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:
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Applicant: 0h%1#o - f4o9jvTvJ Owner: O
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Address: lye -1,33 q`t +t.` Avc Address: i
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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