20070010 Building PermitCity of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: Rainier General Development
Address: P.O. Box 627
Property Information:
Site Address: 15425 Mosman Ave. SE
Assessor Parcel No.
Contractor Information:
Name: Applicant
Address:
Contractor License No:
Project Information:
Project: Tahoma Valley G&CC Club House
Description of Work: No fee foundation permit
Sq. Ft. per floor: (1st) 0 (2nd) 0
Heat Type (Electric, Gas, Other): OTHER
Fees:
Item Item Fee
--------------------------- -----------
Building Permit -Other 0.00
TOTAL FEES: $0.00
A
City: Rainier
Subdivision:
Contact:
City:
Expires:
Permit No: BLD-07-0010-YL
Issue Date: 01/10/2007
(Work must be started within 180 days)
Receipt No:
(3rd) 0 Garage 0
Base Amt Unit Fee Unit Rate
----------- ----------- -----------
0.00 0.00 0.0000
Phone: 446-3083
State: WA Zip 98576
Phone:
State: Zip:
Business License:
Basement 0
Lot:
No. Units Unit Desc
----------- -------------
0.0000 $1,000
I certify that I have read and examined the information contained within the application and know the same
to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants,
easements and restrictions of record. If applying as a contractor, I futher certify that I am currently
registered in the State of Washington.
Signature Date
Firm
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By: