20070021 Demo Permit 02152007 �p�T�p City of Yelm Permit►vo: DEMO-07-0021-YL
r
q.9 � Community Development Department Issue Date: Nc�� ,� � � �L'.,
4 �� Building Division (Work must be started within 180 days)
Phone:(360)458-8407 Receipt No: 47404
YELM Fax:(360)458-3144
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Appticantc
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:
Contractar information:
Name: City of Yelm Contact: Phone:
Address: P.O.Box 479 City: Yelm State: WA Zip: 98597
Contractor License No: Expires: 12122/03356 Business License:
Project'Information:,
Project: Stevens Ave.Extention
Description of Work: Demolsih Building H for street extention
Sq.Ft.per floor: (1 st) 0 (2nd) 0 (3rd) 0 .:>�raGe � Basement Q
Heat Type(Electric,Gas, Other): OTHER
Fees:
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
App[icant's Affadavit:
f OFFICIAL USE ONLY �
I certify that I have read and examined the information contained within the application and know the same I
to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of I #Sets of Prints: '
Yelm regulations including those governing zoning and land subdivision,and in addition,all covenants, I
easements and restrictions of If applying as a contractor, I futher certify that I am currently �
registere ' State of W hin ton. Final lnspection: '
', _ _-._ Date: I
Signature " ' Date `���—� �
- -- --
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I BY�
Firm '� � _ � �
�oF T�a�" Clty Of Yelm Permit rvo: DEMO-07-0021-YL
�.9 � Community Development Department issue Date: Not Issued
d (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 fnfarmation:' '
Site Address: 301 N.First St.
Assessor Parcel No. 64421800600 Subdivision: Lot:
Gantractar Infarmation:
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 lnfarmatian:
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
Feess.
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:
I certify that I have read and examined the information contained within the application and know the same OFFICIAL USE`ONlY
to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of #Sets of Prints:
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. ;Final Inspection: �
�
Signature Date Date:
---- --...----
Firm By'
. .. � � , . -.� �. �. - - - -.. ,.-
��E T�p�`I CITY���.. QF���.: .. .
d � YELM
P.O.Box 479 ,�,��O�,
Yetm,wass5s� RECEIPT No.
E='M 360-458=3244
RECEIVED
'�***�'I�'TY A4I.�I,ARS & 00 GENTS
R�CEIVED FROM OATE - REC.NO. AMOUNT REF.NO_
' �ITY 0�' YELM 02✓14/07 47404 50.@0 CHECK 30562
PO B4X 479
StELM, WA 385s7 BUB�E'PARY
301 �t0 E`IRST ST
`I}IA�IA
DEMOLISH BLD H FOR S�REET E�T
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