20170178 Permit Pkg 05012017City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458 -3144
Applicant:
Name: YELM TRAVEL
Address: 10501 CREEK STREET
YELM WA 98597
Property Information:
Site Address: 10501 CREEK ST SE
Assessor Parcel No.: 69280000100
Contractor Information:
Name: YELM TRAVEL
Address:
10501 CREEK STREET
YELM WA 98597
Contractor License No.:
Project Information:
Project: COMMERCIAL REMODEL
Description of Work:
Sq. Ft. per floor:
First
Second
Third
Garage
Basement
Fees:
Item
BUILDING
Permit No.: 20170178
Issue Date: 5/01/2017
(Work must be completed within 180 days)
Phone:
Owner: TYPE CURRENT OWNER
NAME
Subdivision: PRAIRIE PLAZA Lot:
Phone:
Expires: 0 /00 /0000
Heat Type (Electric, Gas, Other):
Contractor
YELM TRAVEL
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 contractor, I further certify that I am currently
registered in the State of W ngto .
Signature G=am Date
Firm
Fees
$ 160.46
$ 160.46
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
VJ
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BUILDING PERMIT APPLICATION
❑ New Construction (SFR) ff- Remodel
❑ Mechanical
❑ New Construction (Duplex) ❑ Addition
Commercial
❑ New Construction (Multi - family) ❑ Reroof
❑ Tenant Improvement
❑ Manufactured Home Placement ❑ Plumbing
❑ Fire Permit
D 3re-1—
Property Address:
Tax parcel number: Subdivision:
Lot No.:
Project Description /Scope of Work:
Project Value: P16ex-) Heat Source: ❑ Gas
❑ Electric ❑ Solar
Plan No.: Bedrooms: o/ Baths: t\ -�
,�
Area 1" Floor: 2nd Floor:
3rd Floor:
Garage: Basement:
Carport:
Covered Patio:
Front Porch:
Applicant: ��� -�C. Owner:
Address: (901� Q yam,,,,,` 14�\I'f_ Address:
Telephone: �j(w) l �� ^`��o- Telephone:
Email: � �`AA ��'�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.
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