20140269 Permit and Payment Receipt 10272014 �o� tH�A,� City of Yelm Permit No.: 20140269
�
� �� Community Development Department Issue Date: 10/27/2014
a � (Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
EL
'"�`"'""°" Fax: (360)458-3144
Applicant:
Name: YELM PRAIRIE CHRISTIAN Phone: 360-458-7564
Address: P.O. BOX 578
YELM WA 98597
Property Information:
Site Address: g09 RHOTON RD NW Owner: YELM PRAIRIE CHRISTIAN
CENTER
Assessor Parcel No.: 22719210900 Subdivision: Lot: 3
Contractor Information:
Name: YELM PRAIRIE CHRISTIAN Phone:
Address:
P.O. BOX 578
YELM WA 98597
Contractor License No.: Expires: 0l00/0000
Project Information:
Project: LAND SITE PLAN REVIEW
Description of Work: CONSTRUCT A WAREHOUSE BLDING OF ABOUT 23, 760 SF TO SERVE AS A FOOD
DISTRIBUTION WAREHOUE. THE SITE WILL HAVE PAVED PARKING AND ENTRY WAYS,
DRAINAGE PLAN AND NEW UTILITIES.
Sq. Ft. per floor: First Heat Type(Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
SITE YELM PRAIRIE CHRISTIAN $ 927.50
TOTAL FEES: $ 927.50
Applican s Affidavit: OFFICIAL USE ONLY
I certify t at I have read and examined the information contained within the application and know the same
to be tru and correct. I also certify that the proposed structure is in conformity with all applicable City of #Sets of Prints:
Yelm re ulations i those governing zoning and land subdivision,and in addition,all covenants,
easeme ts a restriction of record. If applying as a contractor,I further certify that I am currently Final Inspection:
register d in e Sta of ashin to .
"� a, Date:
Signatur Date vV
Firm By'
Cit� of Y�lm
(36 } 458-8402
REC#: OOl�15965 10/27/2014 12:40 PM
OPER: CO TERM: 001
REF#: 2142
TRAN: 33.0000 BUILDING PERMITS
10140269 927.50CR
YELM PRAIRIE CHRISTIAN
909 RNOTON RD NW
SITE 927.50CR
TENDEREq: 927.50 CHECK
APPLIED: 927.50�-
CHANGE: O.QO