20160307 Permit Pkg 08042016City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458-3144
Applicant:
Name: JOHN W & NICKI FOSTER
Address: 10710 MILL RD SE
YELM WA 98597
Property Information:
Site Address: i f17i n MII 1 Pn CG
Assessor Parcel No.: 22730230502 Subdivision:
Contractor Information:
Name: JOHN W & NICKI FOSTER
Address:
10710 MILL RD SE
YELM WA 98597
Contractor License No.:
Project Information:
Project: HOME OCCUPATION PERMIT
Description of Work:
Sq. Ft. per floor: First
Second
Third
Garage
Basement
Permit No.: 20160307
Issue Date: 8/04/2016
(Work must be completed within 180 days)
Phone:
Owner:
Phone:
Expires: 0 /00 /0000
Heat Type (Electric, Gas, Other):
Fees:
Item Contractor
HOME OCCUPATON PERMIT JOHN W & NICKI FOSTER
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 Washin
l
Signature crn`- Date
Firm /
Lot:
Fees
$ 125.00
$ 125.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Cite of Mm
(36 i) 458 -3244
RECA': 00239510 8/04/2016 3:50 PM
OPER: CO TERM: 001
REFh' : 3352
PAID BY:
TRAM: 30.0000 BUSINESS LICENSE
JOHN W FOSTER
BUSINESS LICENSES & 35.000R
TRAM: 33.0000 BUILDING PERMITS
20160307 125.0(CR
FOSTER, JOHN W & NICKI
10710 MILL RD SE
HO 125.0(CR
TENDERED: 160.00 [HECK
APPLIED: 160.00 -
CHANGE: 0.00