BLD-05-0104
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit No
BLD-05-0104-YL
Issue Date 04/18/2005
(Work must be started within 180 days)
Receipt No
36197
Applicant:
Name: Micheal & Diane Diggins
Address. 9836 Ramsay Drive SE
Phone:
458-9327
City' Yelm
State. WA Zip 98597
Property Informati()n:
Site Address. 9836 Ramsay Drive SE
Assessor Parcel No 69240000200
Subdivision: Prairie Creek
Lot: 2
Contractor Information:
Name. Applicant
Contact:
Phone
Address
City'
State.
Zip
Contractor License No:
Expires.
Business License:
Project Information"
Project: Diggins Porch
Description of Work: Replace wood porch with concrete
Sq. Ft. per floor' (1 st) 0
(2nd) 0
(3rd) 0
Garage 0
Basement 0
Heat Type (Electric, Gas, Other):
Fees:
Item
Item Fee
Base Amt
Unit Fee
Unit Rate
No Units Unit Desc
Building Permit - Other
Building Plan Review
TOTAL FEES
2350
15.27
$38.77
000
000
0.00
000
o 0000
o 0000
o 0000 $1,000
o 0000
Applicant's Affadavit:
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
ce,;,le,e' ;, 'h...."'e of W"h;"to'~ -: .
Signature~,(J ~'-- Date "(.ttfau..r
Firm
# Sets of Prints.
Final Inspection:
Date:
By'