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20170198 Permit Pkg 05242017
City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Applicant: Name: VERNON SCHICK Address: 1102 QUEENSVIEW CT NW YELM WA 98597 Property Information: Site Address: 1102 QUEENSVIEW CT NW Assessor Parcel No.: Subdivision: Contractor Information: Name: VERNON SCHICK Address: 1102 QUEENSVIEW CT NW YELM WA 98597 Contractor License No.: Project Information: Project: ROOF Description of Work: REPLACE ROOF Expires: Permit No.: 20170198 Issue Date: 5/24/2017 (Work must be completed within 180 days) Phone: Owner: VERNON SCHICK Phone: 0 /00 /0000 Sq. Ft. per floor: First Heat Type (Electric, Gas, Other): Second Third Garage Basement Fees: Item ROOF Contractor VERNON SCHICK TOTAL FEES: Applicant's Affidavit: I I certify that I have read nd xamined the information contained within the application and know the same to be true and correc als certify that the proposed structure is in conformity with all applicable City of Yelm regulations in udin those governing zoning and subdivision, and in addition, all covenants, easements and re tricti s of record. If applyin as a o [ractor, I further certify that I am currently registered in the tat of Washington. Signature Firm Lot: Fees $ 25.00 $ 25.00 OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: 0 ASHI BUILDING PERMIT APPLICATION '174al)n /46 ❑ New Construction (SFR) ❑ Remodel ❑ Mechanical ❑ New Construction (Duplex) ❑ Addition ❑ Commercial ❑ New Construction (Multi - family) 0- ,Reroof ❑ Tenant Improvement ❑ Manufactured Home Placement ❑ Plumbing ❑ Fire Permit Property Address: k � b2 C�t- NQw-,3 Tax parcel number: Subdivision: Lot No.: Project Description /Scope of Work: Project Value: Heat Source: Gas I4 Electric ❑ Solar Plan No.: Bedrooms: Baths: Area 1st Floor: 2nd Floor: 3rd Floor: Garage: Basement: Carport: Covered Patio: Front Porch: Applicant: `% I-Ac>.A Owner: Address: � � ©J_ 1 CfI5,� %T Address: M t4. Telephone: 'Z53– 4 -31 - -70 ��j Telephone: 'LS3 ° 4r3 _ " Ca5 �3 Email: ?,,ZCc: siVe -Z 7-Z Cr� Email: Architect /Designer: t,& 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. r1' .MEN �tl? es O �l u a. rn O O N V CA r— Ltd O Cr "- P- CD O O r-- if N O ow as OQ -p} as # Q # p UU Co W H s O cc a cn � CC CL" LU 0- O Z O _ O Z N U CA ti Z 3 N CD L�u S W Us as Z W W C U C3 CD 03 a N O x120 M C/ 0 LL- CD N O Z Cr Q Y U W S U O c:s 00 N N W p C i LU w ps z 0- W- Cl Q O O O W z Q S CO)