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20160227 Permit Pkg 06282016City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Applicant: Name: STEVE / LEA -ANN WADLEIGH Address: 9307 PRAIRIE WIND ST SE YELM WA 98597 Property Information: Site Address: 9307 PRAIRIE WIND Assessor Parcel No.: Contractor Information: Name: SUNSET AIR Address: 5210 LACEY BLVD SE LACEY, WA 98503 Contractor License No.: Project Information: Project: MECHANICAL Description of Work: ADD AIR CONDITIONER Sq. Ft. per floor: First Second Third Garage Basement Fees: Item MECHANICAL Subdivision: Expires: Permit No.: 20160227 Issue Date: 6/28/2016 (Work must be completed within 180 days) Phone: 907 - 854 -0937 Owner: WADLEIGH, STEVE / LEA - ANN Phone: Heat Type (Electric, Gas, Other): Contractor STEVE / LEA -ANN WADLEIGH 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 / w � . Date Firm Lot: Fees $ 29.50 $ 29.50 OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: Cite of Yolm (36 �) 458 -3244 RECD': 00235595 6/28/2016 11:49 AM OPER: CO TERM: 001 REFS`: 35363 PAID BY: TRAM: 33.0000 BUILDING PERMITS 20160227 29.5(GCR WADLEIGH, STEVE / LEA -ANN 9307 PRAIRIE WIND MECH 29.50CR TRAN: 33.0000 BUILDING PERMITS 20160232 29.50CR MASON, ANTHONY 14871 89TH AVE SE MECH 29.50CR TRAM: 310000 BUILDING PERMITS 20160257 29.50CR HUDNELL, COLTEN & JINNIF 9870 JENSEN DR SE MECH 29.50CR TRAM: 33.0000 BUILDING PERMITS 20160256 29.50CR VAN CLEAVE, PATRICK. 9239 BRENDAN DR SE MECH 29.50CR TENDERED: 118.00 CHECK APPLIED: 118.00- CHANGE: u.uu r CITY OF YELM � � (4 /� RESIDENTIAL BUILDING PERMIT APPLICATION FORM Project Address: gmi I'raAw 1A)iad r4 ar�cel #: uggi o o u qo p I Subdivision: Lot #: Plan #: Zoning: _ © New Constructkm 11 Re-Model / Re -Roof /Addition ❑ Home Occupation Sign D Plumbing echanical /� D Mobile / Manufactured Hoo�ffine Placement ❑ Other Project Description/Scope of Work:_ Oir toath1 M ul d _ Project Value: 4b 11 Building Area (sq. ft) I51 Floor _ 2nd 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? If yes, a completed environmental checklist must accompany permit application. Zv 4, v 2z "7 � g > W: ADDRESS ! U EMAIL � CITY- LJ 6& STATE-la J&_ ZIP TELEPHONE - - IADDRESS EMAIL GITY STATE ZIP- TELEPHONE TELEPHONE ADDRESS EMAIL CITY STATE ZIP FAX CONTRACTOR'S L1C SE # EXP DATE CITY LICENSE # DIV TELEPHONE ADDRESS EMAIL CITY STATE ZIP FAX CONTRACTOR'S LT&ENSE # EXP DATE CITY LICENSE # C u,n._.t V q,,, TELEPHONE Y4Zg ADDRESSC�3� U J- - EMAIL rV �1f-d4r; i_& . CITY L6 STATE .f�ZIP FAX. CONTRAC R'S LICENSE # EXP I DATES CITY LICENSE # 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 Cri y o Yelm. ++ b 5l [ F (p Applicant's tignatUre 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 period of 180 days .105 Yelm Avenue West (360) 458 -3835 Ye ten, Wil 95597 www.eu.yelm,wa,us BY: -------------- - - - - --