20100020 Permit Pkg 020210City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: TERRY SMITH
Address: P.O. BOX 2183
YELM WA 98597
Property Information:
Site Address: 16244 PRAIRIE CREEK LP
Permit No.: 20100020
Issue Date: 1/25/2010
(Work must be started within 180 days)
Phone: 253-310-6592
Owner: TYPE CURRENT OWNER
AIA~AG
Assessor Parcel No.: 69240000600 Subdivision:
Contractor Information:
Name: TERRY SMITH
Address:
P.O. BOX 2183
YELM WA 98597
Contractor License No.:
Project Information:
Project: RESIDENTIAL ADDITION
Description of Work: 15X30 DECK COVER
PRAIRIE CREEK Lot: 6
Phone:
Expires: 0/00/0000
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees
Item Contractor Fees
BUILDING TERRY SMITH $ 68.43
TOTAL FEES: $ 68.43
Applicant's Affidavit: 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 # 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 further certify that I am currently Final Inspection:
registered in the State of W hin n.
Signature ~/! _~~~" Date ,~ )f]/~%~ %C/ Date:
Firm By'
City of Yale
~:3E,0) 4~9-840
RECB: 00019434 1/~5r`~D10 11:;,0 A~4
DER: Cp TFPJ{ : 001
~'EF~:
TRAM: 33.00(k0 BUILDIt~ PERMITS
010011 E°.43CR
SHITH• TERRY
1b244 PRAIRIE CREEK LP
BLDG F,8,4 j(~'
TENDERED: 80.00 CASH
APPLIED:
' ~,_ F,8.4.3-
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CITY OF YELM
• RES,I/DENTIoA.L BUILDING PERMIT APPLICATION FORM
Project Address: _, f~,2~7~ PM~R~E CR~E~ Parcel #: ~~ ~ y D ~~~ ~~~
•
Subdivision: Lot #: Plan #: Zoning:
J New Construction Re-Model / Re-Roof /Addition Home Occupation Sign
Plumbing Mechanical Mobile /Manufactured Home Placement Other
Project Description/Scope of~-W~o2rk
Project Value: L.~~L~ J
Building Area (sq. ft) 1 s` Floor 2nd Floor Garage Deck~~
Basement Carport Patio
# Bedrooms- # Bathrooms- Heatinq~lt'oll~/pTHER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located o_n theme ~p'arcel?
If yes, a completed environmental checklist must accompany permit application.
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 I 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 }"elm Avenue Kest (360) 458-3835
}'elm, LiA 98597 (360) 438-3144 FAX
tru~u~. c i. ve/m. roa. us
Copy of mitigation agreement with Yelm Community Schools, if applicable.
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