Punch List App 001Community Development
Department
City of Yelm
P.O. Box 479
Yelm, WA 98597
~~i~/~-~
r < ~_ -~ ~.- ~ t ~ t ~~v
~~~CEiVEG
l w~ r~it -lr ~i'iGcl ~- ~~.
* .y OFFICIAL. USE ONLY JAN 1410
Date Received• 1 9 '-Date Received• 1 9 ~'
Received By:
AL PUNCH LIST APPLICATION USE BLACK INK ONLY
Oumer: TDS "D ESt`.l LLG
ddress: 2365 98*- ft vc SK/
CiTy&State: TUMk/A f/-/-
Wd Fax:
/
ip; Q8J/2, Phone: E-Mail:
Applicant: SAH/r
r~S ~/rJ,/!iP
_,
ddmss:
ity and State: Fax:
ip: Phone: E-Mail:
ngineer: •CJ. /9~o/%'
Qss..c .c'
SSP~~~j P. S,
a~:.~ter'~
,
-, y
i
caress: /7a~ -nv rooale Pr Q/~ s u/
ity&State: /~LY~+fPi,¢~ WA.
ip: gBSdZ Phone: 3SZ- 9 Pax: ~tZ-O/99~
4sL E-MailtiSe»1~~,)!.~
rypRE/SSE72 . !0/'-
ROJECT NAME, ADDRESS/LOCATION AND CASE
NUMBER: FOR OFFICIAL USE ONLY
Date Received:
R F'
n {, C Date ofinterdepartmental DlstrAution:
Inspection Dateisi:
- 0
Opon receipt of this application by the Cit}', it will be roufid to the appmpnate City departments. The Development
Review Ehgjneer and any other relevant City staff will conduct a site inspection widtin 5 working days from receipt
of the application. Upon completion oC site titspection[s], a punch tisi and a final plat application packet wW be
provided to the applicant.
G'.\Web Content\community tlevelopment\FinalPUncbApp.tloc