20170260 Permit Pkg 07192017City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458-3144
Applicant:
Name: ANNA BYRD
Address: P.O. BOX 1006
RAINIER WA 98576
Property Information:
Site Address: 1(1711 VON NC)RHC)P RT RF
Assessor Parcel No.: 81580001500 Subdivision:
Contractor Information:
Name: ANNA BYRD
Address:
P.O. BOX 1006
RAINIER WA 98576
Contractor License No.:
Permit No.: 201 70260
Issue Date: 7/19/2017
(Work must be completed within 180 days)
Phone:
Owner: ANNA BYRD
Phone:
Expires: 0 /00 /0000
Project Information:
Project: COMMERCIAL REMODEL
Description of Work: ENCLOSE COVERED PORCH. UNHEATED.
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
BUILDING
Contractor
ANNA BYRD
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 th State of Washingtef
Signature2i2? Date
Firm
Lot:
Fees
$ 38.75
$ 38.75
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
(66)"Ye
458-32lp 44
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OPEp. CO 5814 7/19
REF�p:; TERM. 041 /2p17 1CI:
PA 1[/ 8Y; ANNA 33 AM
ACC1 #; XXXX
AUrH a. XXXXXxxxx
IRAN . 403144 xxxxxx
TYPE; PURCHASE 001095
rRAPI;
;'o 170256 0256 BUILDING Pf
8YRD 38, 75 RMI r.s
BLDG
1U713 VAN NA
NaRNOP Sr SE
1 f NDERED. 38, 7f CR
APPLIED; 38.75
38 tREDIr
ChMar; ' — �- 75_ CARD
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HN. ,
C.,leCtri ea.G
BUILDING PERMIT APPLICATION ovn 0 ZCvo
❑ New Construction (SFR)
❑ Remodel
❑ Mechanical
❑ New Construction (Duplex)
❑ Addition
❑ Commercial
❑ New Construction (Multi - family)
❑ Reroof
❑ Tenant Improvement
❑ Manufactured Home Placement
❑ Plumbing
❑ Fire Permit
Property Address: is 7�3 �/ ��
rvc; h ��, 5t y�� �4? Pnj
tV 9 85 V
Tax parcel number: 5/5 9,6 co 5
�� Subdivision:
Lot No.:
Project Description /Scope of Work: QKC40 5*?d CcOere w 4f1 -A
��
rn34 cCl,d e ,4(-2eJne-aLL h�lrz�•��C�f�. :f,C�.t
Project Value:
Heat Source: []Gas
❑ Electric ❑ Solar
Plan No.: Bedrooms:
Baths:
Area 1s' Floor:
2nd Floor:
3rd Floor:
Garage:
Basement:
Carport:
Covered Patio:
Front Porch:
Applicant: AAn6, Byrd
Owner:
Address: Po 13ex 1004
Address:
la-in i r t) a. 9 X65
24
Telephone: ?10 0C'''`41
Telephone:
Email:
Email:
Architect /Designer:
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.