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20140129 Permit Pkg 03132014 4wo�T"�o,��' City of Yelm Permit No.: 20140129 � � Community Development Department Issue Date: 3/13/2014 (Work must be completed within 180 days) Building Division Phone: (360)458-8407 YELM `.�"'"`T°" Fax: (360)458-3144 Applicant: Name: MERLE THAYNE Phone: 360-894-7887 Address: P.O. BOX 2885 YELM WA 98597 Property Information: Site Address: 1502 YELM AVE W 4 Owner: MERLE THAYNE Assessor Parcel No.: Subdivision: Lot: Contractor Information: Name: MERLE THAYNE Phone: Address: P.O. BOX 2885 YELM WA 98597 Contractor License No.: Expires: 0/00/0000 Project Information: Project: BUILDING Description of Work: REPLACE EXISTING 14X60 MOBILE HOME WITH NEW 27X56 MOBILE HOME Sq. Ft. per floor: First Heat Type(Electric, Gas, Other): Second Third Garage Basement Fees: Item Contractor Fees BUILDING MERLE THAYNE $ 154.50 TOTAL FEES: $ 154.50 Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same OFFICIAL USE ONLY 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 d rest orr f re ap lying as a contractor, I further certify that I am currently Final Inspection: register in the ate of W i n. Signa re Date �' 1 �'�� Date: Firm By: __ Clt� Of Y�lm (36 ) G58-8402 REC#: 00155232 3/13/2014 12:25 PM OPER: CO TERM: 001 REF#: 8828 TRAN: 33.1�000 BUILDING PERMITS 20140129 154.50CR THAYNE, MERLE 1502 YELM AVE W 4 BLDG 154.50CR TENOERE�: 154.50 CHECK APPLIED: 154.50- CHANGE: 0.00 l m ...�,...,�._ ,. . � Zol�d ! CITY OF YELM ��'C�� RESIDENTIAL BUILDING PERMIT AP LICATION FORM �� Project Address: �� 502- -Q, d�i��- "`parc�#� i�' SUbdiVlSlOn: �— �S Lot#: � Plan #: Zoning: ❑ New Construction ❑ Re-Model/Re-Roof/Addition ❑ Home Occupation Sign ❑ Plumbing ❑ Mechanical fLL.MIS6ile/ Manufactured Home Placement ❑ Other Project Description/Scope of Work: P��,��C,CIN4 �C'�li5�iyy /'�d�0 �l ��z.�; ,Z�a( �j"'�� Project Value: t� � Building Area (sq. ft) 1St Floor 2"d Floor 3�d Floor Garage-2 car 3 car Covered Patio Covered Porch Patio Deck # Bedrooms /~ # Bathrooms_ Heating: GAS/OTHER or ELECTRIC (Circle One) Are there any environmentally sensitive areas located on the parcel? �� /fyes, a completed environmental checklist must accompany permit application. BUILDING OWNER NAME: t�dl4 ( �''I�'v' � rl� ADDRF�SS_��b7S 2� rL(4�y�aNaO ' 7 MAIL CITYC�I�CI�� STATE 4 ZIP �S3Z TELEPHONE :�{�� , '� ARCHITECT/ENGINEER LICENSE# - ADDRESS EMAIL CITY STATE ZIP TELEPHONE GENERAL CONTRACTOR r s• , �*'�"j TELEPHONE �T'j- - ��7 ADDFj�SS � 2t% t� 1�r EMAIL CITYL �T,�==u4$�� STATE � �� ZIP ��S �Z FAX CONTRACTOR'S LICENSE# � �T� EXP DATE CITY LICENSE# � PLUMBING CONTRACTOR TELEPHONE ADDR EMAIL CITY � STATE ZIP FAX CONTRACTOR'S LICENSE# EX6yC�A ENSE# �,% MECHANICAL CONTRACTOR TELEPHONE ADDRESS EMAIL CITY ST ZIP FAX CONTRACTOR'S LIC # 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 ordance with the laws,rules and regulations of the State of Washington and the City of � � i i '^{ /ff�/�� -.. . .J' ` �=f�( . Applicant's Signat I� te Owner/Contractor/ wner's Agent ontractor's Agent(Please �rrc�=---�=___i � 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 E,, .��.��T�.0 FEB 2 5 2014 I05 Yelm Auenue West bp1 458-3835 Yelm, WA 98597 www.ci.yelm.wa.us � �/ v' �� ■ Q ��C° �y�� °� �' test n"' ��j �O `f ��,1 � py r �� - �� ^ �a � � � ,� . �°P - ��j�7 �-7, Ci o� Yelm, CDD � � a Ap p roved � �� - �_ , , , _ __ ______________ � ��_ � ; a� � � � ►. o�. -��° f , i � -_ _ �_ __.,_.. � G �� ►-+ � ' � o i,,,,� N � •� O �� -A M � . d