20100041 Permit Pkg 030510City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: JOE AGUILAR
Address: 7725 YELM HWY SE
OLYMPIA WA 98513
Property Information:
Site Address: 1dR17 RFRRY VAI I FY R1~ SF
Assessor Parcel No.: 21724240400 Subdivision:
Contractor Information:
Name: JOE AGUILAR
Address:
7725 YELM HWY SE
OLYMPIA WA 98513
Contractor License No.:
Project Information:
Project: ROOF
Description of Wor1c:
Sq. Ft. per floor: First Heat Type
Second
Third
Garage
Basement
Fees:
Item Contractor
ROOF JOE AGUILAR
Permit No.: 20100041
Issue Date: 3/05/2010
(Work must be started within 180 days)
Phone: 360-239-2204
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i1='~'!~ Fees
$ 25.00
5 25.00
Applicant's Affidavit:
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
Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants,
easements and restrictions of recor If app/ ing as a contractor, I further certify that I am currently
registered in the State of ashi to .
Si nature Date ~ J ' ~ v
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2adorx-~I
CITY OF YELM
• RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: `1 2 ~ V Ik, ~ Parcel #:
Subdivision: Lot #: Plan #: Zoning:
New Construction ~ Re-Model / Re-Roof /Addition Home Occupation Sign
Plumbing Mechanical Mobile /Manufactured Home Placement Other
Project Description/Scope of Work:
Project Value: `~ 3 ~ d n `_
Building Area (sq. ft) 1g` Floor `Z 2n0 Floor Garage Deck
Basement Carport Patio
# Bedrooms?- # Bathrooms ~ Heating: GASIOTHER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel?
if yes, a completed environmental checklist must accompany permit application.
BUILDING OWNER NAME: ~I r'
ADDRESS ~ ~~ LS ~ ~./ S EMAIL I t nt oQ ~"~ C <<
CITY 1- - STATE~ZIP L I TELEPHONE 3 r, 2 3 ~- 2 ZU `-r
• ADDF
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
above described property will be in accordance with the laws, rules and regulaHona of the State of Washington and the
City of Yelm.
Applicant's ignature 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
•
lU5 }'e!m Aoenue f{'rst
}'elm, W'A 98597
u~ m u~. r i. vel m. u~a. us
/360) •158-3835
(360) 458-3/a•1 FAX
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