20170234 Permit Pkg 07172017CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: 9405 Prairie Wind St SE Parcel #:
Subdivision: Coles Landing Lot #: 4 Plan #: 1922 Zoning:
,Z' New Construction ❑ Re -Model / Re -Roof / Addition ❑ Home Occupation Sign
❑ Plumbing ❑ Mechanical ❑ Mobile / Manufactured Home Placement ❑ Other
Project Description /Scope of Work: Construct SFR
Project Value: $125,000
Building Area (sq. ft) 1St Floor 814 2 "d Floor 1108 3`d Floor Garage -2 car 486 3 car_
Covered Patio Covered Porch 40 Patio 80 Deck
# Bedrooms 4 # Bathrooms 2.5 Heating: GAS OTHER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? No
If yes, a completed environmental checklist must accompany permit application.
E ��ti��[�L:Mountain Terrace Builders
ADDRESS 301 E Yelm Ave STE 100 EMAIL MTBpurchasinq ,gmail.com
CITY Yelm STATE WA ZIP 98597 TELEPHONE 360.458.1502
�, � Level Design LICENSE #
ADDRESS 611 Yakima Ave EMAIL
CITY Tacoma STATE WA ZIP 98405 TELEPHONE
,.���� SAME AS BUILDING OWNER TELEPHONE
ADDRESS -EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # MOUTATB89OBS EXP DATE 3 /19CITY LICENSE # 603.264.062
� ELEPHONE 253.405.2499
ADDRESS 17909 Kismet Lane SE EMAIL
CITY Yelm STATE WA ZIP 98597 FAX
CONTRACTOR'S LICENSE # JRSPLI *975D5 EXP DATE3/19CITY LICENSE # 602.264.092
Mu(pPremier ContractingTELEPHONE 253.536.3357
ADDRESS 1201 E Yelm Ave STE 400 EMAIL
CITY Yelm STATE WA ZIP 98597 FAX
CONTRACTOR'S LICENSE # PREMIGC884RJ EXP DATE12 /18CITY LICENSE # 603.257.522
Copy of mitigation agreement with Yelm Community Schools, if applicable.
I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the
above described property will be in accordance with the laws, rules and regulations of the State of Washington and the
City of Yelm. p
p icant's Signature Date
er / Contractor / Owner's Agent / Contractor's Agent (Please circle one.)
All permits are non - transferable and will expire if work authorized by such permit is not begun
within 180 days of issuance, or if work is suspended or abandoned for a period of 180 days
105 Yelm Avenue West (360) 458 -3835
Yelm, WA 98597 (360) 458 -3144 FAX
www.ci.yelm.wa.us
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APPROVED I FOR SEWER
By Randy at 2:00 pm, Jun 29, 2017
WITH REVISIONS
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nin. setback between sidewalks,
veways, easements & STEP
iks w /5' min. from property lines,
use & porch foundation & 2' min.
m utility easements.
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