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BLD-05-0229 ~/~~'~~ . , . :-J ,,~~'''''...'.'."'-~ ., ~~ ~ City of Yelm Community Development Department Building Division Phone: (360) 458-8407 Fax: (360) 458-3144 Permit No BLD-05-0229-YL Issue Date 07/22/2005 (Work must be started within 180 days) Receipt No 37469 Applicant: Name Ruiz, Jim Phone: 458-1244 Address. 14823 Prairie Vista Loop City' Yelm State. WA Zip 98597 Property Information: Site Address. 14823 Prairie Vista Loop Assessor Parcel No. 81860002800 Subdivision Vista View Lot: 28 Contractor Information: Name Applicant Address. Contact: Phone. City' State: Zip. Contractor License No Expires. Business License. Project Information: Project: Ruiz Deck cover Description of Work: 10x20 Deck Cover Sq. Ft. per floor' (1 st) 0 (2nd) 0 (3rd) 0 Garage 0 Basement 0 Heat Type (Electric, Gas Other) OTHER Fees: Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc --------------------------- ------------- Building Permit - Other 2350 0.00 0.00 o 0000 o 0000 $1,000 TOTAL FEES $23.50 L((fi Applicant's Affacjavit: rnessAJ~ ~~f, 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 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 futher certify that I am currently registered in th tate of Washington. # Sets of Prints: Signature Date 7 Final Inspection: :teG!ot Firm cr> cO c::j" r--- ('f') o 'Z r 0.. Ui <.) uJ a::. a 2- \.J- II' c: ,..:. :!"_ do ~E-' ~1, ~ (~ t.) '_\ \;-' \ :;, \- ~ c.: t!l 1.-') , .-, r-CJ ~~ (-1 ---' a ~ 4 't, 0.... z::.' ~ 0- ~''1 ,., S--I o.~ '7 ,;1 A: ~:,J Q f.-I .....) ~. ~-.; r:) d.l , \ 0 ". ~. ,-'\ ;-- 40_ ~..:) Q. l:.l I 0 -'j cc. ~ .. ~~. ,.:\ ~,:\ ~ :r: (-" Cw ;-~ ';.,-: 'f.."';' :z. I-':l ::;. !':-' :2- -" a v~ I.n a: r-\ c" U- '..r.-; ('i) o . u.J , \-:;': z::~ '- . u.H p;. ..:.. ~-') "-'~::--; a:. It (" ~i, o \..l..1 '2: ~'C, ~ \. 7.-\ ..~ -" ,.j(.l ~ ;.__\ n\ ~ ;:1 ~-:t (;.1 .J ~\-,....t -,::\ ( 1 r J 1;.-1 (~ ., ,--I \.Il c c (\ v CITY OF YELM $) g~OOtJ 29C!) D RESIDENTIAL BUILDING PERMIT APPLICATION FORM Project Address.-.t\ g~3 PW'(I n e \/1.q~ If Parcel #. CJeeo;; r 80'S S- ~ 1><<,(' SUbdivision:%f'a. V, eW Lot #. :;#aK Zoning; ./~ ~" u New Construction U Re-Model/ Re-Roof / Addition U Home Occupation Sign ././;} <<'<? U Plumbing U Mechanical U Mobile / Manufactured Home Placement U Other ~ Project Description/Scope of Work: Project Value $~ SO. - Building Area (sq ft) 151 Floor Basement 2nd Floor Carport Deck ~OS6f'-P+ Garage Patio # Bedrooms_ # Bathrooms_ Heating: GAS/OTHER or ELECTRIC (Circle One) Are there any environmentally sensitive areas located on the parcel? II) 0 completed environmental checklist must accompany permit application. If yes, a EMAIL T(fJt(C!.C9t1~ thO @ cuI- (blv- TELEPHONE 5tfJ. ";'~'-I ~ Y V' ARCHITECT/ENGINEER ADDRESS CITY STATE LICENSE # EMAIL TELEPHONE ZIP GENERAL CONTRACTOR ADDRESS CITY STATE CONTRACTOR'S LICENSE # TELEPHONE EMAIL FAX EXP DATE CITY LICENSE # ZIP PLUMBING CONTRACTOR ADDRESS CITY STATE CONTRACTOR'S LICENSE # TELEPHONE EMAIL FAX EXP DATE CITY LICENSE # ZIP MECHANICAL CONTRACTOR ADDRESS CITY STATE CONTRACTOR'S LICENSE # TELEPHONE EMAIL FAX EXP DATE CITY LICENSE # ZIP Copy of mitigation agreement with Yelm Community Schools, if applicable I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the above described property will be in accordance with the laws, rules and regulations of the State of Washington and the City of Yelm. II permits are non-transferable and will expire if work authorized by such permit is not begun within 180 days of issuance, or if work is suspended or abandoned for a period of 180 days 105 Yelm Avenue West POBox 479 Yelm, WA 98597 (360) 458-3835 (360) 458-3144 FAX www.ci.yelm.wa.U8 //-/ 1( 7 i fY)AC.+\ j ('.jr:;.. Ca.-, . ~ (-F'" it ~il t_.:f: -.-' 1.1.1: ,.... f r~ ,1': -: !3f... 'TH I ~_ C-fi i-..f. :;> C" oJ)) i 1- ~~ '0. .. . '\L,-T iN ':7 I Cft ,~. ' Sf D/ii_ ~,/ ""- Iy I.,. 1\ I' .J -. ----.---- -_n__.___._____. _ ___._. If h r .:>":- ~::..-, r- 1::--'- c)l... I. 1/1-::: I L(; Ii , ..... ~ ~~ F ~',- ^- r4<-.. T'\ ._ .-. . U:s c.: ,.- P Cl..- r' ! I'd ':;:-' / -=- 'E j:-:" (?~ 2 LI ~ f !~::~. L. '7 (I", ;CAt \ '~PE..^f:~ir'.J,_c - '- . ::'. - ., Fwl'- j _ I, N~ _.~ ~FA~'c. ;' /) .., x..G i...:,..;... . _ / ; O^ ~ _ b~ I ~~~~~-------, -----=:." ~- ~ ------., ..... ;WI' ~-. - -r ',,-,cc ",^Yw .. .~. -- ~'t;,;! 1(: ';:f'["-':,'{, / -I I j - I u .I I :>r, S I ..L-_ .--.-. 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