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20050627 Permit Pkg 071906 A ~~ ~ - ~."' q I ~~ ~ 3 S~ N D~ ~~ sv~ ~~ N~ v ~- -~ ~~~ ~ Q ~ ~ a_ N ~-* v ~~~ ~~ Q~ ~~~ °~~ N~ ~ 0 5~~~ ^, ~ W ~~ _. <~-~ ~~~ N. ~~~ ~ o ~ ^_ 0 O l J ono ~~ Q ~_~n rh 0 v cn D ~ ~ m ~ ~ ~ v' 5 o ~ a o Q ~ W ~ a ~ cn v~ ~ m z c m Z 1 00 W >> n m m ~. cQ ~ ~' ~ m m ~ ~ ~ ~ ~ v n ~ n /_ m n ~ ~ m ~ z o '~ ~ D '~ r m C7 r m ~ -~ o0 -r, c n v m z O ~ ~ m n D C ~ D m [Z Z I City Of Yelm Permit rvo: BLD-05-0627-YL Applicant: Community Development Department Issue Date: 07/19/2006 Building Division (Work must be started within 180 days) Phone: (360) 458-8407 Receipt No: 42806 Fax: (360) 458-3144 Name: Lubbesmeyer Construction, Inc. Phone: 253-537-6370 Address: 1151 112th St. City: Tacoma State: WA Zip 98445 Prope-ty in~nnation Site Address: 14945 Mt. View Ct. SE Assessor Parcel No. 42990000500 Subdivision: Country Vista Lot: 5 COntraCtOr Inf4rmatlOn: Name: Lubbesmeyer Construction, Inc. Contact: Lubbesmeyer, Paul Phone : 253-537-6370 Address: 1151 112th St. City: Tacoma State: WA Zip: 98445 Contractor License No: LUBBECI110DM Expires: 03/21/0881 Business License: Project Information: Project: Country Vista Description of Work: 2122 SFR-Lot 5 Sq. Ft. per floor: (1st) 656 (2nd) 1462 (3rd) 0 Garage 654 Basement 0 Heat Type (Electric, Gas, Other): GAS Fees: Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc Building Permit 100-500k 1,581.75 993.75 588.00 5.6000 105.0000 $1,000 Building Plan Review 668.28 0.00 0.00 0.0000 0.0000 Mechanical Permit 78.25 0.00 0.00 0.0000 0.0000 Plumbing Permit 125.00 20.00 105.00 7.0000 15.0000 Fixture Sewer ERU 5,569.00 0.00 5,569.00 5,569.0000 1.0000 ERU Sewer Inspection 145.00 0.00 145.00 145.0000 1.0000 ERU Water ERU 1,500.00 0.00 1,500.00 1,500.0000 1.0000 ERU Water Meter (SFD) 300.00 300.00 0.00 0.0000 0.0000 Water Deposit 40.00 40.00 0.00 0.0000 0.0000 Traffic Facilities Charge 757.50 0.00 757.50 750.0000 1.0100 Peak PM Trip Sewer Deposit 50.00 50.00 0.00 0.0000 0.0000 Fire District Impact Fee 598.75 0.00 598.75 0.2160 2,772.0000 square foot State Building Fee 4.50 4.50 0.00 0.0000 0.0000 TOTAL FEES: $11,418.03 Applicants 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 Ciry 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 th St of s ~ t Signature Date ~,~~ Firm ~l/~ /1/~~/~~/ ~/s~/~ ~~ OFFICIAL t.ISE ONLY # Sets of Prints: Final Inspection: Date: !+~ Y By: ~~~f T~ CITY OF YELM P.O. Box 479 Yelm, WA 98597 360-458-8403 RECEIPT No. 4 ~ $ ~ 6 RECEIVED ****ELEVSN THOUSAND FOUR HUNDRED EIGHTEEN DOLLARS & 03 CENTS RECEIVED FROM DATE REC. NO. AMOUNT LUBBSSHEYER CONSTRUCTION INC. 07/IS/06 42806 11.418.03 CHECK 1151 112TH 3T TACOIIfA NA 98445 BUDGETARY BLD-05-0627-YL REF. NO. 4234 PEM1581.75.PL668.28.,ECH78.25.PLUM125.SERU5569.SINSP145.WERU1500.WNET300. WDEP40.TRAFF757.50.SEDEP50.FIRE598.75.ST4.50 City of Yelm Community Development Department Building Division Phone: (360) 458-8407 Fax: (360)458-3144 Permit Fees Schedule Permit No: BLD-05-0627-YL Applicant: Name: Lubbesmeyer Construction, Inc. Phone: 253-537-6370 Address: 1151 112th St. City: Tacoma State: WA Zip 98445 Project Information: Project: Country Vista Description of Work: 2122 SFR-Lot 5 Site Address: 14945 Mt. View Ct. SE Assessor Parcel No. 42990000500 Fees: Item Acct Code Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc Building Permit 100-500k 032 001-322-10-00 1,581.75 993.75 588.00 5.6000 105.0000 $1,000 Building Plan Review 100 001-345-83-00 668.28 0.00 0.00 0.0000 0.0000 Mechanical Permit 032 001-322-10-00 78.25 0.00 0.00 0.0000 0.0000 Plumbing Permit 032 001-322-10-00 125.00 20.00 105.00 7.0000 15.0000 FiMure Sewer ERU 802 412-343-50-01 5,569.00 0.00 5,569.00 5,569.0000 1.0000 ERU Sewer Inspection 805 412-343-80-00 145.00 0.00 145.00 145.0000 1.0000 ERU Water ERU 715401-343-80-02 1,500.00 0.00 1,500.00 1,500.0000 1.0000 ERU Water Meter (SFD) 712 401-343-80-01 300.00 300.00 0.00 0.0000 0.0000 Water Deposit 740 402-389-00-00 40.00 40.00 0.00 0.0000 0.0000 Traffic Facilities Charge 420 120-345-85-00 757.50 0.00 757.50 750.0000 1.0100 Peak PM Trip Sewer Deposit 742 402-389-01-00 50.00 50.00 0.00 0.0000 0.0000 Fire District Impact Fee 105 001-345-85-00 598.75 0.00 598.75 0.2160 2,772.0000 square foot State Building Fee 160 001-386-00-00 4.50 4.50 0.00 0.0000 0.0000 TOTAL FEES: $11,418.03 YELM COlWUNITY SCHOOLS PO BOX 476 YELM, MA 98597 Clerk: Croy Terminal: 1 Receipt: 23773 Manual Receipt; NLUBBESMEYER NCONSTRUCTION LUBBESMEYER, CONSTRUCTION • 7/18/2006 1:26 PM Qty Item Price 1 CPF2900 13375.00 MITIGATION COUNTRY VISTA - 06-013 - LOTS 1,2,3,4,5 Subtotal: 13375,00 Total: 13375.00 Check 13375,00 4233 Change Due: 0,00 THANK YOU Country Vista Landshapes I\lorthwest, Inc. _ ~~~ J \. W E ;\ b ,~~ j g! r" I ~, ~. ~~~ ~~` ~.' s• ...._ _ _. ~,;, f~, ,'`~ ,+° ,. _~~. ..__.. t i , .~ f ~ f } ~ ~h ~~~ } ~~~~~ ~ ~ { ~ ., ~ ~~ _ ~~ ,- ~ - . - -~ __ ~ . _... ~° j ~ ~~~ ~~ ~~ z.. __ . ._ _.:....._ _...~ .._ ..._. ..._,........ ~J .._„ - a f Lot No. ~s ,~ - Scale: 925 I~Tin d1 ey Lane 5 16 1 "=20' Edmonds, WA 98020 of (425) 776--0096 Drawn By: Date: Job Number Enter rases LLC jn~O@2m-ent.com -- p KL; -- 5/15/Ob 2754 CITY OF YELM ~~~~'` J~ ///~ fRESIDENTIALtB.~UILDING PERMIT APPLICATION FORM !4 Project Address:/7"/~1 G) ~~~eLU~ Parcel#. L) ~ + ~j~Jf Q ~Q i~UN 2 9 2006 ,~~ Subdivision: () Lot #. r Zoning; Jat' New Construction L Re-Model / Re-Roof /Addition u Home Occupation Sign U Plumbing u Mechanical u Mobile /Manufactured Home Placement u Other , Project Description/Scope of Work: nP,~.t~ ~~ ~~'~- ' ~~ IirJ~ ~~ Project Value: G~~~ ii Building Area (sq. ft) 15L Floor' 2"d Floor Garage ~5y Deck~_ Basement (D J~ Carport Patio # Bedrooms # Bathrooms Heating: S/ THER or ELECTRIC (Circle One} Are there any environmentally sensitive areas located on the parcel? ~~~ If yes, a completed environmental checklist must accompany permit application. BUILDING OWNER NAME: ADDRESS E -i-h EMAIL CITY (CdCUlU9Cl' STATE I/4~~ ZIP i-4' TELEPHONE ` ° ARCHITECT/ NG,INEER Gi - LICENSE # ADDRESS 2~1 IO `t'h EMAIL CITY C STATE 1~,1A _ZIP TELEPHONE GENERAL C.~ONTRACT R r ~ TELEPHONE ADDRESS E - EMAIL CITY'°~GLG~'~.1~, STATE ZIP FAX Z,~ ~ ~ ,3 CONTRACTOR'S LICENSE # 1.i.( ~ ,EXP DATE CItY LICENSE # PLUMBfNG C,ONT ACTOR ~ ~ TELEPHONE ~" ~% 3y 1 - 3fi't Lp ADDRESS I' ~ Z`.~` EMAIL CITY C-it'~(A~1( ^dl STATE ZIP F/.U( CONTRACTOR'S LICENSE # 1;~5 EXP DATE CITY LICENSE # MECHANICA CONTRACTOR TELEPHONE ADDRESS ~ ~ EMAIL CITY fUf1 V 2 STATE ZIP~FAX CONTRACTOR'S LICENSE #~J1.~{G (027 K 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. Applicant's Signature Date Owner /Contractor /Owner's Agent /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 (360) 458-3835 PO Box 479 (360) 458-3Y44 FAX Yelin, WA 98597 mww.cf.yedm.wa.ue a ~ ~-~ LUBBESMEYER .;4 CONSTRUCTION, INC. 1151 East 112th Street ^ Tacoma, WA 98445 ^ (253) 537-6370 ^ Fax: (253) 537-9163 To Whom It May Concern: In the plat of Country Vista, infiltration as designed on the engineered plat shall be located in the rear yard of each lot. ... . ~~ ~ rr. ,. y` ~ ~~~ Paul Lubbesmeyer Vice President 4~~{ce Coo ~ PIEI~C~; C®LTNTY 2002 VVA. STATE ENEIZCGY DEVEL®PNIENT CENTER C®DE INP® TI®N ~'',~~Q~ U)~ ~~~ Application No. Date: PLEASE COMPLETE T'~-IE FOLLOWING: Glazing area calculation: Heat system sizing calculation: __ sf - `~ sf = \~ -~ % , / n ~1'~.'~-- x 20 = ~•f~G btu's Window area _ Heated floor area = % of glazing Heated floor area x btu per sq. ft. =total system output Refer to the table below to detelmule your compliance path. Divide the system output by the equipment efficiency rating to determine the total Btu in ut allowed. JOB TYPE: OCCUPANCY: COMPLIANCE PATH: HEAT SYSTEM SIZE: ~C] New [ ]Remodel [~] Single Family [ ]Multi-family ~ Prescri tive Ch. 6 (circle one) I ~ III [~(] Btu input J d~~ Eff i g ic ency ratin ~/° [ ]Addition [ )Component Per-formance Ch. 5 _ [ ] WATTS [ ]System analysis Ch. 4 HSPF rating FUEL TYPE: HEAT TYPE: ELEC. UTILITY PROVIDER: [ Electric ~ Forced Air Furnace [ )Tacoma City Light Nat. Gas [ ]Heat Pump [ ]Puget Sound Energy [ ]Propane [ ]Radiant Heat System (baseboard, wall cadet [ ]Peninsula Power [ ]Oil, wood [ ] Hydronics system ~ Other [ ]Gas or Wood Stove V ENTILATION INDOOR AIR QUALITY (VIAQ) INFORMATION (check one) Ventilation Opti S t Si on: ~~yy~~ [~] A [ ] B [ ] C [ ] D [ ] AAHX ~ ys em ze: U~.J cfin [ Intermittently operating [ ]Continuous operating P RESCRIPTIVE REQU MENTS°•' FOR GROUP R OCCUPANCY CLIMATE ZONE 1-ALL FUEL TYPES Optihh~ Glazing Area10 Glazing~~U-factor Door 9 ~ Ceiling ~ faulted ~ Wall Wall, int. ~ Wall, e~~t., 4 F{oor 5 Slab o /o of floor U-ualue ceiling- Above grade .below rade below grade on ~ g :grade ~%ertical Overhead I; 12% 0:35 0:58 0.20' R-38 R-30 R-1'S R-15 R-1:0 R-30 R-10 II. • PS% 0:40 0:5$ 0:20 R-38 R-30 R-2] K-27 R-IO R-30 R-]'0 III. Unlimited 0,40 0.~8 0:20 R-38 R-30 R-21 R-21' R-1'0 R-30 R-10 Group R-3 Occupancy Only * Refere nce Case 0. Nominal R-values are for wood frame assemblies only or assemblies built in accordance with Section 601. I 1. Minimum requirements for each option listed. For example, if a proposed design has a glazing ratio to the conditioned floor area of 13%, it shall comply with all of the requirements of the 15% glazing option (or higher). Proposed designs which cannot meet the specific requirements of a listed option above may calculate compliance by Chapters 4 or 5 of the W.S.E.C. 2. Requirement applies to all ceilings except single rafter or joist vaulted ceilings. 3. Requirement applicable to only to single rafter or joist vaulted ceilings. 4. Below grade walls shall be insulated either on the exterior to a minimum level of R-10, or on the interior to the same level as walls above grade. Exterior insulation installed on below grade walls shall be a water resistant material, manufactured for its intended use, and installed according to the manufacturers specifications. S. Floors over crawl spaces or exposed to ambient air conditions. 6. Required slab perimeter insulation shall be a water resistant material, manufacftured for its intended use, and installed according to manufacturer's specifications. 7. Int. denotes standard framing 16 inches on center with headers insulated with a minimum of R-5 insulation. 9. Doors, including al fue doors, shall be assigned default U-factors from Table 10-6C. 10. Where a maximum glazing area is listed, the total glazing area (combined vertical plus overhead) as a percent of gross conditioned floor area shall be less than or equal to that value. Overhead glazing with a U-factor of U~.40 or less is not included in glazing area limitations. 1 1. Overhead glazing shall have U-factors determined in accordance with NFRC 100 or as specified in Section 502.1.5. 12. Log and solid timber walls with a minimum average log thickness of 3.5 inches are exempt from this insulation requirement. After recording return to: Yelm Community Schools District No. 2 P. O. Box 476 Yelm, WA 98597 Attn: Erling M. Birkland MITIGATION AGREEMENT Reference No: SUB-OS-0096-YL Grantor: 1. Landshapes Northwest, Inc. 1151 E. 112`x' Street Tacoma, WA 98445 Grantee: 1. Yelm Community Schools Dist. 2 Legal Description: Sec 13, T17N, R1E; Mtn. View Road & Yelm Avenue West Assessor's Property Tax Parcel Number/Account Number: 21713310200 i7 THIS MITIGATION AGREEMENT ("Agreement") is made this2~ of I ' 1 ~+ , 2006, between the YELM COMMUNITY SCHOOLS DISTRICT NO. 2, Yelm, Washington (the "District") and Landshapes Northwest, Inc. (the "Developer") RECITALS ~~~f ~.~ ~J A. The Developer has submitted an application to T,~r-et~y for the construction of a 16 lot subdivision, "Country Vista" near Yelm, Wash. (the "Project"). The Project is located on property that lies within District boundaries, more particularly described on Exhibit A, attached hereto and incorporated herein by reference. B. The State Environmental Policy Act, Chapter 43.21C RCW ("SEPA"), provides processes and procedures whereby major actions by state and local agencies, including, but not limited to, plat or PUD approval or the issuance of building permits, may be reviewed to determine the nature and extent of their impact on the environment. Impacts on public services, including schools, are environmental impacts for the purposes of SEPA. SEPA requires the mitigation of adverse environmental impacts. C. The District's student population and growth projections indicate that the Project will have an impact on the District, when cumulative impacts of other projects are considered. D. RCW 82.02.020 authorizes the District to enter into a voluntary agreement with the Developer for payment to mitigate the impact of the Developer's Project. 3831384 IIIIII~II Page . 1 of 4 IIIII'~I~ ~5115/2~06 '11 .34P I~IIIIIII~ ton Go . Wa . IIIII~IIII Thurs I~IIIIIIII 35.00 III~III AGR $ YELM COMMUNITY SCHOOLS E. Pursuant to Resolution No. 12-16-93-05, it is the policy of the District to recommend that the direct impact of development be voluntarily mitigated by the payment of fees and/or other mitigation measures where appropriate. F. The Developer has agreed to mitigate, on a voluntary basis, the adverse impact of the Project on the District. AGREEMENT NOW, THEREFORE, in consideration of the above recitals and the mutual promises and covenants below, the District and the Developer agree as follows: 1. The Developer acknowledges and agrees that there is a direct impact on the District as a result of the Developer's Project and that this Agreement is necessary as a result of that impact. 2. The Developer acknowledges and agrees that in order to mitigate the direct impact of the Project, the Developer has offered to pay the District the following sum of money: Two Thousand Six Hundred Seventy-Five Dollars and 00/100 ($2,675.00) for each lot in the subdivision or the total sum of Forty-Two Thousand Eight Hundred Dollars and 00/100 ($42,800.00) (the "Mitigation Payment") for the 16 lots of the subdivision. The amount referenced by this paragraph is subject to change pursuant to paragraph 4 below. 3. Any extension, renewal, modification or amendment to the Project that results in an adjustment in the number of lots shall result in a corresponding pro rata adjustment in the Mitigation Payment. 4. The Developer agrees that the payment of the full Mitigation Payment (in the amount of Two Thousand Six Hundred Seventy-Five Dollars and 00/100 ($2,675.00) per dwelling unit or Forty- Two Thousand Eight Hundred Dollars and 00/100 ($42,800.00)) for the project, shall be a condition of building permit issuance for each single family dwelling in the project. If building permit issuance does not occur within Five (5) years from the date of this Agreement, the amount due for mitigation, as stated in paragraph 2 above, shall be modified to the amount reflected in the then most recent mitigation agreement to which the District is a party. A copy of such agreement shall be made available to Developer upon request. 5. The District agrees to record this Agreement after it has been executed by the parties. 6. The Developer acknowledges and agrees that the Mitigation Payment is authorized to be used for capital improvements to the following facilities: Fort Stevens Elementary School, Prairie Elementary School, Lackamas Elementary School, Southworth Elementary School, Mill Pond Intermediate School, Yelm Middle School, and/or Yelm High School and/or any other facilities that may be affected by the Project and/or the purchase of portable facilities and/or school buses. 7. The Developer agrees that the District has five (5) years from the payment date to spend the Mitigation Payment for the capital improvements or expenditures described in paragraph 6. In the event that the Mitigation Payment is not expended within those five years, the moneys will be refunded with interest at the rate applied to judgments to the property owners of record at the time of refund; however, if the Mitigation Payment is not expended within five years due to delay which is attributable to the Developer, the Payment shall be refunded without interest. 8. The Developer waives and relinquishes its right to protest or challenge the payment of the Mitigation Payment pursuant to this Agreement and hereby covenants and undertakes that it forever refrains and desists from instituting, asserting, filing or bringing any lawsuit, litigation, claim, or challenge or proceeding to challenge this Agreement, claim any repayment or reimbursement of funds, performance or improvements provided for therein, or any of its terms and conditions, on any ground or basis whatsoever. 9. The District hereby waives any objection to the Project as presently proposed. 10. The District and the Developer agree that the Mitigation Payment will be full and complete mitigation for the impact of the Project as presently proposed on the District. 3831384 VIII IIII IIII 05 9 5./ 2006 f 114348 IIIIIIIIIIIIII illlilllllllllll 1111111 VIII on Co . Wa . 35.00 Thurst YELM COMMUNITY SCHOOLS AGR ~ 11. This Agreement shall be binding upon and inure to the benefit of the heirs, executors, administrators, successors, and assigns of both of the Developer and the District. 12. If an action must be brought to enforce the terms of this Agreement, such action shall be brought in Thurston County Superior Court. The prevailing party shall be entitled to payment of its costs and reasonable attorneys' fees. 13. This Agreement constitutes the entire agreement between the parties and any other agreement either written or oral shall be null and void. EXHIBIT A LEGAL DESCRIPTION i General Location: Mtn. View Road & Yelm Avenue West Section 13 Township 17N Range lE Land Area: 3.01 acres Tax Parcel Number: 21713310200 Description: 16 single-family lots YELM COMMUNITY SC~HjOOLS DISTRICT NO. 2 C./l~C_ L DATED: ~~ `~j ~ d v ~ ~'V~ tom. l By: Alan Burke Its Superintendent STATE OF WASHINGTON ) )SS COUNTY OF THURSTON ) I certify that I know or have satisfactory evidence that Alan Burke is the person who appeared before me, and said person acknowledged that he signed this instrument, on oath stated that he was authorized to execute the instrument and acknowledged it as the Superintendent of the Yelm Community Schools District No. 2 to be the free and voluntary act of such party for the uses and purposes mentioned in the instrument. GIVEN under my hand and official seal this da of , 2006 ~~ ~~'~~~G~'Q +~'. Washington, reBs d ng atnd f r e State of 2' ,~~Y ~': ~~~ My Commission Expires: • '~. ~ c0% ~i~I '•,•, i~0•: ~2 ~~ ~, •.,••,g:.,,. ~~: 3831384 III IIIVIIIIIIIIIII p59e.l2006 114348 °'~, ,q ,E o~,~P_ - a IIII Iiill IIII IIIIII it IIIIII Iiill III YELM COMMUNITY SCHOOLS AGR $35.00 Thurston Co. Wa. DATED: ~~ Z STATE OF WASHINGTON ) )SS COUNTY OF ~~ By: Its: Developer I certify that I know or have satisfactory evidence that ~~~~ - a ~ the person who appeared before me, and said person acknowledged that he signed this instrument, on oath stated that he was authorized to execute the instrument and acknowledged it as the applicant for this subdivision to be the free and voluntary act of such party for the uses and purposes mentioned in the instrument. GIVEN under my hand and official seal this ~r~` day of (J~ 2006. MELISSA A. BEYER NOTARY PUBLIC in d for the State of NOTARY PUBLIC Washington, residing at Yla JT-' STATE OF WASHINGTON My Commission Expires: --a- p1 COMMISSION EXPIRES JANUARY 9, 2007 IIIIII VIII IIIIII) VIII IIII IIIIII VIII III VIII IIII IIII 0519 5/32©D6 114348 YELM COMMUNITY SCHOOLS AGR $35.00 Thurston Co. Wa. FP.OM :YELM SEWER DEPT. FAX N0. :360-458-8166 Oct. 22 2007 02:12PM P1 CITY OF ''Y'F.I~1VI P.O: ~30X 479 -- 931, NP IZC?AD NE YELM, W.~. 98597 ~~ 360~458~$41 ~ ~'.AX 360-45$-8166 h,r~,~~~: ~ ~ PAGES: J. , inc~iuding this 'Cover sheet From: ~~~ ~~ ~'' Subject; ~~L~(~,.~i~, ~ i ~~l t_..r ~vc.~~VtT12~' ~ (~7~~- f C;~JM1V1rNTS: ~,_ ~ ~ ~` f ~{ ~ ~ ~1 t~v~ ~ u ~~ 1~.:~ U 1(I.v e I , S':~.. , ~,~ ~~5~~~. t~ 0 "`* 1i'you do nat rccGivc all copies or anS~ cosy is not legible, please call (360) 458-K~~l l ~s soon fly possible. OCT-19-2007 09:41 City of Yelrn Public Works 360 458 8417 P.O1i01 ~a~°~'~'~~° City of Yelm ' Public Works Department 901 Rhotott Road P.O. Box 479 w~9NINCTOw Yelm, WA 98597 (360) 458-8406 Fax; (360) 458-8417 NEW HOME FINAL DATE: (vim` J ("~ ~' DEVELOPMENT: ~~_ BUILDER'S NAME: v LOT #: ~ ADDRESS: ~ ~- L~ ~ - / l ~" V ~ .e-4~.~ C,'~'` ~~._ COMMENTS: INSPECTED BY: Date: ~Q `l~~ a 7 o John Ivey o Edward Smith ty0 Tim Rarick TOTAL P.O1