20050050 Permit Pkg 022805*x**x*******xxx -COMM. JOURNAL- ******************* DATE AUG-16-2005 ***** TIME 23:53 ********
MODE = MEMORY TRANSMISSION START=AUG-16 23:53 END=AUG-lfi 23:53
FILE No.=067
STN COMM. KEY NAME STATION NAME/EMAIL ADDRESS/TELEPHONE NO. PAGES DURATION
No.
001 OK a 913603451018 001/001 00:00:14
-Yelm CDD -
***** DP-3520 ********************** -Yelm CDD - ***** - 360 458 3144- *********
City of Yelm
o .•
`
t
F Community Developmen
1 t Deparbm®nt
nBuilding Division
Phorta: (360) 45841407
L Fax: (160) 458J14d
A
Y
pp
c~ttt
Nsme: Herbage Resloration
Address: 1661 N. National Ave. Ciry: CMAalla
Proptarty hfotmation:
Sae Address: 210 9twsna
Aasatuor Parcel No. 64421400400 SuDdivtaran: WA
Conttat:tor Inlormstaan:
Nttme: Haritape Restoration CorNad: , Kwin
Address: 1581 N. NwionN Avs. Ciry: Chehalis
CoMr4GOr Lkantce Ne' NERITR/664J2 t?xplrea~ 04r22l06112
PrOj6C511'I~t1iRaSl Orl:
Pro(.a: 210 Otwens
Oescrlptlon o/ Work: Water DamaOo Rtpalr
SQ Pl per poor: (1st) 0 (2nd) 0 (3rd) 0
Hest Type (Ekrclrle, Gas, Other):
Foes:
Permit No: BLD-05-0050-YL
Issue Date: 02/28/2006
(Work must De stoned wnnin 180 days)
Receipt No: 35757
Phone: J60J45-1018
Snle: WA Zip 98532
LoC
Phone: 360JIb1016
State: WA Zip: f8432
Business Lkenns~
G9rege D Bacemem 0
Item Item Fce Bus Amt Un0 Fee Uny Rate No. Uttits Una Duc
DWlding Psrma • Other 293.25 0.00 0.00 0.0000 0,0000 51.000
TOTAL FEEB: 5293.26
AppUosrtYs Alfadawit
t ceniy tMl I nave rea0 and eramined Ihs information contained wahm the application and know Ne same ~~~~ USE ONLY
to be true tend correct I alto Nnlfy rhal 1hG DrOPOfld llNClure ie in conformity wah as aeobeaD4 City Or ~ ~~ o/ PeNts•
Vann ra0ulalions inGudmD those Dovernmg xonin0 tnd land suodMSion, and in addttwn, all cevananla.
saaemerns and restrictions of record. If applying es a convenor, I fulner cenay teal t am curranty
regisurod In the Slate of Washington ~ IfinW W^-~„`~~
Signature ~
Dots O
Flrm ~: