20170349 Permit Pkg 11022017City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: SAC WIRELESS
Address: 1037 THOMAS AV SW
RENTON WA 98057
Property Information:
Site Address: 1A99n PAii WAY Pn -cu=
Assessor Parcel No.: 64300700600 Subdivision:
Contractor Information:
Permit No.: 20170349
Issue Date: 11/02/2017
(Work must be completed within 180 days)
Phone: 425 - 985 -5753
Owner: T- MOBILE
Name: SAC WIRELESS Phone:
Address:
1037 THOMAS AV SW
RENTON WA 98057
Contractor License No.: Expires
Lot:
Project Information:
Project: LAND SITE PLAN REVIEW
Description of Work: T- MOBILE PROPOSES TO ADD A NEW POWERGEN 7500 APU GENERATOR AND NEW 120
GALLON PROPANE FUEL TANK TO AN EXISTING T- MOBILE CELL SITE.
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SITE
Contractor
SAC WIRELESS
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 aqd re trictions of record. If applying as a contractor, I further certify that I am currently
registered in tie r. of Wa hington. _ A
Signature
Firm
Fees
$ 250.00
$ 250.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
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