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20040144 o o City of Yelm Community Development Department Building Division Phone: (360) 458-8407 Fax: (360) 458-3144 Permit No BLD-04-0144-YL Issue Date 09/27/2004 (Work must be started within 180 days) Receipt No 33247 Applicant, Name Yelm Community Schools Phone. 458-6128 Address. POBox 476 City. Yelm State WA Zip 98508-1489 Pro P!'lrty ..I.l1fo r'ItClti ()n Site Address. 1315 Yelm Ave. West Assessor Parcel No 21724210500 Subdivision. N/A Lot: N/A Contractorfnforniatlon; Name: Berschauer-Philips Contact: Phone. 754-5788 Address POBox 11489 City. Olympia State WA Zip. Contractor License No BERSCPC148CD Expires. 08/09/06221 Business License. Project Information: Project: Yelm High School Additions and Modernization Description of Work: Building 300-22675 sf interior remodel Sq Ft. per floor. (1st) 22675 (2nd) 0 (3rd) 0 Garage 0 Basement 0 Heat Type (Electric, Gas, Other) GAS Fees. Item Item Fee Base Amt Unit Fee Unit Rate No Units Unit Desc --------------------------- ------------- Building Permit - Other 7,048 62 000 000 0.0000 o 0000 $1,000 Building Plan Review 4,581 60 0.00 000 o 0000 o 0000 Mechanical Permit 223 50 0.00 000 o 0000 o 0000 Plumbing Permit 258.00 2000 238 00 7 0000 34 0000 Fixture TOTAL FEES $12,11172 ~ppljI::C1.I1t's Affadavit.. OFFICIAL USEONL Y 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 the State of Washington. Date '-". ffi, ",' ... r"",,'" ~ . -.. ._ .____ u _. _ ._ . _+~ _ _~__ __.'_ = . D"O I' .. . - D:' . - G 1'1 ' 0 . ,. -O"D':'F~'-' ~' ',}k,. o o RECEIPT No 33245 RE~~~~~IFTY SIX THOUSAND SIX HUNDRED TWENTY FOUR DOLLARS & 70 CENTS RECEIVED FROM YELM COMMUNITY SCHOOLS YELM. WA 98597 SITE 1315 YELM AVE W DATE REC NO 09/27/04 33245 AMOUNT 56.624.70 CHECK REF NO 32 MISCELLANEOUS RECEIPT JANINE ) \. BLD PER 28871.00. BLD PLN REV 22606.00. MECH PERM 457.70. PLMB PER 1126.00 CIVIL PLN REV 3564.00 RECEIPT No 3 3246 RE~~I~~~WENTY THREE THOUSAND TWO HUNDRED FORTY DOLLARS & 25 CENTS I I l RECEIVED FROM YELM COMMUNITY SCHOOLS YELM. WA 98597 SITE 1315 YELM AVE W DATE REC. NO 09/27/04 33246 AMOUNT 23.240.25 CHECK REF NO 32 MISCELLANEOUS RECEIPT JANINE BLD PER 13577.00. BLD PLN REV 8825.00. MECH PER 174.25. PLMB PER 664.00 RECEIPT No. 3 324 7 RECEIVED FROM YELM COMMUNITY SCHOOLS YELM. WA 98597 SITE 1315 YELM AVE W DATE 09/27/04 AMOUNT 12.111.72 CHECK 2 RECEIVED * * * *TWELVE THOUSAND ONE HUNDRED ELEVEN DOLLARS & 1-2--C&m---------- -- MISCELLANEOUS RECEIPT JANINE \ '- ~ BLD PER 7048.62. BLD PLN REV 4581.60. MECH PER 223.50. PLMB PER 258.00 o V\J13A :JOOI~ City of Yelm Community Development Department Building Division Phone: (360) 458-8407 Fax: (360) 458-3144 v002 L 6 d3S Permit Fees Schedule a IV d Permit No BLD-04-0144-YL 01;01-\\ Applicant: Name Yelm Community Schools Phone. 458-6128 Address POBox 476 City. Yelm State. WA Zip 98597 Project I nforni C1tiol1 Project: Yelm High School Additions and Modernization Description of Work: Building 300-22675 sf interior remodel Site Address 1315 Yelm Ave. West Assessor Parcel No 21724210500 Fees Item Acct Code Item Fee Base Amt Unit Fee Unit Rate No Units Unit Desc --------------------------- -------------- ------------- Building Permit - Other 032 001-322-10-00 7,04862 000 000 o 0000 o 0000 $1,000 Building Plan Review 100 001-345-83-00 4,581 60 000 000 o 0000 o 0000 Mechanical Permit 032001-322-10-00 223.50 000 000 o 0000 o 0000 Plumbing Permit 032 001-322-10-00 258 00 2000 238 00 7 0000 34 0000 Fixture TOTAL FEES $12,11172