20170160 Permit Pkg 03312017City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: JOE STANDLEY
Address: 10627 11TH AVE CT S
TACOMA WA 98444
Property Information:
Site Address: An,2 WGCT L?Il tUG
Assessor Parcel No.: 64303601501
Contractor Information:
Name: JOE STANDLEY
Address:
10627 11 TH AVE CT S
TACOMA WA 98444
Contractor License No.:
Project Information:
Project: LAND SITE PLAN REVIEW
Description of Work:
Sq. Ft. per floor: First
Second
Third
Garage
Basement
Fees:
Item
SITE
Permit No.: 20170160
Issue Date: 3131/2017
(Work must be completed within 180 days)
Phone:
Owner: JOE STANDLEY
Subdivision:
Phone:
Expires: 0 /00 /0000
Heat Type (Electric, Gas, Other):
Contractor
JOE STANDLEY
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. 1 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 contractor, I further certify that I am currently
registered in the State of Washington.
Signature ; C,fe �(i1�[? Date �— 31—/ 77
J
Firm
Lot:
Fees
$ 250.00
$ 250.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Cit �, �f 8e1m44
(36�i
RECD': 00264058
3/31/2017 4..15 PM
OPEF' : AS TERM. 001
REF # -: 1365
PAID BY: JOE STANDLEY
TRAM : 33.0000 BUILD 250 0(CR 1'
x`.0170160
STANDLEY, JOE
402 WEST RD NE250.0(CR
SITE
1E.NOERED: 250.00 (NECK
F,F'PLIED :
250.00 -
CHANGE