20160180 Permit Pkg 04062016City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: WILLOW SPA & NAIL CLINIC
Address: 311 MCKENZIE AVE SE
YELM WA 98597
Property Information:
Site Address: Ill RAr- W1=M7IG A %/G CG
Assessor Parcel No.: 64420700400 Subdivision:
Contractor Information:
Name: WILLOW SPA & NAIL CLINIC
Address:
311 MCKENZIE AVE SE
YELM WA 98597
Contractor License No.:
Permit No.: 201 60180
Issue Date: 4/06/2016
(Work must be completed within 180 days)
Phone: 360- 960 -1009
Owner: BONNIE MYERS
Phone:
Expires: 0 /00 /0000
Project Information:
Project: PLUMBING
Description of Work: REMOVE AS HEATER TO ELECTRIC HEATER
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
PLUMBING
Contractor
WILLOW SPA & NAIL CLINIC
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 Date Q�►rG' �%'
Firm
Lot:
Fees
$ 27.00
$ 27.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Cifj of Yell
(36 ) 458 -3244
REC #: 00227385
'PER: CO TERM:
REF #: 5609
PAID BY:
410612016 11 :14 AM
001
IRAN: 33,0000 BUILDING PERMITS
20160180
WILLOW SPA & NAIL Cl'INIC
PL 311 MCKENZIE AVE SE
27,000R
TENDERED: 27,00 CHECK
APPLIED: 27,00-
CHANGE:
0.00
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CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: 31I D'1GI —enl ie-�, AVC
Parcel #:
Subdivision: Lot #: Plan #: Zoning:
New Construction n. Re -Model / Re -Roof / Addition Home Occupation Sign
Plumbing Mechanical Mobile / Manufactured Home Placement Other
Project Description /Scope of Work: c_ G ns 1A,_u 5 kv L
Project Value:
Building Area (sq. ft) 1s' Floor 2nd Floor Garage Deck
Basement Carport Patio
# Bedrooms_ # Bathrooms_ Heating: GAS /OTHER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel?
/f yes, a completed environmental checklist must accompany permit application.
BUILDING OWNER NAME: 7R>onn,e_ fr, d..to rC
ADDRESS I I t7� lu 1-7 i e <h/tE- L-- EMAIL
CITY "(L1w, STATE I..wn ZIP `_�d� TELEPHONE n
ARCHITECT /ENGINEER LICENSE #
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
GENERAL CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
PLUMBING CONTRACTOR TELEPHONE 3GO -7ul
ADDRESS R) i