20050207 SE Permit Pkg 071905. .
Applicant:
City of Yeim
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit -vo: SE-05-0207-YL
Issue Date: 07/19/2005
(Work must be started within 180 days)
Receipt No: 37374
Name: Brown's car care Phone:
Address: 16570 106th. Ave SE. City: Yelm State: wa Zip 98597
Property Information:
Site Address: 16510 106 Ave. SE.
Assessor Parcel No. 64303400504 Subdivision: Lot:
Contractor Information:
Name: American Neon Inc. Contact: Jacoby, Elisa Phone: 253-627-7446
Address: P.O. Box 431 City: Tacoma State: wa Zip: 98401
Contractor License No: Expires: Business License: amerini002
Project Information:
Project: Yelm Auto Mall
Description of Work: Banner on bui lding.1 of 4,7-7-05
Sq. Ft. per floor: (1st) 0 (2nd) 0 (3rd) 0 Garage 0 Basement 0
Heat Type (Electric, Gas, Other):
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
Building Permit - Other - --
20.00 ----------- ----------- ----------
0.00 0.00 0.0000 ----------- ___------
0.0000 $1,000
TOTAL FEES: ~20.00
ApplicanYs 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 in conformity with all applicable City of
Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants,
easements and restrictio s of recor pplying as a contractor, I futher certify that I am currently
registered i he S t ashin n.
Signature ° Date ' ~~~
Firm
OFFICIA~ USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
n
I ~
,
Applicant:
Name: Brown's car care
Address: 16510 106th. Ave SE. City: Yelm
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit tvo: SE-05-0207-YL
Issue Date: 07/19/2005
(Work must be started within 180 days)
Receipt No:
Phone:
State: wa Zip 98597
Site Address: 16510 106 Ave. SE.
Assessor Parcel No. 64303400504 Subdivision:
Contractor Information:
Name: American Neon Inc. Contact: Jacoby, Elisa
' Address: P.O. Box 431 City: Tacoma
~ Contractor License Na Expires:
Project Information:
Project: Yelm Auto Mall
Description of Work: Banner on building.l of 4,7-7-05
Lot:
Phone: 253-627-7446
State: wa Zip: 98401
Business License: amerini002
Sq. Ft. per floor: (1st) 0 (2nd) 0 (3rd) 0 Garage 0 Basement 0
Heat Type (Electric, Gas, Other):
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
--------------------------- ----------- ----------- ----------- ----------- ----------- -------------
Building Permit - Other 0.00 0.00 0.00 0.0000 0.0000 $1,000
TOTAL FEES: $0.00
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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 futher certify that I am currently
registered in the State of Washington.
Signature
Firm
Date
# Sets of Prints:
Final Inspection:
Date:
By:
. ~
I ~
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax:(360)458-3144
Applicant:
Name: Brown's car care
Address: 16510 106th. Ave SE.
Project Information:
Project: Yelm Auto Mall
Description of Work: Banner on building.l of 4,7-7-05
Site Address: 16510 106 Ave. SE.
Fees:
Item Acct Code
Building Permit - Other 032 001-322-10-00
TOTAL FEES:
I ~
City: Yelm
Permit Fees Schedule
Permit No: SE-05-0207-YL
Phone:
State: wa Zip 98597
Assessor Parcel No. 64303400504
Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
20.00 0.00 0.00 0.0000 0.0000 51,000
520.00
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