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20170102 Permit Pkg 01052017City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Applicant: Name: BARBARA J HORSMAN Address: 16408 RAILWAY RD SE YELM WA 98597 Property Information: Site Address: 16408 RAILWAY RD SE Assessor Parcel No.: Contractor Information: Name: BARBARA J HORSMAN Address: 16408 RAILWAY RD SE YELM WA 98597 Contractor License No.: Project Information: Project: BUILDING Description of Work: NEW FOUNDATION Sq. Ft. per floor: First Second Third Garage Basement Fees: Item BUILDING Permit No.: 201 70102 Issue Date: 1/05/2017 (Work must be completed within 180 days) Phone: Owner: HORSMAN Subdivision: Lot: Phone: Expires: 0 /00 /0000 Heat Type (Electric, Gas, Other): Contractor BARBARA J HORSMAN 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 th9se overning zoning and land subdivision, and in addition, all covenants, easements and restriction oaf re ord. I pplying as ",tractor, I further certify that I am currently registered in e-3tate o as Signat a Date Firm Fees $ 299.06 $ 299.06 OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: tit�l oQ58e31 (36[ REC #' 00254537 10512017 10:18 AM OPER: CO TERM: 001 REF#: PAID BY: TRAM: 33100600 BUILU299 OECR T', `.0170 HORSMAN BARBARA 3 , 16408 RAILWAY 299 OECR BLDG TRAM: 30.0000 BUSINESS LICENSE COWLIIZ CONST. COMPANY w15.00CR BUSINESS LICENSES & TENDERED: 340.00 (ASH APPLIED: 334.06- [ ;FIANCE -----594 94 ASHINGT BUILDING PERMIT APPLICATION 0M IM ❑ New Construction (SFR) Remodel ❑ Mechanical ❑ New Construction (Duplex) ❑ Addition ❑ Commercial ❑ New Construction (Multi - family) ❑ Reroof ❑ Tenant Improvement ❑ Manufactured Home Placement ❑ Plumbing ❑ Fire Permit Property Address: / 6 0,6 (�' / tae- `� �D S' C - Tax parcel number: z% 3 010 7 o,0 3 Subdivision: Lot No.: Project Descrip n /Scope of Work: IJe7.( rO0,P �D�'n °7L% ® �� Project Value 700 Heat Source: 1 �/ 7 ❑ Gas l�l'ectric ❑ Solar Plan No.: Bedrooms: Baths: Area 1St Floor: 2nd Floor: 3rd Floor: Garage: Basement: Carport: Covered Patio: Front Porch: Applicant: CC, uJ�I+z �U�tjtl�t/ Owner: Y'f_ �' �i4vt yi�-` /q�lst cat, P�+h y 1' <. Address: w P , y ,Q r-.!c 7 Q Address: Telephoner 4, © 3' `�' -%76.2,3 Telephone: Email: Cott,) 41-0-7, ��— r Email: AJ Architect /Designer: (30C.UZ4,4Z General: C © /-VC , -v r Address: tk Li ct n s e No.: OL J -5 R%A I't I e"<_ Cc L 1 C,( Telephoner �_'(Z3 Telephone: Email: Email: Plumber: Mechanical -� Email: Email License No.: License No. By submittine this application to the Citv of Yelm. you affirm th contained in and submitted with this application are complete and that you are the owner of the property or duly authorized by the granted to representatives of the City to enter upon and inspect th the application. r' C hl)�L Ivz 1YI A A/ .l'cz �� LL y3ao'7oo30 A- r� r-? Tz ,o --c S . / 6 � c E, /Z 0 iL, u,� /elOA, C;-) , , C-r C 0 117 fV Cc c C- -.-M JIM I FaL 47.a A "t CI6-- x 6 k d r3 4 7ro1Z- Ir 1--6 Ag/ �2 it _ °\ �Y L y M I