20160114 Permit Pkg Payment 02032016City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: YELM COMMUNITY SCHOOLS
Address: P.O. BOX 476
YELM WA 98597
Property Information:
Site Address: 1315 YELM AVE W
Permit No.: 20160114
Issue Date: 2/0312016
(Work must be completed within 180 days)
Phone: 360- 458 -1900
Owner: YELM COMMUNITY
SCHOOLS
Assessor Parcel No.: 21724210500 Subdivision: N/A
Contractor Information:
Name: YELM COMMUNITY SCHOOLS Phone:
Address:
P.O. BOX 476
YELM WA 98597
Contractor License No.: Expires: 0 /00 /0000
Project Information:
Project: BUILDING
Description of Work: ADD QUAD CLASSROOM 9 PLEX PORTABLE BLDG #1
Sq. Ft. per floor: First 7936 Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Lot: N/A
Fees:
Item Contractor Fees
BUILDING YELM COMMUNITY SCHOOLS $ 150.00
FIRE SPRINK EMERALD FIRE - 7/29/2016 $ 895.53
TOTAL FEES: $ 1,045.53
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 restriction of record. If applying as a contractor, I further certify that I am currently
registered in t tate f ashington.
Signature __— Date
Firm
OFFICIAL USE ONLY
# Sets of Prints.
Final Inspection:
Date:
By:
Cite of Yelm
(36 1) 458 -3244
RECD': 00238864 7/29/2016 11:29 AM
OPER: CO TERM: 001
REF #: 3302
PAID BY:
TRAN: 33.0000 BUILDING PERMITS
20160114 895.5:CR
YELM COMMUNITY SCHO(LS
1315 YELM AVE W
FIRE SPRNK 895.5:CR
TENDERED: 895.53 (HECK
APPLIED: 895.53-
CHANGE: �� 0.00