ PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS *DUE AND PAYABLE PRlC?R TO l-INAL INSPECT/Q11! BY ~~ ~~~~~~ CITY OF YELM BUILDING DEPT. 'hone: 458-8407 ,~ Buildin P rc~it~i 7Q' ~ ~ 6 2 ~ Date ~ ~~ 7~! '~~ (Work must be started within 120 days) w Name~/~~ yj.,, ~ ~JGf1SU~-fZ..!~„~ ~~~/~t..( Phone( )'Y~0 ~--~,'~c~~ a f Address „ f + ~ ~ City f~ -'' f St. Zip Code ,~- ,, Site Address ~t '~ ~, ~ 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 ~ Address City St. Zip Code T a License No. Exp. Yelm Bus. Lic. No. Description of Work ~, OFFICIAL USE ONLY Permit Type: ~ S Sq. ft. per floor: (1st) (2nd) Residential ign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ (~ Sets of Prints Other ~j ~ .~ Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit #~ n ~ ~ ~ TOTAL FEE . , , Plan Check By Minimum distance of structure from property lines: Issued By 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 State of Washington. '~ Signature ~}J,r',-~! A ~ )1 ~,1 Dat _ ~-~ ~ r Quarterly Reports Firm: Assessor ~ / TRPC ~ / __ SITE ADDRESS: Permit # If Applicable f=ee 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 • POWER Pugef' Power 458-7731 TELEPHONE Yelm Tele. 458.2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW 7 ~. /o? ~ t~,~~ ~ _ BUILDING PERMIT ~~ ~ ( oC 8~~ 5~ ,~~_~ ~~,~ ~ n _ PLUMBING PERMIT ~~ 7 0~ ~~, ~D ~~?~ - MECHANICAL PERMIT ~a~j~j '~~, 5~ Q `~~~C~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY _,,~ i CITY OF YELM BUILDING DEPT. ?hone: 458-8407 .LCD T ~ ~~ Buildin er ~ ~~, _ ~ ~ ~ ~ Date _~ ~ ~ ~ ~ ! ) (Work must be started within 120'days) ~~ ~~-~ ~ ~`~(n ~ . `,~_ - N Name Phone ( ) ~ -- ~ ~ 7G E R Address City St Zip Code Site Address~~ ~~/~ ~ l~ ~,,~ ~~~~~ ~/ ~~~-~ P R Assessor's Parcel No. ~ ~~ Lot Sizes ft/acres (9• ) P a ~ Subdivision t ~ ~ ~ Lot Block r Y OR Short Plat No. Block Existing Structures, if any: c N Name , Contact Phone ( ) ~-7 --- R ~ T Address ~ City St. ~ Zip Code ~ ~`~ R License No. ~~, ,~ G~ Exp. Yelm Bus. Lic. No. Description of Work '~ OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) (2nd) Residential r Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N Heat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~ 2 ~ , ~~ Sets of Prints Other r Plumbing Permit # ~ WA. ST. BC. Fee (4.50-New Const. Only) ~ ~ `~~j Mechanical Permit # ~+~ TOTAL FEE -7 p t l 4 ~ J ~ Plan Check B ~ Minimum distance of structure from property lines: Issued By ' Front to of Road 4 Finallnsp:./_1 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--/_J Signature Date Quarterly Reports Firm: ~ h Assessor-// TRPC _/ / SITE ADDRESS: 1_~~~~1~~I/ ~~2:~~~,~, ~7~~"~~ Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 ~~ PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC ~ ~ $1,000.00 O~ ~ PER ERU HOOK-UP SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER `~ ~ ~ WATER SERV. ORDER ~ d=' /~ POWER PugeF Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATEICO. APPROVAL STREET CONSTRUCT PLAN REVIEW q'7 ~~~ ~Q BUILDING PERMIT ~ ~ ~ ~ ~ ~6, ~~ ~ ~=nGlLc~ ~5 ~ ~ ~d ~ ~ C, F'e e PLUMBING PERMIT ~ !' ~ ~ ~lO(~i ~v ~~ MECHANICAL PERMIT ~~ ~LJ'' S~, ~~ ~g~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPEGTIQN BY ~r-••r vr• ^i r~•••• r~•u~ •-. ww.-r. CITY OF YELM BUILDING DEPT. phone: 458-8407 Building Permit ~ ~ 7 6 Date ~~ ,~-% ~ ~~,,~ (Work must be started within 120 days) ~ ~ N Name ~--2~Y1 ~=-Gb _ ~/ s ~ e~ ~t.c-~-~'==~E ',1~ R Address :~~ r u Site Address O DUB ~'~~ , ~~~~ , ;~~ ,2/G~ a Assessor's Parcel No. ~, ~'~~`~~~ ~ ~~ 0 P a Subdivision Lot Y OR Short Plat No. Existing Structures, if any: City c R Name ,~ ~1 ~'J~j ~ A ~~/~~~) ' Contact ~ Address ~=_~ , ~~~ t~}-~-`~j'~{?~ T R License No. ~~~ /~ ~./'" ~ r7 ~ ,(/ L.f Exp. Yelm Bus. Lic. No. Description of Work ~ ,f ~ i 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 # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit #~2 ~ TOTAL FEE Plan Check By Minimum distance of structure from property lines: ~ n 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. I ing as a contractor, I further ce ify that I am a currently registered contractor in the State of Washington~~ ~, Lot Size (sq. Phone( ) St. Zip Code Block Block St. Phone( ) Zip Code ~~~ 5 ~' ~~ 1 NEW DEVELOPMENT/NEW CONSTRUC'i'iON CIIECKLISI' SITE ADDRESS: S''(,~~ ~~~, ~~ "~j,(~ ~~'T -~~ PERMrr # IF AP~r mr~-r r FEE Ir• ~~E RECCIP'r # Ccr~rrrs SEWER PERMIT 125.00 ~~ / ~ PERMIT/INSPECTION SEWER/SEPTIC 1,000.00 D~ ~ ~ ERU HOOK-UP SITE PLAN ACCESS & DRAINAGE WATER SUPPLY-IF NOT CITY WATER METER POWER PiJGET POWER YEIM 458-7731 TELEPHONE YELM TELEPHONE 458-2171 STATE AND/OR COUNTY APPROVAL STREET CONSTRUCTION PLAN REVIEW Iy~C~C~ /~ Z S` BUILDING PERMIT ~~r~/ +~r7~~~a~i ~ PLUMBING PERMIT Jr.-~,y~ ~~,0~ J r~~5 MECtIANICAL PERMIT ~~~~ -Y~ ,y~ -Y C~ ~ ~~Z~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING CITY OF YELM-BUSINESS LICENSE -:'40" ~= ADDITIONAL COMMENTS: * DUE AND PAYABLE PRIOR TO FINAL INSPECTICiV BY THE YELM BUILDING DEPT. r CITY OF YELM BUILDING DEPT. phone: 458-8407 .1.1~ 7" ~ l2. Building P rmit -~7~ ~.. ~J Date ;~ ` ~ I J (Work must be started wit in 120 days) .~%~l ~l ~~; ~~ ~ ~~ N Name Phone( ) v - E R Address ~ City St. Zip Code G~5(~~ // Site Address ! CO ~ ~ ~ ~ ~ ~ ` P R Assessor's Parcel No. ~j 7 1 2,.cs~ Lot Size (sq.ft/acres) O a Subdivision r '# Lot ~, Block r Y OR Short`pfat No. Block Existing Structures, if any: c N r Nam , Contact Phone ( ) ~f ~ -~~y Address ~, City St. Zip Code ~ ,5,~~ r R License No. L ~[ ~ Exp. Yelm Bus. Lic. No. Cd '~ Description of Work ~ ° OFFICIAL USE ONLY Permit Type: ~ Sq. ft. per floor: (1st) (2nd) ,/ Residential v Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ 5, ~~ ~ ~ Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) ~~ ~~ CJ~ Mechanical Permit # ~~~ TOTAL FEE g~, ~ Plan Check By v G~ ' Minimum distance of structure from property lines: ~ ~~ Issued By 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 Date Quarterly Reports Firm: / ! ~ k r Assessor /J - TRPC / J IIti1• /a-~I... r,. v• I..._I11 • I.a...• vv.i... r.... .. .. v.. ~.. a.._..,. ..._..... SITE ADDRESS: /L,_~J}~~t-//~~~ ,~/} ~D/~/y) ,, Permit # it Applicable Fee If Applicable Receipt # Comments SEWER PERMIT ,~-'J„~~~ I~X' $125.00 - ~~~ PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC ~ Z, $1,000.00 b r~/~ _l PAR ERU~HOOK-UP SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER 5 z G~~ ~ a~ (~ Z q J ~ ~" 0~ WATER SERV. ORDER /~®oK~L(P 5~ ~, q~ ~70~J,~d ~ ~q POWER Puget Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATElCO. APPROVAL STREET CONSTRUCT PLAN REVIEW _ ~~~;~,~ ~?~/ ~'7 "~`~ ~~ r. ~I~,~"1,~ BUILDING PERMIT c' J ~'Z~ 7 SQL ~Q ~~j~(J ~=i1GILt~ ~5 ~ 5c5 ~~ ~~ Fee PLUMBING PERMIT ~` 7~ l~li?% SD ~ MECHANICAL PERMIT JC'a~~ ~`~j"~~j~ ~~ GRADING PERMIT SIDEWALKSlCURBS LANDSCAPING YELM BUSINESS LIC. $30.00 J ADDITIONAL COMMENTS DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY CITY OF YELM BUILDING DEPT. Phone: 458-8407 ,~o-r-# l 8 ~ °w N Name ~ f a Address ~ f City St Zip Code r ~~~ Site Address f !Z2 ~ f f .~~ o Assessor's Parcel No. ~ ~ (~ f ~ Lot Size (sq.ft/acres) P R r / Subdivision Lot Block r Y OR Short Plat No. Block Existing Structures, if any: c ° N T Name ~ r Contact Phone ( ) ~ ~f3-° ~~~ R ~ Address ~ City ¢ ~~t1 St. Q Zip Code t ' C~ ft~C/ 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 Neat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ ~ f ~ ~ ~~ Sets of Prints Other ~~'' ~~ // QQ Plumbing Permit #~,Lf 4~ l WA. ST. BC. Fee (4.50-New Const. Only) '~f e ~(~ Mechanical Permit # J 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: 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 NVashington. ~ Assessor Floor Plan and Permit Submitted-/_J Firm: Date ~ ~-l ~ Quarterly Reports Assessor __/ _~ TRPC / / Building Pe it ~_° ~ 4 Date ~_- f ~ ~ ~ ~~ (Work must be started within 120 days) ~ .~ ~ -~-~ Phone( ) ~-7 -~(,) SITE ADDRESS s // /~~ -I- Permit # If Applicable fee If Applicable Receipt # Comments SEWER PERMIT ~? / ~ ~ l~ $125.00 PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC x Z $1,000.00 ~~~ PER ERU HOOK-UP SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~ ~ ~~~~ WATER SERV. ORDER ~ ~IJ POWER Puget• Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~~"~ ~ ~ 7~~~ 1~~~~ - BUILDING PERMIT ~~ ~~(~, ~~ _ ~~-~ Y i1c~1 Lc~ t~5 ~ , 5G 1.~.C, F"~ee_ PLUMBING PERMIT ~l ~~ ~(Q~i ~~ ~~- MECHANICAL PERMIT ~~~ 3 ~~~ 5~ ~5~~-~-- GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS '"DUE ANA PAYABLE PRIOR TO FINAL INSPECTION !3Y T-vr vr- r!i ~~i~~ r.vavA r.rr.7- - '~ CITY OF YELM „ _ _ BUILDING DEPT. Jhone: 458-8407 ~~f~-t~ ~ ~`~ Building~rmit N®r ~ ~ ~ ~ Date ~ ` ~~" ?~ ~~~ (Work must be started within 120 days) w N Name ~ ~~ '" Pone ( ) E R Address ~ City St Zip Code Site Address ~ 7 1(0/~ l'~f~ ~t P R Assessor's Parcel No. ~} ~9 ~ Lot Size (sq.ft/acres) ~ R . Subdivision ) -'l Lot ~ Block r Y OR Short Plat No. Block Existing Structures, if any: c N Name ~ ~ Contact ~/ Phone ( ) ~'y~v f.,~~/~ Address ~ ~ ~~ Cit St Zi Code ~~~~d y ~ p T R r~ License No. ~ /(,f p~ /~ 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 ,Meat: 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 # ~/ (a O WA. ST. BC. Fee (4.50-New Const. Only) ~ ~~ Mechanical Permit # ~~ O( ~ ~ 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 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. _ f Signature ..---zr~ -- Date ~l~ ~ Quarterly Reports Firm: .~~~!' "'°-- AssessorJl TRPC / / .}.r/ /YLII /ILYii v1 IIIa-/YI I Iti/• V~I/IV ...++...1/v1• V..--.-~. __...,_~. SITE ADDRESS: Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT ~~~,~~~ $125.00 ~ j / PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC X a $1,000.00 l„~ -~ PER ERU HOOK-UP SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~ ~ V v ~ ~ ~ ~ WATER SERV. ORDER ~ ~ ~ ~ ~ ~ • POWER Pugef' Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~ ~-~~j ~ 9~l/ ~~ ~~- BUILDING PERMIT ~~ ~~ ~ ~a ~ ~ ~ ~ ~ F.~ e ~ 5d PLUMBING PERMIT Jul ~ S ~-- MECHANICAL PERMIT ~'~ ~~ ~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS '"DUE AND PAYABLE PRIOR TO TINAL INSPECTION BY CITY OF YELM BUILDING DEPT. phone: 458-8407 Buildin P rmit N~ ~ ~ 2 Date (Work must be start d within 120 days) N Name ' ~ i', Phone ( ) ~~~ -„ R Address ~ City !'~i t. ~ Zip Code " '1 ;'" 4: Site Address P R Assessor's Parcel No. ~~ ~,~~.1~~~ 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 Contact Phone ( ) T R ~ Address City St. Zip Code T R License No. Exp. Yelm Bus. Lic. No. Description of Work 4 , 'a ~ i ~ %j OFFICIAL USE ONLY I !~ ~ !. `d` ~ ~ ~ ~ a ~` ~ Permit Type: Sq. ft. per floor: (1st) (2nd) Residential Sign Sewer Septic Approval No. Commercial Other City Water Private Well Private System Shoreline Permit Y N seat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ -! t""'~ ~ l "~} ~~'~ ~ '~~ Sets of Prints Other '' ~ ,~ ( /', 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 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~_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 Date Quarterly Reports Firm: Assessor /J - TRPC ~ / _ :;/ I~ CITY OF YELM -..BUILDING DEPT. hone: 458-8407 Building P rmi N® 5 6 ~ 1 Date (Work must be started within 120 days) N Name ~d ~d7 ~ , ice' ,~1,y),~J Phone ( ) ~('~ j - r~;`3 E ~" R Address City St. Zip Code o Assessor's Parcel No. ~ T ."1 c~~ 7 ~~ ~, Lot Size (sq.ft/acres) P R Subdivision Lot Block T Existing Structures. if anv: N Name ' Contact Phone ( ) T R ~ Address St. Zip Code T R License No. p. Yelm Bus. Lic. No. Description of Work OFFICIAL USE ONLY Permit Type: Sq. ft. per floor: (1st) ( d) Residential Sign Sewer Sep c A royal No. Commercial Other City Water Priv to Well Pri ate System Shoreline Permit Y N .. Heat: Electric Ga Oth r Sepa Exempt Y N ITE B SIS FOR FE FEE Floor Plan Y N Building Value Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.5 New Cons Only) Mechanical Permit # J TOTAL FEE Plan Check By Minimum distance of structure m pr perty lines: Issued By Front to of Road Final Insp:~J Side Side ar Owner L&I Form Applicants Affidavit: Assessor Floor Plan and Permit I certify that I have read and examined the i mation contained within the application and know the same to be true and correct. I also certify that the pr sed structure is in conformity with all applicable City of Yelm reg- SubmittedJ/ ulations including those governing zo g and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying a contractor, I further certify that I am a currently registered contractor in the State of Washington. Signature Date Quarterly Reports Firm: Assessor-/~ TRPC ~ / CITY OF YELM ¢UILDING DEPT. )hone: 458-8407 Building Permit ~_ 5 61 Date ~~-~1-~, k must be started within 120 days) ~~ ~~~ N ,(~ I Name ~rY ~,~`..rr~"y.',`_ (~~,t..~,~+--~:.!....~T,,.,,.~ Phone ( ) R Address ! 3- ~ ~ "~;%.,~°' City y ~~ St. k/ Zip Code ~~' Site Address ~(,~ ~o ~ ~" `,.~y,,,r~,,,,~/ , R Assessor's Parcel No. Lot Size (sq.ft/acres) 0 ~ ~~ ~ a Subdivision ~ ~ ~ C- Lot c~ Block T Y ~ OR Short Plat No. Block ~' Existing Structures, if any: c N Name~~y, ~ ~,f ~~ ~ ~ ,t;,,a,,U Contact Phone ( ) 4 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) _Residentisl _ -- Sign Sewer Septic _ Approval No. t ,,. ~`ommercial~ Other . City Water Private Well Private System Sftorelme 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 ' ~ ~ 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:J~ 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 Wash' gton. Signature -r~ ~~ "" Date Quarterly Reports Firm: Assessor~~ \ 1 TRPC / ~ a~ ---.- ~i/~ ;~= ; 1 1, 7- ~ l -mot c~ E~ ~-' ~",~. />''E G,~ 1L~c4,~~ c l ~-ca ~ .,~~~ ~ 6Q-~~ ate, ~ CITY OF YELM ~ Building Per~~~°,., --~.~ ~ ~ BUILDING DEPT. ~ ~~` `' ~` r/ u "` ~`~ / Date ~~ l 4~hOne: 458-8407 ork must be started within 120 days) ~- ,~ i~ N Name ~ "~ Phone ( ) '°1~~ o ~,,j ~c~ E R Address City, ` St Zip Code Site Address / ~ 'f `~ '1 o Assessor's Parcel No. , ~ Lot Size (sq.ft/acres) P E R Subdivision Lot Block T Y OR Short Plat No. Block ~, Existing Structures, if any: - ;: N T ~,~~ - Name Contact Phone ( ) ~~~-3~2G Address r City ~, ~, 9~'` St. ~ Zip Code ~`` T R License No. ' _ °Cr ' Exp. Yelm Bus. Lic. No. ~ ~ ~~ , 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 > rl Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # TOTAL FEE ~ Plan Check By ~~(~~°`~' Minimum distance of structure from property lines: ~ ~ Issued By Front to of Road Finallnsp:/~ \ Side Side Rear Owner L&I Form Applicants Affidavit: 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- 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 Washin tort, ` Assessor Floor Plan and Permit Submitted-/J Signature ~~. Dat Quarterly Reports Firm: ~. r Assessor/ TRPC / J CITY OF YELM ~•BUILDING DEPT. -hone: 458-8407 -,~ a T #~y Building Permit ~°_ 5 6 9 7 Date ~~ ° ~ "~~ (Work must be started within 120 days) ~~ C~1~ , -~ ~,~ 1 ~ N Name ~~U / ~C~% 6-~'~/~~4~~~'21' Phone ( ) !'~(o ' Jy R r Address City ~ St Zip Code ~j~ Site Address ,~ ~ : " ; '~ P R Assessor's Parcel No. ~' °J (} 3~ ~~(~ ~'y Lot Size (sq.ft/acres) O ~ a Subdivision ~ C.~TYJ,L,f ~ Lot ~ ~ Block T ~ OR Short Plat No. Block Existing Structures, if any: c N Name Contact Phone ( ) r R ~ Address City St. Zip Code r a / License No. Exp. ` Yelm Bus. Lic. No. jJ(,~~ r Description of Work J ~ ~? OFFICIAL USE ONLY i 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 fi ~ ~ ~ ~ '~ p~, ~~ Sets of Prints Jd/f J`~P4~'~ Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) ~`~~ ~~ Mechanical Permit # ~ ~ ~ 7 TOTAL FEE Plan Check By r Minimum distance of structure from property lines: Issued By Front to of Road Finallnsp: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-/_~ 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 ~ / f .-' SITE ADDRESS: Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT (~~ l ~ $125.00 f-"~ ~~ JJ PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 ~ ~ PER ERU HOOK-UP SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~~YL.•/ WATER SERV. ORDER • POWER Puget' Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~_ ~o~. ~~ 1~~77 BUILDING PERMIT ~(~?/ / ~ LtI,C~ F•~e PLUMBING PERMIT J ~~P~ ~J ~r ~~ ~ 0 ~ MECHANICAL PERMIT 5~(~j~ ~~~, ~~ ~~ GRADING PERMtT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS UC. $30.OU ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR f0 FINAL INSPECTION ®Y `, CITY OF YELM Building Permit ~°_ 5 6 '~ 6 --,.BUILDING DEPT. Date --~~ - ~ ` ~ ~ ~~T phone: 45 ->8y40'7 (Work must be started within 120 days) r ~~. N Name ;~ ~ -~ ~ Phone ( ) "jr~ - ~~ ~ oG` R Address , City St.~~ Zip Code ~ Site Address ~ ~ ) +1 1 - ~~,, 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: c N Name ~ Contact Phone ( ) r R ~ Address City St. Zip Code r R License No. a ~ Exp. j Yelm Bus. Lic. No.~~, ©~! ~ C ~ ' .~' -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 ~~_,, 1 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 # ~l ~~ s~ WA. ST. BC. Fee (4.50-New Const. Only) 7 i 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 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 t he State of Washington. Signature ~~ ~ ~ ~ ~ D~ a Quarterly Reports Firm: ~ ,.-.- Assessor / J TRPC ~ / ,~ SITE ADDRESS: %~i~~~~ ~/I/4.f0A~L/D//~ ~/!S . ~.1~ ~~ T ~ Permit # ~ If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT ~j , i (, ~L ~X $125.00 /~C~ 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 C~~`~~~ . POWER ~ PugeF Power 458-7731 TELEPFIONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~J QC ~ ~oZ 7~ ~J f ~ ~ ~T ~I - BUILDING PERMIT / / ~~'~c P ~I;3. J~~ ~ 'Si1aILc~ t`5 ~ 5G Lv.C. Fee _ PLUMBING PERMIT ` / ~~~ ~` 0 ~r ~D MECHANICAL PERMIT 5,~ X59 ~/(~ /J"Q ~~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS '"DUE AND PAYABLP PRIOR ~O FINAL INSPECTION BY CITY OF YELM Building Permit N_o 5 ~' ~ --.~UILDING DEPT. Date o~ ` ~ `C~ !hone: 458-8407 (Work must be started within 120 days) N Name ~ ~ Pone ( ) Y~- ~+!i ~c./ R Address ~ City St. Zip Code E ~ ~~ Site Address ,~(~ ~a~ ~~~ ~~/~=t-~~ ~ ~.:~~~ ~ ~3- R Assessor's Parcel No. ~ 3 Q'` ~ Q(~a Lot Size (sq.ft/acres) a Subdivision Lot Block ~ ) T Y OR Short Plat No. Block Existing Structures, if any: o N Name ~ `n L.l~~~ > Contact Phone ( ) T R ~ Address City St. ~ Zip Code r R License No. ~~(~ Exp. Yelm Bus. Lic. No.''~-~(}o~./J~r 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 cleat: Electric Gas Other ' Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value ~ r ~~ Sets of Prints Other ~ t ;. Plumbing Permit # r ~ ~~ ~ WA. ST. BC. Fee (4.50-New Const. On ly) ~ Mechanical Permit # TOTAL FEE ~, j ~ Plan Check By ; ~; Minimum distance of structure from property lines: 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 applicab~ City of Yelm reg- Submitted) ulations including those governing zoning and land subdivision, and in a~diiion, III covenants, easements and restrictions of .record. If applying as a contractor, I further certify,th~fi! am a currently registered contractor in the State of Washington. ~~ ~"' `' Signature "~~' ~ Date C"~ „__ Quarterly Reports Firm: ~ Assessor J / TRPC ~ / NEW UEYELUNINEN 1 /NEW GUNS 1 KUI; IIUN GHEGKLIS 1 SITE ADDRESS: ~ ~T -~~~' Permit # IF Applicable Fee if Applicable Receipt # Comments SEWER PERMIT ~~ ~~ $125.00 ~ (~ ~~t 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 Puget' Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW 'OUC , /q`'~~r 'S~Q iQ~ 7 7 BUILDING PERMIT ~~~j~ ~O10~ ~~ "~~ ~~ UJ,C, F' e ~ ~~ PLUMBING PERMIT ~~~jQ ~~.D1~ ~(~^l~ MECHANICAL PERMIT ~~ 5~ 3~i~~~ J t) GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS '`DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY T...- .,r. .. .,.... ....." "--- CITY OF YELM ,BUILDING DEPT. ~hone:45)8-8407 Building P mi~o ~~ Date ~ ~ (Work must be started within 120 days) N Name ~- / f hone E R Address City St. ~• t Zip Code ~J Site Address ,~ 1 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 ~~fr7 ,1 Contact Phone ( ) T R ~ Address City St. Zip Code T oa r License No. J Exp. Yelm Bus. Lic. No. ' j~ ~ ~ r 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 ~,: rleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value jj '~~, r~ ~ ~~ , ~ Sets of Prints ~ Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) ~ (~ Mechanical Permit # ~~ TOTAL FEE ~ ~ Plan Check By + ~ ~'~ ~l Minimum distance of structure from property lines: Issued By 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 Washin ton. Si nature; Y Da .~ g .~ ~ Quarterly Reports Firm: \ , ' Assessor // - r TRPC ~ J _ ~.J ~~ NEW UEVELUNlNEN 1 /NEW (;UNS 1 KU(:lluN c;NEC;ICLIS I SITE ADDRESS: yyE Permit # If Applicable Fee if Applicable Receipt # Comments SEWER PERMIT 'n~~/ I _ 1 `~' $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 PLAN REVIEW /OGQ. /~d, •~ %DI77 BUILDING PERMIT ~~p~~ 'y~rp,~~ j( ~~`f~ s nG ~ ~ , 5d WIC. F'ee PLUMBING PERMIT ~j ~p ~ ~ ~, DD ~ v( MECHANICAL PERMIT Jf~ 5~ ~~`~~ ~~ l l GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS *DUE AND PAYABLE PR10R TO FINAL INSPECTION BY CITY OF YELM BUILDING DEPT. phone: "458-!8~40/7 _- ~/~/-~tJ~~/ Building Permit ~'~ ~ 6 Date ~~- ~ ~' (Work must be started within 120 days) ~=-'r"~,,~ ~, ~c~~,~ N Name ~ , Phone ( ) ~~'~ - j~}<~, E a Address City St. -- t Zip Code U Site Address ~ ~ ~ ~ ,,¢' ~~, P R Assessor's Parcel No. ~~ 3 3QQa, Lot Size (sq.ft/acres) P R Subdivision Lot Block T Y OR Short Plat No. Block Existing Structures, if any: c N Name ~ ~~-,/~,P-f Contact Phone ( ) T R v ~ Address City St. Zip Code T a License No. L. ~ ? ,,~ Exp. Yelm Bus. Lic. No~ -- Q~ 1,3 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 ,neat: 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 # ~~ WA. ST. BC. Fee (4.50-New Const. Only) , Mechanical Permit # ~ ~~ ' TOTAL FEE , , Plan Check Byv Minimum distance of structure from property lines: Issued By Front to of Road Finallnsp:~~ y 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 __ ~.- Dated ~ Quarterly Reports Firm: Assessor ~ J TRPC ~ / NEW UEVELUNMEN 1 /NEW GUNS 1 KUClIUN (;NEl:1lLIS I SITE ADDRESS: Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT ~j0 ~ ~ /Q $125.00 L(~ l PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 ~~ PER ERU HOOK-UP SITE PLAN ACCESS 8 DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER - ~.1~ WATER SERV. ORDER POWER PugeF Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW pCCf ~oZ~,J~~ ~a~7T BUILDING PERMIT ~~ (~ "Y 8(D •~ 3 W . C, F'ee I ~~ PLUMBING PERMIT $~(p ~ y~~ MECHANICAL PERMIT 5'a5~ ~~ • ~~ s~~ ~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 . ADDITIONAL COMMENTS '"DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY TLIC VCI ^1 nf--- ~w~ e~. ~.. ~. CITY OF YELM .BUILDING DEPT. ~~,hone: 458-8407 Building Permit ~°_ 5 ' 2 Date ~' ~ ~~ (Work must be started within 120 days) N Name ~ ¢- ~~ ~Rhone ( ) E a ~.. J ~C e~ ~- Address City St od , Z Site Address , R Assessor's Par el No. Lot Size (sq.ft/acres) a Subdivision ~ T Lot ,~ Block r 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: 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 r(eat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Q Sets of Prints Other jj Plumbing Permit #~_L~ WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # ~ TOTAL FEE Plan Check By Minimum distance of structure from property lines: ~ t 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. ~~ ~ ~- Dat ,_ Signature Quarterly Reports Firm: Vic' ~ Assessor~J TRPC J / r/ 3 NEW UEVELUNMEN l /NEW t;UNS I KUC1lUN (:HE(:IiLIS l SITE ADDRESS: ID~D~ .~'~~o~~~ (~ir~-n .~Se~ L.1~7" ~ Permit # If Appllcable Fee If Applicable Receipt # Comments SEWER PERMIT ~~ ~ a'` $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 ~~1,ZJ`J WATER SERV. ORDER POWER Pugef' Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW P~~ ~~~~ 5(~ J~}~''l BUILDING PERMIT ~~~ '~~ 0(~. ~~ ~~ W,C~ Fce I ~ PLUMBING PERMIT ~ ~~j3 ~ ~, ~~ ,~~ MECHANICAL PERMIT J~oc J~8 ~~, ~~ 1~~1 GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY T...- .,r. .. ...... .. ..... " "-- CITY OF YELM Building Permit ~~ ~ 6 0~ ~ BUILDING DEPT. Date ~ `~ -~~ . ~. phone: 458-8407 (Work must be started within 120 days) w Name !' ~ Phone ( ) '~j~ ~' ~ N R Address ~' _ ,~ ~ ~ # ~ City St. Zip Code Site Address ! ~ ~~(~ ~~~'~ ~~'", a Assessor's Parcel No. Lot Size (sq.ft/acres) 0 R Subdivision ~ ~`~ y~,?jt~ Lot ~ Block Y OR Short Plat No. Block Existing Structures, if any: o Name ~~,9 ~ Contact Phone ( ) N ~~.e ~~~ T R ~ Address City St. Zip Code r R License No. /~ 19 //~ ~ n T /1 rl'7 L_ A Exp. Yelm Bus. Lic. No. l/.~i -- /~/~i~ `?,,/ ~ 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 .feat: 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) a Mechanical Permit #=~ 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 Washingt Signature ~~ ! Date ,( ~~'~~~ Quarterly Reports Firm: Assessor-// TRPC J / CITY OF YELM BUILDING DEPT. Phone: 458-8407 Buildin~ rmit ~° 5 ~ U 9 Date ~T~ (Work must be started within 120 days) N ,~ Name ~ d , ~ ~f Phone ( ) 1~~~ c~ ~lp~ E R Address r ~ ~~' City St. Zip Code Site Address ! rlj~~Q ~~~~ ~/~~~~r ~~ ~1 `~~ 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: +.~. .r `d ,F o N ~ ' Name qt , Contact Ph ne ( ) $ ' ~ ~' r Address City St. Zip Code ~~~ r °a License No. ~ Exp. Yelm Bus. Lic. No. Q,31,f~'j,l Description of Work ~ OFFICIAL USE ONLY Permit Type: l Sq. ft. per floor: (1st) (2nd) Residentia Sign Sewer Septic Approval No'" _.. ` ,r ' Commercial Other - -, City Water Private Well Private Sy~terT- " , ,~ " ., ~ ' .,,Shoreline Permit Y N Heat: Electric Gas Other -M;,. ~ Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value '~~~, ~,~ ~~ ®(/ Sets of Prints Other ~~~~ ,,,.~~s,s~~ Plumbing Permit #_s~1~L ' ~ ~~ M h i l P i s WA. ST. BC. Fee (4.50-New Const. Only) ~ an ca erm ec t #_s e 1 ~ ~~ / r T OTAL FEE ! ~ , Plan Check By -~~ ~ ,, y ~ ' ~ Minimum distance of structure from property lines: J r Issued By 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 - _~ ~ 1 .~ `_. «., _~~-. Dated>,r` _ %~w..- Wis. Firm: .~'~ Final Insp:~~ Owner L&I Form Assessor Floor Plan and Permit Submitted~~ Quarterly Reports Assessor ~ / TRPC ~ / 5 ~~ lj 7 /? 1 ~CCJJ NEW DEVELOPMENT /NEW CONSTRUCTION CHECKL/S f SITE ADDRESS: Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 ~~LI ~ _ T PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC $1,000.00 QQ S~ PER ERU HOOK-UP SITE PLAN ACCESS 8 DRAINAGE WATER SUPPLY WATER LATECOMERS "WATER METER ~~~ ~Q ~1 (J 5'~~'~ WATER SERV. ORDER POWER Puget Power 458-7731 TELEPHONE Yelm Tele. 458-2171 STATE/CO. APPROVAL STREET CONSTRUCT PLAN REVIEW ~ ~ ~'1 ~QaO BUILDING PERMIT ; j r~7 Q ~ ~~ ~i ~~ ~~ ~ ~~l ~~~~ ~ ~ ~~ it,`~C. G'z~ PLUMBING PERMIT ~j~g ~~~ DD~ ~ ~ MECHANICAL PERMIT ~~ ~~ ~ ~ ~Q GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 . ADDITIONAL COMMENTS "DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY `~ i.~1 ~ ~ ~ lJ~i~7 CITY OF YELM - $UILDING DEPT. phone: 458-8407 Building Permit ~~°_ 5 6 ~ 1 Date ~ ° ~ - /..7~ (Work must be started within 120 days) w Name ~ / / ~ Phone ( ) ~`~ ~~'' r E '~ ~^ R Address .~ City St. Zip Code Site Address p~(~ ~ {~~~ , 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 Address City St. Zip Code T R License No. Exp. Yelm Bus. Lic. No. Description of Work ~ - r `~~ f OFFICIAL USE ONLY , --, ~ . i ,," :, '~ / i `~• Permit Type: s Si R d n Sq. ft. per floor: (1 t) (2nd) g esi ential 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 y,,, ~'~ , ~ ;T, Sets of Prints Other + • f f Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # ma TOTAL FEE ~ ; y ~~> Cf t-~' Plan Check B t - Minimum distance of structure from property lines: } Issued By ~/ V Front to of Aoad Final lnsp:~~ 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- 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. r ~~ ~ ; ' Signature i, ! { ~ ± . ~ (J ' c Date Quarterly Reports Firm: I C 1..~- c.~-^ ~~, ~_~~ - ~ ~` ~ f%:~~~ ~ Assessor ~ ~ TRPC J / ~,. CITY OF YELM .BUILDING DEPT. hone: 458-8407 w (Name N Building Permit ~ ~, 7 1 Date ~~ tom-, °J `'" ,,~1~~~ (Work musy'j ee s~within 120 days) Phone( ) y~ C~- R Address C City St. Zip Code Site Address t ~ ~,,~ ~ ~~ ~~,(.~ 1~f R ~ - Assessor's Parcel No. Lot Size (sq.ft/acres) 0 P e R Subdivision Lot Block T Y OR Short Ptat No. Block Existing Structures, if any: 'y~ ~ 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: 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 # WA ST BC Fee ( 50-New Const. Only) Mechanical Permit # ;~5 /~ 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 cert' y that the proposed structure is in conformity with all applicable City of Yelm reg- Submitted~~ ulations inclu ingggggg those go ruing zoning and land subdivision, and in addition, all covenants, easements and restrictions of~rd. If appl ing as a contractor, I further certify that I am a currently registered contractor in the State of Wash g n. { Firm: Date ~.- z~ ~ ~ Quarterly Reports Assessor~~ TRPC ~ ~ ~. CITY OF YELM BUILDING DEPT. phone: 458-8407 l`t,~C,r~..~ ~' .~ X0`7 Building Permit ~ ~ 7 Date U'~ ~t ~ ~a , ~ ~ ~~ (Work mu a started within 120 days) w Name Phone ( ) J -• "~®~/ N E R Addres City St. Zip Code '°' r" Site Address 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 Contact Ph ne ( ) ~ r ' T Address ~ City "~ " St. Zip Code ~ ~ r T R Li N Ex . Yelm Bus Lic No ~ cense o. p. ..- . . . Description of Work 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 Sets of Prints Other 4 ~ ~ ~?`' Plumbing Permit #_!~.J:~' ~/ U M h i l P i # ~ WA. ST. BC. Fee (4.50-New Const. Only) an ca erm ec t TOTAL FEE , Plan Check By, J rte' ~~U s-~ Minimum distance of structure from property lines: Issued By 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 includi g those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of r cor . If appl ing as a contractor, I further certify that I am a currently registered contractor in the State of Washin to . Signature t ~" `°"~'~--~---~-----.__..__._._ _ Date -- 2.~~ ~ J Quarterly Reports Firm: Assessor~~ TRPC ~ / NEW llEVELOPMENT/NL•'W CONSTRUCTION CHECKLIST SITE ADDRESS: PERMIT f~ IF A~r:m~rr FEE IF ApPL~r RECEIPT ~ COI~II'S SEWER PERMIT /~,J~/~ 125.00 PERMIT/INSPECTION SEWER/SEPTIC n,r ~J„ J~ ~( 1,000.00 ERU HOOK-UP SITE PLAN ACCESS & DRAINAGE WATER SUPPLY-IF NUT CITY WATER METER POWER PtJGE'I' POWER YELM 458-7731 TELEPHONE YELM TELEPIIONE 458-2171 STATE AND/OR COUNTY APPROVAL STREET CONSTRUCTION PLAN REVIEW /I(~'~~~ f ~1 1 c/ BUILDING PERMIT ((d ~~(C~ / j ~~~~ (O oC 5 ~ ~ ,xj ~Q ~~~~ ~~Y~=~~~- PLUMBING PERMIT ~/~ 4 0 ~ ~ D~{ C/ 5~~~ MECHANICAL PERMIT ~~ ~~ ~ ~ ~~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING CITY OF YELM-BUSINESS LICL•NSE 30.00 ADDITIONAL COMMENTS: * DUE AND PAYABLE PRIOR TO FINAL INSPECTIQV BY THE YELM BUILDING DEPT. CITY OF YELM -....BUILDING DEPT. phone: 458-8407 Building ermit ~° ° 6 ~ ~ Date ,Work mus be started within 120 days) l~ .r-,~~.. ~ ~ ~ ~~ w Name iTJ ~'~! ~ r Phone ( ) Y N R Address /~ ~ <" `~ Clay / St. Zip Code (~~ '~ Site Address f , R Assessor's Parcel No. p~7 ~ ~ (~' 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 ( ) ` '~~ .- T Address ~ ~-- it n 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) r (2nd) Residential Sign l Sewer Septic Approval No. Commercia Other -, City Water Private Well Private System Shoreline Permit Y N _rieat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value r. Sets of Prints Other Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # TOTAL FEE 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 an restrictions of record. If applying as a contractor, I further certify that I am a currently registered contractor ~. . State of Washington. ' Signature Date Firm: ~C C.J Plan Check By ~~ ~ Issued By ~' Final Insp:I_~ Owner L&I Form Assessor Floor Plan and Permit SubmittedJ/ -~ ,r<~ Quarterly Reports Assessor J / TRPC ~ ~ NEW UEVELUPMEN l / Nf=W CONS i RUCI7UN CHECKLfS f SITE ADDRESS: ll~~ Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT $125.00 ©r~ J 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 PLAN REVIEW SC~~. rG' / (~ ~ lY BUILDING PERMIT ~(v jJ / ~~'y, ~ ~ ~ 2nclu,~t~s ~/, 5U LlJ ~ [: ~ ~~c PLUMBING PERMIT ~ ~ ~ rp 1 D©- ~~ ~ ~,~.- MECHANICAL PERMIT J Z 7 ~ ~~/ G~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LIC. $30.00 ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY ruc vci n~ nr is n~a~n_ ncnr CITY OF YELM BUILDING DEPT. Qhone: 458-8407 Building Permit ~_ 56~ Date ~Q~.. 70 , 1 ~1 y ....(Work m t be started within 120 days) ~~c~ ~~ ° N Name ~, Phone( ) E ~ R Address City St Zip Code ~ Site Address 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: c ° N Name ` Contact Phone ( ) .~- ~~ T , Address City St. Zip Code T R License No. Exp. Yelm Bus. Lic. No. O 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 cleat: Electric Gas Other Sepa Exempt Y N ITEM BASIS FOR FEE FEE Floor Plan Y N Building Value Sets of Prints Other ~ ~ Plumbing Permit # WA. ST. BC. Fee (4.50-New Const. Only) Mechanical Permit # TOTAL FEE 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: 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 ~ / CITY OF YELM BUILDING DEPT. Phone: 458-8407 Building ~rmit ~~~~_ Date (Work must` started within 20 days) 1, J A/ N /~ ( Name [ 1 {if /.115 ,(!1 ~ J jJf }'1•f ~ Phone ( ) ~p - ,~~; E , R Address City St. Zip Code Site Address ~,~~Y~~~ / I t,~ f~~~~ ~ ~ oZ.l 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 Name. ~~ ~ 1 , Contact Phone ( ) ~ ~a •- T Address ` /' , 1 City f , St. Zip Code ~h' T a License No. ,{ Exp. Yelm Bus. Lic. No. Description of Work '~ ° OFFICIAL USE ONLY Permit Type: n Sq. ft. 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 1 Otfier 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 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. 1 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. Signatur'~._ ~' c" Firm: ~/ ) Final Insp:~~ Owner L&I Form Assessor Floor Plan and Permit Submitted-/~ Quarterly Reports Assessors) TRPC ~ ~ J CITY OF YELM BUILDING DEPT. phone: 458-8407 N Name ~~js .;;~--'y'y1 h E ~ ., .~ 1'} ,ID f 1 !~ Building P~rrnit _ ~ , 8 Date ~ ~~ ~ , /~~~'~7 (Work must ~ started withi 120 days) ~C~ ` ~~_ Phone ( ~ ) ~~ - `"~~ ~~ ^ aodress ! ; ' ,' ~ , ~.ity ~~. ~~N wua ,-. Site Address ~ ; " , P R Assessor's Parcel No. ~ ~ Lot Size (sq.ft/acres) P a f Subdivisiorr.~~ /~ ~ ~ [ ~ ~ (d~ ~ ¢~J Lot ~ ~ Block T Y OR Short Plat No. Block Existing Structures, if any: ° N ~ ~~ ~'~~ Name T r Contact Phone ( ) p .- ~~ r Address-~ ~ ~} `'~ ~ I , City St. Zip Code ~r~ T R License No.,~ 1~ 7i'~ A ' ~(~ (~ '7 Exp. Yelm Bus. Lic. No. ~ ,~! 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 ~j,t`rrt Plumbing Permit # ~LL ~ L Other - - ~ Q { ~ ( / ical Permit #~~c~ Y M cha ~ WA. ST. BC. Fee (4.50-New Const. Only) 1 ' n e ~ TOTAL FEE r;1 ~ i Plan Check By ~~~,~a~~~513 ~ Minimum distance of structure from property lines: Issued By ~ Front to of Road Final lnsp:~~ Side Side Rear Owner L&I Form ., , >~ Assessor Floor Plan and Permit Applicants Affidavit: - r ~-- ~ ~~~ ' ~-~~ `~ ~~ ~ ,~-~ 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, aid 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: Quarterly Reports Assessor)-~ TRPC / J NEW DEVELOPMENT /NEW CONSTRUCTION CHECIiUS l SITE ADDRESS: Permit # If Applicable Fee If Applicable Receipt # Comments SEWER PERMIT " ~~'~~J ~/``~~r~ $125.00 ~-~ PERMIT/INSPECTION SEWER LATECOMERS "SEWER/SEPTIC J~~Q ~ $1,000.00 9~ 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 __- ~~ , ~c~~p , ~v~ .G BUILDING PERMIT ~~~~ ~~~, ~(~ ~ ~>~ "~ , ~(; PLUMBING PERMIT ~ !I y7 ~ 1 ~ ~'® ~'`~~~~ MECHANICAL PERMIT ~~ ~I~ '~ (, 5(J ~~U~ GRADING PERMIT SIDEWALKS/CURBS LANDSCAPING YELM BUSINESS LTC. $30.00 ADDITIONAL COMMENTS *DUE AND PAYABLE PRIOR TO FINAL INSPECTION BY rt.~~ v~r n~ r~-rn n-~-~ ncnr ~ ~ 8 3 . CITY OF YELM Buildin Permi ~ ~~ V _<3UILDING DEPT. Date -~- ~ ~ Phone: 458-8407 (Work must be started within 120 days) w r Name / ~ Phone( ) E R --~ Address =~ ~` , City i 1 St. Zip Code Site Address ~ Q ~ ~,~~J pJly~~ ~ - i= 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: N Name / Contact Phone ( ) T Address City St. Zip Code T i ironca Nn Exo. Yelm Bus. Lic. No. Description of Work ~ OFFICIAL USE ONLY Permit Type: l Si ]L i R d Sq. ft. per floor: (1st) (2nd) gn~ ent a esi 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 (.50-New Const. Only) Mechanical Permit # TOTAL FEE ~~, ~~ Plan Check By Minimum distance of structure from property lines: '~ Issued By ;. ~ Front to of Road `~ ~ ti#lflsp:I-~ +~ Side Side Rear ner L&I Form Applicants Affidavit: Ass~SSor Floor Plan and Permit I certify that I have read and examined the information contained within the applicatixon 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 ~f~1~'sFiing n. a Signature r t ~ Date ~- J ' ~ ~' Quarterly Reports Firm: ~ ~. ~, ,,~ , ~ ~i~~' ~ ~~' ~ _ ~'~_ _ !. k. -~-_ AssessorI-~ TRPC ~ ~ zJ