20100226 Permit Pkg 12062010City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: JOHN CRANTON
Address: 503 FIRST ST SO
YELM WA 98597
Property Information:
Site Address: 2(12 M(~SMAN AVE SW
Permit No.: 20100226
Issue Date: 12!06/2010
(Work must be completed within 180 days
Phone: 360-458-1061
Owner: JOHN CRANTON
Assessor Parcel No.:
Contractor Information:
Name: LANE FRENCH
Address:
PO BOX 1555
YELM WA 98597
Phone:
Contractor License No.: 601-385-342 Expires: 12/31/2010
Project Information:
Project: RESIDENTIAL REMODEL
Description of Work: ADD BATH AND LAUNDRY AND HEAT PUMP
Sq. Ft. per floor: First
Second
Third
Garage
Basement
Fees:
Subdivision:
Heat Type (Electric, Gas, Other):
Lot:
Item Contractor Fees
BUILDING LANE FRENCH $ 265.25
MECHANICAL AIR HANDLERS $ 0.00
PLUMBING LANE FRENCH $ 0.00
TOTAL FEES: $ 265.25
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
registered in th~tate-otVC~shingto~.
Date rz1G /c c~
Firm
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
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CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: ZO Z MoSvhC.tv1 ~ ~• Parcel
Subdivision: Lot #: Plan #: Zoning:
New Construction x Re-Model / Re-Roof /Addition .Home Occupation Sign
94 Plumbing h Mechanical Mobile /Manufactured Home Placement Other
Project Description/Scope of Work: ~dG@ ~L1c7~~ Ala-JirlC~/+~1 ~ ~c~~ ,D~ ,v~P
Project Value: ~ 1b~80C~ -t- ~k
Building Area (sq. ft) 1ST Floor_~~- 2"d Floor Garage Deck
Basement Carport Patio
# Bedrooms # Bathrooms Heating: GASlOTHER or LECTRIC ircle One)
YY1C.t~,t b rt~n y C~ c~ 5
Are there any environmentally sensitive areas located on the parcel? (~•)U ~ ~~~
if yes, a completed environmental checklist must accompany permit application.
BUILDING OWNER NAME:
ADDRESS ~~ ? "~05v~'~C~v'~ - EMAIL
CITY v STATEV.iI~ ZIP ~St't1 TELEPHONE `- 1- ~
CITY
GENERAL
LICENSE
CONTRACTOR
CONTRACTOR'S LICENSE
EXP
MECHANICAL ONTRACTOF~tr L-~-~1yt~lt?~'S TELEPHONE ~~ -
ADDRESSPO ~ ~31o EMAIL
CI V.'rWC+.. STATE ZIP ti3S0 ~ FAX ^S - O
CONTRACTOR'S LICENSE ~"~L XP DAT ITY LICENSE #
Copy of mitigation agreement with Yelm Community Schools, if applicable.
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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 regulations of the State of Washington and the
City of Ye m. : ~.~
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
~~ /tA l'2-li /~4
A cant' re Date
Owner / ontracto Owner's Agent /Contractor's Agent (Please circle one.)
105 Yelm Avenue West
Yelm, WA 98597
www.ci.yelm.wa.us
(360) 458-3835
(360) 458-3144
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