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20140110 Permit Pkg 01242014
�/'�O� TH�A� City of Yelm Permit No.: 20140110 ! T � � Community Development Department Issue Date: 1/24/2014 (Work must be completed within 180 days) Building Division Phone: (360)458-8407 L "'.`"'""°" Fax: (360)458-3144 Applicant: Name: CECILIA LA PRAIM Phone: 360-970-0164 Address: 306 LONGMIRE ST NW YELM WA 98597 Property Information: site Address: 306 LONGMIRE ST NW Owner: CECILIA LA PRAIM Assessor Parcel No.: 59710002000 Subdivision: Lot: Contractor Information: Name: CECILIA LA PRAIM Phone: Address: 306 LONGMIRE ST NW YELM WA 98597 Contractor License No.: Expires: 0/00/0000 Project Information: Project: RESIDENTIAL ADDITION Description of Work: ADD COVERED ROOT FOR EXISTING STOOP Sq. Ft. per floor: First Heat Type(Electric, Gas, Other): Second Third Garage Basement Fees: Item Contractor Fees BUILDING CECILIA LA PRAIM $ 63.93 TOTAL FEES: $ 63.93 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 c ct. I also certify that the.p�oposed structure is in conformity with all applicable City of � ,-� #Sets of Prints: Yelm regulations in luding those gov g� ' nd land subdivision, and in addition,all covenants, easements and rest ictions of reco . f ng as contractor,I further certify that I am currently Final Inspection: registered�in the St te of ashi on. Signatu e % '� L�� Date �r` Z� ��7 Date: Firm � � BY� Cit� af Y�lm (36 ) 458-8402 ���;#: pU156477 1/24/2014 3:2.7 PM OPER: CU TERM: 001 REF#; 1187 TRAN: 33.0000 BUII;DING PERMITS 2t�140110 63.93CR LA PRASM, CECII-rA 306 LONCMIF�E �T�3�y��� BLDG TENDE�ED. fi3,93 CHECK APf'L].FQ: 63.93- CHANGE: ���` ��� . �� . _ . �..,� .,�.�.. ,��,�. _. �ol � �l� CITY OF YELM RESIDENTIAL BUILDING PERMIT APPLICATION FORM Project Address: 4�� W��Q��Y� �� ° �ii Parcel#: �1 Subdivision: Lot#: Plan#: Zoning: ❑ New Construction ❑ Re-Model/Re-Roof/Addition ❑ Home Occupation Sign ❑ Plumbing ❑ Mechanical ❑ Mobile/Manufactured Home Placement ❑ Other Project Descrip ion/Scope of Work::YGP� �L''eL"ec� ►^c��v � �vv� ek�Js��f��Ft S" cSP'c7o�'' J Project Value: ����� Building Area (sq. ft) 1S' Floor 2"d Floor 3�d Floor Garage-2 car 3 car Covered Patio Covered Porch Patio Deck L.f�'� # Bedrooms_ # Bathrooms_ Heating: GAS/OTHER or ELECTRIC (Circle One) � :M Are there any environmentally sensitive areas located on the parcel? �j If yes, a completed environmental checklist must accompany permit application. � � BUILDING OWNER NAME: a. u�VY'1 r? ADDRE�S .:�n '� �? ' ' '� EMAIL � C�'� '^ CITY � � STA E ` ZIP TELEPHONE ^'° :' - (y � � ARCHITECT/ENGINEER LICENSE# t-T ADDRESS EMAIL � CITY STATE ZIP TELEPHONE �� � � GENERALCONTRACTOR s TELEPHONE ADDRESS EMAIL CITY STATE ZIP FAX CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE# PLUMBING CONTRACTOR TELEPHONE ADDRESS EMAIL CITY STATE ZIP FAX CONTRACTOR'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 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 iq acc- ce with the laws,rules and regulations of the State of Washington and the ��Im. .,.. r .�'tl�.,^- �f_�.��� � l pplicant's ' ature Date Owner/Contractor/Owner's Agent/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 da s m ,_ '^� ���.��'_�,.T�;I.�-' I 1 ��?-��1�°�..��...�. �AN 2 3 20�4 105 Yelm Auenue West ""`""° (360) � Yelm, WA 98597 (360)458-3144 FAX www.ci.yelm.wa.us � �`n��l�Ef}flll{�11[11��lllff fll�l� , ,� `�""' ������� . .� � . � . y � , � - � � :..i �.� � ..S . ": � �-- � c� " � S � � � � ' �� � J � � � , �� � � � � � � . � � ��� � � � . __ . .. � �� � �.� �, � . . � S � � � � �' �� � . � . � .� � � �: � � .�. .__,. ° � � _ . � � � � � � � � � . °�� .y � � �' c � . � � � - � � � � �J %'°�) --F-' .� J 1� . �� � .�.=-� , . � � ., � v � a �� .. ? . � `� . ` S. • cs . ...�+�.+�.� ii�i'T_ • y'�w�c � ' 1 � ' �� 1 I I � I .�r� _ w_. - -__ _, �/ , ; � I � . .._ � -._ .,� __... � Y'. �..._._.j„. ..�.., .: . ljw. .......`._ 1_ + � 4 ! i _._._ ..... _. ..�.."_ �_.»..:..__._. '___., 'w._.. ._... . . . 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