Ace Fire AppCITY OF YELM
COMMERCIAL BUILDING PERMIT APPLICATION FORM
Project Address: ~~~ ~Oc~fo.+.c. ~/vcOs~-Parcel
Zoning;
Current Use: Proposed Use:
New Construction Re-Model / Re-Roof /Tenant Improvement
Plumbing Mechanical i~Fire Prevent/Suppress/Alarm I-' Other
Project Description/Scope of Work: % / ~ivv ~.,P~., ~e % l~ ~ J~ai~
Project Value: ~~ oo°=
Building Area (sq. ftj Parking Garage 1s1 Floor 2"' Floor / 3rd Floor
Building Height
Are there any environmentally sensitive areas located on the parcel? If yes, a
completed environmental checklist must accompany permit application.
BUILDING OWNER/TENANT NAME: /Ito
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
ARCHITECT/ENGINEER LICENSE #
ADDRESS EMAIL
CITY STATF 71P TGI GDLJ rl A1C
GENERAL CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
PLUMBING
CITY
LICENSE
TELEP
~ i
' LICENSE
L
MECHANICAL CONTRACTOR TELEPHONE
CITY
LICENSE # EXP DATE CITY LICENSE #
Copy of City Mitigation documentation (TFC).
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 (n accordance with the laws, rules and regulations of the State of Washington and the
City of Yelm.
/s--~-~ ~-- /a_ /o - / v
Applicant's Signature Date
Owner /Contractor /Owner's Agent /Contractor's Agent /Tenant (Please circle one.)
All permits are nontransferable 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
C'®
105 Yelm Auewue West (360) 458-3835
PO Box 479
YeZm, WA 98597 (360) 458-3144 FAX
www.ci.yelm.w¢.us
FIRE SYSTEMS LLC
Inspection • Testing • Service
• Tenant lmprdt%emenf
Brad Weber
P.0. Box 2065 Bus: (206) 414-1573
- Buckley, WA 98321-2065 Cell: (206) 349-1775
Cont. Reg. N ACEFIFS908M3 Fax: (360) 829-4301
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LADIES /GENTLEMEN:
^^ WE ARE SENDING YOU
$~5hdp drawings
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,Attached ^ Under separate cover via
^ Prlnts O Pians ^ Samples
p Change order ^
the following items:
~ Specifications
CAPIES GATE' Nd.
DESCRIPTION
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THESB ARE TRANSMITTED as checked below:
-- l~or approval Q Approved as submitted
^ Resubmit CdpiCS for appYOVaI
(] For your use [] Approved as noted
Q SubmiT copies for distribution
^ As requested O Returned for wrrettions
~ Return corrected pYints
^ Far revi¢w and comment ~~~_ r~-0~1g'§'
^^ _ ^ FOR BIDS DUE 20 D PRINTS RETURNED AFTER LOAN TO US
ACE