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20130254 Permit Pkg 07012013 �o��'H��� City of Yelm Permit No.: 20130254 o � ,ep � Community Development Department Issue Date: 7/01/2013 d M (Work must be completed within 180 days) Building Division Phone: (360)458-8407 L ""`"'""°" Fax: (360)458-3144 Applicant: Name: MIKE MALAN Phone: Address: P.O. BOX 747 YELM WA 98597 Property Information: Site Address: 1502 YELM AVE W 12 Owner: MIKE MALON Assessor Parcel No.: Subdivision: Lot: Contractor Information: Name: MIKE MALAN Phone: Address: P.O. BOX 747 YELM WA 98597 Contractor License No.: Expires: 0/00/0000 Project Information: Project: BUILDING Description of Work: INSTALLATION NEW 27X68 MANUFACTURED HOME Sq. Ft. per floor: First Heat Type(Electric, Gas, Other): Second Third Garage Basement Fees: Item Contractor Fees BUILDING MIKE MALAN $ 154.50 TOTAL FEES: $ 154.50 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 #Sets of Prints: Yelm regulations including those governing zoning and land subdivision,and in addition,all covenants, easements and restricti ns of record. If a lyiri�,as a contractor, I further certify that I am currently Final Inspection: registered in the�at.4'Washington, ,.� � Signature ; ;� � `�- '(""� Date r� �^ �_-� Date: ` By: Firm Clt nf 58��I�o� �36�) REC#: 00131531 7/01/201;i 10:33 AM OPER: CO TERM: 001 REF#: T�AN: 33.0000 BUIL�154 50CRIT� 20130254 M�KE MALAN, 15U2 YELM AVE w54150CR 6LDG TENDERED: 154.50 CH�C�`� A�PLIED: 154.50- GHANGE: u�J� �'�0 � .� . i 5�l � . �� � �. CiTY OF YELM ��,� ` � �' REStDENTIAL BUILDING PERMIT APPLICATION FOR -pQ�� ��� ^ Project Addre s: � '� �• ����t - Parcel#: + ,p�(¢? �� 7� Subdivision: 1f�� t b�S Lot#: Plan#: Zoning: � New Construction � Re-Model�/R�-Roof!Addition � Home Occupation Sign � Plumbing L� IVlechanical [�Nlobile! Manufactured Home Placement � Oth , Project DescriptioNScope of Work: a���j, �� �3 � ��4r'S-f��c° � � � Project Value: � � Building Area (sq. ft) 1�` Flao,�� 2"d Floor 3rd Floor Garage-2 car 3 car ,�`SC�, Covered Patio Covered Porch Patio Deck �s'O �-,7r # Bedrooms� #Bathrooms�„ Heating: GASlQTHER or ELECTRIC {Circle One) � Are there any environmentally sensitive areas located on the parcel? �Q T /��'S� /f yes, a campleted environmental checklist must accompany permit application. BUILDING OWNER i�QME: S� ADDR S I� �L�.S e � EMAIL C]TY � ✓�'� STA ZIP TELEPHONE ';�/� 7 ARCHITECT/ENGINEER LICENSE# ADDRESS EMAI L CITY S7A7E ZIP TELEPHONE �---, GENERAL CONTRACTOR_ { lr `� c;.� TELEPHONE a�` ADDR S 1 L 'a 'LC.j � EMAI L CITY '' STATE �i —ZIP FAX CONTR TOR'S LICENSE# EXP DATE CITY LICENSE# PLUMBING CONTRACTOR TELEPHONE AbDRESS EMAIL CITY STATE Z1P FAX C4NTRACTOR'S LICENSE# EXP DATE CITY LICENSE# MECHANICAL CONTRACTOR TELEPHONE ADDRESS EMAIL CITY STATE ZIP FAX CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE# Copy of mitigation agreement with Yelm Cammunity Schools, if app{icable. I hereby certify that the above€nformation is correct and that the construction on,and the occupancy and the use of the above described property will be in accorda e with the Eaws,rules and regulations of the State of Washington and the City m. � (� C ` ,�, �•-�_ � r� Applicant nature Date Owner 1 Contractor/Owner's Agent actor's Agent(Please circle one.) A11 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 � � �.���ED I05 Yelm Avenue West (360) 458-3835 Yedm, WA 98597 (360}458-3144 FAX wzow.ci.yel.m.wa.us �Y: T 'd 66t�6-8bG [09E) '�N I 21HQ T . L:/ � �-� � � � � � �� � . -� � � , .� �-1 �.- S-.�5 �..- � /� U� �/ f � L .✓ � � ��� . `� ��� ) �.7 � � /� �� �� ` � �.. �. � �r' �- . M � �,�� J� �� � �'�� � q, ��rr � � � � � I �✓�� � \ • � � Y�J � � � � ��.i � i I S� . 1`� i � � � . z 'd 66�6-8�G [09E1 '�NI 21HQi � r�� `__._ ....__ . . r,-,__r 1_ Y_ �, _��_�-==-��i�" _ - � .wa � . � .�iS� SG Y s5�-c � I � t _ `� . .ra�,�\.��� _•' ���-_ � - t �'4 �k.�. ���m� �...- -� ' � � t_ _ __ f: !��rX � �'�'��+��'�X`� GL5?1'�3t'�- t � _. .. 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