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20036971 Easement Recording Print at Host User Monday, March 01, 2004 10 16 34 AM 14 o CUMMINS cummins 227'19310404 - I \IMGOO'11 CPC\001 '10984 JPG or..,;__ '~f FROM DATE 3 TIME } 4() ~ D URGENT A MESSAGE !FOR: OF PHONE AREA CODE ,_ .J1MBER M'AME TO SEE YOU EXT o TELEPHONED o RETURNED YOUR CALL MESSAGE. o PLEASE CALL o WANTS TO SEE YOU o WILL CALL AGAIN County Assessor's Office 2000 Lakeridge Drive SW Olympia, WA 98502-6045 THURSTON COUNTY 1\\'1"'\ L.., 1:1 )I Jlo'f It! ,r rlJ K"II SINO::IHS2 STEPHEN C. CUMMINGS Commercial Appraisal Coordinator (360) 786-5141 FAX (360) 754-2958 E-mail.cummins@co.thurston.wa.us www.co.thurston.wa.us/assessor * '~'33 <:>, .. PAID JUl 2 9 2003 City of Yelm Community DevelopmenteJIffl1neF YELM Invoice No. CDD-03-0SS INVOICE ~ Customer Name Fred Tharp Address 12443 Zeller Rd City Yelm Phone 360 458.2465 Date Order No Rep FOB 7/24/03 State WA ZIP 98597 Qty Description Unit Price TOTAL 1 Easement Recording $22.00 $22.00 SubTotal $22.00 Payment Details Shipping & Handling $000 0 Cash Taxes WA 0 Check 0 TOTAL $22.00 IOffice Use Only City of Yelm Community Development Department POBox 479 Yelm, WA 98597 (360) 458-3835 fax (360) 458-3835 THANK YOU ... RECEIPT No. 280 16 =CEIVED * * * '1< TVIENTY TWO DOLLARS & 00 CENTS RECEIVED FROM RED THARP o BOX 503 ELM WA 98597 DATE REC. NO 07/29/03 28016 AMOUNT 22.00 CHECK MISCELLANEOUS RECEIPT JANINE HARP WATER EASEMENT RECORDING I\ILROAD AVE REF NO 4513 -j City of Yelm Community Development Department P.O. Box 479 y elm, 'VA 98597 (360) 458-3835 (360) 458-3144 FAX Memorandum To: Fred 0 Tharp From: Gary Carlson Date: July 24, 2003 Re: Easement for parcel # 22719310404 Mr Tharp, The CIty has receIved the Recorded Easement for your property Attached please find an mVOlce in the amount of $22.00 Once payment IS receiVed and you have an agreement with Jim Gibson regardmg storm drainage the pnvate garage IS ready to be finaled. Thank you, Gary Carlson Buildmg OfficIal FROM OF TIME A.M. P.M. PHONE 3f.;;o- vlrl- ~ 39<3 AREA CODE NUMBER EXT D URGENT o TELEPHONED D CAME TO SEE YOU I o RETURNED YOUR CALL Documentl Invoice No CDD-03-0SS INVOICE !!!!!!! Customer Name Fred Tharp Address 12443 Zeller Rd City Yelm Phone 360 458.2465 State WA ZIP 98597 Date Order No Rep FOB 7/24/03 Oty Description Unit Price TOTAL 1 Easement Recording $22 00 $22.00 SubTotal $22.00 Payment Details Shipping & Handling $000 0 Cash Taxes WA 0 Check 0 TOTAL $22 00 I Office Use Only City of Yelm Community Development Department POBox 479 Yelm, WA 98597 (360) 458-3835 fax (360) 458-3835 THANK YOU Q ~Q/y\{"<D ,~ a- ~6 to r-Pf\\cCuld- ~~~ ~ ,(UO-(~C5 -ke-~ ~* . 0_. I J_ .~ /> . \JO ~'.NLL~~. \-f\NvL~ ~ On /O.lAJY ~-d- ~\ .~~. tJ \~~r CItyoIYelm cc-,6~~' Community Development Department P.O. Box 479 ~ N2JLQ~j~ Yelm, W A 98597 (360) 458-3835 (I~ ~ I!" ,os!- (360) 458.3144 FAX R- '~ G- 'l\zw ~ \Y~ Memorandum To: Ken ReIchel From: Tami Mernman, ASSlSt~. Date: July 24, 2003 "...--.----- Re: Recorded Documents Mr ReIchel. The CIty has receIved the recorded Boundary Line Adjustment for your property Attached please find an mVOIce m the amount of $95 00 for recordmg fees. Once thIS invOIce IS paid, you can pIck up your copIes or I can mail them to you. If you have any questIOns, please give me a call. I can be reached at 360-458-8496 Smcerely, TamI Mernman c:\Community Development\Project Files\BLA Boundary Line Adjustment\8330 Reichel\memo.doc v U7/21ji!Oln OR 2;~A RECfIPI . ~U~4Uj /HUR<,rUN IOUNTY II I! IJ ] I U R U L Y M P JAW II FROM CITY Iii YUM \1\ h\ALJ Jfi~-' Deputy F J I_E NIJ 3:):)31 .i7 Due ([^~I Ellj[MENT DOCUMENT 1'1:[ I;! UlI . 1'95 4 ~eturn Address City of Yelm Gary Carlson o Box 479 elm, W A 98597 ILi/f.,1 ill.!i:/<f<I:O IH -~.' / a lIU IiITAI_ Rll:IlRDINli ~[E-- -) AMOUNT (Clll:;c~) REi:[ UI:D - 2i! UU U DO r:rIANGE -- -) u 00 Document title(s) (or transactions contained therein): 1 UtilIty Easement 2. Reference Number(s) of Documents assigned or released: (on page of documents(s)) Grantor(s) (Last name, first name, middle initial) 1 Tharp, Fred ,0 2. Grantee(s) (Last name, first name, middle initial) 1 CItv of Yelm '12. . I I Legal Description ( abbreviated: i.e. lot, block, plat or section, township, range) Lot #3, Short Plat #8080, as recorded under Thurston County Auditor's file #9303310157, Volume 26 Page 389 Assessor's Property Tax ParceliAccount Number 22719310404 \ \11\\\,11\11\\\11\\11\1111\\1111\11\11\ 11\ 11\1\ \\1\ 111\ :;;'~ ~2::;f,: 220 . . ", .".;, :'" ,I. EAS $22 00 Thurston Co Wa ,SIT~..~F ~~L~__. UTILITY EASEMENT (INDIVIDUAL FORM) THIS INDENTURE, made thIS 3 day of Ju.II\~ , 20~, between FJ2e.D t:!). Tffi4t~ ' heremafter called the GRANTOR, and the ITY OF YELM, a MUnICIpal CorporatIon, heremafter called the GRANTEE, WITNESSETH. For valuable consIderatIOn, receIpt of which is hereby acknowledged, the Grantor hereby grants and conveys to the Grantee, ItS successors and assIgns, a PERPETUAL EASEMENT FOR 10' , over, under, upon, and through a portion of that certam real property SItuate and bemg m the County of Thurston, State of Washmgton, more particularly described as follows, TO WIT PARCEL. Lot # 3, Short Plat #8080, as recorded under Thurston County AudItor's file #9303310157, Volume 26 Page 389 PERMANENT EASEMENT. Said portIOn of the above-described parcel bemg described as follows Startmg at a pomt 484' north of the southwest property comer extendmg along a centerhne at S 5023' 50" E to a pomt 74' north of the southeast property comer TOGETHER WITH the nght to enter upon, over and along Said real property, herembefore described, from tIme to tIme, to mspect, repair, or remove, Said waterlme. The Grantor shall not place or construct a bUIldmg or other structure on the easement nght-of-way The permanent nghts herem granted to the Grantee shall contmue m force until such tIme as the Grantee, its successors or assIgns, shall permanently abandon the same and upon such removal or abandonment, all nghts hereby granted shall termmate RE F, this instrument has been executed the day and year 11111111111111111111111111111111111111111111111I111111I 3553137 Page 2 of 4 07/21/2003 08 22A CITY OF YELM EAS $22 '00 Thurston Co Wa STATE OF WASHINGTON ss COUNTY OF THURSTON I certify that I know or have satisfactory evidence that FT2c--.D ~~ (is/Me) the person~ who appeared before me, and said person(s) acknowledged that (he/sfte/~) signed this instrument, and acknowledged it to be (his/~/taen-) free and voluntary act for the uses and purposes mentioned in the instrument. j(C- (J~ day of --9AA/l\l ~e~1Z- Notary Public in an for the State of Wqshington, residing at ~--A"C.P GiverU;.l.Rder,~y hand and seal this _--- ~. ME/;>" '\. - ~ ..... '",_ I ~~ .<~'s\ON'i:;.. "YA'" , ~..~' "'T.A)-." f ~ .~ tAR ~ ~ :0 ~O y~' I. . (,) -.-- en I. : ' ~ ... PUSUC .: " d\'. ~., '. ~~.~~19-()?' . .( ',.~~ ...... ....~ " OFWAS'(\~~--~ \\,,~ ., , 20.Q3. My commission expires III { IICZ/D5" Accepted by the City ofYe1m, Washington. this day of ,20_ BY Director of Public Works STATE OF WASHINGTON ss COUNTY OF THURSTON On this day and year above, personally appeared before me, , to me known to be the Public Works Director of City of Yelm, a Municipal Corporation, who executed the foregoing instrument and acknowledged the said instrument to be the free and voluntary act and deed of said Municipal Corporation for the uses and purposes therein mentioned and on oath states he is authorized to execute the said instrument. Given under my hand and seal this day of ,20_ Notary Public in and for the State of Washington, residing at My commission expires: 'R_t; EAS 3553137 Page 3 of 4 07/21/2003 08 22~ Thurstan Co Wa 1111111111111111111111111111111111111111111111111111111 CITY OF YELM $22 00 SEe 19 TWN 17 R2E iQr ../" \A'-l~ \;\ 'tI O~\) ?--~\.,~ 0~(. (. '?-"\< ~ (('?-o? 1>.'0. LOT 3 LOT 4 20 10 LOT 2 .~ 40 _J EASEMENT NO CITY OF YELM, WASHINGTON DEPARTMENT OF PUBLIC WORKS GRANTOR FRED THARP PURPOSE EASEMENT FOR EXISTING WATER LINE ACCEPTED' PJ.J.I;3L1C WOR~S DIRg:CTOR DATE 1111111111111111111111111111111111111111111111111111111 :;'~'~I:::::: '" CITY OF YELM EAS $22 00 Thurston Co Wa SEe 19 TW N 1 7 R2E ~ LOT 2 LOT 4 20 0 10 20 ~VI l SCALE 1"=20' 40 J EASEMENT NO CITY OF YELM, WASHINGTON DEPARTMENT OF PUBLIC WORKS GRANTOR FRED THARP PURPOSE EASEMENT FOR EXISTING WATER LINE ACCEPTED' PUBLIC WORKS DIRECTOR DATE " .~....-,~,~~",.",~"~,~.",-,~"...=,.....".,,,,~-~.,,-,-_..,",_.._".,,-,._-'_.".."'._._"'-'".~"""'.,-"".._--,."'-~..,.:-""-'-'~-"-'-""""._--""-'._--"'---'-'~l r-~---'-'~'-'~-'--''';':~- T'-'-' ~\) ,1- K. 2. e _._ /./ \ I 5E L.=.!___...______.____._______ /"" : I .----'--..".- /" i f ./" ~ ./" t ?~ l) ,/ // \ 1 ,\"," ,,,,,,,, 1", G .~7 / I ~ ~ / \ ~,~'Y /' ~/ / ~ /' ../ /' /"" 1/ // I /./ ///\ . ./~ J~Y\ I ;#J~. ; j 1 ~ l i I \ 1 ! f j 1 I i I I ! 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KIM WYMAN AUDITOR THURSTON COUNTY SINCE 1852 July 9, 2003 City of Yelm Attn Gary Carlson PO Box479 Yelm, WA 98597 Dear Mr Carlson Enclosed you will find your Utility Easement that was sent to our office for recording in June, 2003 Washington State RCW 65 04 045 requires that all fields and text on each page be legible We had to reject the document the first time for lack of a 1" margin on all edges of the map page Unfortunately, when the map was reduced to meet the 1" margin requirement, the text became illegible Please fix the map so that all fields are legible and capable of being imaged Upon receipt of the corrected document, we will promptly record and return your document to you Thank you for your assistance If you have any questions please feel free to contact me at (360) 786-5405 or e- mail me at howellt@co.thurston.wa.us Sincerely, d~~ Terra Howell Assistant Recording Manager Ref' 2003-37-Yelm-Tharp ~33 2000 Lakeridge Drive SW, Olympia, Washington 98502-6090 (360) 786-5224 FAX (360) 786-5223 E-mail auditor@co.thurston.wa.us * Recycled Paper Name: CITY Of Y I:LIVI DEFERRED DOCUMENT RECORDING COVER SHEET DATE: ~/i~~)~ ~I I -' Signature: \-/- '-;) J l }\ . Department: . /fi./.J /c/).r4 ../Jl;?r / ;' Phone: c :s~- ~ dfJ-X"- 9 lit) 7 **PLEASE LIMIT BATCHES TO 20 DOCUMENTS** BATCH I OF) :,"':}}:' ::;::\~j!gl~:j:~jj:::~!::~:. ." .......... ..... ::~::\j:e~:::::~ij:~\.i.\j. j:::::i!~R~:j!::!j::!~:j:\:. ...,..... ,- ..... :::,:-:.;.:::;':,:;:;.:.:.::::::::;. ':,1:::::::$t::::::,::::::::: .;.:.;.:.;.....:.;.:.:.:...:.;-:.;.: ::\::~\:::~:~::::j!::::::::::: .... ............ :,::::.:;:::::::::::;:::;:'::::,,:;:: -":::':':H::::':::':::"':':::, t~t~:(:~:~~rt\~. 8Vj}(:: .. ...... .' ... .................. :::,:9~j::::::j:::') ............, ., ............ ,.' HfO~?/ .~:'~Si:::::,; ....'.:...:.............. .:.:.:..::.:.:.:.:......:-.. n. ............ ::::::::"::;'::.::;.::. ,,:1/'~,.:.:.:,:.;.:, ::::~':~~::::::::: ...::.:.;.:.:.:.:.:.;.:.::.:.:.:- ::'!t:4L:=:=:::'. :1..5' ":.. .':. .~: . 16. 17, ,.a. 19. 20~ (Include a seperate cover sheet for each batch) :i TYPE' OFDOCUMJ:NT ~~!'/W. .;/ 'jh,lJ./J L? '/ , ..... .' .. .... . /:#YOF:PAGE:S := '::FEE::" q $ $ $ $ $ $ $ $ $ $ --- $ $ $ $ $ $ $ $ $ $ TOTAL: $ (FOR AUDITOR'S USE ONLY) RECORDING $ SURCHARGE #1 $ ..' SURCHARGE #2. $ eturn 'Address City of Yelm Gary Carlson o Box 479 elm, W A 98597 Document title(s) (or transactions contained therein): 1 UtilIty Easement 2. Reference Number(s) of Documents assigned or released: (on page of documents(s)) Grantor(s) (Last name, first name, middle initial) 1 Tharp, Fred ,0 2. Grantee(s) (Last name, first name, middle inWal) 1 CIty of Yelm 2. Legal Description ( abbreviated: i.e. lot, block, plat or section, township, range) Lot #3, Short Plat #8080, as recorded under Thurston County AudItor's file #9303310157, Volume 26 Page 389 Assessor's Property Tax Parcel/Account Number 22719310404 UTILITY EASEMENT (INDIVIDUAL FORM) THIS INDENTURE, made tlus "3 day of Ju..II\"t2. , 20~, between F12eD (!). TftJ4r~ ' heremafter called the GRANTOR, and the ITY OF YELM, a MUIllcIpal CorporatIOn, heremafter called the GRANTEE, WITNESSETH. For valuable consIderatIOn, receIpt ofwluch IS hereby acknowledged, the Grantor hereby grants and conveys to the Grantee, ItS successors and assIgns, a PERPETUAL EASEMENT FOR 10' , over, under, upon, and through a portIOn of that certam real property SItuate and bemg m the County of Thurston, State ofWaslungton, more partIcularly described as follows, TO WIT PARCEL. Lot # 3, Short .Plat #8080, as recorded under Thurston County AudItor's file #9303310157, Volume 26 Page 389 PERMANENT EASEMENT. Said portIOn of the above-described parcel bemg described as follows. Startmg at a pomt 48 4' north of the southwest property comer extendmg along a centerlme at S 5023' 50" E to a pomt 74' north of the southeast property comer TOGETHER WITH the nght to enter upon, over and along Said real property, herembefore described, from tIme to tIme, to mspect, repair, or remove, saId waterlme The Grantor shall not place or construct a buildmg or other structure on the easement nght-of-way The permanent nghts herem granted to the Grantee shall contmue m force untIl such tIme as the Grantee, ItS successors or aSSIgns, shall permanently abandon the same and upon such removal or abandonment, all nghts hereby granted shall termmate. IN WI~ASS '^f~()F, thIS mstrument has been executed the day and year first ab. b~w Itfe. \ ) ~ STATE OF WASHINGTON ss COUNTY OF THURSTON I certify that I know or have satisfactory evidence that Frz~ Tt-tfti<.p (isj~) the person~) who appeared before me, and said person(s} acknowledged that (hejsftej~) signed this instrument, and acknowledged it to be (hisjfteiojtheir) free and voluntary act for the uses and purposes mentioned in the instrument. ...-c c:;s.!.---- day of ~;ll n l ,20.cD. ~ Jt:t!J;:ttAm;/2- Notary Public in an for the State of Wqshington, residing at ~_\'L...P t ,0 Given_1.J.Rder,wy hand and seal this -- "AE"" \\. ..,.- ~.. JVI /"'f! '" 't " ,.:' ~ ..... '. '11'_ I .:'~":'t ...~C:;S\ON ~{.. "YA 'I, "" "..~' I ""1A)-.-Y t 1 :' ~ o.\OTAAy ~ '. I. . 0 \" tf\ . I. . () -.-- en I. : ~ ~ ... PUSUC',: " ~', :,i;: , t. ~;;...~~19-()~ "'S:-' ! ',.~. ...... ....\c' \\\ OFWAS'0.'{\'_-~ \".. - My commission expires. (J 1'1 ID5 Accepted by the City ofYelm, Washington. this day of ,20_ BY Director of Public Works STATE OF WASHINGTON ss COUNTY OF THURSTON On this day and year above, personally appeared before me, , to me known to be the Public Works Director of City of Yelm, a Municipal Corporation, who executed the foregoing instrument and acknowledged the said instrument to be the free and voluntary act and deed of said Municipal Corporation for the uses and purposes therein mentioned and on oath states he is authorized to execute the said instrument. 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" , \. " <1( .- " .:~k ~ "''.- o CTr{ O}-;' Y f-iJ 7vf if\T~-p r.rTIOi"'-T TOr:.. - - ---' - - 'j ..; - - '-' - - .l 'i _ \..J PROJi:CT 1h/14fJ ;jMn~ Ip~7J ,J//)S 'P;"<<11 IJ- 4/ jJ~P<<<)r)Yl~ .,..,--" ,-'-' N-"" ,..,..,-.,.., ,... ;-.Y ;''111 I ! I U i\tl ~ ;"". '" - _.:.\..:..-.. - .'-_...'a. A T\D'Ll";::' ~ (' -~ ~.......~ S-r:-..-j. B A f""'k'-~ t l!.:_ .(':.,\..,.t~ Date= IJ /f) FOOTING o 12:: o 16:: o ~ther 1? b o required vents -.^ -- W:--..LL o 6;: o Zr: o 0 tb.~r iY/A-- Front --:::JO ...."')0 Rear ~~ Side/Flan k-Ti1g Side FO OTING REBj...R Date: 1Y.~L REBAR Date: Comments o COTvIBIf'{E]) :B'RA.lvlE/ EX~L~RIOR SHR.A.R W.4LL INSPECTION Hold dovlD.s 0 Shear Nailing 0 Frame 0 GasIProp2l2e 0 Plumb in c 0 Mechanical 0 .::;, Comments L"\{SD L4..TI 0 N. o Gas o Foarn and Seal o Elecu-1.c o Vapor barrler o other O P- - A v__ Co m.'"Il e Il ts SHEET RO C;KiS:2=.:EA..1( 'r-Y_:.\LL NAIL CGr-lr-,~~t5 0----.,.-, l ht..t< C~-_.- - , , ,-:.... "-' -. ,,- :1'\ ~.L o - ,,.: ::.. t -:: '- .;) - - ....- _'__ 1'-_ - r ';. I::' - L:~~~(~:~ - -~ 1-;' ." - ~ - - ., ~ :.:J~:.'- - 5:: : r --~- 0 w Name N E R Address Site Address p R 0 P E Subdivision R T Y OR Short Plat No, 8 Name N T R A Address ~ License No, R Description of Work Sq Ft per floor (1 st) Sewer City Water Heat' Electric ITEM Building Value Other WA ST. BC, Fee PAID MAY 1 5 2003 CITY OF YELM "r1 [) -; d2r:7 ~ Building perrilit N ~ 6 9 7 1 5/;~/tJ3 / , (Work must be started within 180 days) CITY OF YELM BUILDING DEPT. Phone. (360) 458-8407 Fax: (360) 458-3144 o Date City -"1'6 Phone ( State W Zip Code ? Lot Size (sq, ft./acres) Lot Block Block Contact Phone ( City State Zip Code Exp, Yeim Bus, Lic, No, OFFICIAL USE ONLY Permit Type: (2nd) Garage .3 (J2 ( Residential ~Sign Septic Approval No, Commercial Other_ Private Well Private System Gas Other BASIS FOR FEE FEE TOTAL FEE /~ (4,50 - New Const Only) Plan Check By Front to of Road Issued By Finallnsp -*-1 Owner L & I Form Minimum distance of structure from property lines: Side Side Rear Assessor Floor Plan and Permit Applicant's Affidavit' I certify that I have read and examined the information contained within the application and know the same to be true Submitted and correct I aiso 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. 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I I ,,~! ! : I ~.:::-,.;- iLl ' \ f\.J Iii \ i ! I ! I t=~le ~~. '~V ru' \;\Jf U , tJ j j I I I I I I I I I I~ o =:;~ - Gb ~O ~oT #.s TlilAll:e o \, t I :: 2,0 , ~~'i I i 1 I I I I I I I i I I \ I I \ I I <R4' I \ ! ~ I I I l; ...9 ~ ~ I I I I I I '\ I I I I I I I I ~ I I 7' . J (\^ " A . ~ . Ii ';';-, -~ f7 '^ ._. I -irv I. Ill-I. III 9f I t I I I I I I I I I I I I I \ F~~(j i~~,. -k... -I 4caJ ~'lul"'''~7"ta l fl20 v de,' D ;.: '~ ~ , 1 \ I 1 I I \ - I 3\ t)tHG"~ ~/D~ -\CJ~/...}ti4l< t&1 ) I I I I I I I I I I ! I Ii! i !! I I I I I ! I i I I ! i I J ! I I i Ii! I 1 I , I I ^>>Thl' l4="n g.,r-.cIUeA-oq' Fi.NrQ E',(lIs"! ot.--J,..k-- . \ j \ \ 11 ~~~ ~/4> \H~ce I Lb,\,w4 '1"10 I-,-~~ I I ! I ! Iii II. ~L-ru A.f Ilffl~ ~".,iG" tTi:.4.1 I ! I j ! I I ! I r" r t I . t r, I ! Cl~hLlk\t4"" k ! +1\1 -*r'~K:\-1 },t,,~ ,I thFi B\Al1l,1 I ~i\d i. ! ,h"hrl! i,.)" i1('\"" L.~O h-l"..: -.:.W! l~./~.!k~... ! 1tl rl LC.L i\- : a.",Ij . -tr-,[ ~-t I <i,.1,!-" 1,'If -~ J .lln. I, 1 pi Sj,d63 ' l< I I , ! I I I 1-/ ~ lft> Pf2ElJ TH II fl-f ),_---43' ?::eJLc yo l~ c; t=- YE'L#1./ ~J,1- .., €?~e) 7- C~iCO) ~-~8 -?4b ~E CITY OF YELM r C E J V E C RESIDENTIAL BUILDING PERMIT APPLICATION FORM M Project Address 2ct::J f3t.aJ<: e>i= J2u,llkc.J' Parcel #' Z"2. -=tllj "S J D4-o4~Y 01 2003 AVe p \V Subdivision: sr 8080 Lot # :-, Zoning; C - t o or1\Tew Construction 0 Re-Modell Re-Roof / Addition 0 Home Occupation Sign o Plumbing 0 Mechanical 0 Mobile / Manufactured Home Placement 0 Other Project Description/Scope of Work: LOI1.J'5TJ2L-lL I ~.v"et Ie' ~ .$"{o......""";LL Project Value' 1t3 S/C>cJ 0 1"\~iAL 7>0 I € c:; -h'2.(..l(. +...,vt.1.3' Building Area (sq ft) 1st Floor 3024:. 2nd Floor Garage Deck Basement Carport Patio # Bedroo~sQ # Bathrooms~ Heating' GAS/OTHER or ELECTRIC (Circle One) Are there any environmentally sensitive areas located on the parcel? ;t.} CJ If yes, a completed environmental checklist must accompany permit application. ? fL:C, - Z<(-hS- b\RQHITECTlt=NGI~H::ER ~ t>.M 1-;- LICENSE # ADDRESS CITY STATE ZIP TELEPHONE GENERA,LCQNTRAcTOR C4.JJ Uce ('2 TELEPHONE ADDRESS CITY STATE ZIP FAX CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE # PLUMBING. CONTRACTOR TELEPHONE ADDRESS CITY STATE ZIP FAX CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE # MECHANICAL CONT.RACTOR TELEPHONE ADDRESS CITY STATE ZIP FAX CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE # -1J/A Copy of mitigati n agreement with Yel~ Community Schools, if applicable I hereby certif hat the ab e in ormation Is correct and that the construction on, and the occupancy and the use of the above scribed pr erty ill be in accordance with the laws, rules and regulations of the State of Washington d City Yelm nat r. ontractor / Owner's Agent / Contractor's Agent 413b/~~ Date I (Please circle one.) All permits are non-transferable and will expire if work authorized by such permit is not begun within 180 days of issuance, or if work is suspended or abandoned for a period of 160 days C:i.C:OH1n1Ul11ly Dc\"cloprncl1\'Fonns & i'roccdurcs\lluilding Pcrmils',l(csHlJgPcrmiIJ\pp doc Page. 2. nl' \