20180100 Permit Pkg 01082018 WoF THE o4, City of Yelm Permit No.: 20180100
rCommunity Development Department Issue Date: 1/08/2018
(Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
L
Fax: (360)458-3144
Applicant:
Name: FRANKIE JR. DAVIS Phone: 360-280-1860
Address: 9707 36TH CT. SE
LACEY WA 98513
Property Information:
Site Address: 15728 92ND WAY SE Owner: FRANKIE DAVIS JR
Assessor Parcel No.: 55360002700 Subdivision: Lot:
Contractor Information:
Name: FRANKIE JR. DAVIS Phone:
Address:
9707 36TH CT. SE
LACEY WA 98513
Contractor License No.: Expires: 0/00/0000
Project Information:
Project: ROOF
Description of Work: REROOF
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
ROOF FRANKIE JR. DAVIS $ 25.00
TOTAL FEES: $ 25.00
Applicant's Affidavit: OFFICIAL USE ONLY
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 #Sets of Prints:
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 Final Inspection:
registered in the Bt to of Washington.
Signature j Date /047 ::te
:
.
Firm
Cite of Yell
(36.1 458-3244
RECD : 00292990 1/08/2018 9:05 AM
OPER: CO TERM: 001
REFS:
PAID BY:
ACCT #: XXXXXXXXXXXXXXXXXXX
AUTH #: 090554
TRAM #: 000000002937
TYPE : PURCHASE
IRAN: 30.0000 BUSINESS L'CECE
ELITE ROOFING ;� OOCR
BUSINESS LICENSES &
IRAN: 33.0000 BUILDING
20180100
CR
DAVIS, FRANKIE JR.
15728 92ND WAY SE
ROOF 25.0(CR
1E.NDERED: 60.00 (RED1f CARD
PPPLIED: 60.00-
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CHANGE: 0.00
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I ti V1AS H 1 N G TO ,
BUILDING PERMIT APPLICATION 2-0(.00(0
❑ New Construction(SFR) 0 Remodel 0 Mechanical l
O New Construction(Duplex) 0 Addition 0 Commercial
❑ New Construction(Multi-family) 1(Reroof 0 Tenant Improvement
❑ Manufactured Home Placement 0 P umbing 0 Fire Permit
Property Address: 14-3 1 "2 s q2:1-6L- `,u-P^i F ,yE I ,
Tax parcel number: Subdivision:
Lot No.:
Project Description/Scope of Work: tf_p__, v'-z_ c_:_-, 0
Project Value: 4 -1pC'C . Heat Source: ❑ Gas 0 Electric 0 Solar
Plan No.: Bedrooms: Baths:
Area 1st Floor: 2nd Floor: 3rd Floor:
Garage: Basement: Carport:
Covered Patio: Front Porch:
Applicant: EL l'1-c. I2G47n y Owner:
Address:g212 Fc,,-jam .DI 5,0 C1,.) Address:
Telephone(t1J) -.7s2.)— 9302— Telephone:
Email:cjor l l7\ 1k .i5W2@ 5 A(\c‘-t L-, c al, Email:
Architect/Designer: General:
Address: License No.:
Telephone: Telephone:
Email: Email:
Plumber: Mechanical:
Email: Email:
License No.: License No.: �p. 2' —.
L 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.