20110115 Permit Pkg 01142011City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: JANET A ETAL ENLOW
Address: 15037 LONGMIRE ST SE
YELM WA 98597
Property Information:
Site Address: 1 SA~7 I [~Nf;MIRF ST SF
Assessor Parcel No.: 21724430102 Subdivision:
Contractor Information:
Name: STABLE SYSTEMS
Address:
PO BOX 477
TENINO WA 98589
Contractor License No.: STABLS1053R2 Expires:
Project Information:
Project: BUILDING
Description of Work: DETACHED GARAGE
Sq. Ft. per floor: First
Second
Third
Garage
Basement
Fees:
Item
BUILDING
1548
Permit No.: 20110115
Issue Date: 1!14/2011
(Work must be completed within 180 days)
Phone
Owner: JANET ENLOW
Lot:
Phone:
2/14/2010
Heat Type (Electric, Gas, Other):
Contractor
STABLE SYSTEMS
TOTAL FEES:
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 the State Washington. _ _~
Date
Firm +~~`A-T~L~ SY S~~,T .~.clG
Fees
$ 421.55
b 421.55
ONLY
Sets of Prints:
final Inspection:
Date:
By: _
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CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: ~-~t.~ ~ ~'~~/ ' m ~ ~ S~ Parcel #:
Subdivision: Lot #: Plan #: Zoning:
New Construction ~ Re-Model / Re-Roof /Addition Home Occupation Sign
Plumbing Mechanical Mobile I Malnufa1cture(~d Home Placement Other
Project Description/Scope of Wor1c: `~( ,, < <d 4 21Z~c~ g0.~i.~S2-
Project Value:~Q
Building Area (sq. ft)
# Bedrooms ~
1 S` Floorrt$E~ 2"d Floor `~ (uR Garage ~ ~ ~ •r~ Deck
Basement Carport Patio
# Bathrooms C~ Heating: GAS/OTHER or ELECTRIC (Circle One) /~/ o.y~
Are there any environmentally sensitive areas located on the parcel?
Jf yes, a completed environmental checklist must accompany permit application.
BUILDING OWNER NAME: v f M '3, "n~ ~%~
ADDRESS ~S„,~7 .I,.~rvG ii~i'r/Zcs EMAIL
CITY STATE ZIP TELEPHONE
ARCHITECT/ENGINEER ~r~~Sc' ~~. .~>>~•_ LICENSE# s~ / -~
ADDRESS, ~~ %.'~ //L-~, EMAIL
CITY ~ z . ,,~ ~ ,~ ~ ~ '~ STATE ~ ~ ~1 ZIP `% ~S' S~i1 TELEPHONE .~_ ~ ~ - ,'-'L- / ~ "
GENERAL CONTRACTOR ~~'f-A 7~L~ SvS~isISTELEPHONE :~ -~ Z~
ADDRESS~~ ~ ~~ ~~ EMAIL Bf`t1Ce ~' V1,/t S~..s><ew,~d
CITYTE~in/~ STATE~ZIP ~ FAX
CONTRACTOR'S LICENSE #~R[3t_;;;tuS~R3EXP DATE_CITY LICENSE #
PLUMBING CONTRACTOR (Dctlnlc`2 TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRAC I OR ~ LICENSE ," EXP DATE CITY LICENSE :.=
MECHANICAL CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # LXP DATE CITY LICENSE #
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 regulations of the State of Washington and the
City of Yelm.
~ ~~ ~~ ~~
n ' Signat Date
w Contract 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
105 Ye1m Auereue West
Yelm, WA 98597
www.ci.yelm.wa.us
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