20090186 Signed Permit 111709City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: GO WIRELESS INC
Address: 9970 W CHEYENNE AVE
LAS VEGAS NV 89129
Property Information:
Site Address: 1d12 YELM AVE EAST C102
Assessor Parcel No.: 22730140202 Subdivision:
Contractor Information:
Name: CPS CONSTRUCTION
Address: RON KIEF
9825 SW DAY ROAD
SHERWOOD OR 97140
Contractor License No.: CPSOI"005R0
Permit No.: 20090186
Issue Date: 10/16/2009
(Work must be started within 180 days)
Phone: 877-469-7537 1205
Owner: GO WIRELESS
Lot:
Phone:
Expires: 10/03/2010
Project Information:
Project: COMMERCIAL REMODEL
Description of Work: 1763 SF TI. CREDIT FOR TFC OF $8570.04 FOR 6.48 TRIPS
Sq. Ft. per floor: First 1763 Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
BUILDING
Contractor
CPS CONSTRUCTION
TOTAL FEES:
COMBO-SEE NOTES
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.
Sionature Date
Fees
$ 7,892.86
$ 7,892.86
OFFICIAL USE ONLY
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