20090180 Permit Pkg 091409C
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: CITY OF YELM
Address: 105 YELM AVE W
YELM WA 98597
Property Information:
Site Address: 16820 CANAL RD SE
Assessor Parcel No.: 64300500501
Contractor Information: DESIGN BUILD
Name: CITY OF YELM
Address:
105 YELM AVE W
YELM WA 98597
Contractor License No.:
Project Information:
Project: NEW COMMERCIAL BUILDING
Description of Work: APPROX 1000 SQUARE FOOT RESTROOM AND CONCESSION COMBINATION
Sq. Ft. per floor: First 1000 Heat Type (Electric, Gas, Other):
Permit No.: 20090180
Issue Date: 9/14/2009
(Work must be started within 180 days)
Phone: 360-458-3244
Owner: CITY OF YELM
Subdivision: Lot:
Phone:
Expires: 0/00/0000
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
NEW COMMERCIAL BUILDING CITY OF YELM $ 0.00
TOTAL FEES: $ 0.00
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 t se overning zoning and land subdivision, and in addition, all covenants,
easements and restriction of cord. If applying as a contractor, I further certify that I curve tly
registeredJt~..tkieStateof hin//gton. ~ ~ n~
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