20100023 Permit Pkg 020210City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360)458-3144
Applicant:
Name: JO REIMCHE
Address: 129 MTN VIEW DR NW
YELM WA 98597
Property Information:
Site Address: 129 MT VIEW DR NW
Assessor Parcel No.: 81620004700 Subdivision:
Contractor Information:
Name: JO REIMCHE
Address:
129 MTN VIEW DR NW
YELM WA 98597
Contractor License No.:
Project Information:
Project: ROOF
Description of Work: SFR RE-ROOF
Sq. Ft. per floor: First
Second _
Third
Garage _
Basement
Fees:
Item
ROOF
Permit No.: 20100023
Issue Date: 2/0212010
(Work must be started within 180 days)
Phone: 360-458-2707
Owner: JO REIMCHE
Lot:
Phone:
Expires: 0/0010000
Heat Type (Electric, Gas, Other):
Contractor
JO REIMCHE
TOTAL FEES:
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 restricti s of record. If applying as a contractor, I further certify that I am currently
registered in theta of ash~gton. ~ ~
Sionature ~ 1\Ll/YI~I/T'A.(i Date
Finn /~
Fees
3 25 00
f 25.00
s of Prints:
Inspection:
City of Yol~
(~A) 458-8402
RE(~: UOOz02`i3 2/02!2010 3: ~ PN
(~R: t~ tER~f: 001
REFp: 9'93
TRAM: 33.0000 BUILDING PERMITS
20100123 25.OOI~'
REI~iCNE, JO
1~~ MT VIEW I~ NW
ROOF 25.OOLR
tENDEkED: 25.00 I~CK
APF'L IED: ~.00-
• -----~~
0.00
L
CITY OF YELM
RE~SI~DE~N/TIAL BUILD~I~N"G PERMIT APPLICATION FORM
Project Address: ~~~!(//l ~// ~~ ~•!v!v Parcel #: ~~b ~ G U G ~/ ~7 U C7
Subdivision: Lot #:~= Plan #: Zoning:
New Construction ~Re-Model R~e-R~ /Addition Home Occupation Sign
Plumbing Mechanical Mobile /Manufactured Home Placement Other
Project Description/Scope of Work: ~ J~.fi~
Project Value:
Building Area (sq. ft) 15f Floor 2n° Floor Garage Deck
Basement Carport Patio
# Bedrooms- # Bathrooms- Heating: GAS/OTHER or ELECTRIC (Circle One}
Are there any environmentally sensitive areas located on the parcel?
If yes, a completed environmental checklist must accompany permit application.
CITY
GENERAL CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
PLUMBING CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
MECHANICAL CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
Copy of mitigation agreement with Yelm Community Schools, if applicable
1 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 Sig ure Date `
Owner / Contr ' or /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
D ~~~~~~
FEB I-~ 2010
103 Yelm Ailenue Weai' (360) d5&3836
}'elm, WA 98397 (360) a5 ~ FAX
u~u~u~.ri.yelm.cra.us ~~' ""-'--------._.~-_