20130368 Permit Pkg 10232014 �o� rH�a�,� City of Yelm Permit ►vo.: 20130368
�
� � Community Development Department Issue Date: 10/23/2014
(Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
L
".`"'""°" Fax: (360)458-3144
Applicant: .
Name: FIRST CITIZENS BANK Phone: 360-456-0076
Address: P.O. BOX 5060
YELM WA 98597
Property Information:
Site,4ddress: 608 YELM AVE E Owner: FIRST CITIZENS BANK
Assessor Parcel No.: 64303700300 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: DUCTLESS SPLIT SYSTEM FOR SERVER ROOM
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
Applic Ys Affidavit: OFFICIAL USE ONLY
I certify hat I have read and examined the information contained within the application and know the same
to be tr e and correct. I also certify that the proposed structure is in conformity with all applicable City of #Sets of Prints:
Yelm r ulations including those governing zoning and land subdivision, and in addition,all covenants,
easem nts ictions of record. If applying as a contractor,I further certify that I am currently Final Inspection:
registe, d i he S te of Was ngton.
Signatu Date �' Date:
Firm gy'
Cit� of Y�lm
(36 ) 458-8402
REC#; 00175792 10/�3/2014 2;27 PM
OPER: CO TERM; 001
REF#; 34�17
rRAN: 33.0000 BUILDI�JG PERMITS'
20130368 29.50CR
FIRST CITIZENS BANK
608 YELM AVE E
MECH 29,50CR
TENDEREQ; 2�.50 CHECK
APPLIED; 29.50-
CHANGE: 0.00
12113/2013 10:34 3604554005 p2 '��. � PAGE 01101
C��1�VO���
CITif OF Y�LM ������
CON�M�RCIAL BUILDING P�RMIT APPLICAT�ON FORM
Project Address:_ ��g C . ��,_m��� Parcel#:_ _ _
zoning; _ Current Use: •O�-�.. ____Praposed Use:
❑ New ConStruction � Re-Model/Re-aoof/Tenant Imprvvement
❑ Plumbing �Mechanical � Fire PrevenUSuppress/Alarm ❑ Other
PmJect Desaription/Scope of Work:�,��'�.�t��. �� ac�,�1� ���- ��-�`'�'�'
f
Pro)ect Value: �� '��D. DQ
Building Area(sq. ft) Parking Garage„ _1at Fioor 2"d Floor_„3`� Floor ..
�ufiding Weight
Are there any environmentally sensitfve areas located an the parcel? �a If yes, a
compleCed envlronmental checklist must accompeny permit application.
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Copy of City Mltlgation documentatlon(TFC).
1 hereby eertiry ths�t the abov�In#ormatlon Is correct and tha4!ho construetion on,and the oocupaney a�d thc use of the
Abpve descrlbed property wlll be In accordanco Wlth tne laws,rules and regulations oi the 9tate oi Washfngton antl the
Gtty of Yelm.
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�lppli�a ' re Date
Owner ontr !Ovvner's Agent 1 Contraotor's Agent 1 Tenant (�'fease circle one,}
All permits are nan-transferable and will expire i#work authorized by such per�it is not begun
within 180 days of issuance,or if wor�c is suspend�d or abando�ed for a periad of'�80 days
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Yelm, WA 98597 tutuw.Ci.y��m.wa.uR
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