20170188 Permit Pkg 06052017City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: RUTH GARDNER
Address: 9003 MOUNTAIN VIEW RD S
YELM WA 98597
Property Information:
Site Address: 9003 MTN VIEW RD SE
Assessor Parcel No.:
Contractor Information:
Name: KLIEMANN BROS.
Address:
4703 116TH ST. E
TACOMA WA 98446
Contractor License No.: 10407
Project Information:
Project: MECHANICAL
Description of Work: REPLACE HEAT PUMP
Sq. Ft. per floor:
First
Second
Third
Garage
Basement
Fees:
Item
MECHANICAL
Subdivision:
Permit No.: 201 70188
Issue Date: 6/01/2017
(Work must be completed within 180 days)
Phone:
Owner: RUTH GARDNER
Phone:
Expires: 12/31/2015
Heat Type (Electric, Gas, Other):
Contractor
KLIEMANN BROS.
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 ngton.
Signature Date J f
Firm IG Ic P� d-�✓ n S
Lot:
Fees
$ 29.50
$ 29.50
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By: