07-0133 Permit Pkg 032907pF THFp
~ City of Yelm
~
~~ ~~ Community Development Department
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Building Division
Phone: (360)458-8407
EL Fax: (360) 458-3144
Applicant:
Name: Perkins Roofing
Address: PO Box 1085 City: Spanaway
Property Information:
Site Address: 109 SW Washington Court
Assessor Parcel No. Subdivision:
Contractor Information:
Name: Contact:
Address: City:
Contractor License No: Expires:
Project Information:
Project: Pena Re-roof
Description of Work: Tear off and re-roof
Sq. Ft. per floor: (1st) 0 (2nd) 0 (3rd) 0
Heat Type (Electric, Gas, Other)
Fees:
Item
Building Permit -Other
TOTAL FEES:
Item Fee Base Amt Unit Fee
25.00 0.00 0.00
E25.00
Permit rvo: BLD-07-0133-YL
Issue Date: tltot Issued '~ I ' ' I =' 7
(Work must be started within 180 days)
Receipt No: 47832
Phone: 36058-5329
State: WA Zip 98387
Lot:
Phone:
State: Zip:
Business License:
Garage 0 Basement 0
Unit Rate No. Units Unit Desc
0.0000 0.0000 $1,000
Applicant's Affadavit:
~ OFFICIAL USI
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 futher certify that I am currently
registered in the State of Washington. Final Inspection:
Date:
Signature ~ .` ~ Date 3 ~ ~ ~ / ~ ~ ~
~ By:
Firm, (~ `~- IL lti r (~-~ t 1. r f ~~ ~ `~ c,C -mac
City of Yelm
Community Development Department
Building Division
Phone:(360-458-8407
Fax: (360)458-3144
Applicant:
Name: Perkins Roofing
Address: PO Box 1085
Project Information:
Project: Pena Re-roof
Description of Work: Tear off and re-roof
Site Address: 109 SW Washington Court
Fees:
Item Acct Code
Building Permit -Other 032 001-322-10-00
TOTAL FEES:
City: Spanaway
Permit Fees Schedule
Permit No' BLD-07-0133-YL
Phone. 360-458-5329
State WA Zip 98387
Assessor Parcel No
Item Fee Base Amt Unit Fee
25.00 0.00 0 00
E25.00
Unit Rate No. Units Unit Desc
0.0000 0 0000 $1.000
O~`4 THE p9„" CITY OF -- - -- -~ ---- - - ---
i ~ YELM
r.0 t3ox ~,9 _
YEL veim, v~r,a ~~,s- RECEIPT No. ~~ r .~, ~ ~
RECEi~'EC' * * * ,~
TWENTY FIVE DOLLARS & 00 CENTS
`=-E','~~' ~''-''~' G~Ti= REC.tiJ A^~'C,~_NT _~ F:n
PERLINS CONSTRUCTION AND ROOFING03/29/07 47832 25.00 CHECK 20421
CO
P.O. BOX 1085 BUDGETARY
SPANAWAY WA 98387
`I 36@-458-5329
_ _ _ _ MICHELLE
PERFf~ FOR TEAS OF AND ROOF BLD-07-0133-YL
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: l 0 ~ 5, w , (n/~~t~ntN~ Tv.~ LT. Parcel #:
Subdivision: Lot #: Zoning;
u New Construction u
u Plumbing u Mechanical
Project Description/Scope of We
sl Re-Roof Addition a Home Occupation Sign
u Mobi a /Manufactured Home Placement u Other
Project Value: 31 53 d
r
Building Area (sq. ft) 1 ~` Floor 2nd 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.
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CONTRACTOR
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE # f
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 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 Waahfngton and the
City of Yelm.
c ~- ~~~~ 3 a ~ a ~
Applica re D e
Owner Contracto /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
1 D5 Yelm Auenue Weat
PO Box 479
Yelm, WA 98597
(360) 458-3144 FAX
mrvm.ci.velm.wa.ua
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