20170118 Permit Pkg 01262017�'woF THie
City of Yelm
Project: DEMOLITION
Community Development Department
DEMO HOUSE
Sq. Ft. per floor:
Building Division
YELM
Phone: (360) 458 -8407
Second
Fax: (360) 458-3144
Applicant:
Name: YELM RENTA LLC
Address: 802 YELM AVE W
YELM WA 98597
Property Information:
Site Address: Ain YFI M AVF W
Assessor Parcel No.:
Contractor Information:
Name: YELM RENTA LLC
Address:
802 YELM AVE W
YELM WA 98597
Contractor License No.:
Project Information:
Project: DEMOLITION
Description of Work:
DEMO HOUSE
Sq. Ft. per floor:
First
Second
Third
Garage
Basement
Fees:
Item
DEMOLITION
Subdivision:
Expires:
Permit No.: 20170118
Issue Date: 1/26/2017
(Work must be completed within 180 days)
Phone:
Owner: YELM RENTA LLC
Phone:
Heat Type (Electric, Gas, Other):
Contractor
YELM RENTA LLC
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 includmTfhose verning zoning and land subdivision, and in addition, all covenants,
easements and restrictions of recor . If applying as a contractor, I further certify that I am currently
registered in the State of Washingt
Signature Date t
Firm f+N, I JAI z,
Lot:
Fees
$ 50.00
$ 50.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Cite of Yolm
(36 i) 458 -3244
RECD`: 00257433 1%26/2017 3:12 PM
OPER: CO TERM: 001
REF #: 5138
PAID BY:
TRAM: 33.0000 BUILDING PERMII3
20170118 50.0(CR
YELM RENTA LLC
810 YELM AVE W
DEMO 50.0(CR
TENDERED: 50.00 CHECK
APPLIED: 50.00-
CHANGE: 050
F- J
4;
BUILDING PERMIT APPLICATION w7c)11 0
❑ New Construction (SFR) ❑ Remodel
❑ Mechanical
❑ New Construction (Duplex) ❑ Addition
❑ Commercial
❑ New Construction (Multi - family) ❑ Reroof
❑ Tenant Improv`i� nt
❑ Manufactured Home Placement ❑ Plumbing,
1:1 Fire Permit
Property Address: 9 � Q �� PRE
I `
w eSI
Tax parcel number:
Subdivision:
Lot No.:
Project Description /Scope of Work:
Project Value:
Heat Source:
❑ Gas [Electric ❑ Solar
Plan No.: Bedrooms:
Baths:
Area 15t Floor: '
2nd Floor:
3rd Floor:
Garage:
Basement:
Carport:
Covered Patin
Front Porch:
� a
Applicant: �G"� G(q 1C.�1 �Ci'C..
Owner:��'(
Address: 8 �� �eln
Address:
Telephone: 3 (ko ����
Telephone:
Z<Jj
�li?U �,B i —lS CeO
Email: l)Q F-h lJCA `�ai tZ4 �C��F1
E ail : /-F S�( - }-(e �-
Architect /Designer:
General:
C
3 AMJ�111
Address:
License No.:
Telephone:
Telephone:
Email:
Email:
Plumber:
Mechanical:
Email:
Email:
License No.:
License No.:
By submitting this application to the City of Yelm, you affirm that all answers, statements, and information
contained in and submitted with this application are complete and accurate to the best of your knowledge and
that you are the owner of the property or duly authorized by the owner to act on their behalf. Permission is
granted to representatives of the City to enter upon and inspect the property as reasonably necessary to process
the application.
l (J