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20130226 Permit Pkg 06172013 o� City of Yelm Permit No.: 20130226 Community Development Department Issue Date: 6/17/2013 �. (Work must be completed within 180 days) Building Division Phone: (360)458-8407 "'"`""'°'°" Fax: (360)458-3144 Applicant: Name: TED&JUDY YBAY Phone: 253-254-1012 Address: 15248 CHAD DR SE YELM WA 98597 Property Information: site Address: 15248 CHAD DR SE Owner: TED YBAY Assessor Parcel No.: 41610000900 Subdivision: CHERRY MEADOWS Lot: 9 Contractor Information: Name: TED&JUDY YBAY Phone: Address: 15248 CHAD DR SE YELM WA 98597 Contractor License No.: Expires: 0/00/0000 Project Information: Project: RESIDENTIAL ADDITION Description of Work: COVERED DECK Sq. Ft. per floor: First Heat Type(Electric, Gas, Other): Second Third Garage Basement Fees: Item Contractor Fees BUILDING TED&JUDY YBAY $ 299.06 TOTAL FEES: $ 299.06 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. 1 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 further certify that I am currently Final Inspection: registered in the St�te of W�shington. Signature �� t` r+ � Date �� �/�y �'��-3 Date: Firm � lf� BY� Cit of��1m02 (36�) T R E C E I P T***** *�*�* REFRIN REC#: U013�6�8RM: 0017�2013 9:51 AM UPER: CO RE�#; 1083 TRAN: 33.0000 BUILQ29g.06CRITS 20130226 YBAY, TED & JUDY 15248 CHAQ Q� 299.06CR BLDG TENDERED: �99��� GHECK APPLIED: 2�9.06- CMANGE: �� ��00 �i��2� CITY OF YELM RESIDENTIAL BUILDING PERMIT APPLICATION FORM Project Address: JJ�y8 �l�aA� �;r= �L Parcel#: Subdivision: �� G'�Cw�S Lot#:�_ Plan#: Zoning: r�'New Construction ❑ Re-Model/Re-Roof/Addition ❑ Home Occupation Sign ❑ Plumbing ❑ Mechanical ❑ Mobile/Manufactured Home Placement ❑ Other Project Description/Scope of Work: L.'-vl/�'Y"f� �8 ('� Project Value: � ��� C�f7D� C�� Building Area(sq.ft) 1 S�Floor 2nd Floor Garage Deck �S 7�/01 ` Basement Carport Patio #Bedrooms_ #Bathrooms_ Heating: GAS/OTHER or ELECTRIC (Circle One) Are there any environmentally sensitive areas located on the parcel? 1�1'� Ifyes, a completed environmental checklist must accompany permit application. �ui�.���u���awt����;��: • �d �, � ADDRESS �"' �" .�' EMAIL E7a� `�` ��w�• �.yj CITY STATE i�,' ZIP TELEPHON � .�-a?Sy- !-?3 �� /�,�jar✓�� �1Rt'�Hf��TJ�NGtNEER LICENSE# ADDRESS EMAIL CITY STATE ZIP TELEPHONE �����41;CC�1��'1�CTt'�� TELEPHONE ADDRESS EMAIL CITY STATE ZIP FAX CONTRACTOR'S LICENSE# EXP DATE_CITY LICENSE# I�L(���fNl�CQt�7RAC'('Qt� TELEPHONE ADDRESS EMAIL CITY STATE ZIP FAX CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE# 1Vl�CHA�I�A1�;CpNTRAC'('(?j� TELEPHONE ADDRESS EMAIL CITY STATE ZIP FAX CONTRACTOR'S LICENSE# EXP DATE_CITY LICENSE# Copy of mitigation agreement with Yelm Community Schools, if applicable. I hereby certify that the above information is correct and that the construction on,and the occupancy and the use of the above described property will be in accordance with the laws,rules and regulations of the State of Washington and the City of Yelm. / ` �'.: L ���. aZ�i�-Ul .zdl3 Applican s Signature Date Owner/Contractor/ ner's ent/Contractor's Agent(Please circle one.) All permits are non-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 I05 Yelm Avenue West -'' • (360)458-3835 Yelm,WA 98597 � (360)458-3144 FAX www.ci.yelm.wa.us MAY 4 2013 B�: �� � � � � � � � � � �' � � � � � � �� � � � � � � � � � � � � �► � � � � � � � � � � � � � � � � '� +�t,'� �; � � � � � �� � � � � �� � ��� � � � �� � .,� � � +�"�1 � � � � � �� � : R � �.... �� �� .. � � � �� � � � � � � � � � � � � � � rk � � w �� � � � � � � � � r � . ar. � �" ,� ,� ���-���,�:..�W,�' ��� � � . � C'�+ �' I-�EC����f�.;:�, MAY 0 2 2013 B ---------_i ; l y;� : �,z � �� , � � ` � ' �1.t � � ` � � � � � `�, �, � � . �, -� �" `C '�`' ��°v� � \_`\ u ,�, � i � � � �, � � 4. � � z � '''` �, ..:: . � °� � � � i � ti � -� ° �. � `� . �: �.c ti � � O � � ` � � � � �a � -------- �„� -_..__ .__ . ..__._ � � ....�. _ _ ._.-...... 1....._....... � � �.� o . .s.. ..�_ \ ,~ ` ?` F' � � �,...,�.�....��.s.._.» e....��...�..........�.._._�_.,.`...__�.,.. fl^,� �i � f" 'y r C (' � „� c+1 �' � . 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