20050743 Permit Pkg101106~~~F THFp@.>~ City of Yelm
as `p Community Develo
~ C.
Building Division
Phone: (360) 458-840
EL Fax: (360) 458-3144
Applicant:
Name: Sunrise Homes
Address: P.O. Box 727
Property Information:
Site Address:
pment Department
7
City: YELM
Assessor Parcel No. Subdivision
contractor mrormauon:
Name: Contact:
Address: City:
Contractor License No: Expires:
Project Information:
Project: Baker
Description of Work: RE-Roof
Sq. Ft. per floor: (1st) 0 (2nd) 0 (3rd) 0
Heat Type (Electric, Gas, Other):
Permit No: BLD-05-0743-YL
Issue Date: 10/11/2006
(Work must be started within 180 days)
Receipt No: 44038
Phone: 458-3200
State: WA Zip
Lot:
Phone:
State: Zip:
Business License:
Garage 0 Basement 0
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate
Building Permit -Other 83.25 0.00 _ 0.00 0.0000
TOTAL FEES: $83.25
No. Units Unit Desc
0.0000 $1,000
Applicants Affadavit:
I certify that I 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 regulati ncluding those governing zoning and land subdivision, and in addition, all covenants,
easements nd restrictio cord. a lying as a contractor, I futher certify that I am currently
registered the State o ashi ton. Final Inspection:
Signature Date ~' ~
v Date:
By'
Firm
CITY OF
YELM
P.O. Box 479
Yelm. WA 98597
360-45b-8403
RECEIVED -•••"
****EIGHTY THREE DOLLARS & 25 CENTS
~;'-~ F~~~,_n -~ ,_ ~~4TE Rc:; N~
SUNRISE HOMES 10/11/06 44038
BUDGETARY
RECEIPT No. ~ '~ ~ 3 $
AMOUNT -.~F Iv~~~_
83.25 CHECK 31389
PERMIT 83.25 BLD- 05-0743-YL RE ROOF