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20140210 Permit Pkt 08012014 ��p� rtH�p� City of Yelm Permit No.: 20140210 ' � �'� Community Development Department Issue Date: 8/01/2014 d � (Work must be completed within 180 days) Building Division Phone: (360)458-8407 L '"°'°" Fax: (360)458-3144 Applicant: Name: J. RYAN GERRITS Phone: 360-458-9827 Address: 1930 54TH LN SE OLYMPIA WA 98501 PropeRy Information: site Address: 15203 105TH AVE SE Owner: RYAN GERRITS Assessor Parcel No.: 65080005000 Subdivision: Lot: Contractor Information: Name: SUNSET AIR INC Phone: Address: 5210 LACEY BLVD. SE LACEY WA 98503 Contractor License No.: Expires: 0/00/0000 Project Information: Project: MECHANICAL Description of Work: GAS FURNACE AND AIR CONDITIONER CHANGE OUT. DUCT TEST REQUIRED Sq. Ft. per floor: First Heat Type(Electric,Gas, Other): Second Third Garage Basement Fees: Item Contractor Fees MECHANICAL SUNSETAIR INC $ 29.50 TOTAL FEES: $ 29.50 ApplicanYs Affidavit: OFFICIAL USE ONLY I certif hat I have read and examined the information contained within the application and know the same to be t ue and correct. I also certify that the proposed structure is in conformity with all applicable City of #Sets of Prints: Yelm gulatio i luding those governing zoning and land subdivision,and in addition, all covenants, ease nt d re trictions f record. If applyin as contractor, I further certify that I am currently Final Inspection: regist red n he e f hingt n. Date: Signat re Date By: Firm Cit� of Yelm �3� ) 458-840� REC#, U016i574 BIU1/2014 11:35 AM OPER: CO TERM: 001 REF#: 34396 TRAN: 33.0000 BUII.DING PERMITS 20140210 29.50CR GERRITS, J. RYAN 15203 105TH AUE SE MECH 29.50CR TENOEREq; 29,5p CHECK APPLIED: 29.50- CHANGE: �� JUI,/17/2014/THU 11 : 52 AN1 Sunset Air FAX No, 360 456 4990 P. 002 �,p�SD � �� C3TY OF YELM �� 2�Z� RESEDENTIAL BUILpING P�RM1T APPLiCATION FORM Project Add�ess:��2�J �� I 1 V� �� Parcel#; �p�� _ Subdivisian: Lot#: Zoning; � New Constructi D Re�Mode11 Re-Roof/Adtfition ❑ Home Occupatiqn Sign 0 Plumbing �Mechanical p M ile/Manufactured Home Placement ❑ Other Project Description/Scape of Work'�"�","�--'-�+-'�titi� d'—�`�G�CIY�-�� u� , �� . �� '� ; ;_,' , _ _ Project Value: ` BuiEding Area(sq. tt) 991 Floor 2"d �loor Garage Deck Basement CarporE Patio #Bedrooms,� # Bathrooms Heatin . GA OTHE or ELECTRIC ircle One) Are there any environmentally sensi#ive areas located on the parcel7 If yes, a comple#ed environmental checkiist must accompany pem'tit application, BUILDING QWNER NAME: AbDR SS (� . �MAIL CETY � - STATE ZIP TELEPHONE � � ARCHIT�CT/ENGINE�R LICENSE# ADDRESS EMA1L CITY STATE ZCP TELEPHONE � GENERAL CONTRACTOR TE�EPHONE ADDRESS EMAIL CfTY STATE EP FAX CONTRACTOR'S LICENSE# EXP DATE C1TY LICENSE# PLUMBING CONTRACTOR TELEPHONE ADDR�SS EMAIL cEr�r STA7E z« �,vc C4N7RACTOR'S LICENS�# EXN bATE CITY LICENSE# _ MECHAN(CAL CONTR,4CTOR TELEPHONE ' ___ .__ . . ADDR SS - EMAfL C(TY ATE��ZIP � FAX ^ - CONTRAC R'S LICENSE�SIA.l1lo_,Q.�.?-�0��EXP DATEZT3�TY L[CENSE# I ' (�� - (7 Copy of mitigation agreement with Yelm Community Schoofs, if applica�le. I hereby certify that the above information is correct and that the construction on,and the occupancy and the use ef above described pYOperty wil!be in accordance with the law�,rules and regulations of the 5tate of ashl gton dnd the Glty of Yelm. �� Applicant's gnature _ � bate Owner!Contractor!Owner's Agent/C ntractor's A e ease circfe one.) All permits are nan-transferable and will expire if work authorized by such permit is not begun within 180 days of(ssuance, or if work is suspended or abandoned for a period of 180 days �---- � - - -____ � �, �.«'r s R:1Forrns&Proccdures�Building Permits\ResBldgPermitApp,docPage 2 of3 �UL 1 7 2014 ��' � 1UL/17/2014/THi1 11 : 52 AM Sunset Air FA� No, 360 456 4990 P, 001 SUNSET AIR , INC PHONE: (360) 456-4956 FAX: {360) 456-4990 5210 LACEY B1�VD. LACEY, WA 98503 FAX TRANSMISSION TO: DATE/TTME: �� l�y COMPANY: IVrV � FAx �: �l S� � �I y�� FROM: ROMY MEY�R - RTM@SUNSETAIR.COM COMMENTS� �� rr � �� G;� w�, ,�� .��. �,�chr��-u� � . ��u P�� ' �, �� °� ��- `� �� This transmission contains�pages, inciuding �'his cover page. If a�9e is missing, please contacf ine dt the nbove number.