07-0119 Permit Pkg 032107•" Community Development Department
a n+
Building Division
Phone: (360)458-8407
ELIV~ Fax: (360) 458-3144
Applicant:
Name: Rainier General Development
Address: P.O. Box 627 City: Rainier
Permit No: BLD-07-0119-YL
Issue Date: AloNssued- '/ ~ !~~ 1
(War ays)
Receipt No:
Phone: 446-3083
State. WA Zip 98576
Property Information:
Site Address: 9144 Burnett Road, A
Assessor Parcel No. 21713340601 Subdivision: NIA Lot:
Contractor Information:
Name: Rainier General Development
Contact: Blume, Doug
Phone: 446-3083
Address: P.O. Box 627 City: Rainier State: WA Zip: 98576
Contractor license No: RAINIGD115QL Expires: 01!01!071 Business License:
Project Information:
Project: Burnett Road phase II,
Description of Work: No fee foundation permit for Building A
Sq. Ft. per floor: (1st) 4450 (2nd) 4450 (3rd) 0 Garage 0 Basement 0
Heat Type (Electric, Gas, Other): GAS
Fees:
Item Item Fee
- -- ----- Base Amt Unit Fee Unit Rate No. Units Unit Desc
Building Permit -Other 0.00 --------- ---------- ----------
0.00 0.00 0.0000 --------- -----------
0.0000 $1,000
TOTAL FEES: $0.00
Applicant's Affadavit
OFFICIAL USE ONLY
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:
~>
SignaturG_ ~ Date Date:
- ~ ~-~ f'~
Firm ~ By.