20140120 Permit Pkg 02052014 �''o� T"Fp City of Yelm Permit ►vo.: 20140120
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a �� Community Development Department Issue Date: 2/05/2014
(Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
L
'""°" Fax: (360)458-3144
Applicant:
Name: DR. KENNETH ARNOLD Phone: 360-458-7785
Address: P.O. BOX 5130
YELM WA 98597
Property Information:
site Address: 605 YELM AVE W 607 Owner: KENNETH ARNOLD
Assessor Parcel No.: Subdivision: Lot:
Contractor Information:
Name: BOB HOWARD JR CONSTRUCTION Phone: 360-701-7757
Address: BOB HOWARD
P.O. BOX 1260
YELM WA 98597
Contractor License No.: BOBHOHJ965P0 Expires: 10/20/2010
Project Information:
Project: ROOF
Description of Work: REROOF
Sq. Ft. per floor: First Heat Type(Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
ROOF BOB HOWARD JR CONSTRUCTION $ 153.25
TOTAL FEES: $ 153.25
Applicant's 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 restrictions of record. If applying as a contractor, I further certify that I am currently Final Inspection:
registered in the Stat f Washing�.
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Signature Date Date:
Firm �� BY:
Cit� of Y�1m
(36 ) 458-8402
F'EC#: 00151576 2/�05/2014 �.52 AM
OPER: CO TERM; U01
REF#: 9649
fRAN� 33,0000 �UTL[)IN� PE�MIT�
2014012G 153.25CR
ARNOLD, DRd KENNETH
�i05 YELM AVE 4� 607
ROOF 153.25CR
TENUERED; 153.25 GHECK
APPLIED; 153.25—
CHANGE: ��0,00
ZDI�� J2 C�
CITY OF YELM
+r►. COMMERCIAL BUILDING PERMIT APPLICATION FORM
ProjectAddress: ��� �J�P `u1� ry✓C KJ Parcel#: g.2�QGY.Y��fS'Z�C7
.—T—�
T Zoning; �` � Current Use: O�F'l c 2� Proposed Use:_��i�-�—
❑ New Construction � Re-Model/ e-Roof Tenant Improvement
❑ Plumbing ❑ Mechanical ❑ Fire PrevenbSuppress/Alarm ❑ Other
Project Descript� n/Scope of Work: /��t1ve- 2 �.�-yG�2 �vwtp �o/� ��.lS��I( /`IleGc,,)
Project Value� `
Building Area (sq. ft) Parking Garage 1� Floor 2"d Floor 3�d Floor
Building Height
Are there any environmentally sensitive areas located on the parcel? i D If yes, a
completed environmental checklist must accompany permit application.
BUILDING OWNER/TENANT NAME: �
ADDRESS o $� ,S'F" EMAIL
CITY yG�v+� STATE�v�ZIP Q B��Z 7 TELEPHONE ,36� -S� -.3Y�'�
ARCHITECT/ENGINEER LICENSE#
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
GENERAL CONTRACTOR ot9 r TELEPHONE -�� � (�
ADDRESS �`? 4. �'o,k /2le b EMAIL b h a� 1 � G.,F�/'v�GilsT�t�
CITY yc� (�.�, STATE� rl- ZIP �!'�y �FAX
CONTRACTOR'S LICENSE# S EXP DATE CITY LICENSE# /Gt33
z-9-i
° PLUMBING CONTRACTOR TELEPHONE
- ADDRESS EMAIL
CITY STATE IP FAX
' CONTRACTOR'S LICENSE# EXP DATE CITY LI ENSE#
MECHANICAL CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE FAX
CONTRACTOR'S LICENSE# EXP DATE CITY L ENSE#
Copy of City Mitigation documentation(TFC).
I hereby certify that the above information is correct and that the construction on,and the occupancy and the use of the
above described property will be in accordance with the laws,rules and regulations of the State of Washington and the
City of Yelm. i
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Applicant's Si ature Date
Owner/ ontractor Owner's A ent/Contractor's A ' '� - -` '^'---- ----'- --- •
BOB HOWARD JR
All permits are non-transferable and will expire if wc CONSTRUCTION� �
within 180 days of issuance, or if work is suspendec
RESIDENTIAL 8 COMMERCIAL
Voted Best Contractor Company In The Nisquall}�Vallcy �nSUfed 8t B011ded
?002-200$-ZOOG. 'nnc vir�q-'1110-?01 I-?U 13 #B�BHQHJ9(SP�
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105 Yelm Aue W r� .
Yelm, WA 98597 36�-/�1-7757 P•n•I3ox 12fi0 •Ychn,�'1'.� 98�97
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