20070021 Demo Permit 02142007 pF THL'p� Clty Of Yelm Permit No: DEMO-07-0021-YL
�� � Community Development Department Issue Date: I�otts�'d" Z �` y—d�(
a � (Work must be started within 180 days)
Building Division
Phone: (360)458-8407 Receipt No: 47404
YELM Fax:(360)458-3144
Applicant:
Name: City of Yelm Phone: 458-8406
Address: P.O.Box 479 City: Yelm State: WA Zip 98597
Property Information:
Site Address: 301 N.First St.
Assessor Parcel No. 64421800600 Subdivision: Lot:
Contractor Information:'
Name: City of Yelm Contact: Phone:
Address: P.O.Box 479 City: Yelm State: WA Zip: 98597
Contractor License No: Expires: 12/22/03356 Business License:
Project Information:
Project: Stevens Ave.Extention
Description of Work: Demolsih Building H for street extention
Sq. Ft.perfloor: (1st) 0 (2nd) 0 (3rd) 0 Garage 0 Basement 0
Heat Type(Electric,Gas,Other): OTHER
Feest
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
--------------------------- ----------- ----------- ----------- --------°- ----------- -------------
Building Permit-Other 50.00 0.00 0.00 0.0000 0.0000 $1,000
TOTAL FEES: $50.00
Applicant's Affadavit:
' OFFICIAL USE ONLY '
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 �
#'Sets of P�ints I'�
Yelm regulations including those goveming zoning and land subdivision,and in addition,all covenants, i
easements and restrictions of record. If applying as a contractor, I futher certify that I am currently ;
registered in the State of Washington. Final Inspection:
Signature Date Date:
__ __ __ _
Firm By'
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�p�T�p City of Yelm -� � Permit Fees Schedule
�,
4 Community Development L'�rtmen� `� Permit No: DEMO-07-0021-YL
Building Division 'L �,Y�
Phone: (360)458-8407 �`�� `1�� �
Y E LM Fax:(360)458-3144 � °
�' �
Applicant:
Name: City of Yelm Phone: 458-8406
Address: P.O.Box 479 City: Yelm State: WA Zip 98597
Project lnformation:
Project:Stevens Ave.Extention
Description of Work: Demolsih Building H for street extention
Site Address: 301 N.First St. Assessor Pareel No. 64421800600
Fees:
Item Acct Code Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
--------------------------- -------------- ----------- ----------- ----------- ----------- ----------- -------------
Building Permit-Other 032 001-322-10-00 50.00 0.00 0.00 0.0000 0.0000 $1,000
TOTAL FEES: $50.00
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