20150345 Permit Pkg 12212015City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: YELM COMMUNITY SCHOOLS
Address: P.O. BOX 476
YELM WA 98597
Property Information:
Site Address: Mr. V1=1 M AVF W
Assessor Parcel No.: 21724210500 Subdivision:
Contractor Information:
Name: CONVERGENT TECHNOLGIES
Address: MIKE
450 SHATUCK AVE S
RENTON WA 98057
Contractor License No.: CONVETL984BQ
Permit No.: 20150345
Issue Date: 12/21/2015
(Work must be completed within 180 days)
Phone: 360- 458 -1900
Owner: Yelm Communitv Schools
Phone:
Expires: 1/18/2016
Project Information:
Project: FIRE ALARM
Description of Work: Replace FA panel at the High School.
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
FIRE ALARM
Contractor
CONVERGENT TECHNOLGIES
TOTAL FEES:
Applicant's Affidavit:
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 further certify that I am currently
registered in the State of Washington.
Signature \ c Date 1 2-
Firm
Lot:
Fees
$ 682.22
$ 682.22
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: YELM COMMUNITY SCHOOLS
Address: P.O. BOX 476
YELM WA 98597
Property Information:
Site Address: 1315 YELM AVE W
Assessor Parcel No.: 21724210500 Subdivision:
Permit No.: 20150345
Fee Calculation Worksheet
Phone: 360- 458 -1900
Owner: TYPE CURRENT OWNER
NAME
Project Information:
Project: FIRE ALARM
Description of Work: Replace FA panel at the High School.
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
BUILDING PERMIT ESTIMATED VALUE
BUILDING PLAN REVIEW
PLUMBING PERMIT
Units
25,500
0
0
TOTAL FEES:
PAYMENTS MADE:
BALANCE DUE:
Lot:
Fees
$ 401.35
$ 260.87
$ 20.00
$ 682.22
$ 0.00
$ 682.22
City of Yelm
(36 ) 458 -3244
REC #: 00216871 12/21/2015 10 :31 AM
OPER: CO TERM: 001
REF #: 7597
PAID BY:
TRAN: 33.0000 BUILDINNG PERMITS
20150345
YELM COMMUNITY SCHOOLS
1315 YELM AVE W
FA 682.22CR
TENDERED: 682.22 CHECK
APPLIED: 682.22 -
CHANGE: 0,00