20150277 Permit Pkg 08212015City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: ANGIE D. FLAHAUT
Address: 9028 ANDES CT SE
YELM WA 98597
Property Information:
Site Address: on,?R &Mnl=Q rT CG
Assessor Parcel No.:
Contractor Information:
Name: SUNSET AIR INC
Address: TERRY MEDLOCK
5210 LACEY BLVD.
LACEY WA 98503
Contractor License No.: 10734
Subdivision:
Permit No.: 20150277
Issue Date: 8/2112015
(Work must be completed within 180 days)
Phone: 360- 480 -2953
Owner:
Phone:
Expires: 12/31/2015
Project Information:
Project: MECHANICAL
Description of Work: DUCT LEAKAGE TEST REQUIRED.
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
MECHANICAL
Contractor
SUNSET AIR INC
TOTAL FEES:
Applicant's Affidavit:
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 includinglthole governing zoning and land subdivision, and in addition, all covenants,
easements and restricti of /J/Lco f�applying as a contractor, I further certify that I am currently
registered in the S to s in n...
Signature- c Date
Firm 5C1,1�Sef 41r -(G
Lot:
Fees
$ 29.50
$ 29.50
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
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(360) 3m44 113 AM
002051Q5
D 8/21/2015 10
E: 001 PER : CO TERM
REF #: 35021
PAID 8Y�
IRAN:
33,0000 5UILl 2� 5�5RITS
20150277
FLAHA ANGIE D
UT
9028 ANDES CT SE
g.50CR
MECH
29.50 CHECK
TENDERED; 29.50_
APPLIED:
CHANGE,
AUG /17/2015/MON 02:57 PM Sunset Air FAX No,360 456 4990 P,002
�_PI J CITY OF YELM r 7
RESIDENTIAL BUILDING PERMIT APPLICATION FORM I�1
Project Address: ��� Gl� C� J!r- Parcel #: � �lD Qb0,�Uo y
Subdivision:
Lot #: Plan #: Zoning:
New Construction D Re -Model / Re -Roof / Addition n Home Occupation Sign
Cl Plumbing Kmechanical D Mobile / Manufactured Horne Placement El Other
Project Description /Scope of Work: r Con bb mol 0-
�, JVC f I e l� u,'� '�: / S'�v,�I 7
Project Value: i1 �%1,1 IF
Building Area (sq, ft) 1g" Floor 2nd Floor 3`d Floor_
Covered Patio Covered Porch _ Patio
Garage -2 car 3 car,
Deck
# Bedrooms # Bathrooms_ Heating: GAS /OTHER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel?
If yes, a completed environmental checklist must accompany permit
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STATE /ZIP
ADDRESS
CITY STAT
CONTRACTOR'S LICENSE #
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CITY STATE
CONTRACTOR'S LICENSE #_,
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CONTRACTO 'S LICENSE
LICENSE #_
EMAIL
TELEPHONE
TELEPHONE
EMAIL
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EXP DATE CITY LICENSE #,
TELEPHONE
EMAIL
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EXP DATE CITY LICENSE #
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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 m. �Ca� q'i !�It_
Appli ant's S t Date
Owner / ractor ner's Agent / Contractor's Agent (Please circle one.)
All 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
�D
AUG 17 2015
105 Yelm Avenue Nest � (360) 458-3835
1 elm, WA 98597 (360) 458-9144 FAX
u,iau,. eLyelm.wa.TCs
AUG /17/2015/MON 02:57 PM Sunset Air FAX No.360 456 4990 P.001
SUNSET AIR, INC
PHONE: (360) 456 -4956 FAX: (360) 456 -4990
5210 LACEY BLVD. LACEY, WA 98503
FAX TRANSMISSION
TO: ( 0v� c
DATE /TIME: Q� I 11 116-
COMPANY: q)j6vL-,
FAX #: 45� -31 V If
FROM: ROMY MEYER - RTM@5UNSETAIR.COM
COMMENTS:
This transmission contains pages, including this cover p a`Tf-wny-page�s
_._....._— r'!i�ng,_p ase- contact -rne-at the -4bove number. —