07-0031 Permit Pkg
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: 203 MOSman Ave SE Parcel #: 22719332100
Subdivision: Lot #: Zoning;
New Construction ~/ Re-Model / Re-Roof /Addition Home Occupation Sign
~/ Plumbing ~/ Mechanical Mobile /Manufactured Home Placement Other
Project DeSCrlption/Scope of Work: Replace a 16KW Generac Generator & gas piping for the generator
CITY
CITY
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
abovo described property will be In accordance with the laws, rules and regulations of the State of Washington and the
City of Yelm.
/; ~ . ~ ~ '~s ~ ~ ~' ~;
Applicant's Signature " Date
Owner /Contractor /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
Ut
,~ ~y .
105 Yelm Avenue West
PO Box 179 (360) 458-3835
Yelnr, i~{A 98597 (360) 458-3144 FAX
mmur.ci ;yelm.u~a.us
Building Area (sq. ft) 1S` Floor 2"d Floor Garage Deck
Basement__Carport Patio
# Bedrooms- # Bathrooms- Heating GA THER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? If es, a
completed environmental checklist must accom an y
p y permit application.
Thurston Geodata Center -Parcel Search Page 1 of 2
Data for Parcel No. 22719332100
Zoom Map to Parcel
Please make sure to READ our DATA DISCLAIMER prior to utilizing; our website for
research
View Assessor's Data for Parcel
Owner: WOLF, LINDA JO ANNE
Address: PO BOX 928
City: YELM
State: WA, 98597
Parcel No.: 22719332100
Site Address: 203 MOSMAN AVE SE
Site City: YELM
Site Zip: 98597
Section: s19172E
Legal Description: 19-17-2E .14A SW4-SW4 COM S LN 2ND ST 25F
SWLY MC KENZIE 2N D SELYA
Usecode: 11 -SINGLE-UNIT
Tax Code Area: 170
Taxable: Yes
Annual Tax: $1,445.55
Property Type: RES
Total Acres: 0.28
Land Value: $47,450.00
Building Value: $91,500.00
Total Value: $138,950.00
Current Use: N
Exemptions: None
Wetlands: Unknown
Floodzone: NO
Flood of 1999: Unknown
Winter Flooding of 1996: Unknown
High Groundwater Flood Hazards: Unknown
Zoning: R-4, Residential
Historic Site: No
Permitting Jurisdiction: YELM
Jurisdiction of Influence: YELM
http://geomapl.geodata.org/website/cadastral/resultsparceLasp?parcel=22719332100 ?/5/2007
Thurston Geodata Center -Parcel Search
Stormwater Rate:
No Shooting Zone:
Animal Control:
Weed Containment Zone:
Steep Slopes:
Ground Water Sensitive Areas:
DNR Natural Heritage Data:
Critical Buffers:
Shoreline Management Areas:
Waterbody & Wetland Buffers:
FEMA Panel No.:
Wellhead Protection Area:
Area of Groundwater Concern:
Elevated Nitrates:
Soil Type:
Hydric Soil:
Watershed:
Water Service Area:
School District:
Elementary School:
Middle School:
High School:
Fire Response District:
Medic Response District:
Residential Outdoor Burning:
Planning Region:
Census Tract:
Radio or Cell Tower:
Airport Zone:
No
No
Contact Animal Control (360-458-3244).
No
Unknown
No
Unknown
No
No
No
355
No
No
No
Spanaway gravelly sandy loam, 0 to 3% slopes;
Spanaway stony sandy loam, 0 to 3% slopes
No
NISQUALLY RIVER
YELM, CITY OF
YELM
SOUTHWORTH
MILL POND AND YELM
YELM
YELM
Medic 2
Residential Outdoor Burning is banned within the
city limits and urban growth areas.
2
012410
No
No
Page 2 of 2
http://geomapl.geodata.org/website/cadastral/resultsparcel.asp?parcel=22719332100 2/5/2007