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20050597 Permit Pkg 081607~OF T'~a City of Yelm a ~ Community Development Department a ~+ Building Division Phone: (360) 458-8407 E L Fax: (360- 458-3144 Applicant: Name: Perkings Construction Roofing Address: PO Box 1085 City: Spanaway Property Information: Site Address: 306 Edwards Street SW Assessor Parcel No. Subdivision: Contractor Information: Name: Contact: Address: City: Contractor License No: Expires: Project Information: Project: Dale Wood Reroof Description of Work: Tear off and reroof Sq. Ft. per floor: (1st) 0 (2nd) 0 (3rd) 0 Heat Type (Electric, Gas, Other): Permit No: BLD-05-0597-YL Issue Date: 06/06/2006 (Work must be started within 180 days) Receipt No: 42308 Phone: 360.458.5329 State: WA Zip 98387 Lot: Phone: State: Zip: Business License: Garage 0 Basement 0 Fees: Item Item Fee Base Amt Unit Fee Unit Rate Building Permit-Other 25.00 0.00 0.00 0.0000 TOTAL FEES: $25.00 No. Units Unit Desc 0.0000 $1, 000 Applicant's Affadavit: I certify that 1 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 ~_ I~~ Date 6/ ~q 6 ~Q Date: Firm (~ F-~--~- ~5~1 i ~ ~vL ~ ---/// By. PA! D ~uN rl s ~nn6 City of Yelm Community Development Departmer t~'IN OF YELM Building Division Phone: (360) 458-8407 Fax: (360)458-3144 Applicant: Name: Perkings Construction Roofing Address: PO Box 1085 Project Information: Project: Dale Wood Reroof Description of Work: Tear off and reroof Site Address: 306 Edwards Street SW City: Spanaway Assessor Parcel No. Fees: Item Acct Code Building Permit -Other 032 001-322-10-00 TOTAL FEES: CITY OF YELM P.O. Box 479 Yelm, WA 98597 360-458-8403 Permit Fees Schedule Permit No: BLD-05-0597-YL Phone: 360.458.5329 State: WA Zip 98387 Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc 25.00 0.00 0.00 0.0000 0.0000 51,000 525.00 RECEIVED ****TWENTY FIVE DOLLARS & 00 CENTS DATE REC. NO. PERKINGSIVCONSTRUCTION ROOFING 06/06/06 42308 PO 80% 1085 SPANAWAY. WA 98387 BLD-05-0597-YL BUDGETARY SITE: 306 EDWARDS ST SW RECEIPT No. 4 2 3 0 8 AMOUNT REF. NO. 25.00 CHECK 19580 DIANA CITY OF YELM ~ ^G ~ RESIDENTIAL BUILDING PERMIT APPLICATION FORM ~ Project Address: ~~ti Fr7ward~ ~t- _ W_ Parcel #: ~ ~S `~ ~ r Subdivision: Lot #: Zoning; ~~s ~ u New Construction U Re-Model a-Roof Addition a Home Occupation Sign ~Gy~ ~~j u Plumbing u Mechanical a Mobile /Manufactured Home Placement u Other L ~~ ' 'o ~ Project Description/Scope of Work: Tear Off Reroof rs Project Value: ~2, 524.00 Building Area (sq. ft) 1~' Floor 2"d 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. GENERAL CONTRACTOR Perkins Const.RoofinclTELEPHONE 458-5329 ADDRESS P.O. Box 1085 EMAIL Perkins@ywave. com CITY Spanaway STATE WA. ZIP 98387 FAX 458-1383 CONTRACTOR'S LICENSE # PERKICR995LN EXP DATE 07 CITY LICENSE # 06-002224.0 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. I hereby certlfiy that the above Information is correct and that the construction on, and the occupancy and the use of the above described property will be (n accordance with the laws, rules and regulations of the State of Washington and the City of Yelm. ~`'`- _ 6/5/2006 Applica a Date Owner Contractor I ner'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 worts is suspended or abandoned for a period of 180 days ]OS Yelm Avenue Wesf (360) 458-.3835 PO Box 479 (360) 458-3144 FAX Yelm, WA 98597 www.ci.yelm.wa.ux r _ - --~ Detach And Display Certificate --, DEPARTMENT OF LABOR AND PVDUSTRIES REGISTERED AS PROVIDED BY LAW AS CONST CONT GENERAL REGIST. # EXP. DATE CCO1 PERKICR995LN 01/10/2007 EFFECTIVE DATE 06/15/2001 PERKINS CONST & ROOFING INC PO BOX 1085 SPANAWAY WA 98387 - lxtach And Display Certificate - YEAi? i'OI~F"~ CLERK -TREASURER'S OFFICE BUSINESS LICENSE I A~~IRFQT iS HEREBY LICENSED TO OPERATE PFRK I N~ CONtiTRt1f;T I ON R ROOF i N~, INC: ,~ti3 i :~ 4RTH AVF ROY YJA 98580 AT ? Ol1T OF TO~YN Thls License must be posted In a conspicuous 0Fi-002224 .0