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Village Rentals Bld Permit` Date / N Phone Approval No. Private System BASIS FOR FEE FEE )—Now Const. Only) A Block Y OR Short Plat No. Block Existing Structures, if any: 0 Name Ucense Nn Exp. Yelm Bus. Lic. No. of Work 1111111v-i'l Sewer City Water last: Electric ITEM Building Value Other WA. ST. BC. Fee Private Well Gas Minimum distance n/ 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 mbe true and correct. | also certify that the proposed structure is io conformity with all applicable City dVo|mreg- uiations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions o/ record. |+ applying asu contractor, i further certify that |uma currently registered contractor mthe State o/w/asmno,mm. �/ , '�r yl-. p�m: /�-t-��� OFFICIAL USE ONLY Permit Type: Sign— Commercial �Nhoc__- Shoreline Permit Y Saps Exempt Y Floor Plan Y Sets v/Prints Plumbing Permit # Mechanical Permit # Issued By Final Insp: 0wnnrL&|Form____���� Assessor Floor Plan and Permit Submiwu»_--_/-_-�/����� Quarterly Reports Assessor _-_-/_-__/-���� TRPC /4m Approval No. Private System BASIS FOR FEE FEE )—Now Const. Only) Minimum distance n/ 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 mbe true and correct. | also certify that the proposed structure is io conformity with all applicable City dVo|mreg- uiations including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions o/ record. |+ applying asu contractor, i further certify that |uma currently registered contractor mthe State o/w/asmno,mm. �/ , '�r yl-. p�m: /�-t-��� OFFICIAL USE ONLY Permit Type: Sign— Commercial �Nhoc__- Shoreline Permit Y Saps Exempt Y Floor Plan Y Sets v/Prints Plumbing Permit # Mechanical Permit # Issued By Final Insp: 0wnnrL&|Form____���� Assessor Floor Plan and Permit Submiwu»_--_/-_-�/����� Quarterly Reports Assessor _-_-/_-__/-���� TRPC /4m NEW iJEVLLd PA1EN1 INE%W CONS lRUCUON CHECItL /5l arr^ ADDITIONAL COMMENTS *DUE AND PAYABLE PM OR TO f`f IAL INSPECTION BY THE YFL_AI SUN DING OEPT. Permit # If Applicable Fee If Applicable Receipt. # Comments SEWER PERMIT $125.00 G�c PERMITIINSPECTION SEWER LATECOMERS •SEWERISEPTIC $1,000.00 PER ERU HOOK -UP SITE PLAN ACCESS & DRAINAGE WATER SUPPLY WATER LATECOMERS `WATER METER WATER SERV. ORDER r POWER Puget Power 458 -7731 TELEPHONE Yeim Tale. 458 -2171 STATEICO. APPROVAL STREET CONSTRUCT PLAN REVIEW A r I`1F1�� 000, -1450 BUILDING PERMIT __. ,> 7T�41zietl i%`,C , €ce _ PLUMBING PERMIT MECHANICAL PERMIT GRADING PERMIT SIDEWALKS /CURBS LANDSCAPING YELM BUSINESS LIC. ,; "? $30.00 4. ADDITIONAL COMMENTS *DUE AND PAYABLE PM OR TO f`f IAL INSPECTION BY THE YFL_AI SUN DING OEPT.