20090215 Permit Pkg 102709City of Yelm
Community Development Department
Building Division
Phone: (360)458-8407
Fax: (360) 458-3144
Applicant:
Name: BRANDON GARRETT
Address: 9907 GREENLEAF LP SE
YELM WA 98597
Property Information:
Site Address: gg07 GREENLEAF LP SE
Subdivision:
Assessor Parcel No.:
Contractor Information:
Name: BRANDON GARRETT
Address:
9907 GREENLEAF LP SE
YELM WA 98597
Contractor License No.:
Project Information:
Project: RESIDENTIAL REMODEL
Description of Work:
Sq. Ft. per floor: First
Second
Third
Garage
Basement
Fees:
Item
BUILDING
Permit No.: 20090215
Issue Date: 10~' /2009
(Work must be started within 180 days)
Phone: 2533761442
Owner: TYPE CURRENT OWNER
NAME
Phone:
Expires: 0/00/0000
Heat Type (Electric, Gas, Other):
Contractor
BRANDON GARRETT
TOTAL FEES:
Applicant's Affidavit:
I certify that I have read and examined the information contained within the application and know the same
to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants,
easements and restrictions of record. If applying as a contractor, I further certify that I am currently
registered in the State of Washington.
-- Date Zr} OGTO~j
Signature ~~ i
Firm
Fees
$ 63.93
$ 63.93
OFFICIAL USE ONLY
Sets of Prints:
final Inspection:
Date:
By:
Lot:
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Subdivision: Lot #: Plan #: Zoning: '
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM 6002 6 ~ ~ J O
Project Address: ~ ~~ ¢ ~ ~^ ~'~ ~P`~ Parcel #: I ~^
New Construction fRe-Model / Re-Roof /Addition Home Occupation Sign
Plumbing Mechanical 'Mobile /Manufactured Home Placement Other
Project Description/Scope of Work: ~`~ 5~ ~~kml~ ~ f~ ~ f~®^-~ _~"~ ~+~e,~
Project Value: ~ ~0 C7
Building Area (sq. ft) 15i Floor 2"d Floor Garage Deck
Basement Carport Patio
# Bedrooms # Bathrooms~5 Heating~OTHER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel?
/f yes, a completed environmental checklist must accompany permit application.
BUILDING OWNER NAME: ~ - ~' ~
ADDRESS q40 ~ P~2~NL LP ~ EMAIL 1 ~~ .~ G ~I fa
CITY .~ STATE ,J ~' ZIP 9SS'f ~- TELEPHONE ZS'~ 3'3G ~ t/ KZ
ARCHITECT/ENGINEER LICENSE #
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
GENERAL CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATECITY LICENSE #
PLUMBING CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE_CITY LICENSE #
MECHANICAL CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
Copy of mitigation agreement with Yelm Community Schools, if applicable.
I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the
above described property will be in accordance with the laws, rules and regulations of the State of Washington and the
City of Yelm.
~~~ ~- D ~ 4~'f d `j
A 'ant's Signature Date
O Contractor /Owner's Agent I Contractor's Agent (Please circle one.)
All permits are non-transferable and will expire if work authorized by such permit is not begun
within 180 days of issuance, or if work is suspended or abandoned for a period of 180 days
105 Yelm Avenue West
Yelm, WA 98597
www.ci.yelrn.wa.us
(360) 458-3835
(360) 458-3144 FAX
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