20170314 Permit Pkg 09152017City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: AQUATIC CO.
Address: 665 INDUSTRIAL RD
SAVANNAH TN 38372
Property Information:
Site Address: Rf11 NP Pn NW
Assessor Parcel No.: 99001924600 Subdivision:
Contractor Information:
Name: AQUATIC CO.
Address:
665 INDUSTRIAL RD
SAVANNAH TN 38372
Contractor License No.:
Permit No.: 20170314
Issue Date: 9/15/2017
(Work must be completed within 180 days)
Phone: 458 -3900 x
Owner:
Phone:
Expires: 0 /00 /0000
Project Information:
Project: LAND SEPA DETERMINATION
Description of Work: AQUATIC CO PRODUCTION LINE EXPANSION
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
ENVIRONMENTAL
Contractor
AQUATIC CO.
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 Washington.
r"
Signature p /' r �,(�`� /( Date V /
Firm
Lot:
Fees
$ 150.00
$ 150.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
City of Mi
(36 ) 458 -3244
REC #: 00281647 9/15/2017 12 :19 PM
OPER: ASHCO TERM: 007
REF #: 1177192
PAID BY:
TRAM: 1.0000 COUNTER PAYMENT
06-0830 -00 AQUATIC CO.
PAYMENT ON ACCOUNT 856.37CR
*PAID IN FULL*
TRAN: 1.0000 COUNTER PAYMENT
06- 0640 -00 AQUATIC CO.
PAYMENT ON ACCOUNT 83.80CR
*PAID IN FULL*
TRAN: 1.0000 COUNTER PAYMENT
06- 0850 -00 AQUATIC CO.
PAYMENT ON ACCOUNT 381.12CR
*PAID IN FULL*
TRAN: 33.0000 BUILDING PERMITS
20170314 150,GOCR
AQUATIC CO.
801 NP RD NW
ENV 150,00CR
TENDERED: 1,471,29 CHECK
APPLIED: 1,471,29- -
CHANGE : __ -0.00