20170304 Application 09052017CITY OF YELM
COMMERCIAL BUILDING PERMIT APPLICATION FORM
Project Address: Sol mo¢..'CH ;2N Pactt -,c- Rp S6 Parcel #:
Zoning;
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Current Use: 9010 Proposed Use: (Z k S5 w
❑New Construt' n EIRe -Modeant Improvement ❑Plu mbing Mechanical uppresslAlarm Other
Project Description/Scope of Work: y45, rgC,rTN
Project Value: _ 1 7 OdO-
Building Area (sq. ft) Parking Garage 15t Floor — 2nd Floor g 3`d Floor N rr
Building Height 23 ►c-(•
Are there any environmentally sensitive areas located on the parcel? �/ /4 If yes, a
completed environmental checklist must accompany permit application.
BUILDING OWNERILENANT NAME: Aaok -ft G.
ADDRESS &it Noa yytRN Pk%t;%c- (zD SE EMAIL
CITY YEc,wc- STATE 1AA ZIP `459 -?- TELEPHONE - --
ARGHIT,ECT/E- MlNEER LICENSE #
ADDRESS A-1) j4 EMAIL A/ /,n
CITY *14 STATE N ✓a- ZIP &JK TELEPHONE 441,4-
GENEFIJkL,1GnNTRACTOR Patriot Fire Protection, Inc. TELEPHONE 253 926 -2290
ADDRESS 2707 70th Ave. E. EMAIL j6 Aoi o�
CITY Tacoma STATE WA ZIP 98424 FAX
CONTRACTOR'S LICENSE # PATRIFPD99CF EXP DATEo- 5- toCITY LICENSE #
PLUMBING CONTRACTOR_ .v�r1A TELEPHONE ,✓ /,s
ADDRESS EMAIL v}
CITY STATE yJA ZIP A,/,% FAX v/4
CONTRACTOR'S LICENSE # 4✓r EXP DATE CITY LICENSE #_ / /q-
MECHANICALWNTRACTO.R A4A TELEPHONE 4A
ADDRESS AIJ A EMAIL uld
CITY )VIA- STATE d4 ZIP A# FAX NIA
CONTRACTORS LICENSE # do- EXP DATE=CITY LICENSE # A)
Copy of City Mitigation documentation JFC).
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 Yel
p licant's Signature Date
Owner/ Contractor / Owner's Agent/ Contractor's Agent/ Tenant (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
_.' j 2Q11
105 Yelm Avenue West (360) 458
PO Box 479
(360) 458 ��! "
Yelm, WA 98597 www.ci.yelm.wn.us