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20130147 Permit Pkg 03222013 i II �pF tHgA� City of Yelm Permit No.: 20130147 O 'y ` �, Community Development Department Issue Date: 3/22/2013 (Work must be completed within 180 days) Building Division Phone: (360)458-8407 L """"""°" Fax: (360)458-3144 Applicant: Name: RICHARD ARNOLD Phone: 360-400-0527 Address: 912 CRYSTAL SPR. ST.NW YELM WA 98597 Property Information: Site Address: 912 CRYSTAL SPR RD NW Owner: RICHARD ARNOLD Assessor Parcel No.: Subdivision: Lot: Contractor Information: � Name: SUNSET AIR INC Phone: 360-456-4956 Address: 5210 LACEY BLVD. SE LACEY WA 98503 Contractor License No.: Sunsea*220CM Expires: 2/03/2010 Project Information: Project: MECHANICAL Description of Work: DUCTLESS HEAT PUMP INTALL Sq. Ft. per floor: First Heat Type(Electric, Gas, Other): Second Third Garage Basement Fees: Item Contractor Fees � PLUMBING SUNSETAIR WC $ 27.00 � TOTAL FEES: $ 27.00 ApplicanYs Affidavit: 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 I Yelm regulations including those overning zoning and land subdivision,and in addition,all covenants, #Sets of Prints: easements and rest' r c rd. If applying as a contractor, �further certify that I am currently Final Inspection: registered in the St k.Wa i ton. � ��,3 Signature � . Date :% Date: i F��, .S�G�/)S�f- �%� .�IC", BY� � �, i � , i Cit� of Yelm (36 ) 458-8402 F�EC#: 0012;306� 3✓22/2413 8,11 AM �P�R: CO TERM: 001 REF#: 33533 TRAN; 33.00OQ BUIL.DINu pERM�T5 20130147 ARNqLD, RICHARD 7��CR 912 CRYSTAL SPR RD ►�W pL 27.00CR TENDEREp; 27,00 APPLIED; CHECK 27.00- CNANGE; Vy""`�---- O.UO 4 I 2013/MAR/13/WED 01 : 31 PM SUNSET AI� INC. FAX No, 360 456 4990 P, 002 I�� . _ . . .. . . _. _ .. _ . _ _ _. _ .. . . . ... . ... ... . . . ._. . _ _ _ .._ ..� 2a.�1�17 ' F�� CITY OF YELM 'i RESIDENTIA�BtJILDING PERMIT APPLICATION FORlIfI I'roject Address:�� J1 vl�� Spr��`��rP rcel#_ �� I 2'�a� '� Subdivision� Lot#: Plan#: Zoning� � . -- � I' 0 New Consfructian 0 Re-Model/Re-Roof/Additlon ❑ Home Occupation Sign I ❑ Plumbing �:p�lechanical 0 Mobile/Manufacturad Home Alacement ❑ Other �� Projecf bescriptivn/SCape of Work: r�1��Jf I� � �,��i�T('" �n�'��""` I project vsIUe� "1�5� d� � Bullding Area(sq.ft) 9't Floor 2"d Floor _ Garage Decfc Rasement Carport Patia #Bedrooms� #Bathrooms_ Heating: GASIOTHER or LECTRI ircle One) Are there any environmentally sensttive areas located on the parcel7 If yes, a campleted envlronmentaE checklist must aeeompany permit application. , . .,. .�_..... . �UI��.�'`''i�vM� <r'IVA;M - , ApDR S5 � � EMAIL CITY STATE ZIP TELEPHONE � ° �[��j��`'j,��;�� LICENSE# ADbRESS �MAIL CITY STATE ZIP TELEPHON� � !��N;�fjZAL;�C�O'falTt��?;,�� TELEPHONE � ADDRESS EMAIL � C17Y STA7E ZIP FAX CONTRACTOR'S LICENSE# EXP bATE CITY LICENSE# �'�LUIvI�11V,;G;Gm�"IVTR,AC��b�„ T�LEPHONE � . ADbRESS �� E�� i CITY STA�C� ZIP �AX -- .... CONTRACTOR'S LICENSE# �XP DATE CITY LICENSE# '. "^ _ __ . .....1...._.:.._..._..I_.:�....�..,i..�,:AH. ADDR�SOAL".;��0;�1';t CTp� � L� TELEPHON� " � EMAIL �� ,�{,Ll�SL't`l�if�� GITY ST E ZIP FAX "' S ! 9'a 'I CONTRAC R'S LICENSE# XP DAT 17Y LICENSE# II' C1 '7 -Z� � Copy of mitigation agreernent with Yelm Community Schvols, if applicable. . I hereby certify that the above information is corr�ct and that the constn,ction on,and th�occupancy and the use of the above describad property will be in accordance wlth the laws,rules and regulations of the Stats of Washington.and the City of Y ` 3 �3f r,.� Applicant's ' ture Date ^w�er-1 r�t��cto ��an+�er'�4ge��/-Crar�tr�r.torsa4gen�(P�ease_cir�ls on� AI[permits are nori-transferable and will expire ff work authorized by such permlt Is not begun wlthin 980 days of issu$nce,or if work is susps�tded or abandoned for a period of 180 days I � I !, I05 Yelm Avenu¢K'eat (360 45�3835 i yelM,W.l� 98597 RECEIV�I.� zaaFax � www.ci.yelm.wa.us � � MAR 13 2013 BY: 2013/MAR/13/WED 01 : 31 PM SUNSET AIA INC. FAX No, 360 456 4990 P, 001 SUNS�T ATR, INC PHONE: (360) 456-495b FAX: (360) 456--4990 - 5210 LACEY BLVD. LACEY, WA 98503 FAX TRANSMTSSION . TO: . DATE/TIME: 3��'� . � COMPANY: �� A�,,, . � � ''�. , �Ax �: �c� -��g --��iy � FROM: RoMY MEYER — RTM@SUNSETAIR.COM COMMENTS� �}�� (�l� ,P�'l�Qa(,, ��1.� .. I�' GC CI'�L � . j�,�rt� � �,��h��(�� wi�C (p r� '� r7,� ca.� ��.-�'��• . i . � ,�1,� �C-- . i ��m ��u.n-,S�•-�GUi r. us�►�__ . � This transmission contains pages, including this cover page. If any page is missing, please contact me ttt the above number. , .