20160134 Permit Pkg Plumbing 02242016City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: RICK CHRISTENSEN
Address: 11915 CLEAR LAKE RD
EATONVILLE WA 98328
Property Information:
Site Address: 1RRnr% 1nRT1 -1 AVIF CF
Assessor Parcel No.: 64303400502
Contractor Information:
Name: RICK CHRISTENSEN
Address:
11915 CLEAR LAKE RD
EATONVILLE WA 98328
Contractor License No.:
Project Information:
Project: COMMERCIAL REMODEL
Description of Work:
3740 RESTAURANT TI
Sq. Ft. per floor:
First 3740
Second
Third
Garage
Basement
Fees:
Permit No.: 20160134
Issue Date: 2/19/2016
(Work must be completed within 180 days)
Phone:
Owner: RICK CHRISTENSEN
Subdivision: Lot:
Phone:
Expires: 0 /00 /0000
Heat Type (Electric, Gas, Other): HEAT PUMP
Item Contractor
BUILDING RICK CHRISTENSEN
PLUMBING AFFORDABLE PLUMBING - 02/24/2016
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 roff'Washington
Signature-- �( /"�'G /`�`_� Date f l
Firm
Fees
$49,100.40
$ 132.00
$ 49,232.40
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
City of Mim
(36 ) 458 -3244
REC #: 00223720
OPER: CO TERM
REF #: 7132
PAID BY:
2/24/2016 2:59 PM
001
TRAN: 33.0000 BUILDING PERMITS
20160134 132.00CR
CHRISTENSEN, RICK
16605 106TH AVE SE
PL 132.00CR
TENDERED: 132.00 CHECK
APPLIED; 132.00-
CHANGE; 0.00