20150152 Permit Pkg 04072015 �os THEp,��" City of Yelm Permit ►vo.: 20150152
'
� � Community Development Department Issue Date: 4/07/2015
(Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
ELM
'".""'"°'°" Fax: (360)458-3144
Applicant:
Name: YELM LEARNING TREE PRESCHOOL Phone: 360-870-8647
Address: 204 YELM AVE E
YELM WA 98597
Property Information:
site Address: 711 YELM AVE E owner:
Assessor Parcel No.: 22730120300 Subdivision: Lot:
Contractor Information:
Name: YELM LEARNING TREE PRESCHOOL Phone:
Address: JAYNE WEBER
204 YELM AVE E
YELM WA 98597
Contractor License No.: Expires:
Project Information:
Project: LAND SITE PLAN REVIEW
Description of Work: COMMERCIAL SITE BEING PROPOSED FOR THE USE OF A PRESCHOOL OPERATION
Sq. Ft. per floor: First Heat Type(Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
SITE YELM LEARNING TREE PRESCHOOL $ 400.00
TOTAL FEES: $ 400.00
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 governing zoning and land subdivision, and in addition,all covenants,
easements and restrictions of record. If applying as a contractor, I further certify that I am currently Final Inspection:
registered in the State of Washington.
Signature Date �'f"� 7� � � Date:
y � P�e�s cI�oa� By:
F�� elm Learv�i,�r,, ►�2�
Cit� of Y�lm
(36 } 458-3244
REC#: OU191392 4/07/2015 12;28 pM
aPER: CO TERM: 001
REF#:
PAIQ 6Y:
TRAN: 33.OU00 BUILDING FERMITS
20150152 400,OOCR
YELM LEARNING TREE NRESCHDOL
711 YELM AUE E '
SITE 4d0,00CR
T�NQERED; 400.00 CASH
APPLIED: 4Q0.00-
CHANGE: p.0�