20170150 Permit Pkg 03282017City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: CLINT & CHRISTI FOLK
Address: 1108 RHOTON CT NW
YELM WA 98597
Property Information:
Site Address: 1108 RHOTON CT NW
Assessor Parcel No.:
Contractor Information:
Name: CLINT & CHRISTI FOLK
Address:
1108 RHOTON CT NW
YELM WA 98597
Contractor License No.:
Project Information:
Project: ROOF
Description of Work: REROOF
Sq. Ft. per floor:
First
Second
Third
Garage
Basement
Fees:
Item
ROOF
Permit No.: 20170150
Issue Date: 3/28/2017
(Work must be completed within 180 days)
Phone: 253 - 341 -7681
Owner: CLINT FOLK
Subdivision: Lot:
Phone:
Expires: 0 /00 /0000
Heat Type (Electric, Gas, Other):
Contractor
CLINT & CHRISTI FOLK
TOTAL FEES:
Applicant's Affidavit:
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 X record. If applying as a contractor, I further certify that I am currently
registered in tVe of shington.
Signature Date 3- C —/
—
Firm ✓PL PIfd )eO ,,.F
S ervicP s
Fees
$ 25.00
$ 25.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
7
WA
1IL12 ku
BUILDING PERMIT APPLICATION -20l?0 156
❑ New Construction (SFR) ❑ Remodel
❑ Mechanical
❑ New Construction (Duplex) ❑ Addition
❑ Commercial
❑ New Construction (Multi - family) &Reroof
❑ Tenant Improvement
❑ Manufactured Home Placement ❑ Plumbing
❑ Fire Permit
Property Address: 100 / A,� 7Dn C }
Tax parcel number: Subdivision:
Lot No.:
Project Description /Scope of Work: ear o F� Je coo
Project Value: f(;,700 Heat Source: ❑ Gas
❑ Electric ❑ Solar
Plan No.: Bedrooms: Baths:
Area 1St Floor: 2nd Floor:
3rd Floor:
Garage: Basement:
Carport:
Covered Patio:
Front Porch:
Applicant: lofe Fe`f_-P 4 t &F Ser1fle eJ Owner:
Address: 1gMX Aoc; -�, c 14Ve S Address:
� CIO Ma
Telephone: �S3- Telephone:
Email: Con +ac 4 efefu re J lewa . eo 1,q Email:
Architect /Designer: General:
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.