20120106 Permit Pkg 01102012City of Yelm
Community Development Department
Building Division
Phone: 136014584,101
Fu: (360) 4565144
Apmil t:
Name: C&E DEVELOPMENT
Admem PO BOX 29W
YELM WA 03507
Property lnbrmaE
Permit No.: 20120106
Issue Date: 11102012
Xl news be dawdled WIWn IN nest
Phone: 253.22 6-0343
Sea Address'. 111 WASHINGTON AVE SE Owner CBE DEVELOPMENT
Assessor Penal No Subdivision. tnl;
Name; CB E DEVELOPMENT LLC PMre; 2512784243
Adtlrea; ERIC PETERSON
PO BOX 2933
YELM WA 00507
ContmgOr Umema NO CEDEVED94bWC Express 2012
Project lnformeOan:
Pmjed; ROOF
Deeaiplam ofibum RERI
SO. Ft. per floor:
Ol WE Cal
Heat Toe(Elval ON Crew)
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Third
Oerege
Basement
Fen:
Item
Contactor
Fees
ROOF
c fl E DEVELOPMENT LLC
S 2500
TOTAL FEES;
f 25.00
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CITY OF YELM
• RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Pmlest Address III LlYrtN',vT_ Parcel #:
Subtlirsion LIX#: ii Zoning:
INew Cnten cllon I Home CccOpatioi Sign
i, Plumbing p Matlanical C Mobse l MenNacLnal Hone Nimeme18 I OIM1a
Prgem O�rn'p11oNSCOpeW Wwk: pWwf E� LlM^Y t �n'♦ -yLS dIM �"� ^")t
Pirdsol VeNe: 3 OOZ `S- U
Building Aree(eg, 1t) le Fl000rgx Yne Flow_ Garage Deck_
Basement Caryog Patio_
#Betlmcma3 #Bathrooms, Heating :GAS /OTHER or ELECTRIC (Cirme One)
Are there any maknonmantaly sensitive areas Bali on tlw prime?
Sir yes, a completed environmental nnebliat must accompam Permit application.
&1IL01NG OWNER NAME: C'/'t- l.
QITYS _ a On. �i��ii EMAIL
CITY Y% r.. STATE %,5 0, ZIP TELEPHONE 2EKG-Cas2
ARCHITECT/ENGINEER LICENSE#
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
• GENERAL CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATEZIP FAX
CONTRACTOR'S LICENSE# E%P DATE CITY LICENSEp
PLUMBING CONTRACTOR TELEPHONE
ADDRESS EMAIL
CfIV STATE ZIP F q%
TRACTOR 'S LICENSE# FXP OATS CITY LICENGE#
MECHANICALf NTRACTOR TELEPHONE
ADDRESS EMAIL
CRY STATE ZIP FAX
CONTRACTOR'S LICENSE# EXPOATE CITY LICENSE #-_
Copy of mitigation agreement with Year Community Schoom. Rappliwble,
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APPIigM'a Sig le
OwmrI COOL c[oNOxner's Agent/ Contractor's Agent(Prime eimle One.)
All Permits are nommans(erable and will expire if work authorizetl by such permit Is not begun
within 180 days of Issuance or N work Is suspended or abandoned Bar a period of 180 days
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