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FROM :YELM SEWER DEPT. FAX N0. :360-458-8166 May. 16 2006 10:11AM P1
~oE TN;
. ~ FAX TRANSMISSION
CITY OF YELM
P.O. BOX 479 - 93 ] NP ROAD NE
Y~LM, WA 98597
~~~ 360-458-8411
FAX 360-458-8166
TO: G~Z ~{E,~J DATE: 5=J(o-OCR
FAX#:
PAGES: 1 , includ~ang this
Cover sheet
Fram: '~A,t~ y~
Subject:l~~us~ ~'t~A~/PC~N~n1c~~"b~ ~~~
co~iv~rs: ~o ~ ao, J5YH,3 ~oy-~ ~.,qv s,~.
~~ fit' ou do i~o~ ~eceiv~ Ali ~op~cs or ~~y copy ~s not ~~~~b~e, pae~~e ca11(3~~} 458~8~] 1
as soon ~s ~oas~bi~~
CITY OF YELt~1 INSPECTION LOG
PROJECT- %}'j/l~~~i ~y~ ~
PER.'~11T'~L'~!~9IIER /~~ o37a
ADDRESS /5~y`~3 lb ~ ~ GcJi~i~ ~~
SET B.~ChS Date:
Front
Rear
Side Fl~r.~ine
Side
FOOTI~C REB.~R
FOOTI'~G `~'.~LL
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other ~J other
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required ~~ents
LL REB.aR Date. ~"~ ~'
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C0.'~iBI~ED fRa'~i 1 EXTERIOR ~~~E.~R "'.aLL [~~I'` CT
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Se~~~er F:n::l ~ Flectric;:l - Ci~~il Final ~' L~n~sc~~A F~ ~ ~ r
.-~d~ress '~ Insul3tic~n ~ Site Dr~ine~e ~ ~i~e~~all;
Comments ~;~ ~~,~,r.,, f~~/b~
NEW CONSTRUCTION
WATER INSPECTION
DATE: ,'-~ I 1 ~7 /
-~.~~_ f_ ~f~
DEVELOPMENT:
~'h~~ P~~A x-~,j
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LOT #
LOT #
City of Yelm
O7
~plicant:
Name: Comfort Homes
Address: 8306 Quinault Drive NE City: Lacey
Community Development Department
Building Division
Phone: (360) 458-84
Fax: (360) 458-3144
w~ sNiNaTON
Permit No: BLD-05-0312-YL
Issue Date: 1013112005
(Work must be started within 180 days)
Receipt No: 38959
Phone: 360.486.0161
State: WA Zip 98516
Property Information.
Site Address: 15443104th Way SE
Assessor Parcel No. 62320002000 Subdivision: Mill Pond Lot: 20
Contractor lnforrnation:
Name: Comfort Homes Contact: Bayless, Greg Phone: 360.486-0161
Address: 8306 Quinalt Dr. NE City: Lacey State: WA Zip: 98516
Contractor License No: KERZIHL970M3 Expires: 07106105187 Business License: 05-000730.0
Project Information.
Project: Mill Pond
Description of Work: Plan 2201T12b, Lot 20
Sq. Ft. per floor: (1st) 1301 (2nd) 900 (3rd) 454
Heat Type (Electric, Gas, Other): OTHER
Fees:
Item Item Fee Base Amt Unit Fee
Building Permit 100-500k 1,298.33 993.75 304.58
Building Plan Review 548.54 0.00 0.00
Mechanical Permit 84.75 0.00 0.00
Plumbing Permit 118.00 20.00 98.00
Sewer Inspection 145.00 0.00 145.00
Water ERU 1,500.00 0.00 1,500.00
Water Meter (SFD) 300.00 300.00 0.00
Water Deposit 40.00 40.00 0.00
Traffic Facilities Charge 757.50 0.00 757.50
Sewer Deposit 50.00 50.00 0.00
State Building Fee 4.50 4.50 0.00
Sewer ERU 5,417.00 0.00 5,417.00
TOTAL FEES: $10,263.62
Garage 0 Basement 0
Unit Rate No. Units Unit Desc
5.6000 54.3900 $1,000
0.0000 0.0000
0.0000 0.0000
7.0000 14.0000 Fixture
145.0000 1.0000 ERU
1, 500.0000 1.0000 ERU
0.0000 0.0000
0.0000 0.0000
750.0000 1.0100 Peak PM Trip
0.0000 0.0000
0.0000 0.0000
5,417.0000 1.0000 ERU
Applicant's Affadavit:
I certify that I have read and examined the information contained within the application and know the same
to be true and correct. I also certify that the proposed structure is inconformity with all applicable City of
Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants,
easements and restrictions of record. If applying as a contractor, I futher certify that I am currently
registered in the State of Washington.
~F
_,
Si nature Date
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Firm ~ ~~ ~'''~~~~
OFFICIAL USE QNLY
# Sets of Prints: .'
Final Inspection:
Date: a d ~
By:
r...~. ~.. ----~_' ,tea,.
Of THEp`~ CITY OF
YELM .
Po. Box 479 RECEIPT No. 3.8.9 5
597 ~J
Yelm, WA 98
L 3fi0-458-8403
~ ~~. WABNIN6TON
RECEIVED
~ * TEZ~ ~'HGUSAN~ ~~~~C VUNDR~~ SI«T`~ ~:?LF~ ~Ui~LA~" ~ 62 C~~1T8
RECEIVED FROM DATE REC. N0. AMOUNT REF. N0.
CO~F~i, Hfl~~~Ea #11~~~i~5 38~5~ 1~,263,h2 CHECK 7~o~a~6
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~~of THFp~~ CITY OF
YELM
P 0. Box 479
Yelm, WA 98597
~L 360-458-8403
,~.n WA.NIMOTOM
RECEIVED
~''~E~ ~ H~~~~A~1D ~ ~~~L~~~Y L~GH ~ DOLLARS & 5 ~ "u~TS
RECEIVED FROM DATE REC. N0.
CO1~I~O~1 HOLS 11/Oi/05 38'64
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RECEIPT No. 3 8 9 6 0
AMOUNT
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