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20170230 Permit Pkg 07112017City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Applicant: Name: MT RAINIER PROPERTIES Address: 9144 BURNETT ROAD SE YELM WA 98597 Property Information: Site Address: 9144 BURNETT RD SE B4 Assessor Parcel No.: 21713340601 Subdivision Contractor Information: Name: MT RAINIER PROPERTIES Address: 9144 BURNETT ROAD SE YELM WA 98597 Contractor License No.: N/A Permit No.: 20170230 Issue Date: 7/11/2017 (Work must be completed within 180 days) Phone: 302 - 332 -6389 Owner: TYPE CURRENT OWNER NAME Phone: Expires: 0 /00 /0000 Lot: Project Information: Project: MECHANICAL Description of Work: TAKE DOWN AND RE- INSTALL EXISTING HOOD. REPLACE EXACTLY AS IT WAS. Sq. Ft. per floor: First Heat Type (Electric, Gas, Other): Second Third Garage Basement Fees: Item MECHANICAL Contractor MT RAINIER PROPERTIES 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 c , ractor, I further certify that I am currently registered in t_ of Washington. ' Signature Date Firm Fees $ 29.50 $ 29.50 OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: City' of Yeli (36 )) 458-3244 RECAP: 00274555 711112077 17:55 AM OPEF: Co TERM: o0l REFh: PAID BY: DON TRAM: 33.0000 BUILDING PERMITS 20170230 29 5(CR MT RAINIER PROPERlItS NECH 9744 BURNETT RD SE 84 &5(CR TENDERED: 100.00 (ASH APPLIED: 29,50- CHANGE: 70,50 M -.14111w, . I K ■ 1ASHINGTON BUILDING PERMIT APPLICATION 9-01-70 Z!>0 ❑ New Construction (SFR) ❑ Remodel 0 Mechanical ❑ New Construction (Duplex) ❑ Addition ❑ Commercial ❑ New Construction (Multi - family) ❑ Reroof ❑ Tenant Improvement ❑ Manufactured Home Placement ❑ Plumbing ❑ Fire Permit Property Address: 9144 Burnett Rd SE Tax parcel number: Subdivision: Lot No.: f / 4s> ; Project Description /Scope of Work: Take down and re- install existing hood Project Value: $ 6,000.00 Heat Source: ❑ Gas ❑ Electric ❑ Solar Plan No.: Bedrooms: Baths: Area 1St Floor: 2nd Floor: 3rd Floor: Garage: Basement: Carport: Covered Patio: Front Porch: Applicant: Interstate Industries Inc. Owner: Address: Address: 329 s wells ave Renton Wa 98057 Telephone: 206- 851 -8112 © Telephone: Email: jh.interstate @gmail.com 0 E r i t-g " - -� `,rti -f v Architect /Designer: General: A rc%v ., j Address: Telephone: License No.: �.�+ Telephone: --°- Email: Emai : Plumber: Mechanical: Ice Ic 21 17M Email: Email: License No.: License No.: BY :____________________ 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.