20120112 Permit Pkg 02022012o� City of Velm
Pare,a No
20120112
cdmmumy DevNOpmerM1Ceparhnent
Issue
2d242e2
Contractor Ink a on:
usememle9amin9
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Name: C B E DEVELOPMENT LLC
Building division
2532160343
Mends'. ERIOPETERSON
sorrows ere
Phone: (360) 45841401
PO BO %2983
BY:
Fac(M)411i
Applicant
811142010
ProjectlMOrmeBon:
Burns:
CBE DEVELOPMENT
Prism
253-278IXM3
Rearms:
PO BOX
NEW BBTTOM PLATE AND
STUDS IN GE
TELM WA 00507
Pmpsay Bdomndlan
Bile Address: 111 WASHINGTON AVE SE
DYmg: CBEOEVELOPMENT
Asseseor Parse No.'. SuW'rvlam'.
Lot
a£aY MPSN¢:_
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Contractor Ink a on:
usememle9amin9
Nnssa irm
eawneMm anp lwdplwaorrgap.lfepptalq Yawmntlor,IluNprm4NNletlmarnntly
a
Fliullrvpxtlan:
Name: C B E DEVELOPMENT LLC
Phone:
2532160343
Mends'. ERIOPETERSON
sorrows ere
PO BO %2983
BY:
YELM WA 98597
OomrxMr License No GEDEVEDG3& Expire:
811142010
ProjectlMOrmeBon:
Pm)ecl'. RESIDENTIAL REMODEL
Descdplanof Wars REMODEL INSIDE, PLUMBING, SHEUROCK AND INSULATION
NEW BBTTOM PLATE AND
STUDS IN GE
SO. Ft. per floor: LOW Heel Type(Elecl Gee, O1Mr):
SemM
Thiel
GanOe
B6emem
Eees:
Item Contractor Fees
BUILDING C B E DEVELOPMENT LLC E IM25
TOTAL FEES: 8 19025
Ap1Ak1MSAT2mt
OFFICILL LISEONLY
I ann mminMtlelnlwrntllmmm . vym Mnlndanervbtion anal
ustreal wfra(t I COlf
to miNeanp wrrc4la loo® npytngWpmpgepaeudureelnwmo�m
a£aY MPSN¢:_
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Fliullrvpxtlan:
reBUdrN ntMSide M Washwaton
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sorrows ere
Fee
BY:
City of Yell
5W1 450-M
REM OOW56 2/02/2012 1:71 Pk
[PER: CD WF 006
rasa: 5%
TPA: M.M WALING HETS
20120112 100 M
CBE 0E4EllFOT
LED Mi" W.E 6E
RE 190.25a
CRYOFYELM I LT 2O(I�
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RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Purecl Address'. `I k Wt451i-1NfnTDN Proxy #:
Suemeslm: Lm #: Plan #: bninp'.
New Cgnalrvffen D(ReAtotlell Re- Rw(IAtltlldon I l Home Owpetlon Ban
(R Plumbing II Mechanical �1'J Mobile l Manufacturer] Force Placement I Other
Prgeu lJescnpbonl5cope olwpk: & calk tmj& yiwM EIrucIrc ,$Ilce;rt%..LIIM$^Wt
Proxct value: $ rwro.••K - -- -- 4��s r• y,.ngp.
Btawnsp Waa (sc Rj 1" Flwr TZi 2" Flom_ Gerage Data Y
Bahamas CaryM Patio_
At Betlrmma2 #Bathrooms l Heating: GAS/OTHER an 0CTRI i2'a One)
Are there any a'wlronmenter ly swtvtive Roes mated on the pamd?
Xyea, a manager! enwarr ental checklist must accompany armed ep111catlw.
BUILDING OWNER NAME C 1"^
ADDRESS b. n EMAIL
CIIY STATE W+- ZIP TELEPHONE
ARCHITECLENGINEER LICENSE#
ADDRESS EMMIL
CITY STATE ZIP TELEPHONE
• GENERAL CONTACFOR TELEPHONE46 - YDe -g4i0 q•
ADDRESS EMAIL •�- ��(/�
CONTRACTOR'S LICENSEE ZP EXP DATE LICENSE#
PLUMBING CQYPRACTO TELEPHONE
ADDRESS EMAIL
CfIV STATE ZIP FAX
CONTRACTOR'S LICENSE# E%P DATE CITY LICENSE#
MECHANICAL CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE LP FAX
CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE#
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/�'�j� 2 2 z
Damon/ ContractorI oe o
Owner/ ConVadar /Owner's Apertll ConlneYar's Agent (Please circle one.)
All pefmHa are nomtrewferabta and will expire if we& authorized by such crack Is not begun
within 180 boys of tuuil or ifwark is aoapenaea or abandoned for a marital or IN days
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