07-0402 Permit Pkg 112707~OF T'~A City of Yelm
~~ Community Development Department
4
Building Division
Phone: (360) 458-8407
y~ Fax: (360) 458-3144
Applicant:
Name: Amtech Corp
Address: City:
Property Information:
Site Address: 406 Railroad St NW
Assessor Parcel No 22719310301 Subdivision:
Contractor Information
Name: Contact:
Address: City:
Contractor License No: Expires:
Project Information:
Project: Amtech Unit Heater
Description of Work: Install Unit Heater
Sq. Ft. per floor: (1st) 0 (2nd) 0 (3rd) 0
Heat Type (Electric, Gas, Other): OTHER
Fees:
Permit No: M-07-0402-YL
Issue Date: 11/27/2007
(Work must be started within 180 days)
Receipt No: 51417
Phone
State: Zip
Lot:
Phone:
State: Zip:
Business License:
Garage 0 Basement 0
Item Item Fee Base Amt Unit Fee Unit Rate
Mechanical Permit 27.00 0.00 0.00 0.0000
TOTAL FEES: $27.00
Applicant's Affadavit
No. Units Unit Desc
0.0000
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 restrictions of record. If applying as a contractor. I futher certify that I am currently
registered in the State of Washington.
Signature y~~p~C. Date ~~- Z ? ~d
Firm - ~ ~~
OFFICIAL USE ONLY
E Sets of Prints:
inallnspection:
Date:
By:
CITY OF
YELM
P.o. Box a7s
Yelm, WA 98597
360-458-3244
RECEIVED ****TWENTY SEVEN DOLLARS & 00 CENTS
RECEIVED FROM DATE REC. NO.
AMTECH CORP 11/27/07 51417
SUNSET AIR INC
5210 LACEY BLVD SE BUDGETARY
LACEY. WA 98503
M-07-0402-YL
DIANA
RECEIPT No. 51417
AMOUNT REF. NO.
27.00 CHECK 28386
SITE: 406 RAILROAD ST NW
-~~~- ~~-~'~o~-yc~ ~~N~~~U~
CITY OF YELM
COMMERCIAL BUILDING PERMIT APPLICATION FORM
Project Address: _'TtJI~ /~..~~~ ~ ,,~'~~ parcel #: ~d jc ~ (~ ~.~ ~ ~,j~~
Zoning; Current Use: Proposed
^ New Construction ^ Re-Model / Re-Roof /Tenant Improvement
^ Plumbing ~ Mechanical ^ Fire Prevent/Suppress/Alarm ^ Other
Project Description/Scope of Work: L /,~... f ~~~ ~ ~ ,.,,, -,~`, ~ .
Project Value:~~bp,OO
Building Area (sq. ft) Parking Garage 151 Floor 2n° Floor 3rd Floor
Building Height
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.
~- 1 l-~7~ 7
Applicant's Signatur Date
Owner /Contractor / wner's Agent /Contractor's Agent /Tenant (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
R:\Forms & Proccdures\Building Permits\CommBldgPermitApp.doc Page 2 of4
Are there any environmentally sensitive areas located on the parcel? L U If yes, a
completed environmental checklist must accompany permit application.
..vpy yr ~~ry miugauon aocumentaUOn (TFC).