20170184 Permit Pkg 05152017City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458-3144
Applicant:
Name: NORTHWEST FAMILY HOMES
Address: PO BOX 39
EAST OLYMPIA WA 98540
Property Information:
Site Address: 10750 PALISADES ST SE
Assessor Parcel No.: 67110001400 Subdivision:
Contractor Information:
Name: NORTHWEST FAMILY HOMES
Address:
PO BOX 39
EAST OLYMPIA WA 98540
Contractor License No.: NORTHFH954BE
Project Information:
Project: NEW RESIDENTIAL BUILDING
Description of Work: LOT 14, PLAN 2652
Permit No.: 20170184
Issue Date: 5115/2017
(Work must be completed within 180 days)
Phone: 360- 791 -5644
Owner: NORTHWEST FAMILY HOMES
PALISADES WEST Lot: 14
Expires
Phone:
1/05/2017
Sq. Ft. per floor:
Heat Type (Electric, Gas, Other)
First
2316
Second
336
Third
Garage
570
Basement
Fees:
Item
Contractor
NEW RESIDENTIAL BUILDING
NORTHWEST FAMILY HOMES
MECHANICAL
SUNSET AIR INC
PLUMBING
ACME PLUMBING
TOTAL FEES:
GAS
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 S!.9ite of ashin to�/ n.
Signature 6 V Date S =�f / 7
IV
Firm Ahv, 4 c,,Ie /r R7 941 t 7
Fees
$23,016.78
$ 78.25
$ 118.00
$ 23,213.03
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
Cite of Mm
(36 1) 458 -3244
RECD: 00269416
OPEF: AS TERM:
REFA: 1665
PAIL BY: NORTHWEST
5/15/2017
001
FAMILY H(MES
:32 PM
TRAN: 33.0000
BUILDING PERMII3
20170184
23,213.0:CR
NORTHWEST
FAMILY HOPES
10750 PALISADES
ST E
BLD -RES1
23,016.7ECR
MECH
78.24CR
F'L
118.0(CR
1E:NDERED: 23,213.03 (HECK
APPLIED: 23,213.03-
CHANGE: 0.00