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20160207 Permit Pkg 05042016Applicant: City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Permit No.: 20160207 Date: May 4, 2016 (Work must be completed within 180 days) Name: ERIC ROBERSON Phone Address: 14984 101 ST WAY SE YELM WA 98597 Property Information: 560- 951 -2557 Site Address: 14984 101ST WAY SE Owner: ERIC ROBERSON Assessor Parcel No.: Subdivision: Lot: Contractor Information: Name: SUNSET AIR INC Phone: Address: TERRY MEDLOCK 5210 LACEY BLVD. LACEY WA 98503 Contractor License No.: SUNSEA1915131 Expires: 1/21/2017 Project Information: Project: MECHANICAL Description of Work: ADD AIR CONDITIONER. DUCT LEAKAGE 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: 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 Stat Washington. Signature &11Y, Date Firm Fees $ 29.50 $ 29.50 OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: City of Ye1m (36 ) 458 -3244 REC #: 00230213 5/04/2016 8:10 AM OPER: CO TERM: 001 REF #: 35310 PAID BY: TRAN: 33.0000 BUILDING PERMITS 20160207 29.5CCR ROBERSON, ERIC 14984 101ST WAY SE MECH 29.5(CR TRAN: 33.0000 BUILDING PERMITS 20160205 29.5(,CR TOMNEY, ALEXANDER 9989 GREENLEAF LP SE MECH 29.5CCR TRAN: 33.0000 BUILDING PERMITS 20160206 29.5CCR SMITH, DAVID & CRYSIAL 14423 98TH WAY SE MECH 29.50CR TENDERED: 88.50 CHECK APPLIED: 88.50- CHANGE: 0.00 CITY OF YELM -' *�►� °� 0� RESIDENTIAL BUILDING PERMIT APPLICATION FORM Project Address: gi Lt_ 1 ()or � J� Parcel #: Subdivision: Lot #: Plan #: Zoning: -i New Construction - Re -Model / Re -Roof / Addition Home Occupation Sign -] Plumbing ' echanical (�-? Mobile / Manufactured Home Placement Other Project Description/Scope of Work: ( C Qn �r ' & Project Value: Nutiy Building Area (sq. ft) 1g` Floor 2n6 Floor 3`d Floor Garage -2 car 3 car Covered Patio Covered Porch Patio Deck # Bedrooms # Bathrooms_ Heating, GAS /OTHER or ELECTRIC (Circle One) Are there any environmentally sensitive areas located on the parcel? ff yes, a completed environmental checklist must accompany permit application. Cad �� . 'r�TT� • ADDRESS �. CITY STATE ZIP. ADDRESS CITY - S TE ZIP CONTRACTOR'S !LICENSE CENSE #. TELEPHON TELEPHONE EMAIL _ FAX EXP DATE_ CITY LICENSE # PLUMBiNG.GONTRACT ©R TELEPHONE ADDRESS EMAIL CITY STATE ZIP FAX CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE # /II(`! UffL'! • • • i • �TijT� ), �► �I *.7��liiil_ \i�eii�i�[•iaeti��:� 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 o 17��_ L I I Z Applicant's Signature Date Owner I Contractor I Owner's Agent I 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 1= I&AVIN 0M It Pn 2 201 105 Yelm Avenue Rest Yelm, RA 98597 rwww.ci.yelm.tea. us (360) 458 -3144 FAX Karen Bennett From: Romy Meyer [rtm @sunsetair.com] Sent: Wednesday, April 27, 2016 4:22 PM To: Karen Bennett Subject: Yelm permits Attachments: Yelm permits.pdf Hi Karen, Attached are the following permit applications DAVID SMITH ERIC ROBERSON ALEX TOMNEY Thanks, Ipmy Myer Office Manager Sunset Air, Inc. Ph. 360 - 923 -1244 ext 118 Fax 360 - 456 -4990 Cell 360 - 259 -3689 E -mail rtm@sunsetair.com