20120173 Permit Pkg 04272012City of Yelm
Community Downward Department
Building Diasion
Phone: (360) 458-0407
Fu: (360) 4584141
Appllaarrt'.
Name: JUAN FRANCOELFRAN
Adken: 10017 COCHRANE AVF BE
YEW WA & ?
Permit No.: 20120173
Issue Date. 41271012
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Pere: 3233161
Proparlylnfwmaeon:
ste Amau: 10017 COCHRANE AVE SE Dwner JUANFRANCO
Waeamrpaml .: 58610.001800 SublNbbn: JOHNS MEADOW LA 16
Contractor lnfarmeEan
No" JUAN FRANCOELTRAN Phone.
Axoneae.
10017 COCHRANE AVE BE
YEW WA 90597
Cmtredm Llwme Na.: Expire. O
ProHOt Informal
Project RESIDENTIAL ADDITION
Desi ip0m ci ADDI ION OF COVERED PATIO
ad FIT Fair flops Fiat Neal Type(Elecfiq Gas. Othed
second
Third
Orval
gernmem
Fen:
Item Contractor Fees
BUILDING JUAN FaANCOELTPAN 5 68.25
TOTAL FEES: 5 69.35
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RESIDENTIAL BUILDING PERMIT APPLICATION FORM
•Project Address .Mill COOKP EAVi.% Parcel #:
Subdi um vi&eAvi Lma: Ii i ZorrN.
New Construction i Re-Mosel /Rhati l Ad9tlon I Home Occupatbn Sign
"Plumbing Mechanical - Monte l Manufactured Home Placement JGMer
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p Belaoms_ #Bathrooms_
Heatlng: GASIOTHER or ELECTRIC (Circle One)
P+e there any mWOnmentely senvtM1x aresslensued
on the parcel? 00
IF Pigs. a competed environmental Sher t must
accompany Permit application.
BUILONG OWNER NAME:
ADDRESS IObI'I CGCYRAriB AYE 5f
Cli YF_rsn STATE ZIP _IIsma7l
_EMAIL "r
TELEPHONE
ARCHITECTENGINEER
LICENSE#
ADDRESS
EMAIL
CITY STAi�TELEPHON
GENERAL CONTRACTOR
TELEPHONE
ADDRESS
ADD
EM
EMAIL
•
STATE 21P
CONTRACTOR'S LICENSE #
EXP OATE_Ctry LICENSE#
PLUMBING CONTMCTOR
TELEPHONE
ADDRESS
EMAIL
GTY STATi
FA%
CONTRACTOR'S LICENSE q
EXP DATE C LICENSE#
MECHANICAL CONTRACTOR
TELEPHONE
ADDRESS
EMIL
CITY STATE ZIP
FAX
CANRWCFOR'S LICENSE #
EXP DATE CITYLICENSE#
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All bermi%are nonhanaMable and wl11 expire Rwork awhoraed by such permit is not begun
win In 1h0 days of issuance, or if wwk Is suspended of abandoned for a period of ISO days
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