20050073 Permit Pkg 031405'~~ot< THFp ~ City of Yelm
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Properly Information:
Site Address: 407 West Road
Assessor Parcel No. 64203760202 Subdivision:
Community Development Department
d
Building Division
Phone: (360) 458-8407
yE Fax: (360) 458-3144
Applicant:
Name: Parkinson
Address: 407 West Road City: Yelm
Name: B8H Builders Contact: Hunt, David
Address: P.O. Box 1959 City: Yelm
Contractor License No: BHBUII'093C6 Expires: 07101/05182
Project Information:
Project: Parkinson Addition
Description of Work: 20x24 RV Cover
Sq. Ft. per floor: (1st) 480 (2nd) 0 (3rd) 0
Heat Type (Electric, Gas, Other): OTHER
Permit rvo: BLD-05-0073-YL
Issue Date: 03/14/2005
(Work must be started within 180 days)
Receipt No: 35883
Phone: 458-5697
State: WA Zip 98597
Lot:
Phone: 458-3277
State: WA Zip: 98597
Business License:
Garage 0 Basement 0
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
Building Permit -Other 111.25 AA 0.00 0.00 ^0.0000 0.0000 $1,000
Building Plan Review 72.31 0.00 0.00 0.0000 0.0000
State Building Fee 4.50 4.50 0.00 0.0000 0.0000
TOTAL FEES: $188.06
Applicant's Affadavit
I certify that I have read and examined the information contained within the application and know the same OFFICIAL USE ONLY
to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of # Sets of Prints:
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. Final Inspection:
Signature w Date Date:
I
By'
Firm
r~
CITY OF
YELM
P.0 Box 479
Yeim,1NA 90597
36C-458-8403
RECEIPT No. 3 5 8 8 3
~.___ ~
RECEI`JED
****ONE HUNDRED EIGHTY EIGHT DOLLARS & 06 CENTS
RECc!`.'E~ FROt~4 DATE REC. ISO. AMOUNT
PARKINSON 03/14/05 35883 188.06 CASH
407 WEST ROAD
BYLI~1, WA 98597
BLD-05-0073-YL
SITE 407 WEST ROAD IISCELLANEOUS P.ECEIPT
DIANA
BLDG PRMT 111.25, PLNREV72.31, STFEE4.50
CITY OF
YELM
P.O. Box 479
Yelm, WA 98597
350-~58-8403
REF. N0.
RECEIPT No. 3 5 8 8 4
RECcI~r'ED
****T4J0 HUNDRED EIGHTY TWO DOLLARS & 26 CENTS
~:Ei.r~~; _~~ ~'-~:~~~^. DPTE REC. N0, ,'-.F~iGUNT =, ~=- F.0
i
PARKINSON 03/14/05 35884 282.26 CASH
407 WEST ROAD
YELM, WA 98597
BLD-05-0071-YL
SITE: 407 WEST ROAD MISCELLANEOUS RECEIPT
DIANA
~ - - -- -
BLDGPRIiT 139.25, PLNREV90.51, PLUMBPRIQT48.00, STFEE4.50
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: Parkinson
Address: 407 West Road
Project Information:
Project: Parkinson Addition
Description of Work: 20x24 RV Cover
Site Address: 407 West Road
Fees:
Item
Building Permit -Other
Building Plan Review
State Building Fee
Acct Code
032 001-322-10-OC
100 001-345-83-OC
160 001-386-00.0C
TOTAL FEES:
City: Yelm
Permit Fees Schedule
Permit No: BLD-05-0073-YL
Phone: 458-5697
State: WA Zip 98597
Assessor Parcel No. 64203760202
Item Fee Base Amt Unit Fee
111.25 0.00 0.00
72.31 0.00 0.00
4.50 4.50 0.00
x188.06
Unit Rate No. Units Unit Desc
0.0000 0.0000 $1,000
0.0000 0.0000
0.0000 0.0000
l~ 1
Received
MAR 1 0 2005
/8 x 13' /a ~ L 13
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