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~pF 7HFp~ City of Yelm
C~ Community Development Department
a m
Building Division
Phone: (360) 458-8407
YELM Fax: (360) 458-3144
Applicant:
Name: Bucher, Russ
Address: 310 Edwards St. NW City: Yelm
Property Information:
Site Address: 310 Edwards St. NW
Assessor Parcel No. 75301300300 Subdivision: NIA
Name: Owner Contact:
Address: City:
Contractor License No: Expires:
Project Information:
Project: Russ Bucher Garge
Description of Work: 24x16 garage addition
Sq. Ft. per floor: (1st) 0 (2nd) 0 (3rd) 0
Heat Type (Electric, Gas, Other): OTHER
Permit No: BLD-05-0412-YL
Issue Date: 12/05/2005
(Work must be started within 180 days)
Receipt No: 39410
Phone: 458-1833
State: WA Zip 98597
Lot: N/a
Phone:
State: Zip:
Business License:
Garage 384 Basement 0
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
Building Permit -Other 209.25 0.00 0.00 0.0000 0.0000 $1,000
Building Plan Review 136.01 0.00 0.00 0.0000 0.0000
Fire District Impact Fee 82.94 0.00 82.94 0.2160 384.0000 square foot
TOTAL FEES: $428.20
Applicant's Affadavit
OFFICIAL USE ONLY
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 I # Sets of Prints:
Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants,
easements and restriction~ of record. If applying as a contractor, I futher certify that I am currently
registered in the State6f~Vashington~ ~ Final Inspection:
Signature ~~f ~ ~1" ~~'` ~ - ~ Date r ~ Date:
Firm - - - - -- - - - By. ---... _
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: Bucher, Russ
Address: 310 Edwards St. NW
Project Information:
Project: Russ Bucher Garge
Description of Work: 24x16 garage addition
Site Address: 310 Edwards St. NW
Fees:
Item
Building Permit -Other
Building Plan Review
Fire District Impact Fee
Acct Code
032 001-322-10-00
100 001-345-83-00
105 001-345-85-00
TOTAL FEES:
City: Yelm
Q~`~ Permit Fees Schedule
~~} Permit No: BLD-05-0412-YL
51~
--~
Phone: 458-1833
State: WA Zip 98597
Assessor Parcel No. 75301300300
Item Fee Base Amt Unit Fee
209.25 0.00 _ 0.00
136.01 0.00 0.00
82.94 0.00 82.94
$428.20
Unit Rate No. Units Unit Desc
0.0000 0.0000 $1 000
o.oooo o.oooo
0.2160 384.0000 square foot
~ ~
Igo of THE°~~ CITY OF
~ YELM
P.O. Box 479 RECEIPT No. 3 9 410
Yelm, WA 98597
360-458-8403
RECEIVED
. • t a - "' - ~ .. T. --, T~ i-i ^T ~-_ !T - - - ~ r - ~•r+i•rn
RECEIVED FROM DATE REC. NO. AMOUNT REF. NO.
UTZ~t2Lt? l~VU.^_,r '1 ~ !~^1' f^ ~Q~ r 1 - 2i~ C+UL+rr.! r i'+r\
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