20120186 Permit Pkg 05172012City of Yelm
Community Development Department
Rullaino Division
PM1kne: GGIN 038,x07
Fax: (060)Al i1ii
ApPllont
Name: RB M REMODELING
Address : 10102 TERRA GLENN SE
YELM WA 88587
Property IMOametlon:
sib Aaares: 10501 CREEK ST, STE J
Assess Parwl No.: 580859(0359 SuLCW'rebn:
Permit Ni 20120186
Issue Dab. 51711012
take mul he ampMM MNm ley days)
PM1me:
Omm: TYPECIIRRENT OWNER
NAME
Lot
Name: RS M REMODELING
Plmne:
Address:
10102 TERRA GLENN SE
YELM WA 08597
Connector License No.:
Expires. 01MN0u0
Project Information:
Project, RESIDENTIAL REMODEL
Dedopticn of WOIk: INSTALLING TWO DOORS
Sp. Ft. per Dow:
Home Type lEbddC, Gas, O1Fe0.
Fist
SePoni
Tried
Garage
Eavemem
Fare:
Item Gyn08Cor
Fees
eulrnlNC Ra M REMODELING
g 59.25
TOTAL FEES:
I 6km
A 14 AM 11:
aw OFFICILLUSEpYLY
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Nit
City of
Y811
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REM M121
5/1712012 11!39 AM
YM @ RRN:
006
FIF#:
TRM: 33.m
WILOIN6 METS
81190186
69.2fR
R 8 M REMIN6
10::01 6 W 5i, STE 3
PL[8
692508
TERNS E0:
70.00 DEH
APMEO:
69.2 -
caa:
• DII OF YELM
COMMBUILDING PERMIT
CATION FORM
Project Mtlress' �C4626e4kre er t
Zoning: Current Use: Pmpcsed Use.
•
•
C New Consbucacn n Re- Modell Re-Roof I Tenant Improvement
D Plumbing ] Mechanical o Fire PriummUSUppresalAlarm n Other
Building Arml No Parking Garage 1a Floor 2ie Floor_S1° Floor_
Building Height
Are there any environmentally sensitive areas loafed on the Fiscal? If yes, s
completed environmental Checklist must accompany "nit application.
BUILDINGOWNERTENANTNAME'.
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ADDRESS
EMAIL
CITY STATE
ZIP
TELEPHONE
ARCHITECTIENGINEER
LICENSE Al
ADDRESS
EMAIL
CITY STATE
ZIP
TELEPH ?Ip
GENERAL CONTRACT
LEPHONE
ADDRESS 10i
CITY STATE
ZIP
FAX
CONTRACTOR'S LICENSE#
EXP DATE_GITY LICENSEY
PLUMBING CONTRACTOR
TELEPHONE
ADDRESS
EMAIL
CITY STATE
ZIP
FAX
CONTRACTOR'S LICENSEY
UPDATE CITYUCENSEY
MECHANICAL CONTRACTOR
TELEPHONE
ADDRESS
EMAIL
CITY STATE
ZIP
FAX
CONTRACTOR'S LICENSE If
EAP DATE CITY LICENSEY
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Appliard's Signature Data
Owni Contractor l Owners Agent l Contractor's Agent l Tenant IPleasecir<taone.l
All permits am nomtransterabie and will expire B arms authorized by such permit is not begun
within 180 days of Issuance, or N work ts suspanded or abandoned for a period of 180 do"
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