20120238 Permit Pkg 08072012City of Yelm
Communlry C opmem Cepenment
Ill OlAsion
Phl(360) a50de0]
Fax: (380) 45831"
Applicant:
Name: CRAFTSMEN STRUCTURES
Address : 1204TH AYES
ALGONA WA SBC01
Permit No 20120238
Issue Data: WA012
IWOn must be wmlamwAbIn 180 dare)
PMre: 2533325923
Frequent Intomletlon:
sere Mbeae: 101 YELM AVE W Owner
ANeesIX Parrel No SuWlritiM:
COntmatoorafomu0on
Name: DRAMMEN STRUCTURES
Acidness:
1204TH AVES
ALGONA WA NMI
General UUnse No
Preal Inbmlation:
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Phone.
Expires: DRICUUW
Heel Types (Ekddc. Gas. Other).
Contractor Fees
CRAFTSMEN 3TRIlC%RES 8 22325
TOTAL FEES: a 22135
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RECk: 00101986 0/0)/2012 2:39 PX
RFFA: 55 TERN: WI
REfN: 5513
iRA 201202 SWL0IN0 PENNIiS
IRAFFSNEN SFRL 25CR
ROOF 101 YELN AVE N
23.25W
iRANi CRAFO(000 BL6'INE55 LICENSE
80SINM kIC SIROCiWEs
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AAPPPLIED: PLIED: 258.25 CNECIf
258.25,
CAME: W
CITY OF YELM
COMMERCIAL BUILDING PERMIT APPLICATION FORM
• Proars AtlOress: IOI W )fF4HAll Parcel%'.
Zoning; Current use'. Proposed Has
• New COnabuc0on KRe -MOtla Re -RO0f IT nantlmprovement
• Plumbing U Mechanical L nVSupphwslALum a Other
Project DescoicoNScope of Work
r,
L�
U
Building Area (sl. fl) Parking Garage to Fllo s FIOOr 3' Four_
Building Height
Are there any environmentally sensitive areas located on vie parcel? If yes ,a
completed environmental checklist must accompany permit application.
BUILDING OAMER?ENANTNNdE:
T
ADORE S 101 LLl a/EyAH
Ore
EMAIL
CITY STATE LL�ZIP�$1
TELEPHONE
ARCHTTECTIENGINEER
LICENSE%
ADORERS
EMAIL
CITY STATE
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TELEPHONE
GENERAL CONTRACTOR
PHONE 1
ADDR SS Ii LIFE Ilif
S
EMAIL
CITY aLA STATE (l1dF
ZIPrFA%
CONTRACTORSLCENSE %LVIFT6L
E%P DATE CITYLICENSE%
PLUMBINGCONTRACTOR
TELEPHONE
ADDRESS
EMAIL
CITY STATE
ZP
FA%
CONTRACTOR'S LICENSE %
E%P DATE CITYLICENSE%
MECHANICALCONTRACTOR
TELEPHONE
ADDRESS
EMAIL
CITY STATE
ZP
FA%
CONTRACTOR'S LICENSE%
EXP DATE CITYLICENSES
Cq WC/i$ /'super M ob MDFCI,
lelab/unl aNMeborslrAQpn seen 4 aurtlwunWUWOn on. and Yxu[uPn[y and ge ueNge
eCMm ees Pn1L /IrIJS{1 [uN uwM .ry and regulations W UV able MwuMrybn and the
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Owner ICentral l Owner's Agent l COntOCtOYi Agent l Tenant (Please shel one.)
All permits arc nom-transferable and will expire if work authorized by such permit Is not begun
within 180 days of Issuance, Or If work Is suspended or abandoned for a period of 180 days
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