20120125 Permit Pkg 02282012City of Yelm
Communly DevioPment DeparlmeM
Building Division
Phone: (%Ot fW4402
Fax: (NO)4S6N44
AppllcaM
Name: AHO CONSTRUCTION
PdOreas W12 HE 108TH CT. STE 101
VANCOUVER WA BOOM
Pemlit No 20120125
Game Date: 3f M12
Name Tax N, mP 0wdhm so ally)
Phone: 360481.11&92
PmpeM Information:
Box Address 1"67 GREENBRIER ST SE 61 Darter'. AM000NS1NUCTI0N I, INC.
Assessor Peral NO.: 55510004100 Subtowpon JOINS MEPfIOWS Lot: 41
Contractor Information
Name'. AND CONSTRUCTION
Phone:
Address: CHAD
NEW RESIDENTIAL BUILDING
W12 HE TOOTH CT. BTE 101
Sle2R.73
VANCOUVER WA °6RB2
AREA HEATING
Contractor j ormsB No AHCC011PB3BC
apIRe; 1X132012
Project Information:
$ W.Oo
Protect : NEW RESIDENTIAL BUILDING
Deunptwo of Work. L0T 41, PLAN 1380
Sp. Ft Par floor:
And Tree BEIrelfc. Gas. Offer):
Fist 1380
Grand
Thad
Garage 406
Basement
Item
Cant2ctor
Fees
NEW RESIDENTIAL BUILDING
AHO CONSTRUCTION
Sle2R.73
MECRAMIAL
AREA HEATING
$ 7173
PLUMBING
WATERNAYS
$ W.Oo
TOTAL FEES: $18.4LIB
RAPoWSA'mdaAL OFFICIAL USE ONLY
ce that l nm road and Granted the It Met mmalrcd wltNN the mpL2tim and xnw the sling
m lain xnMy mature gcpaMebuFUn we WMmnXy WT euaprmame CMnt rG}nmparx
Ye�Mmlemna lm[IUdmg thou governing among and land ulaxI, mr, In adlelm, an mrenemm. —
a anal taaticvom or troxe Iapta a amrador, I mnhar ®my that an mrremm Mme
regl.t
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YELM CWIAYTITY Ems
W 60X 418
YELM MA 98591
Croy
Terminal:
A
171940(Aeprint)
Manual Aeeelpt:
NANO
AMC
AMO CONSTRUCTION I, AN
2/6/2012 1:37 PM
MIL .- Item
Price
_-
1 TVF MITIGATION
2799.00
ry
07- 017 /ILOTAII /NJOHNS MEAOOM / MASIMO
1 NF MITTIGATION
2780.00
MITI
01 -Olt LOTT 410/ JOHNS MEADOW /
WASTE
wotal:
5560.00
Tax:
0.00
Tatal:
5860.00
Check
5580.00
1188
Garbs We:
O.W
URGING RICEIPT
TiAw you
zalzo1 R�
CRYOFYELM
RESIDENTM. MWINO PERMRAPPLICATION FORM
Pmfect Addmas 6a'o-� 5: g Llif_ Pw�c�alo#:
SubdNluion:3..
Si .l
fn..._i r Lot g. t Plan #: $O Zoning:
Xf New Construction D RaMWel I Re Roaf I Addidon 0 Home Cc upalion Sign
0 Plumbing o Mechanbal 0 Mobile l ManufacWrad Home Placement a 0Mer
Pmjee Daavipibnlgcove of YrbM:A1<._1 0.,,,.Ae,.d�.m...
Pmieclvelue: IBSIt 15-If 7fYfi �����,,6,#ppr
Building Area(sq. ft) f ®Floor 1390 2n0Fbor_ Ga ®e,yy_yr oath_
BasemNd Carport Patio_
It Bedroom-3- #Bethrcoma a Heading: GACIOTHER a ELECTRIC (Circle Ogre)
Are Nero any envlmnm finally senshme some located on tee parcel? d)o
8yae, a completed envimnmenMi Mecidiat must accompany permit application.
Copy of mitigation agreement Ath Yelm Community Schools, if apple ble.
I fenny pNry mN mewena lnswmeeon Y emn and but He eomoru:tion on, and Be ommomy and be ww 0 be
obno season nwfwty VIII M In wommilam whas lvm, rWe and rpulNen. W the SOP 0 wynmalen endow
h Myelm.
_°
Applicand's Signature Data
Owner l Contractor l (geodes A IC l Ag aC(Please circle ono.)
All perm a are non amenable and will explm If work auMerbnd by such permll k not begun
within IN days M Wuar w, ar Rwark Is suspended or abandoned ter a pate! of 110 days
u Lsi 25 V VIII
FEg phi nn»aeaase
Yllm,WA ?stay MOd 41"14(FAE
mmmeysim.mn.u.
T e
i
ADORESS Ji' E IO9"' 5CE /el EMAI. C ....ar...A.._ n_
CITYI! � STATE tkIP96LJa TELEPHONE
IIgE '. LICENSE#
ADDRESSOILD% A E Yei� b li 'EMAIL
CIttU dad STATE-w-A—ZIP 99 TELEPH0NEALo L6D -LOR4
TELEPHONE
ADDRESS EMAIL
CITY STATE__ZIP FPk
CONTRACTOR'S LICENSE # EXP DATE._CITY LICENSE#
WOAa TELEPHONE 3FU- bbl -no4
ADDRESS 14407 19ti.+�^ EMAIL
ClTYQ ST S
CONTRACT 6CLICENSATE�IP98Ln9 FAk D
CONTRACTOR'S LICENSE #r.lsre2a'1q.49uE%P DATE CITY R
CITY LICENSE If
- TELEPHONE9L 7.6811
AOOREBB1tn1 .DE <S� Aee EMAIL
CITY1y- _.�.�.r�" STATHy LII`4 L 1 FAY,2w -T3T -b L
CONTRACTORS LICENSE 1lARFA NP 1p9 EXPDATE CITYLICENSE#
Copy of mitigation agreement Ath Yelm Community Schools, if apple ble.
I fenny pNry mN mewena lnswmeeon Y emn and but He eomoru:tion on, and Be ommomy and be ww 0 be
obno season nwfwty VIII M In wommilam whas lvm, rWe and rpulNen. W the SOP 0 wynmalen endow
h Myelm.
_°
Applicand's Signature Data
Owner l Contractor l (geodes A IC l Ag aC(Please circle ono.)
All perm a are non amenable and will explm If work auMerbnd by such permll k not begun
within IN days M Wuar w, ar Rwark Is suspended or abandoned ter a pate! of 110 days
u Lsi 25 V VIII
FEg phi nn»aeaase
Yllm,WA ?stay MOd 41"14(FAE
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APPROVED