20070057 Final Civil PunchlistCommunity Development I lam V
0
Department
City of Yelm R.
105 Yelm, Ave W
Yelm, WA 98597
OFFICIAL USE ONLY
Date Received:
Received By: _
FINAL PUNCH LIST APPLICATION
USE BLACK INK ONLY
Owner:_ Eowc,-,
Address:.F.0, �
City 8v State: b0(_rL_,F_V. \411A Fax: 31e0-'e, Z9
zip: 965z *1 Phone: 3 ou (c
Applicant:
dress: 5c)-T,( A J t `aw
ity and State: 20y A �_ (; ,, �2 \4\,/A -Fax:
I f 7 01
z 4 0 _(
zip: 9E) 3-7 3 Phone: .N 2 J -9 L) _E-Mail:
S�tLU,.)c '5 CON N)0L c
ddress:3X 508c)
ity&,state: LACj�_-, Vjjk
zip: Phone-3 G0_1_f 3 99 E-Mail: sfet ar jrn,)jj0_-
OJECT NAME, ADDRESS/LOCATION AND CASE
NUMBER
FOR OFFICIAL USE ONLY
Date Received:
Date of Interdepartmental Distribution:
Inspection Date(s):
Upon receipt of this application by the City, it will be routed to the appropriate City departments. The Development
Review Engineer and any other relevant City staff will conduct a site inspection within 5 working days from receipt
of the application. Upon completion of site inspection(s), a punch list and a final plat application packet will be
provided to the applicant.
HACDD DataTorms and ProceduresTinal PlatTunchlist Application.doc