20180222 503 First St S Mech -2,c(0 FzZz
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CITY OF YELM
`" (S-)0 `9 l -EVNTIAL BUILDING PERMIT APPLICATION FORM { : ". "
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Project Address: 503 First Street South Parcel#: 22719332400
Subdivision: Lot#: Zoning;
New Construction t✓ Re-Model/ Re-Roof/Addition Home Occupation Sign
Plumbing ✓Mechanical Mobile/ Manufactured Home Placement Other
Project Description/Scope of Work: REPLACE HEAT PUMP AND ELEC FURNACE
Project Value: 7000.00
Building Area (sq. ft) l51 Floor 2" Floor Garage Deck
Basement Carport Patio
# Bedrooms_ # Bathrooms_ Heating: GAS/OTHER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? If yes, a
completed environmental checklist must accompany permit application.
BUILDING OWNER NAME: First Street So LLC
ADDRESS 503 Fast Street South EMAIL
CITY YELM STATE WA ZIP 98597 TELEPHONE 360-458-6751
ARCHITECT/ENGINEER LICENSE#
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
GENERAL CONTRACTOR Capital Heating and Cooling TELEPHONE 360-491-7450
ADDRESS 12leCarpenter Road EMAIL
CITY LACEY STATE WA ZIP 98503 FAX
CONTRACTOR'S LICENSE# CAPITHC948N3 EXP DATE9!18 CITY LICENSE #
PLUMBING CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE#
MECHANICAL CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE#
Copy of mitigation agreement with Yelm Community Schools, if applicable.
I hereby certify that the above information is correct and that the construction on,and the occupancy and the use of the
above described rty will be in accor. • • ' • the laws, rules and regulations of the State of Washington and the
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Applicant's Signature Date
Owner/ Contractor I Owner's Agent/Contractor's Agent (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
105 Yelm Avenue West (360)458-3835
PO Box 479 (360)458-3144 FAX
Yelm, WA 98597 u'ww.ci.yelrn.wa.us
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Matt Stahl
From: Mollie Gaspar
Sent: Friday, May 25, 2018 7:34 AM
To: Matt Stahl
Subject: Fw:48153 First Street So LLC - please provide site plan
From: Naida Khan<naida@nwpermit.com>
Sent: Friday, May 25, 2018 6:58 AM
To: Mollie Gaspar
Subject:48153 First Street So LLC-please provide site plan
Naida Khan
Northwest Permit Inc.
360-945-2787
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