20170294 Permit Pkg 08222017t
City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: SUBWAY
Address: 17100 SR 507 SE
YELM WA 98597
Property Information:
Site Address: 17100 SR 507 SE
Assessor Parcel No.: 64303101001
Contractor Information:
Name: SUBWAY
Address:
17100 SR 507 SE
YELM WA 98597
Contractor License No.:
Project Information:
Project: COMMERCIAL REMODEL
Description of Work: TENANT IMPROVEMENT
Sq. Ft. per floor: First
Second
Third
Garage
Basement
Fees:
Item
BUILDING
Contractor
SUBWAY
Permit No.: 20170294
Issue Date: 8/22/2017
(Work must be completed within 180 days)
Phone:
Owner: SUBWAY
Subdivision: Lot:
Phone:
Expires: 0 /00 /0000
Heat Type (Electric, Gas, Other):
Fees
$ 441.56
TOTAL FEES: $ 441.56
Applicant's Affidavit:
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 recor . If applying as a contractor, I further certify that I am currently
registered in the State of Washington.
Signature z Date
Firm
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
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REFS
pAID by :
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5j2j2017 10:21 AM
001
BUJILOG 1
441.51 CR
5R 501 SE
41.5f CR
441,56
1 E.NDERED : 441.56 -
FPPLIED
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BUILDING PERMIT APPLICATION
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❑ 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: 1-7 100 SR, 50% 5C.
` Elan, WA qg#A- 7
Tax parcel number: (43 -03- j01- 00 ( Subdivision:
Lot No. d3l i rn S Space, -C-5l d G 0a J rn?,r +
Project Description /Scope of Work: TP+'lan'i- r��xovu�`�^ fed Wal (Covcr� s/
-amb(e-j r7.l�a,�,� epw� p►" - +.
Project Value: L4C 000 4r. -T i , Heat Source:
❑ Gas ❑ Electric ❑ Solar
Plan No.: Bedrooms: Baths:
Area 1st Floor: 2nd Floor:
3rd Floor:
Garage: Basement:
Carport:
Covered Patio:
Front Porch:
Applicant: dr-rr M (CXf'12. Owner:
Address: 2024 r7O`* 4ve, U) . Address:
[yin i ve,r5 lac x-, OP
qeq&(,
Telephone: Z53 -2_7_Z -6332- Telephone:
Email: �a+5u-�a01 -cC' ►"1 Email:
Architect /Designer: , 00W ___'l s ti it General:
eDav j 7IA ca i �Drth',5,
Address: a''}r"�"�- License No.:
Dan Fa 1,-'5 1-0-r
(4Orm5C 107-7n VJ
Telephone: -otm -$88- `t'84g 4- Telephone:
I y14
31,0 _;173 -5gg7�
Email: Email:
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Plumber: Nwubla kid Mechanical:
a
W'( rra�4 .- alret done,
oj (o
Email: ��Coku.rnrp QO( `j Email:
License No.. C n}PaVine,08o1.60r1 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.
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