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20140225 Permit Pkg 08052014 �`oF �'H�p,� City of Yelm Permit ►vo.: 20140225 w , � � Community Development Department Issue Date: 8/06/2014 (Work must be completed within 180 days) Building Division Phone: (360)458-8407 EL "".°"'"°'°" Fax: (360)458-3144 Applicant: Name: MARTHA COOPER Phone: 360-458-1220 Address: 9968 JENSEN DR SE YELM WA 98597 Property Information: site Address: 9968 JENSEN DR SE Owner: MARTHA COOPER Assessor Parcel No.: 78640105800 Subdivision: TAHOMA TERRA Lot: 58 Contractor Information: Name: SUNSET AIR INC Phone: Address: TERRY MEDLOCK 5210 LACEY BLVD. LACEY WA 98503 Contractor License No.: Expires: 0/00/0000 Project Information: Project: MECHANICAL Description of Work: AIR CONDITION REPLACEMENT 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 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 gover � ning and land subdivision,and in addition,all covenants, easements and restrictio s of reco . f ap mg as a contractor,I further certify that I am currently Final Inspection: registered in the Sta Was � o , !j L Date: SignatuFe"" Date Firm BY� _ Cit of 8elmo2 (36�) ,� 8/06/2014 8:15 A� REC#: 001682jERM: 001 ppER; CO REF#: 34423 TRAN: 33.0000 BUILQI29 5�CR TS 20140225 C�OPER, MARYHA gg6g JENSEN a� �9,50CR MEGH �TENDERE�� 29.50 CNECK APPLIED: 29.50- ___--------� CHANGE; AUG/05/2014/TUE 03: 34 PM Sunset Air FAX N�, 360 456 4990 h ��2� �� , �-b�� csT�o�Y��nn RE5IDENTIAL BUILDING PERMiT APPLICATiON FORM P�ojec#Address; q,�[Q ��.�l,Y,�W�(�-�� Parcel #: �� Q�� b � Subd[vision: Lot#: Zoning; ❑ New Canstruction C] Re-MocEel 1 Re-Raof/Addition C� Horne Occupation Sign ❑ Plumbing '�Mechanical C] Mobile/ManufacturecE Home Placement ❑ Other Praject DescriptionlScope of WoCk: [IIA� w��"b��- �"'�'�� Qroject Va�ue: (�� ba��n .___ Building Area(sq. ft) 15k �loor Zn° Floor Garage Deck Basement Carport Patio # Bedrooms_ #Bathraoms_ Heating: GAS/OTHER or ELECTRIC (Cirele One) Are there any environmentally sensitive areas focated on the parcel? � If yes, a compteted environmental checklist must accampany permit application. BUILDING OW ER NAME: -� ADDRE S EMAIL .._�....�.._ ,....,..�__...._ ._Cf�. S�ATE ZIP TELEPHONE � ' I, ARCHIT�CT/�NGINEE LICENSE# ADDRESS EMAIL CITY STAT� ZIP TEL.EPHON� GENERALCONT CTOR TELEPHONE ADDRESS EMAIL _ CITY ATE Z1P FAX CONTRACTOR'S LIGENS EXP DATE CITY LICENSE# PLUMBING �NTRACTOR TELEPHON� AqDRESS EMAIL CITY STATE Z!P �AX CONTRACTOR'S LIC E# _EXP DA7� CITY LICENSE# MECHANICAL CONTRACTOR ' TELEPH NE - ADDR�SS ~ �MAIL _ CITY S AT� ZIP FAX CONTRAC R'S L(C�NSE# EXP DATE CITY ICENSE# ' t � Capy of rnitigation agreement with Yelm Commurl�j� chools, if applicable. 1�" I hereby certify that the above information is aorYe�t and that the construction on,and the occupancy and the use �;7, of the ab descrthed property will be in ac�ardance with the laws,rufas and regulations of the Stata af � Washl a e C"�ty of Y�Im. � � � � Applicant's Signature Date Owner/Contractor/Owner's Agent/Contractor's Agent (Please circ(e one.) All p�rmits are non-transferabte and will expire if work authorized by such permit is not begun within 180 days o� fssuance, or if work is suspended or abandoned for a period of 180 days - ----_. - _, _ � R:\Forms&Proccdures�9uilding Pcrmits\ReSSldgPermitApp.docPage Z of 3 ! b�oa �'o �nd �� .�. _ .�., .� � � AUG/05/2014/TUE 03: 34 PM Sunset Air FAX No, 360 456 4990 P, 001 SUNSET ATR , INC PHONE: (360) 456-4956 �AX: (360) 45b-4990 5Z10 LACEY BLVD. LACEY, WA 98503 ,�:.. ,h FAX TRANSMISS�ON �� TO: �� DArE/TZME: � �`�`E� �- G(�IX� �J COMPANY: �� `'{�� ,v�� _r, .. � � t FAX #: �, J� J �I`� � . FROM: ROMY MEYER - RTMC�SUNSETAIR.COM COMMENTS: �� (,�'�,� .� "�'�'�,�!f�l,Gt�� ,Q,�.�. �((��.P I�E�. �.¢�I,�'►�� ''�'�fi j ��c�t�i�.i� lJ� �0�l(�� .�� C�1L G�,� �t/VYt� • ,�.h,G,"'�� This transmission cvntains pages, including this cover page, If nny pnge is rrtiissing, please contact me a�- �he above number.