20100191 Sewer ERU Pymt 10082010City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (380) 458-3144
Applicant:
Name: OUR REDEEMER LUTHERAN CHURCH
Address: 805 YELM AVE E
YELM WA 98597
Property Information:
Site Address: 8Q5 YELM AVE E
Assessor Parcel No.: 22730121100 Subdivision:
Contractor Information
Permit No.: 20100191
issue Date: 10/08/2010
(Work must be completed within 180 days)
Phone:
360-458-7310
Owner: OUR REDEEMER LUTHERN
CHURCH
Lot:
Name: OUR REDEEMER LUTHERAN CHURCH Phone:
Address: FRANK LOOMIS
805 YELM AVE E
YELM WA 98597
Contractor License No.: Expires: 0/00/0000
Project Information:
Project: SEWER ERU
Description of Work:
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
SEWER ERU OUR REDEEMER LUTHERAN CHURCH $ 6,050.00
TOTAL FEES: $ 6,050.00
OFFICIAL USE ONLY
Sets of Prints:
final Inspection:
Date:
sy:
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 record. If applying as a contractor, I further certify that I am currently
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