20040062
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit No
M -04-0062- YL
Issue Date OS/20/2004
(Work must be started within 180 days)
Receipt No
31845
Applicant:
Name Sunset Air, Inc
Phone.
456-4956
Address 5210 Lacey Blvd.
City' Lacey
State W A Zip 98503
Property Information
Site Address. 1202 Yelm Ave. East
Assessor Parcel No 22730110103
Subdivision. N/A
Lot: N/A
Contractor Information
Name Applicant
Contact:
Phone.
Address
City'
State.
Zip
Contractor License No SUNSEA*220CM
Expires. 02/03/0634
Business License.
Project.lnformation'
Project: Forbest Building
Description of Work: Install 5 roof top units under 2000 cfm
Install 1 roof top unit over 2000 cfm
Sq. Ft. per floor' (1st) 8243 (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
Mechanical Permit
TOTAL FEES
5700
$57.00
000
000
0.0000
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
registered in the State of Washington.
..# Sets of Prints'
FinaUnspection.
Date.
Signature
Date
By'
Firm
City ofYelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit Fees Schedule
Permit No M-04-0062-YL
Applicant:
Name. Sunset Air, Inc
Phone
456-4956
Address 5210 Lacey Blvd.
City' Lacey
State W A Zip 98503
Project Information
Project: Forbest Building
Description of Work: Install 5 roof top units under 2000 cfm
Install 1 roof top unit over 2000 cfm
Site Address. 1202 Yelm Ave. East
Assessor Parcel No. 22730110103
Fees
Item
Acct Code
Item Fee
Base Amt
Unit Fee
Unit Rate
No Units Unit Desc
Mechanical Permit
032
001-322-10-00
5700
000
000
o 0000
o 0000
TOTAL FEES
$57.00
~ l _ ...." ""....._ ~.."",... _T....~"""""""':u'"'..iI!II1't~~-::iiil&
_ _,. _. _. _._u ..._. _.__._..___.__...._. _..., __ _ _"_" .__,
RECEIPT No 31845
RECEIVED
*~**FIFTf SEVEN DOLLAPS & 00 CENTS
RECEIVED FROM
DATE REC NO
AMOUNT
REF NO
~3UNSE'r AU INC
5210 LACEY BLVi.:J SE
LliC.EY. rfA 98597
0'~!H IQJ4 31315
:i -; 00 CHECK
22148
I
i
~
SITE 120~: YE"r 1 AVB F
MISCELLANEUUS RECEIPT
;'.GNES
MECq PERMIT M-04-0002-vL
--- ___.u_ --.-. -~_ ___ __ _ _ __ __ ____ .___..__ ~ _._~ ____u, _.___, ____"__