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20170149 Permit Pkg 03272017City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458-3144 Applicant: Name: GRAY CUBE, LLC Address: 14438 99TH AVE SE YELM WA 98597 Property Information: Site Address: 14438 99TH AVE SE Permit No.: 20170149 Issue Date: 3127/2017 (Work must be completed within 180 days) Phone: 509 - 899 -7551 Owner: Assessor Parcel No.: 78640118700 Subdivision: TAHOMA TERRA Lot: 187 Contractor Information: Name: GRAY CUBE, LLC Address: 14438 99TH AVE SE YELM WA 98597 Contractor License No.: Expires Phone: 0 /00 /0000 Project Information: Project: HOME OCCUPATION PERMIT Description of Work: HOME BASED SOFTWARE CONSULTING ORGANIZATION. WORK WILL BE CONDUCTED AT CLIENTS SITES OR VIA REMOT DESKTOP Sq. Ft. per floor: First Heat Type (Electric, Gas, Other): Second Third Garage Basement Fees: Item Contractor HOME OCCUPATON PERMIT GRAY CUBE, 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 including those governing zoning and land subdivision, and in addition, all covenants, easements and restrictions of record. If applying as a co tractor, I further certify that I am currently registered in the State of Washin Signature 7 Date 3 L Firm Fees $ 125.00 $ 125.00 OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: City of Yelm PERMIT APPLICATION YELM WASHINGTON ZOI-70 IyQ Ministerial Permits Administrative Permits Q Quasi - judicial Permits ❑ Ministerial Site Plan Review ❑ Administrative Site Plan Review ❑ Binding Site Plan ❑ Boundary Line Adjustment ❑ Administrative Subdivision ❑ ❑ Planned Residential Dev. fry Home Occupation ❑ Administrative Variance ❑ ❑ Mixed Use Development ❑ Short Subdivision ❑ ❑ Variance ❑ Critical Area Exception �3�sin�ss RaMe = 4aA� e-Vi3� LLC_ ❑ ❑ Subdivision Description of proposed development: NoME - CiAStb 50 F-rLJA4?_1E CoNSVL, -Tl t t.wdLt_ Q 4_0 n14 UC -7tW A-c LLltr`nJ-t SIZES o/Z V IA rCtti`.oTc 40&c541_far Applicant: 0h%1#o - f4o9jvTvJ Owner: O OA -Jtn - rHoj&7o,� Address: lye -1,33 q`t +t.` Avc Address: i i4 ,t3 f3 `t1 +1^ Avt sU" `I 6L e^ j &_J A 41 if 5-01 ` `I tZ M , ✓ A Ol ff s-1-4 Telephone: (Sylq 8.19 - 3s'S 1 Telephone: C CzoJ) 55--?- - 34oZ Email: d�,,y„`+ 2vo� ®4,,,�,; I. �vn Email: d dau 'J t ® nro.vcubc , +«k Representative: QAVin -rH *An!"lo,.J Mailing Address: 14-138 9`l�'1^ Av6 St Telephone: ( 208) S9- 34 o-t Email: Property Address: Ili y,38 911 'IN AvE 5� Legal Description: Tax parcel number: Size of site: Number of Lots: Gross Floor Area: ---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. City► of Mm (36 1) 458 -3244 RECA': 00263834 3/27/2017 10 :18 AM OPER: CO TERM: 001 REF #: PAID BY: ACC1 #: XXXXXXXXXXXXXXXXXXX AUTH #: 628662 TRAN #: 000000004753 TYPE:: PURCHASE TRAM: 30.0000 BUSINESS LICENSE SOFTWATE CONSULTING BUSINESS LICENSES & 35.000R TRAM: 33.0000 BUILDING PERMITS 20170149 125.0(CR GRAY CUBE, LLC 14438 99TH AVE SE [10 125.00 CR TENDERED: 160.00 CREDIT CARD APPLIED: 160.00- CHANGE: 0.00