Plumbing Permits `r ~7'
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OF tHp
CITY OPYELM
PLUMBING
PERMIT f ~/
~
P.O. Box 479
Yelm, Washington 98597 Separate application for each structure ,
~ -, ~
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Telephone (360) 458-3244 Date
Const. Address ~'~G~, ,~':' `,/.'J' k.._ ~ ,/~T,i~F' o"t~z s..%' ~~ ~ ~) ~~~ Occupancy .:. :~ /` ~ Ati~,,~
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Contractor ~ Address Phone
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State Contrs. No. Building Permit Number ~~s .~ ..!
ITEM FEE AUANTITY FEE
Toilets `1, ~ ~' °P°•/J~%'
Urinals
Lavatory ~ i ~,) ~~' `~'~ t:' [,
Bath Tubs
Shower Baths "~ ~'P=' ~~ ' ~.~
Kitchen Sink " . f~, ? "` , f.:'~~
Disposal Units
Dish Washers ~~ ~ ~~ - ~ ~`~
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. ~-~ . ~: J t "~" %~'~
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks ~~ u~,i " . ~~'~
Misc.
~:>c.
Permit Fee , ~'-'-c><,J
TOTAL ENCLOSED FEE ~(1.,U~`
DESCRIPTION OF WORK
~-•New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
Fi
Signature ~• ~ ° z~~~ ~
No work shall be performed prior to receipt of validated permit.
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
{
d' f~ ~~~%~ ~ j
Recd by'~ ~ .._-.~ Date~< Permit # ~~~
1~ rv.~' ~ ...'~~,
°~~"~ ~~NOFYE~M PLUMBING PERMIT ~ ~ ~ w.
P.O. Box 479 Separate application for each structure ,~,.^ _ ;~
Yelm, Washington 98597 Date ~ ~~ ` J
Telephone (360) 458-3244 "'~ ~ ~ ~`'"~}
s#.Address~ r,`~> ~:~ r r ~ .dirt' a;,f Occupancy ~-°"~'l~r~-
~ r'rd" _.. l,~.0 1"' ~ ~ C~~ 1 I~L~ /9~ ~~~ ~ Pflon ((~ ~~ ~1~~~ ~~ I .. I ~tY,l..~~.,
Owners % r:' • ~• ~ P ~'!,'-a~! ~ Address < ,:~ Eh
>"
Contractor %' t ~ ~ . <g~d ~!_ _ Address Phone
~ /J
State Contrs. No. e'``~/r a°~4 ~ '~ .~ i rr~? ~f`~7 Building Permit Number ~~ ~~~~~ -
ITEM FEE AUANTITY FEE
Toilets -~. ~ ,< ~ ~ ~.~. ~~
Urinals
Lavatory
-~,' ~ ~ '`
Bath Tubs ' . ~,~,~ ~ ~X~
Shower Baths ~ ~ ~ U ~~ w%'~
Kitchen Sink T r' f;~{% . ~~%~
Disposal Units
Dish Washers o% J~:~ ~ ' . ,/"~`•~
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. ~ ~~ ~' . ~
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks ~ ~,r.,; ~ ~. f ~~
)ISC.
Misc.
Permit Fee ;;>c,~~, ~~
TOTAL ENCLOSED FEE ~'~ S', f"~
DESCRIPTION OF WORK
New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
Firm
Signature
No work shall performed prior o receipt of validated permit.
Call (360) 458- 07 for inspection.
FOR CITY OF YELM USE ONLY
Recd by,~ ~ ~ ~ Date ==Permit #
/ ~'~ : ~ l
OF TN(+ ~~~ l
~ ~ CITY OFYELM PLUMBING PERMIT ~ e ~~~.3
` P.O. Box 479
Yelm, Washington 98597 Separate application for each structure , .~ r° ~
Telephone (360) 458-3244 Date ~ r7`` >/~) ~ ~.^~ ~-"
t-~.
. Address, `a ~~,~ ~ ~6 l ,~i s-a` ~Y'"
~~ ~ ,~~
Owner ~.1 ~i e'rr' ~'%1 a r~ ~ C-c,r ~f~ry~u~
r
Contractor r; ~ . ~,,, l`%~.- ,r
State Contrs. No.~:~C~//.eE'd~ ~". 1 ;~ !_i~_t'1 Building Permit Number.
Occupancy .'::~ f / `'
Address . ~~;~ci!~ ~ % f(~ '~ ~d PhoneG~j~~ - 1
Address Phone
ITEM FEE 61UANTITY FEE
Toilets ~ "?
Urinals
Lavatory __ ~~ " ", cy~
Bath Tubs
Shower Baths ~? ~ r , f%~''
Kitchen Sink ~"7 ! d t r
Disposal Units
Dish Washers ~ ~, ~'~-~~~
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. -~ 1 ,r,-,
Catch Basin
Floor Drains
Floor Sink
..-Not Water Tanks - ~ ~"~ ~;~?
~iSC.
MISC.
Permit Fee ,,! ~ ~ > c~~r>
TOTAL ENCLOSED FEE
DESCRIPTION OF WORK
^-'New
^ Addition
^ Remodel.
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
Signature /` ' -
G~,
No work shall performed prior to receipt of validated permit.
Call (360) 458- 407 for inspection.
FOR CITY OF YELM USE ONLY
v ~..
Recd by ~ Date(~~~Permit #
OF tt7F ~ ~. ~,
'~ P'.o B X4,9 PLUMBING PERMIT ~« ~~;
Yelm, Washington 98597 Separate application for each structure ,~
Telephone (360) 458-3244 Date I~~;//.~ /~ ~ ~ ~°'±~ ~'
f ~,
.Address l r ~ ~^:~ ~,' ' / ~ ~~~ ,''',;~`,~~; ~~ U~ % ''"`Occupancy ~1i u f /, ~~ ,-n r~~ ~ i~ _ ~~~~ ~~°af
Owner _`-.> '+.%;;,~~ %'1f ~ Address'' `.+f7 ~ ~"~ )r~/~' /~~ .rf .`.~, c`` Phone '•~`T~' _ '^ J~ _~
StateContrs.No, ~= ,`~ ~Gk?1~,~`~!ii Lai--- Building Permit Number f,.~~~:~~~~
ITEM FEE 61UANTITY FEE
Toilets ~ ° U~ ~
Urinals
Lavatory -_, ~.~, ~ ~-~ ~'. <;5, c?O
Bath Tubs -- ~: ~; ~~tr.
Shower Baths
Kitchen Sink .f ~„~; r 4/-f%
Disposal Units
Dish Washers f ~.~,) '? ~ . <<?f7
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. •-- ~;~~ ~ ' 1
Catch Basin
Floor Drains
Floor Sink
of Water Tanks ~' . ,9 ~ "/~
SC.
~/1isc.
Permit Fee •~ , ~ ~
TOTAL ENCLOSED FEE ~, ~)~
DESCRIPTION OF WORK
C-'"New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelrrti:' ~
_,~..
Firm ~.v ~ J ~ ;i'~P:~ f. i ,~'~C.;,`_•> !' L~ ~ -/ G'~
,~ /•.
~ ~ /~ ~'7
Signature !i' ~s'~,,,,,,,,.r'
No work shall be performed prior to receipt of validated permit.
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
t ~~
Recd by `, i Dat "' " e~ ~ Permit # ~~
~q~' CITY OF YELM ~ ~ > ~ ~~~ ~~
°~ PLUMBING PERMIT
P.O. Box 479 Separate application for each structure
Yelm, Washington 98597
Telephone (360) 458-3244
_. _, ,
,~
~ ~t. Add ress /~~ J a :.;> 1 '~ ,~~al v "rr l r] !~` ,ry ,~ ~
'~... ,.~
Owner %' `'' ~`'Tr ~ ~ l !`°
o,
State Contrs. No. C-" ~~ rf t f t,~/fl Building Permit
Date ~~ ~"(/c~/ c~
T
ITEM FEE 61UANTITY FEE
Toilets %, ~, 7 C
Urinals
Lavatory , r.: ~ ~ ~~` "~
Bath Tubs
Shower Baths ~~' !) . ;~
Kitchen Sink -~~', ~ ? ~~ ~ . ~~+
Disposal Units
Dish Washers ":~ ~c~ ? „ ~
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. __, ~~;;~ ~- ~'!%'
Catch Basin
Floor Drains
Floor Sink
"~ of Water Tanks ~ t, ~ {- . ~
,CSC,
ISC.
Permit Fee ~~~ , ~ F3
TOTAL ENCLOSED FEE
DESCRIPTION OF WORK
Ct~'' New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application fora Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yi '~ i'
Firm °~-r ' ~` ~~''~ ~"~ ~ "~°:~.R~-~i~l~f~'-~-~ l~~
,,t' i
;; ~ f-'.- °;~'~-
Signature ~T" J ~_'~ -
No work shall be performed prior to receipt of validated permit.
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
r
/3;'
Recd by / _~ ~^ : Dat~~> Permit # f' ~-)f ~~~-/'
Address Phone
a
1~ ~!~(~
~ ~~ /
CITY OF YELM !`
°fT"~ PLUMBING PERMIT _ ~-~~~
P.O. Box 479 Separate application for each structure
Yelm, Washington 98597 date ~~.~% f ~ /` ;,.'~. ~~ ~) fj
Telephone (360) 458-3244 ~~,~ ;~
~,t. Address f ~ a~ f 1 fS ' -, ' , ~< , ; „! ,,~ n f ~ Occupancy ~ ~ U ~~~ ,~...~Js- r1 w ti,r ~.'
Owner <'`~ ~~> ~/~~,'~ /`~ Address T ~~'`~-% [`~.i,~~~ ~~ ._~ Phone
Contractor ~ -„ t;,n,; ;a""/C_ Address
State Contrs. No. ~'~= ~~~~~~ ~' ~1~~--$uilding Permit Number ~.«~ 5-~:-~ ~~
ITEM FEE 61UANTITY FEE
Toilets ..r ~ ~;~ ~` ,1 ~ ~
Urinals
Lavatory - ,5i~.. ~~~ 7 t~
Bath Tubs
Shower Baths -~ ~ ~ ~ ; ~=-f ~~"~ ~ ~' ~~
Kitchen Sink - j . ~ r` i ` .'a~~~
Disposal Units _
Dish Washers _ ~ ° ~t~
<~,
. ti c~
`-
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. ~' . ~ ~~'~ `' ~ . t,` ~~
Catch Basin
Floor Drains
Floor Sink
•~ of Water Tanks ~' ~ ter. `~~ ~'~U
~5C.
~~MISC.
Permit Fee ;fit; . ~~,
TOTAL ENCLOSED FEE ~~~'',LY~
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinan~c/e~sry^~of City of Yel~~ T(',.
F, ;
Firm £~
s' ~, !~~
,'- r?
Signature `'~""`~- •~,; ~; ,~ " 'G'c_,-~'-"'°
No work shall be performed prior to receipt of validated permit.
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
i~ ~~~ ~ !~~ i~
Recd by ~ ~~~ ~' D6 /' ~ Permit #~"-~%'` ~ ..
<..
CONTRACTOR'S AFFIDAVIT
~`'
°~T"~
CITY OF YELM PLUMBING PERMIT
~' 'S; ~"` ~'~
f
P.O. Box 479
Yelm, Washington 98597 Separate application fo r each structure
fe
~ ,~~ -~j~i~~;, -~~~ ~s~
Telephone (360) 458-3244 Da
Address
i 5t 1 ~ 5'~~„ ~ %i ~-'~~'i .~i~
... ~;,.~, 1~.~[ 'fii •> 1~ a t=~ Occu anc
p y ! < l,, k : t
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"-7
`a.... ~
" ` ~'
Address i'),? ~'~
~ ~~.~~ -1
i r~~i1v.~ "Phone `~i w- ,>~'~1 ~~
Owner
Contractor ~~ ' b ~ ~ _ Address Phone
_...y r
State Contrs. No. '~~~J.~.~,~f,I /1 S' %,,~_ Building Permit Number ~.. t, ~ .%
ITEM FEE 6lUANTITY FEE
TOiletS ~ prF; Ct! E"i~ `i` C ~U
Urinals
Lavatory e c7 ~ ` ' ~~%~~
Bath Tubs <~c::~ ~~ %`'~ ~~
Shower Baths
Kitchen Sink ~ ;~ • a ~~~ ~' ~~ ~>~?
Disposal Units
Dish Washers ~ %' ~ ~.-~ ~~ s , c~
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. ~" •C;r 4 ~ ~-?Gl
Catch Basin
Floor Drains
Floor Sink
--dot Water Tanks ~ .~; t, '~ ~.! c+i>
s'c.
~~ Misc.
Permit Fee ~,~E;,~~~'
TOTAL ENCLOSED FEE ~~~~~7
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
~` E~
Firm ^• ~ ~~~ ~ i~
Signature _....~ ~.R~,.„,-.'~ __. ~-~- ~'' ~- ~.~-
i
No work shall be performed prior to receipt of validated permit.
Call (360) 458-8407 for inspection,
FOR CITY OF YELM USE ONLY
/~ ~ ..~ ~~
Recd by ~~'~"! Date ~ ~ "~.° - ~'~Permit # ! ~~e ~~ ~~
CONTRACTOR'S AFFIDAVIT
OF TNP '
i
PLUMBING PERM
-~~~ ~ ~ ~,~.. ~;~
~ E
9
.O. Box 4
P
98597
t Separate application for each structure '~ /
~
`~~~~
on
Yelm, Washing Date ''
~`~
Telephone (360) 458-3244
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~~ ~'~ ~~a~c, ~G~..° ~~ Phone ~` ~~.r' ,'x}~ ~°
Owner C ~
"~„~ ~ Address
Contractor "~ °y
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' ~ Address Phone
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.
'~
~
' it Number ~
P
State Contrs. N // 1
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o. /[:./1 i ~ erm
...Building
ITEM FEE AUANTITY FEE
Toilets i~ ~ ~,~1U
Urinals
Lavatory ~ '~ '~~
Bath Tubs ~ ~ ~ ~'
Shower Baths
Kitchen Sink - %` ~~~~~
Disposal Units
Dish Washers
f
~ - ~~~
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. ~~ ~t- - 1L%
Catch Basin
Floor Drains
Floor Sink
--~aot Water Tanks ~ r' `~ ~`
ASS.
MISC.
Permit Fee ~~~.~~~
TOTAL ENCLOSED FEE 7~ ;~,. ~ ~!
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
Firm <:~` `i j',., i~~'^~
r
_., ~
r.-::_~ .
Signature l;~:~..d._-~r ~...._.~ ~~°~-:k......_,~_ r
No work shall be performed prior to receipt of validated permit
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY ,~
/R j ! ~ ~ ~
Recd by f~%' =.-''!-``'- - Date ~ C ° ~^ Permit #!~'.~ ~, rt
CONTRACTOR'S AFFIDAVIT
~ f .~
~` CITY OF YELM PLUMBING P~~.~IIIT
-. ~
°'
P.O. Box 479
Yelm, Washington 98597
Separate application for each structure %
~
,
Telephone (360) 458-3244 Date
~ -
~ t~ -- ~1 ~>
..~~
Const. Address ~ ~ ~;~ ; ~ -,T `t f~~l ~ rI fi" ~ / ~.
; ~(} 1 ~ ~`/ Occupancy _
.~',y`'
r .Z:%~jF'~'~,.~Cn//1,~,~t'° f'.r~~~
Owner Addressi.?~1.. '~~ ~~,nnl~.~ur-/ ~~~c` Phon~-!~
~).~7.~rt:-<'~
~ _
Contractor ~~ :~ r~J ~.. ~"~_
State Contrs. No. ,~vrr ~ :~~>~'~ flay ~~! Building Permit Number
ITEM FEE 61UANTITY FEE
Toilets ~7, ~ ~ /. ~>'
Urinals
Lavatory __ ~ ~ r.~ . ice, ~ ~
Bath Tubs / ~. v r~
Shower Baths "~', , ~~ ~ , U>~
Kitchen Sink ? • ~ ~ ~" ~.~ i~
Disposal Units
Dish Washers ~~' . z, ~~ ~ 7, d'~
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. ~~ ,, ~ ~ ?, G`~;
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks ~~ % ~~, r>t~
Misc.
Misc.
Permit Fee ~;, ~~~
TOTAL ENCLOSED FEE ,/~''~,~~i
DESCRIPTION OF WORK
Efi New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
~, .
Firm ~~ ~' i<-'~;~~ ,~( '' "' ~t J` r`~,.i,t~C_.
_'
Signature ~~ i ~/ ~'~ ~ ~"''
~~
No work shall be performed prior to receipt of validated permit.
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
Recd b ~~ f~9~" ~ Da~Permit ~"" ~~~
~ r 4 ,e*
OF THE ,~ (,~~ ;~f ~ [_~"
~' ~ _ CITY OFYELM PLUMBING PE,~MIT ~"~~
~ P.O. Box 479 Separate application for each structure
Yelm, Washington 98597 ~/__ ~ ,~;~ ~~~~-;`~;1 J
Telephone (360) 458-3244 Date J J ~~
d+`, /~'~ r
Const. Address ~/' `~9~11c~ %r ~ ~~/'," ,'~~~" ~/~!/1 .r-..z~'~~f -_ Occupancy ~ ~> ~" ~~
Owner tid` ~ r,' .r ~ ~ ~ ~~~t rr~ J,~C• ~'wt ; 7~.d''. ~ Address fv~~ /.~ ~ ~7,~.~ r,.~.-s...~ /~`;' I ~- ~ ~ Phon~c,7s~. 5~ i!r,~ ' ::; t.~ a~G~
Contractor .:.~ ,'`'~ L_-
State Contrs. No..,~:-%1A+~e~~;f,~s~' Jf Building Permit Number ~;~^ S r
ITEM FEE AUANTITY FEE
Toilets ~~r> ~~
.~.: ~.`'~! Ui1
Urinals
Lavatory '~? e,. u~ ~ Z~ fs
Bath Tubs -~;, ~, ~~, a
Shower Baths ~', ,~ ,._~; ~ ~ , ~;~
Kitchen Sink ?,~,; ~ ~-:u~c~
Disposal Units
Dish Washers "" . ,)n •- ~:'C,~
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. -~ : ~r ~ i
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks , ~;
Misc,
Misc.
Permit Fee -,
TOTAL ENCLOSED FEE ~~ dki
DESCRIPTION OF WORK
~ Ivew
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
~' T ,
Firm x~/t'~ ,,; It r ;,' '~',
r rte. ' ,
r
Signatu 'i • ~ •~~_"'~"
,, , ~! F'
~•
No work shall be performed prior to receipt of validated permit.
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
~ •.
Recd by ~~ ~.... Dat~ :% '~G~ Permit # ~~~
r _.-~c
t J~
~~, r 77
CITY OF YELM
°fT~ PLUMBING P~~~IIIIT 1 I
r
~" P.O. Box 479
Yelm, Washington 98597
r t lication for each structure
Sepa a e app f y
/ ~
ro
~~~
i ~,--~ °~~,!,~}/~
~
~ ~
Telephone (360) 458-3244 Date i
,L~(/V
/
Const. Address A t~ ~ "x `';~ ' ~ w~'~ ~ ~ :r' i (~ (J~, (~>r~ ~~r~ Occupancy ~ ' ~`~-~'~
Owner %''~i li%%dt.~/~~f~ ,~`t'`~c rr-+p'~ Address~i, ~ ~ ;l_~ '~/J/.r£/G ~/ I~~ Phone~?i~'~`.~o "Cil~ 1L~
Contractor~;3~ .% ~. 7"" ~'L- Address Phone
State Contrs. No.~ ins vlv~ ~`p/ //,1 `J ~sl Building Permit Number r",~ S I
ITEM FEE 61UANTITY FEE
Toilets ~ ;~~ ~ `~~.~~~)
Urinals
Lavatory ~ --~ E ~ ~ ~'~ . ~~
Bath Tubs ~ -j, ~~~
Shower Baths "'%-~.~,~ `~ ~ ? , ~1 i~
Kitchen Sink -~~%._xJ ~ ° ~: ~>
Disposal Units
Dish Washers ~ ~' . ~,~~ ~ . ~ ~ r~
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. y~-, a ,~ "'.~~<<
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks "" G~~,~ ~~ 1 ~;
Misc.
Misc.
Permit Fee ,-.
~' ; C
TOTAL ENCLOSED FEE ~~~~
DESCRIPTION OF WORK
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
~?~ ~ ~ ~ t
Firm -~" ~I~'~~.,,.~,r'.r ~ a ~,~~,~ ~. ~ ~~ ~t:~i"
~-
- ..-~
~Jf
Signature ''~ ~ r` ~ -~"~
No work shall be performed prior to receipt of validated permit.
Call (360) 458-8407 for inspection.
Y `.
FOR CITY OF YELM USE ONLY
1
,r ~~~ ~~e
Recd by ,~ at~' Permit #
J °~ -~
~°f T'~ ~ PLUMBING PAM IT ~~~~, -~c:'.r
' CITY OF YELM .~ 4
P.O. Box 479 a Separate application for each structure ~ ~," ,
Y I W h' t 98597
e m, as ing on
Telephone (360) 458-3244
Const. Address .~ `i' i~ 7~~ ~Y~`%1~ ~~ >f y ~~aa f~! ~-~%' r-'
F .' A ~
Owner .i._.~e..~~-'r?~tia,~lf~ ,~7n-~'-~.
Occupancy.
_ ~
Address>.~ :1,(~ ~~~.,y~.+.l ~~'~ ~ Phone/~ ra~s~'o ° ") O
Date ~A ~ ~~ ~~1~~
~~~ )~
Contractor r ~ "a ~r ,~ ~ Address Phone
State Contrs. No. ~usJ ~~ ~-' ~ ~f l ~ ~ ~ Building Permit Number i~~;~ ~
ITEM FEE 61UANTITY FEE
Toilets - , ~~} ,„;)~'.(~
Urinals
Lavatory ;%. ~,,;) ~'~ r,~/, ~ f~
Bath Tubs ~), a ? , -t .
Shower Baths _a ~ r~ ~ )
Kitchen Sink ~ ~ "~
Disposal Units
Dish Washers _ r ti
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. ~-~,~, up 7. ~~
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks `" . vc.) " . ~%~
Misc.
Misc.
Permit Fee -~}~,~
c.:
TOTAL ENCLOSED FEE / ~~~
DESCRIPTION OF WORK
a' New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
Firm '~C' ~# 1 t,~ 9' 1. ~. ' ~, ~ ~.;--, .--;~.
.G
.~,.~ ~ ,
Signatu~~~ ~ ?..~
,~
No work shall be performed prior to receipt of validated permit.
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
r~
i ,r
Recd by ~ - Dat~~v~"~~® Permit # ~I
OF THp ._.~•. ~
~ .,~~~ ~~nOFYELM PLUMBING P~MIT ° ~~ ° ~ ~~ w ~~~:~
~ ~ P.O. Box 479 ~ °
Yelm, Washington 98597 Separate application for each structure ~~~ ~~ ~~,,~~~
Telephone (360) 458-3244 / Date ~ !~
Const. Address ,~',~~~~ y %~~_~, ~ %'/C~ 1 iiJ t ~ ~~~' Occupancy ~-.' ~~~ ~
r ~ ~ ~~~~
Owner .~ /'.= i ,?.>~ ..~; ~ ~ c°. ,~J'c° rY"Y__S Address 1 <~ ~y ~S~ ~ ~ wi ~~~N Y~r' <~' Phone _> 5 j .,~'„ a _ 1
Contractor C.aC.~.~L"`~~'- Address Ph
State Contrs. No.1''`Y7A 5~ L~ ~ / l J ~ ~V l Building Permit Number ~?_~ /~~'
ITEM FEE 6lUANTITY FEE
Toilets / , ~, ' , ~ Z~
Urinals
Lavatory ~ ~ , Esc)
Bath Tubs , ~r~1 "'" , ~~
Shower Baths "` , ~a ''' ~ ~~
Kitchen Sink '~ "~~ chi
Disposal Units
Dish Washers ~ , ~ r~ % .~', ~'~
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. ~ . ~, ~ , r~~
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks . ~c.~ . ~~
Misc.
Misc.
Permit Fee ,~~.cYc)
TOTAL ENCLOSED FEE ~ f ~ ~~
DESCRIPTION OF WORK
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
t
Firm ~~?' ~~? j1 ~,~ ~~,~ ? i- it, r ~~~~, ~ ;`~~~t'_.
~~',~
Signature'' ~~ _ .>
~F ~ `
No work shall be performed prior to receipt of validated permit.
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
f`" ~ '/~
Recd b ~' Date f f~ t~rmit # ~ ~~
~.~...~' P'.o B X49 PLUMBING PIIIIT ~ ~~~ ~z
Yelm, Washington 98597 Separate application for each structure ~~ ..M,~~ ~; ~~ ,~d,r)
Telephone (360) 458-3244 Date ~ -t' U fs
Const. Address ~ e 1"~~%; ~ i I ~ ~"^ ~~,J ~~- Occupancy
_ .-. i~ -+
Owner f ~ ~f- e, : ` ,,,,%;, ~ ,~ ~`~di.7t~° f Address ` ~~ ,fit i.3 ~ .~Pr.i~,~ ~.i /..~~ E ~ Phon~ r~ ~r~ ~,~ ~~ra "~ 1 ~~ ;N1~
Contractor r" t t+ t )~~"r~ Address Phone
State Contrs. No:L~~i~! ~''.u /J t°! / ~ ~L.~ t ~ Building Permit Number ~s~ ~ ~ ~~~
ITEM FEE AUANTITY FEE
Toilets -"; 4~c> ~~ r~ ,~,c)
Urinals
Lavatory ~~,v~ ~-' ~`%/.~~D
Bath Tubs " . __%r,
Shower Baths '" , , <~ , ~v
Kitchen Sink '~ . tai, ! . cle;
Disposal Units
Dish Washers ~) ~,L;? j ~i' ~ e~
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. ~ -', ~; <:~ { "".. ~1
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks " , ~~ / ~ , ~ ~~°
Misc.
Misc.
Permit Fee _ )r;, ct.~
TOTAL ENCLOSED FEE 0,~~~Fl/~
DESCRIPTION OF WORK
t^ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordiriances of City of Yelm.
4 .,
Firm c 7"'n.,". ; r"• LE , i . c
'~
Fr~eF°y T"' -'
,-
Signature a~'',~ ~ ~~ c~--~~'"'
i
No work shall be performed prior to receipt of validated permit.
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
/" , ~
(/f .~/ /'
Recd b ~~ ~ !(- Da~~"• ~` Permit #~ .,~/
~~•.
~~ft~'~ ~--~~ PI,O Box4E9 PLUMBING P~MIT
Yelm, Washington 98597 Separate application for each structure
Telephoner(~360) 458-3244
Const. Address % `~ ~J A c~1 ~"~% -~~ ~~ ~~.f ~ •> t`
// ~
Owner 1~J'Q ,~'xl L..tvv%, f~ ~~fYxu-'~» 1',~
e'"
Contractor r,c~..y.rv
Occupancy •w?~ ~~
! ,~ t~
Address „~~>~i ~'%~ '~'~ ~ /4 .J Phone~~ c~3?:~.~~i " < <?Ez_~
Address ~s~" Phone
State Contrs. No. ,x.1.4 w 1r? C ,~ ~ 7'~'Building Permit Number C. ~~ / '`3
ITEM FEE 6lUANTITY FEE
Toilets ~~ , ~ ~~ "~ ago ~
Urinals
Lavatory °~ " , .-, "} a, ~ ~~
Bath Tubs
Shower Baths ~ t-; ~ ; ' ~ , ~
Kitchen Sink --~ ~ -~, ~U
Disposal Units
Dish Washers , ", _... ~.~~
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. ~ a d
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks ""~ ~~ J ~ , ~
Misc.
Misc.
Permit Fee ~~, rk.~
TOTAL ENCLOSED FEE ~~~,~}
DESCRIPTION OF WORK
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
Signature ~'%">>~~y~ ~/ «~-~
r'
No work shall be performed prior to receipt of validated permit.
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
L---
p r-
Recd by ' Ddt~~ ~ ' C.•`~ermit # lr~-~
~~~T~~/~; P'.o ox4E9 PLUMBING P~.VIIT ~ y ~~-~~0
Yelm, Washington 98597 Separate application for each structure ~ ~ , ~'" ,r
Telephone (360)458-3244 Date ~~ y ,~~~=~~~t~~ t%~
Const. Address ./`~ ~~.~ :~~J 1 c,1 ~ ~' ~~ c'~ Occupancy ~---~~""'Y Z
/ ~} ~~
Owner ,,o~,~,~J,~ri ~1.~ dr>/(..a ~'`~1Gur~GS Address w??I; 1! 1/G ~'~ ~~~ w=> ~ ~~Phon~~i "~/ `~~.~7 `I~~-r,,,~,,,
Contractor ~~--6d~,d x'r~_ Address Phone
State Contrs. No. ~>~.9 rr'~ L ~' "~ ~ %~ ~ ~7 Building Permit Number ~ ~ .7 .~
ITEM FEE 61UANTITY FEE
Toi}ets ,% , mac,
Urinals
Lavatory ~; , ~) ~ ,o
Bath Tubs
Shower Baths '~, ~ ~, " ~, ~}
Kitchen Sink - ~, ,~~
Disposal Units
Dish Washers ~- ~ ` , ~ ~
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. .~ , ~ ~, / -~, p'~
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks -~ , ~%v / o d
Misc.
Misc.
Permit Fee C^%,:, c.Y~7
TOTAL ENCLOSED FEE f f ~~
DESCRIPTION OF WORK
of New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
Firm
'~1
,J,~,-~ ~, ' .
.~ , I
Signature f~ ' '~ L %' ,~ --t=~~'e,~.
No work shall be perforrr~d prior to receipt of validated permit.
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
,., ~ ,. ! ,
Recd by ~ ~-~'" Date ~~ Permit #~"'
~F TlIE ....,..~.
' CIN OF YELM
P.O. Box 479
Yelm, Washington 98597
Telephone (360) 458-3244
__
PLUMBING P~IIIIT ~ ~r. ,~~
Separate application for each structure f
Date / ~~ r~~ ,;~(`,~~i ~',)
.~
Const. Address 'p °~ ~~~ ~` ~~ ^F''' /~ tr' ~ ~-"
Owner C.~/<r ~° ,h'r.~rr'S5
Contractor
Occupancy ~.` " ..~
~~' /~
Address~,`ir~c~~ C~.,v~lh,,.c~i~" ' ,~,~/.n~-,~~ L'~1 r~~honetc~J?~) .~5~;.../.>G/~
Address Phone
State Contrs. No. Building Permit Number ~ `~~~
ITEM FEE AUANTITY FEE
Toilets j v ~> ~ , v d
Urinals
Lavatory `'. w ~ ~ I' . ~ ~>
Bath Tubs
Shower Baths
Kitchen Sink
Disposal Units
Dish Washers
Drinking Fountains
Laundry Tub
Automatic Laundry Equip.
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks
Misc.
Misc.
Permit Fee -'fit ~;~)
TOTAL ENCLOSED FEE ~;1~;? ~~
DESCRIPTION OF WORK
G3` New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
r
Signature f ~ ;r~ `" ., ~_ ~ ;"a r l ._.cro.''~'.,
No work shall be performed prior to receipt of validated permit.
Call (360) 458-8407 for inspection.
' ,~J
FOR CITY OF YELM, USE ONLY
Recd ~(y'' ~~<,- Date ~ /~~ Permit #~' l'~/fir
k. _
of rae ~+f ~d .:~.. ~ ~~
~ '~ CITY OFYELM PLUMBING PERMIT
~ P.O. Box 479 ~ ~~'
Yelm, Washington 98597 Separate application for each structure
Telephone (360) 458-3244 Date ~ ~s.~_',~{.~' r` 1 ~~`
st. Address /-~ <'~~-~--- i (..~ S •N v~ ~J
~ / -r,.~ r
Owner ,.~,LA,'~P ~ : y yr ~'i 'a ~P~"-yr T''_,
Contractor :~ ~, ~,~1~° d'Z.-
State Contrs. No. ~ ~A:~a'~ ~'~~ j~ Z ~ t7 Building Permit Numl
Occupancy ~:~~~~~
Address ~) t~> ~ ,~~J ~~ ~ ~ ..~ Phonei_~. ~, .`~~ ~~l ' l~ ~? '~
~~
ITEM FEE AUANTITY FEE
Toilets ~, , ,~~- ~~ <„
Urinals
Lavatory ~, , • ~ '. LJe.)
Bath Tubs -~ U ~~ -~ t
Shower Baths
Kitchen Sink % ~u~.) l % . ~'~
Disposal Units
Dish Washers _
~~ ~ t.YJ
~
`. ~ ~J
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. - , ~ u ~~'
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks ~ f ~ . ~~
ISC,
Misc.
Permit Fee 4; . ~~
TOTAL ENCLOSED FEE ~/~~ ~J~~
DESCRIPTION OF WORK
CT" New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes an~dinances of Cityof~Yelm. /~
b~ Firm ~!"/~d ,rf` 2_ ~,.g~s~?~CI~ ~-~,1~ ?// I't'`
Y,r Signature~_
No work shall ,pe performed prior to receipt of validated permit.
Call (360) 458-6407 for inspection.
FOR CITY OF YELM USE ONLY
` f ~ ~`
Recd by ~ -% Date ~ i+~""'° Permit #~'
CITY OF YELM
°fT~ PLUMBING PERMIT
P,O. Box 479 Separate application for each 'structure
Yelm, Washington 98597
Telelphoneu(/360) 458-3244
Const. Address / `~ ~ P! ~Q ~~~ t~ ~~ *~~
~ '
er s~A+f.! f iJry+ E (~, .JYYi
~' rF
Contractor U w.~ L'"'
State Contrs. No. ~ 2 rZ ~'~ ! ~~ Building Permit Number.
~~ ~ ~ ~
/~
c
Occupancy
/~
Address C;,Z?r~j ~ /~L~ ~ .~~ ~ ~ Phoney ,~ 3`,~ "'=J~~
Address Phone
~ t ICJ
ITEM FEE AUANTITY FEE
Toilets "7. vL) ~ /, G)
Urinals
Lavatory _ % , ~/ ~ u!~
Bath Tubs
Shower Baths "-~ c, c~ ' /, t,'!3
Kitchen Sink __, c; ~ . ~ J
Disposal Units
Dish Washers . (, ~ - . G~J
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. . ~,~.) "; ,~,~
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks ~ . Gk=~ r .UJ
Misc.
isc.
Permit Fee ~,
TOTAL ENCLOSED FEE //1. p~L~
DESCRIPTION OF WORK
~ Ivew
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
Firm ~ `' /'`a a~ `-'/'y1.E_ r.~
Signature ~; ~ -r.%'
//~~~
No work shall performed prior fd~ receipt of validated permit.
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
%~~ i
Recd by ~"" Date ~` ~ ~J Permit #~~j
OF THe
CITY OFYELM PLUMBING PERMIT ~~~~
P.O. Box 479 Separate application for each structure
98597 / ~ ~
Yelm, Washington
Telephone (360) 458-3244
Const. Address •/ ~~ *~ ~~~ yt~o7t.'d-t/DJ J~ ~ ~
__--'
ier ~-./.~,~*'oa' .~ 1. ~'~.,a.,? ~'.5~
Contractor - >~ ~ ~~.fe'`rr-
Date_ e~~ 1,~ 7 G~l~_~ .l
Occupancy ~ ~ ~---
Address ~J~ `~ ~,~/~ ~-~~ ~ Phon ~ ~ ~ ~ ~``t-~.
Address Phone
State Contrs. No.~//1.e'i2 t .1 }f ~J;y r° !~/ Building Permit Number C+ T i! .~
ITEM FEE AUANTITY FEE
Toilets ^~ • v <) <-v/ ~~J
Urinals
Lavatory ~' ~ c%u ~ ~~~
Bath Tubs
Shower Baths ->.:- c.a
~. ' ~
Kitchen Sink ~ ~ .~ ~~ ~
Disposal Units
Dish Washers ~~ ~ .r u ~ • ~f d
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. ~ ,~ c~ ? ,~. ~'
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks °', ~ ~ . 4 ~°,~
..Misc.
Disc.
Permit Fee ~ , ~ ,~~
TOTAL ENCLOSED FEE ~/~/;
DESCRIPTION OF WORK
CYNew
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
C '° /.-~
Firm ~ / .~(" s` ~! Nit. r ! ! ~.~'v'~•'~,~
.--~ t
Signature ?' '~-----
~;
No work shall be rformed prior to receipt of validated permit.
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
Recd by Ir ~ ~~"""~~ Date ~ ~ Permit # ~ ~~
v'
°fT~ ,l S.
`~r~~f, ~,~~ `~~
CITY OF YELM
~ PLUMBING PERMIT
,,,
~ P.O. Box 479
Yelm, Washington 98597
T
l
h
360
8 Separate application for each structure ~
,~ ~ ' ,° ~ ~ A`
_ ,,~ ,,. ~
'~+/ '^ ~~'~~
~
e
ep
one (
) 45
3244 Date C
-
Const. Address /~ `~~5~ ~'" r `~.~ f or,.~ j t' ..1 ~V Occupancy ~!~"!~
d
fem.
_ Yner ~~..lA,~'rr t`i7rn r f -a J ~~`7 f- .~ Address_ .~~G% 5~ /f ra t~ J 3 ,
~. .~ Phone . f`_,,~,,~ ~ µ~'
i
contractor <' :~~ ,
~,..~ t"~.
Address
Phone
1
State Contrs. No. t'~f3 ~'~l C 1. °~( i ~~ ~~~ Building Pe rmit Number (o ~ e~
,.
ITEM FEE 61UANTITY FEE
Toilets , v U ~ r j, ~~
Urinals
Lavatory ""a ,UJ
Bath Tubs ~r ,~ c . ,
Shower Baths
Kitchen Sink ?, Lu ~ -1 ~>cJ
Disposal Units
Dish Washers 1, r~~} ~; ~~
Drinking Fountains
Laundry Tub
Automatic Laundry Equip, ~ - ,
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks ~ ~ ~ ~. a
Misc.
'disc.
...
.._ . -._.._, -. _._e_..... Permit Fee
~%}.
TOTAL ENCLOSED FEE ~-~
DESCRIPTION OF WORK
.'"New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
Signature
No work shall e performed prior to receipt of validated permit.
Call (360) 458-8407 for inspection. ,
FOR CITY OF YELM USE ONLY t ~ ,,'
~JJ J~
Permit # ~ `~ ~" V
CITY OF YELM
o~ 7~~
~ P.O. Box 479
Yelm, Washington 98597
Telephone (360) 458-3244
j ~ ~ s~~,~ ~,~,~
PLUMBING PERMIT r ~a~~~~
Separate application for each structure j
~ /.,
F
Const. Address ~,-1-•T,,r~ ~ii~~ !~ ~+ ~~' `~~p
Contractor l L fl i,; ~t~?y J3 i.~ ,~~v~ ~
~ ~
State Contrs. No. ~A~ ,,t ~~~n .,~ E ~r~ ~, • Building Permit Number
Occupancy l°
Date P c°' ~~,/r t~( ~ t"~
Address- /G' _5 `/~~•~•^ /~t~,..t L.,~ Phone
~ ~
Address ~~~~ %.~/,~7ai,~t~ "v'/~~/ r`~ Phone ~' ~-~x..~St~
~. 4.1.
ITEM FEE 6lUANTITY FEE
Toilets
Urinals
Lavatory
Bath Tubs
Shower Baths
Kitchen Sink
Disposal Units
Dish Washers
Drinking Fountains
Laundry Tub
Automatic Laundry Equip,
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks
Misc.
isc,
L~
Permit Fee
TOTAL ENCLOSED FEE ~ ~ ~ " ~
DESCRIPTION OF WORK
New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
,-
Firm
G" i!' /
No work shall be performed prior to receipt of validated permit.
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
Recd ! • ~~~'" Date U .~',/~ Permit li'"! /
.,~,
~oFT~~ P'.o ox4E9 PLUMBING PERMIT ~ ~~ ~ ~r~~-.,~
Yelm, Washin ton 98597 Separate application for each structure
Telephone (3 0) 458-3244 Date ~~ ._ Y 1 °° ~,~~_;~
;t. Address l~ ~~ ~-~ K t1 U,~"`a ~f t~ 7 Occupancy ~
Owner ~- ~ ~t' ~' ' 1 d-~ 4 J /l .+~' Address .%.% ~~ [:~ i ~~ <- ~ r, ,-~ ~'~' Phone ~7 ~ U ' J ~. J~j
Contractor G7~,r ,mss ~'"~C Address Phone
State Contrs. No. Building Permit Number ~ t~YCO
ITEM FEE AUANTITY FEE
Toilets -` U t) 7 ~, ~~
Urinals
Lavatory "? ~ t,~ ~~ ~ t%e,~
Bath Tubs
Shower Baths 7 ~ ~ %- ~} ~`~
Kitchen Sink
Disposal Units
Dish Washers
Drinking Fountains
Laundry Tub
Automatic Laundry Equip.
Catch Basin
Floor Drains
Floor Sink
yot Water Tanks
iisc.
Misc.
Permit Fee fit;. ~~
TOTAL ENCLOSED FEE ~1~~'1/~
DESCRIPTION OF WORK
^ New
a• Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
Firm
~}!,?, ~
Signature 6~~"" ~~F t'~ ~•` ,.~.~Y'- j. ,,..~.,._._.
No work shall be performed prior to receipt of validated permit.
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
~ "~ 1
~~ ~.,_.
Recd by 6 ~ ; y ~1,~~I~1'~~'f~~`w~ Date .~ ~f'i '~.~-J Permit #IE>~7
of THe ~ ~ -~ . L,/f rf ~'
~' CITY OFYELM PLUMBING PERMIT ~ ~ /~'~:~~
P.O. Box 479 Separate application for each structure , w
Yelm, Washington 98597
Telephone (360) 458-3244
art. Address ~~s~ ~%~,'r'""~ ~~ ~``'J
Owner + ' ~~
7
Contractor i'hf~ t° ra `~
State Contrs. No
Date ~~~ 'r ~~-~~/
Occupancy ~ " ~ -
Jje 1 /u-E' I~
Address ~~~ ~ ~~'~ c"~6 ,~ve ,(~~,~tj /C>l Phorae t`>'~'~~~ ~v~7 ~~
Address f lJ c'7 ~ ~~ / LUS. ~ /A [~ ~ /~ l m Phone~~'+f?~~~ )j ? :~~.,)-.
Building Permit Number_
ITEM FEE 61UANTITY FEE
Toilets ). c?D ~~ • ~~
Urinals
Lavatory 7 . ;act •;~:
Bath Tubs
Shower Baths
Kitchen Sink
Disposal Units
Dish Washers
Drinking Fountains
Laundry Tub
Automatic Laundry Equip.
Catch Basin
Floor Drains , ~ ~ , ~ ~:~
Floor Sink
-plot Water Tanks ~ ')
SC. '~ ~ ~~ ~~'f~
Misc. ~''~ ~~ ;?~,/,,, y ":~ - ~r~ ~ ~~
Permit Fee ~, ~~ ;.
TOTAL ENCLOSED FEE ~'~ ~,~~
DESCRIPTION OF WORK
^---fVew
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
Firm ~i~i~ ~~'~/
Signature a~: ~° _~',~ ''z.~.~-'`-'''°°'`-..
No work shall be performed prior to receipt of validated permit.
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
Recd by. '-f.~'s~ ''-` Date ~ f ~~ Permit #" ~c5
;;
CITY OF YELM y ,~ ,~,
°ft~ PLUMBING PERMI
P.O. Box 479 Separate application for each structur :~~ f
Yelm, Washington 98597
Telephone (360) 458-3244 1 p Date
Const. Address ~ a_~' ~~~ l~r~'~vr r~!t ~ v~~s ~~i (-~' Occupancy ~'tr"" .~l" ~ i/j t~ ~ ~r (~"; r~7'G. ~G
-~~ t
`~_,
Contractor ~~ y~ 4' ~~=
..-,
State Contrs. No. r;~t, ~ e% vJ ,'i~ ."1 j` `1 /~ Building Permit Number
,,
o [[
Address~~~.,~ ~;`r.~i.;,~. rar`~~ ~~
~' "~ 4 Phone ` ~ S~/ ~ .~lG -~ ~, ~7'~:=
ITEM FEE AUANTITY FEE
Toilets ~' c% ~ ~'? c..
Urinals
Lavatory ~' v~.~> . d"v
Bath Tubs -' Et., / F ~, r °n
Shower Baths o J ' , L'~~
Kitchen Sink ~- ti;~;" ~~a
Disposal Units
Dish Washers ), I~L>
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. : , r~ ~' ,f ~~
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks ~ , ! u ~ ~-'~ ~r~
Misc.
CSC.
Permit Fee '~D ~,~
TOTAL ENCLOSED FEE ~/~~ ~r~
DESCRIPTION OF WORK
-+~" New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
Signature r
No work shall be performed prior to receipt of validated permit,
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
~ ~~
Recd by Date ~' Permit #
CITY OF YELM
~°ET~ ~ ~ PLUMBING PERMITf
P.O. Box 479 Separate a lication for each structur `~'~ ~,
Y I W h' t 98597 pp ~ ..-.. .._._.. . -~, r") n .~'~ .^,
e m, as mg on
Telephone (360) 458-3244
f
Const. Address ~`~ `~, (~ '1 ' ,~, ~ ~ ~ ~ E~~ L' ~= S ~ ~'~ a^~
--• ~ _.
,~
Contractor' ,_~,;~. r"r~
State Contrs. No. ~ '~ ~ N' ~ ~ i-~ ;•i! `7 1i T"r Building Permit Num
Occupancy . `;a i u f . ~ '•, ~I~ .., l ,:" { , ,
r„ .+~.c /
Address !~` ;:~ /~ <:•g ~,~~,~ ,: ~'.,~ ~ Phone(~.~ ~'~,~ a. to -GO ;^ ~.)
,~~ ~..-
ITEM FEE AUANTITY FEE
Toilets ~-' "' "~~
Urinals
Lavatory ; ~ ~ ; ,; ~- _ ie~ u u
Bath Tubs ~ . f; r~
Shower Baths 4. ,,; ~ ~/ G;rs
Kitchen Sink ;' r, ~.~ ,~~?
Disposal Units
Dish Washers ;~ ~; ~~ ~ ~~~ c~~
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. ; 1.. o j ,~, ~:~~
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks "? u~' ~ ~-~ ~~ ~~
Misc.
~iSC.
Permit Fee , ,~ ,,. f,; G)
TOTAL ENCLOSED FEE /'i Ur~r~
DESCRIPTION OF WORK
^ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
Signature~f "~P°'
1
No work shall be performed prior to receipt of validated permit.
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
;' ~ ) ~.
Recd by_~ ~ Date._Permit #
CITY OF YELM
°fT'~ PLUMBING PERMIT
P.O. Box 479 Separate application for each structure/
Yelm, Washington 98597
Telephone (360) 458-3244
Const. Address / tr~~~/ ~ ,; '~'.~it'df~'"' t~'~'J !r1 ~~c,~.S+t
- `? /
~er ~w)/i'L~~ O.ui'~ ~ ~ ~ ~ ~ y'7 C ~^~
~ ^.
Contractor f' U~ w ~+~
State Contrs. No. /.~l! r'/,) /'~ f// 9 ~>i Building Permit Number
~._
Occupancy .~ ~` /2
l
Address /y''a.7,~..~ ~Ir-%~iG,~~ !'~~ ~" Phone ~t2~ ' 'G~~~'7~7
ITEM FEE 61UANTITY FEE
Toilets "7, ei ~~ ' ~ U~~
Urinals
Lavatory ~~~, ~ ~'' . D
Bath Tubs -~" ~L,~ r`
Shower Baths --~' ~ c.> > ' . lw
Kitchen Sink _ 7 e.~ 7
Disposal Units
Dish Washers " ~', ~>~ .~
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. ~ , cJ~~ ~, c3 ~
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks . uc~
Misc.
~~ise.
Permit Fee -~~~. ~
TOTAL ENCLOSED FEE ~~+~ ~
DESCRIPTION OF WORK
IeY'" New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
Firm
_. _s...-.--_ ~ _ _..
Signature~~
No work shall be performed prior to receipt of validated permit.
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
1
_,
Recd by Date Permit #
~` CITY OF YELM
°fT'~ PLUMBING PERMIT o
P.O. Box 479 N . 5 618
Yelm, Washington 98597 Separate application for each structure
Telephone (360) 458-3244 Date
nst. Address ~(~~ y~/J ~ lQUrr..,/~ Occupancy', IIf ~h /Gf
Owner •~//I< V 1 D /Q$ ~.Q.~ Address ~~ y W.eJ ~ ~ Phone yS g~ SAS
Contractor G~~'9 _
State Contrs. No. Building Permit Number.
ITEM FEE 61UANTITY FEE
Toilets , ~~ ~
Urinals
Lavatory 7. V V
Bath Tubs vV a
Shower Baths
Kitchen Sink 7. uU
Disposal Units
Dish Washers , ~v 7. o r7
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. "'~, vt7 1 ,~1V
Catch Basin
Floor Drains
Floor Sink
'-lot Water Tanks . od ~ ?. 00
ISC.
Misc.
Permit Fee ~.p, ~
TOTAL ENCLOSED FEE rj~,
DES IPTION OF WORK
New
^ Addition
^ del
^ Iter ion
-2~NTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
Signatu
No work shall be performed prior to receipt of validated permit.
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
Recd by Date Permit #
~ FT~,~
CITY OF YELM
~ P.O. Box 479
Yelm, Washington 98597
Telephone (360) 458-3244
PLUMBING PERMIT ~~ , ~ ~ •~
Separate application for each structure," ! • ' ~ i , ,
Date ~ ~ 4~_ ~~'~'~ ;~ }
i
d ~? / ~[
Const. Address ~/~~ ~;rf' P I~~/~~ y~ /~~-J ~.5 7~ ~ ~F ~'I~_rf /P 7~d1'`r~~l~,r /C~f,JV%~4~C-.
Occupancy--- ~
-~
~.-r
miler ''// ~ -°yr~ ~ t1.rM f ~ l/ !~'.ll,,~a~j ~" 5 '~~ ~ ,,,~ ,~°r' ~t /]C t.-M'?~ xJ _
~ lsf Address~-L• L}S ~~l/ ~•~> ! Phone ?S- ~ `~.~ r ' ~ ~~ t~
Contractor <.'c.c,,),~~ ~;~~ Address Phone
/ ;
State Contrs. No.~, fir' JG°r~ C~ ~ ~ ~~~ ~ F7 Building Permit Number_ k~"`/ ~ ~~~ ~) ,(~ y
ITEM FEE 61UANTITY FEE
Toilets ~~~ ~; ~' ~ ; °
. ~ ~)
Urinals
Lavatory ~ , ~~? ~ , ~>~ j
Bath Tubs - ~', ~ ~ , ~
Shower Baths
Kitchen Sink ~ ? ~, % , r,~G.
Disposal Units
Dish Washers `'. ,; ~ / °~ • ~ ~;
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. '' ,~,~ ~~ ~; ~~
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks - ;? dwy ~,
Misc.
._~
CSC,
Permit Fee ..7C~, ~~4)
TOTAL ENCLOSED FEE ~~~
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
p',
No work shall be performed prior to receipt of validated permit.
Call (360) 458-8407 for inspection.
FOR CIN OF YELM USE ONLY
~ ~ ~~~~i
/',, ~, ,-
Reed by_~ ..~~' Date ) ~ Permit #~~ ~.../
CONTRACTOR'S AFFIDAVIT
~`' ~ CITY OF YELM a
oFT~ PLUMBING PERMIT
• P.O. Box 479 ~ `' ~ "~ ~~
Yelm, Washington 98597 Separate application for each structure-i'`~ ; ,- ~ ~ ,,y
Telephone (360) 458-3244 Date ~ 1 j/~ ~t ,' ,,.'
~- G
~~ ~ .~'. <- :... ...- ~' r
Const. Address 1~ C7.~ !~ , ~ r / 4 J? ri~,dp` ..=~ ~ ~~ `~ '~
f-t ~ OccupancY ~,.~/~ ~~" ~.,~~;~~r dam/, ~~~:,f"'~lr~!`~x-,,~.
~)er ~J/l ~~ 1~t? A~i>. I,,e l~ ~,rr~ri r'' ~; Ll ~..~. ~ ~ ~,,,L - '"~~;~ ~.rwr4
~~~ `~ Address~• ° ~ /~`,~~ `' J I Phone
Contractor ' 1~. c~~~~'r" ~- Address Phone
State Contrs. No. ~~!^~ ~~~ ~..l i4 J :: ~ ! ~'7 Building Permit Number CGS '/ 7 `j~ ~,~~ )
ITEM
FEE 16lUANTITYI FEE
~ Toilets ~ "~, ~~~L,' ~ ~a~ «~~ d ~
Urinals ~-
Bath Tubs
Shower Baths
Kitchen Sink
Disposal Units
Dish Washers
Drinking Fountains
Laundry Tub
Automatic Laundry E
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks
~~ y u
I. UU
DESCRIPTION OF WORK
New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
f'~ ~ ~~' C..jc..~ firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
c~ I E I r. G~ ~~" I ~;
Signature a' '.~ ~ ~ ~,~ ! i, ~-
-~=--
No work shall be performed prior to receipt of validated permit.
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
Permit Fee ~; ,,y . t,~~>
TOTAL ENCLOSED FEE /~0`~fJ~
~ ~~
Recd by Date Permit #~:~
CITY OF YELM
~oFT~ PLUMBING PERMIT
P.O. Box 479 Separate application for each structure.:/
Yelm, Washington 98597
Telephone (360) 458-3244 pate C.
Const. Add/ress .f (~ :~ ~ , ;'- ,~ „~ ~r,1 ~ (~ r .`~ ~ Occupancy i~ / ~~rd6?~ r ?
ier .7°v'~.~ ~'~' f.su-~ i l,~r L„/~ ~1 f ~ Address ~' :?. ~- J~ ~I~~r `~ .~~ S
Contractor r i<~~.,J~`~t">- / Address
State Contrs. No, l~Arb' 62 ~ i• ~ E~.~L~]Building Permit Number ~s ~/ ~i`~'~5 ~~
ITEM
Toilets
Urinals
Bath Tubs
Shower Baths
Kitchen Sink
Disposal Units
Dish Washers
Drinking Fountains
Laundry Tub
Automatic Laundr
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks
Misc.
'ISC.
FEE 16ZUANTITY I FEE
". U ~)
~'~~
t~
" vy Gt
Qr
UC)
la
~~~ ..
,• ; 1~. ,,
~ .~ ~ °~ 'vf ,.
DESCRIPTION OF WORK
.~ New
^ Addition
^ Remodel
^ Alteration
' ' CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
' ~~ firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
~ Q ~ Firm
Signature,'/' ~':~.-.~ f /%
-~ ~;
l.~• U~J ~.Q No work shall be performed prior to receipt of validated permit.
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
Permit Fee ,~~, ,-~ ~" '~
TOTAL ENCLOSED FEE f ~~', ~v Recd by ~ /~_.Date Permit # ,
~` CITY OF YELM
°ET~ PLUMBING PERMIT _
P.O. Box 479
Separate application for each structure ,~q~~ /~ ~,,~p~
Yelm, Washington 98597
Telephone (360) 458-3244
-~
. Address "~)r~ ,~ r.,~,.~r r r,, /~'~ w''i:,r It' S i ./47th
..._r /
Owner
Contractor-% r= , ., :.: r~`:! (.. , ti., . ~
Date -T
Occupancy hJ ~ ~ ~~ L ~1~~'~•
)~ ~ r L.F.n~ Phone ~ ~'.~,2 L
Address `~U / / Y`~'~,~~'rt n ~~ tp ~~ ~ " ZJ^~ s
~ ~, t>
Address ~ ~~ t~/ ~~ ~ ~ >- .~~ c/u~ Phone
State Contrs. No 1 t~12 ~'4+ ~~ c:: C i ~ `7 I~ ~ Building Permit Number t~ ~`~ ~ ~~
ITEM FEE AUANTITY FEE
Toilets ~'~ U!i / ~~ "~`~'
Urinals _~• t~~ l~~
Lavatory ~, r a~~ <y .~ . C.~fJ
Bath Tubs
Shower Baths
Kitchen Sink _ . t) ~ ` • ~~
Disposal Units
Dish Washers
Drinking Fountains ~ ~, tw " . ~'+~
Laundry Tub
Automatic Laundry Equip.
Catch Basin
Floor Drains . C;1~ ~ ~
Floor Sink ~ , ~u, . C~Cr
'pt Water Tanks ~ ~ ~ ~ v
Misc. `~ ['i ' ,~ a N a (J l ~ . ~~~
;,- a ~-.,
Permit Fee ~~). ~)
TOTAL ENCLOSED FEE ~ ~',p
DESCRIPTION OF WORK
J7" New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelrra.
Firm • ~.~ ~~ ~~''~.'L.4J''~
.~ ~
Signature '`
~'
No work shall be performed prior to of validated permit
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
..
,S ~.~ ~~
mit #~
Of tHt+
CITY OF YELM
P.O. Box 479
Yelm, Washington 98597
Telephone (360) 458-3244
PLUMBING PERMIT
Separate application for each structure,
Const. Address ~~ ` ~^~,r f 7FF~~~6 }~ I ~ g
.er ..i ~; I }~ ~ F L Ci d ~' ! % ! ~e1 r/.S 0'1 N% ~ -
~. 4~
Contractor
State Contrs. No
Building Permit Number
r~ ~ ~'
a
,l~l
f'~
Address /~~~~a ~ ~.',1 ~i `~+~= Pnone ~-~~ ~tY- .~-
Address Ph
:, r ~, ~ 1y _ ~ -'
ITEM FEE 61UANTITY FEE
Toilets - • c~'v r ~ ~' ~
Urinals
Lavatory
Bath Tubs I • ~'~' ! ~~ u v
Shower Baths t v ~ ~ ~ 'D
Kitchen Sink
Disposal Units
Dish Washers
Drinking Fountains
Laundry Tub
Automatic Laundry Equip.
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks
Misc.
disc.
Permit Fee v~'~, ui
TOTAL ENCLOSED FEE ~~• ~
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
i ~``° ; ,
Signature E>+'~~ ~ ~ G
No work shall be performed prior to receipt of validated permit.
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
r
__
Recd by ~-- '~--- ;~ DatePermit #i/
.i-.
CONTRACTOR'S AFFIDAVIT
~oFT~~ P'.0. Box4E9 PLUMBING PERMIT '~ '~~ '` ~ "y
Separate application for each structure ~,..,~ ~ `~
Yelm Washington 98597
Telephone (360) 458-3244
Const. Address` ~~ 1 'r ~~ ,fra e ,,,/ ~/ , Cd„f ~'~ ,~
--y
~~rtitractor 3~t f C (~c;yi j ;ri'a{r' ~r'G'~..~
State Contrs. No.j 4c~z ~i ~• r~ ~ ) /y~- Building Permit Numl
ITEM
Date ,~ '~(.~;
OCCUpanCy ', /%c ~ 1r~i 0' °~ 1 ~. ~ C r /..~'".~. ^v
! ~
Address ~~1 t,/..5'"~ r•p"l dU'v~i~ih, 1~`~! tti,,,y ~ ~ Phone ~~ ~ ' ~~:~>' ~'
...~---
Address t'~~J, '~=~iJ~ /~ ~ ~ /' t°eJ~„'`/ Phone -~'~°/ °~~: ~%1i~~~
` '/ ~'.~
rr..~
DESCRIPTION OF WORK
^--iVew
^ Addition
^ Remodel
^ Alteration
FEE I6lUANTITYI FEE
~ Toilets ~ ~~ ~~~ I ~ ~,~i ~;~;
Urinals l
Bath Tubs
Shower Baths
Kitchen Sink
Disposal Units
Dish Washers
Drinking Fountains
Laundry Tub
Automatic Laundr
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks
Misc.
~ no,...
.~
b ,:
J( t /
L' 4~
~~
Permit Fee
v1~/
/J. c.c~
1.- (_%
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
~~ firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
,t
`~) c, ~/ Firm t ~~ ~~ ~ ~ ~ `~' ~ ~ ~ 'r" . ..~.''~? ~
,('
Signature ~ ~.-~"~... ` ,~~" ~``' ~.- '
t
j' /. ,. No work shall k~e .pecfor.~eN"-prior- to reeeipi" 6fi" validated permit.
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
t ~.
c ~ ~~-~~
I TOTAL ENCLOSED FEE I TU`~C>~~
( ~ 7 , ,r
f ~~( ~, ~~
Recd by '`'t~(i 'r rot. r'~- -----Date_~Permit # % '
i
~' CITY OF YELM ~ ~~ ~ ;ti `~ '~
°fT"~ PLUMBING PERMIT
P.O. Box 479 Separate application for each structure f_.. ~-•
Yelm, Washington 98597 date ~_,. ~-
Telephone (36/0) 458-3244 ii
Wit. Address /~/ r' `~ ,zd _.! cif rf~1 ~' ~~'te~.a 1~~r Occupancy
Owner ~~ `... ;-, r'~:~., r,% f Address Y t~! ~7 Cam) nr j ~ ~.~-t J f Phon~ -~{I ~ 7 ~ ~ '~'1~., ~~
Contractor " ~ ., ~'"`~•• r+uu'C"
"" - ~ .
State Contrs. No. ~" ~~ ~i~.~of ~1!'~Fi~~-• Building Permit Number
ITEM FEE 61UANTITY FEE DESCRIPTION OF WORK
t
T
il Uf ~
~) ~ ,(~~ New
s
o
e .
l
U
i ^ Addition
na
s
r
Lavatory
th Tubs
B `?, u~ ~• , c~ ^ Remodel
^ Alteration
a
Baths
Sh ~~a
~"~ ~
} ~~~
ower
Kitchen Sink ~
`"-? c ~-~ ~
~`~ f~'~' CONTRACTOR'S AFFIDAVIT
Disposal Units I hereby make application for a Plumbing permit and certify that our
Dish Washers ~}• ~~> ~ ` ' ~~ firm is registered as a contractor with the State of Washington and
Drinking Fountains City of Yelm and that work shall be performed in accordance with
l
a
f Y
e
f Cit
Laundry Tub p
y o
n
all Codes a
d_Ordinanc~es o
~ '"~'
(
~
Automatic Laundry Equip. ~ . Uu ~ ~ ' f
~
Firm
Catch Basin ~ i•
'°~
~,•-' ~!~
Floor Drains ~~
r
Signatu~r~ °~`'~e.'t_~~""_-`- `../,~'•`` '~"~r ., _ %n~ .-.
Floor Sink • a ~~~
• 'ot Water Tanks j ~ U c~' ~ / ~ (/ 0 No work shall be performed prior to receipt of validated permit.
ti
f
i
,• on.
nspec
or
Call (360) 458-8407
Misc.
FOR CITY OF YELM USE ONLY
~~ ~-7
Permit Fee -;;~,) ~ ,~ ,~•~'" / ~ ~
7 ~ ~ Recd by f~ • • • Date Permit # ~ '- •"
TOTAL ENCLOSED FEE ~~};~, }
~oFT~~ P'.0 ox4E9 PLUMBING PERMIT
Yelm, Washington 98597 Separate application for each structure
Telephone (360) 458-3244 Date
Const. Address d ~ `r/'~ ¢E/11a~/.~lJ ~ ~,~"
Contractor , ~ . ; ~,f C'' 2-
State Contrs. No. !'J/Jr2, r L ~( ~'~ ~, f7 Building Permit Number.
~ r• ~/W
''-' i
Occupancy _'~ ~~c,,lL f~~~» i lr, ~~ ~ ~~S~ ~/~-r-~
` _.~
~ ~ f..o
~" -p
~fLat-.
ITEM FEE 6lUANTITY FEE
Toilets a ~ ,. ~P .('CU
Urinals "
Lavatory _ ~ ~ ~ ' ~;~ c<, h J
Bath Tubs
Shower Baths "- .1~..,. ~ ,(,
Kitchen Sink -r _ ~ ~;~. t:
Disposal Units
Dish Washers ~-) .~~ c~ j _7.~ "~~
Drinking Fountains
Laundry Tub
Automatic Laundry Equip, ,~;~ _f,t; v
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks ~ ~, ~,~ '' '~ ~~ ~
Misc.
,tlsc.
Permit Fee ,~~, ~t j
TOTAL ENCLOSED FEE /~t~' ~~
DESCRIPTION OF WORK
-`New
^" Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
~ n
Signature !~~ ~.f ~'~'-~~-"
No work shall be performed prior to receipt of validated permit.
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
Recd by~ Date Permit #
CITY OF YELM ~ P. r
°fT~ PLUMBING PERMIT
P,O. Box 479 ~'• ~ ~-_'
Separate application for each structure .~-
Yelm, Washington 98597 ~ `Y ~~%~;~ ~i .,~~ `
Telephone (360) 458-3244 Date
.-„-. -
.- ..~-'
Const. Address~,~a~ _S c~, ~ C" ~ie?~ ~;~ ~ ~ ,.7 7~ Occupancy ...~1 /k f~P /.a ,- is ~' `~~~ ~,rr
~er ~Jrt~~',1 ~f'o1ar7~ ~~.j S~~c;r~nt' `"~ Address 7. ? ~.,.~ /~~o t. S7' .~ ~ Phone~~~~i~..~~ 1 ~ ~Z~i
Contractor 1) k-.: F~ ~ ~"~ Add
State Contrs. No. N ~~~~ ~ ; ~~.-~2 ~-rt Building Permit
ITEM FEE 6lUANTITY FEE
Toilets ~; r) ~ 7 ~ , ~~~
Urinals
Lavatory ~-t . ~r~` ~ " ,~. r~ C)
Bath Tubs
Shower Baths ~% , ~ ~ l • ~
Kitchen Sink ' , c>
Disposal Units
Dish Washers ' , ~ t G - u
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. ;~ ~ ~ . ~ ~
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks "` ~, ~,i ;7. Q n
Misc.
'~sc.
Permit Fee ~ ~, , !~d
TOTAL ENCLOSED FEE ~, !gib
DESCRIPTION OF WORK
,,^ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
r~
Signature '~` 1~ ~, c_ ~%_: t=
r
No work shall be performed prior to receipt of validated permit,
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
,,~ .,''
Recd by Date Permit #
CITY OF YELM
°FT~ PLUMBING PERMIT
P.O. Box 479 Separate application for each structure,.
Yelm, Washington 98597
Telephone (360) 458-3244 ~-'`
Const. Adddress / ~~~ `~lr f ~% r~"igft'~(~ ~~ ~ ,r~r
ier ,~Jjl rliZ t it oya ~ ~~ / ~"~~l~b~r E"~
Contractor L,1 r.,.J..~ C /2
State Contrs. No. ,~A k? 01 C `t ,~E !~ ~ ~ ~! Building Permit Numl
Address "1 ;7 ~.. ~~ ~ ~^~
Address
. _ ,..-~
M. ,~
~~
1/ ~~~ ~,~ ~~~~~
~ t~r/Y r
~~ Phone • ~ ~'~ .~ ~ !~~`l +~
Phone
ITEM FEE 6~UANTITY FEE
Toilets ~~~ ~?~7 ~ ~,r. ~
Urinals
Lavatory ° . ~.~ ~ ~? .~'~
Bath Tubs
Shower Baths ) a ~' ~ . C~c~
Kitchen Sink ~~ , - , ~,~~
Disposal Units
Dish Washers ~~~ " ~~~ ~ `~' ~
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. - . U~ ~ %.Cr
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks "' . r~% / -~, , ~-~
Misc.
li$c.
Permit Fee ~~~ ~v
TOTAL ENCLOSED FEE
DESCRIPTION OF WORK
-~I New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
/~; ~"~
Signature , ~~~ ~ `~' - ~ ~'~-~.~,~
No work shall be performed prior to receipt of validated permit.
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
Rec'dby !^/-~_._ Date Permit#~
~' I ~-CX
~f T~
~
'~
I
z 479 PLUMBING PERMIT ti .
P
.O. Bo ~ ~
'w~
Yelm, Washington 98597 Separate application for each structure .-'
t
~ « f ~ J f-,
~
Telephone (360) 458-3244 Da
e .
~~ _
Const.Address /A~~~,~0 /"i1~~'e,:1~~~ ~
~-~1` ~~" Occupancy v_-~ ..
~r~- ~' .~~ `\
'~~':~~rl'-tea
" per ~.1`iJ rr'~Z ,,'',~-r.,, ~ !~ ~~.k~~-a-r, rs Address ~'"?c~.S~ /~~i ~'~ .S ~ S ~ ~ ~ ~ ~Phon~J'~; ~,).~ ~`i e ~`1.~.
Contractor >~., ,,; r ~L~ Address Phone
State Contrs. No. ,w.~~e t°~ ~c' /;• L. /-~ Building Permit Number 1~> `r~i
ITEM FEE 6lUANTITY FEE
Toilets _~ ? ~ ~~
Urinals
Lavatory -`~' , i- u , ~i ~}
Bath Tubs
Shower Baths - . ~;(;1 / ~ , ~~
Kitchen Sink - , ~; ~; , ~?~1
Disposal Units
Dish Washers "-_ . ri~,,i -' .~
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. "`"' u~ c~ , ~;7~1
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks '~. c~r1
-Misc.
hsc.
Permit Fee ;f. ~;~ rye
TOTAL ENCLOSED FEE ~~~ ~
DESCRIPTION OF WORK
~f New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
,y~`~~
Signature Gff ~/t <. ?~~-~
.~'
No work shall be performed prior to receipt of validated permit,
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
rji /_
Recd by Date ~ Permit #
CIN OF YELM ~ ~, , ,n
ofT~ PLUMBING PERMIT `~~~ ~~`~
P,O. Box 479 Separate application for each structure '~ ~--~ ~ "'
Yelp, Was (ing) n 98597 ~~ ~~ _ ~~,,,~
Tele hone 360 458-3244 Date ~ -~
Const. Address ~d~_ ~ ~~ ~ ~~' ~~ ?~ ~,/~- .~ ~rJ
f .".'". J
per "~,,/:~1t.'~`7 7~:d/r)~ it :-l .7'°~.+G'7''Y~ ~'G
Occupancy ~~s ~ r'~~ 0~' ~ ra/~ .~L~~l ~~''~r~Sir't~.-~tk'
Address ~ ~ ~ ~'"' ,lf t~~,t,C~ ~ 1 ~ ,~" 1 ~ ~ ~
-c~L~~ ~~ c. Phonrp~,~.__ 1 _ ) i .~wti
~, T`~~
Contractor c.~ i-~' ~ f h'' Address Phone
State Contrs. No. '~''~~ '''~'~ ~ -~ ~ / ~ 7 ~~uilding Permit Number l~ ' l L~ ..~~-
ITEM FEE 61UANTITY FEE
Toilets ~~„ ~~,e „~/, ~~~",,
Urinals
Lavatory ~ %, C.~ ~ ~. ; • 1~
Bath Tubs -~~ ~, ~;~,+ - t ,~~
Shower Baths
Kitchen Sink ~~', ~~ ~', ~~,
Disposal Units
Dish Washers -' , v r.~ ~ . L'
Drinking Fountains
Laundry Tub
Automatic Laundry Equip, . t.;~ ~ .CJ~
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks ,, ,;) , tJr~
Misc.
ISC.
Permit Fee ~ ~ ~
TOTAL ENCLOSED FEE ~/ f ~, ~(~
DESCRIPTION OF WORK
-~' New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
..,~/ ,
Signature " --•---""
No work shall b~~ performed prior to receipt of validated permit.
Call (360) 458-8407 for inspection.
(l '
FOR CITY OF YELM USE ONLY ~``' ~,,~/I
Rec d b~~~~ ~ Date "r'Permit # ~' F~
CITY OF YELM
~oFT~ PLUMBING PERMIT :~
P.O. Box 479 ' any
Yelm, Washington 98597 Separate application for each structi,}re ~~ , - ,
Telephone (360) 458-3244 Date ~~ ~',~, ~ ~ $ ,r`' ~ ~: .~" i ~ '~~
~_
i a
Const. Address i ~-' r~r' ~~ ~ a ,~~. J~r,,F~ ~ ~ f~ Occupancy r~r ~ ~~ ~ a ~ 1 1~`=L"<~, rtf ~.
~_.. ,
l'~ ~,~ 1'. j _.,, ~1
a
ler ~~Kz~rs ~'~d~ rir~ ~ /-y«yt ~ ( ~~tl`V'l~~' C~ Address ~ i~ ~ / j ~ ~ ~ ~ ~~uc
Contractor ~ .;,-. ~'"> ~' Address
Phone
t ~ _ ~ ~~.. ~ i-
State Contrs. No. ~,J,t?,1 rf ~'~-~ ~ };? ~ (°~Building Permit Number ,f.,c `~ < } ~ r F ~ ~~` ~'
a
ITEM FEE AUANTITY FEE
Toilets . ~ ,; ;~ ~-~ ~ C l j
Urinals
.\ L
Bath Tubs ; c '
Shower Baths
Kitchen Sink -"~ t,~~; ~ ~) ~.> ;~
Disposal Units
Dish Washers
Drinking Fountains
Laundry Tub
Automatic Laundry E
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks
Misc.
liSC.
DESCRIPTION OF WORK
,~7 New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
`' `' ~ ~~ firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
., ~~ ....~ ~) G' Firm
.,~~~
Signature ~ /'i
tt (.' / - t~ No work shall b~'iperformed priot''fio receipt of validated permit.
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
Permit Fee ; %) ~ ~-~
TOTAL ENCLOSED FEE , ~• ~~'~ Recd by _ ~,; ~ date ` ! h_"; Permit # ..W
f~~' ,~,~
OF THt+~
CITY OF YELM
P.O. Box 479
Yelm, Washington 98597
Telephone (360) 458-3244
PLUMBING PERMIT
Separate application for each structur .., . ~,-,~ ~~; ~ ; ,
Date ~ ~~ ~,~; ~~ ~.''~'>
Const.Address~tf~~~~/S ~~~rR ~U F ~ ~ +'~;-:~c (p Occupancy ~J~~~~~f 1"'i ~a~!~ ~~'l /~ix~,~.G~r'1
_ ,r
i`r~er .KJ~rr~' ~ 1.r~l~~.~ ,~,~'S Addressc~)C.S'< Jlj~ ~~ <~~ ~ ~ ~ ~~~Phon ~S ~>~.`_%Jr1 -d.?c~~,1,
Contractor (?~~~~~J~"~t -
State Contrs. No. /'~~'F/t r; ..C ~ ,~+~~ L~ Building Permit Numbe
one
ITEM FEE 6lUANTITY FEE
Toilets '.-7 ~~ /,,~D
Urinals
Lavatory '', G~c; ..' ..'~,l. U
~
Bath Tubs ~~~~ r,'v ~ ~; ~
Shower Baths
Kitchen Sink - , U~,~ j ;~. U
Disposal Units
Dish Washers ;' , [.;~F ~ , ~~ d?
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. ~ c.,> ,
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks ~ . U~ , ~'~.>
Misc.
'sc.
Permit Fee ~~ r~ ~
TOTAL ENCLOSED FEE ~~ Up
DESCRIPTION OF WORK
Ja'' New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
Signature ~ '
,- ~
No work shall b~performed prior to receipt of validated permit,
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
C'"
~r \..JI f'l ~7 I
Recd by Date ( Permit # ~~
~! % '
CITY OF YELM
°fT"~ PLUMBING PERMIT
P.O. Box 479 Separate application for each structure ~•~.. ~-~ ~ '
Yelm, Washington 98597 Date ~ ~ - ~ ~ ~ ~~~
Telephone (360) 458-3244
~ ~/ } _ }
,st. Address ,~~ `> >i ,~ ~ ~~ ~'j ~` ~ y ~~^ ~ ~/r/~'7ccupancy .G (..~~_i,~
-,.-.+
Owner f ~._._~ ,'=y. ~ ~-..
Address ~'''.~/ lfli ,;~ i j-y ~~'~' ~j Phone ~~°`r,~" ` /L 3
Contractor + ~+~ ~'-'
State Contrs. No. ~=~ ~~ ~~"`~ C_ ~,`~ ~~~/~.8uilding Permit Number.
ITEM FEE 6lUANTITY FEE
Toilets ~ ~~ •~~
Urinals
Lavatory
Bath Tubs
Shower Baths { r U '~'
Kitchen Sink -' ~ ~ ~~'~
Disposal Units
Dish Washers _
~ e)
~
/ •/G~
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. :/~ ~~.j) "~ P ~
Catch Basin
Floor Drains
Floor Sink
'ot Water Tanks `
~JiISC.
Misc.
Permit Fee ''~},~
TOTAL ENCLOSED FEE '~ '•
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes a~n,,d Ordinances of City f~Yelm.
Firm ~ ~'` -~) ~ ~ ~,nJ ~ ~'''(r1~~~1>,t i~
(,~ ~'
./.- G~-~~'.
Signatur `' °
No work shall be performed prior to receipt of validated permit.
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
.~
~ ~~
Recd by ~l ~ ~-~~' Date O ~~ Permit #~:/~
CONTRACTOR'S AFFIDAVIT
,~ ,
/' ~~~" "'
~' ,;
CIN OF YELM
°~T"~ PLUMBING PERMIT
P.O. Box 479 4' '~ ~
Yelm, Washington 98597 Separate application for each~satrfecture ~ ~/'~ ~f~ , ~
T le hone 360 458-3244 ~~ " ~~ ~
e P C ) ~
,~ " ..~-- `~y-
' ` ,
ist. Address if f ~ ~ ~..~' ~ `` " ~ ~ ~ t '~~ ~~ ~ Occupancy
` _. *, f Address ~-:~~~~ S r ~~ ~.~ K~ ~;.~.~ Phone > ~~ ~~ ?.'.G
Owner .~. ~',.ir7 r% r~ ~f~~ ~' ~ ~ IJ~`7 0"~ ~.~--~~ ~'"~
Contractor c.i ,a~+ t-~~4~- _ Address > c~ L~ Phone
State Contrs. No. ~-,~%i~ ~~ .+~/~ ~`~~~~ Building Permit Number ~- ~°~ r~ (J ~~' ~~
ITEM FEE 6lUANTITY FEE
Toilets v-~~ ~ ,~/.~~
Urinals
Lavatory "..,, ~=~ ~ N ~~'~'
Bath Tubs - -i ,? ~.. ! ~ ~ ~'
Shower Baths
Kitchen Sink ~' ~lt~ r '~~°~
Disposal Units
Dish Washers ;' ~ ~k=
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. ~", ciiJ -~'~
Catch Basin
Floor Drains
Floor Sink
'dot Water Tanks "r . iic~ ~ EU'
IISC,
Misc.
Permit Fee ~'~.~-~.,~
TOTAL ENCLOSED FEE
DESCRIPTION OF WORK
~ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
Firm ~~"'~
.~
Sig tur ~""~^"""~~'`"~--~~--~-."""_._._`---
No work shall be performed prior to receipt of validated permit.
Call (360) 458-8407 for inspection.
FOR CI1Y OF YELM USE ONLY
Recd by Date Permit #
' ~.
CIN OF YELM
~~fT~'~ PLUMBING PERMIT ~ ~ ~~ -;
P.O. Box 479 ~ ~, . ,~
Yelm, Washington 98597 Separate application for each structure / ~ ~;~
Telephone (360) 458-3244 Date l ~~, w~ ~•` ~~t..f
Const.Address !~ 1~~1'ry !':~C~`~ .~T- ~~ Occupancy ''~ricoAf ~i7eN~f~y ff{";~„~~.r.,~;,.
finer I "~.~ K~~~~C (f4~.I'/f!~ ~`V/rYi p••ai ~, I.dS ~.,~r ~'- ~~ ~M cam... ,.
Address ~ Z ~-~ S ~ ,~/c,~ / •.a Phon~ 4-5~ '~- ~~!"'
Contractor ~-= t~-~~~•(Fy1.- Address
Phone
State Contrs. No. ~~r7 rlr~ ~ .~ ~ ~ ,~~ L~yguilding Permit Number f-~'/ `:'t./
ITEM FEE 6ZUANTITY FEE
Toilets ~_ ,c%<<~ .°, ,.1~~
Urinals
Lavatory ~. e ~; ~. > , . ~v
Bath Tubs - ~ -~ Utz.
Shower Baths
Kitchen Sink ~? ~~~ 1 ~,7,t?.,
Disposal Units
Dish Washers -~ • ~e~ ~ -"-, f;~~,~
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. ~ . ~ ~ f'. ~>,~;;~
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks . r,-~ ~ -, ~; ~~
Misc.
~/IISC.
Permit Fee ~~~~, U~;a
TOTAL ENCLOSED FEE ~//~
DESCRIPTION OF WORK
New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
Si nature i
No work shall be`/~erformed prior to receipt of validated permit
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
Recd by Date- ~~~ Permit #
~pFT~~ CITY OF YELM ~pLU~BING PERMIT .~~~~-r •~~•~..
P.O. Box 479 Separate application for each structure ~'
Yelm, Washington 98597 ,~,!~ / "
Telephone (360) 458-3244 Date rd ' / ,~'~~ -_:»-~~~~'(,~
Const. Address l4%' e"~ C ~~ „C:d , ~ _`~ S~~' . Occupancy .. ~\;• < r: c. ~~ 1' r < r ~ - s~ c ~ •-- ~,,
finer ~,;~..6r~'.,e' ~ .~d r~ , i ~ fVr~ ,~r~ F"~ Address~.~ ~~ U~ ~ ~~ ~ . r ! ~ ~ ..' ~ vF.. ,. ,,, ~
!~ ~ Phone a r- -..
State Contrs. No. ~ ~' ~ C'S ~~)~ ~ ~~uilding Permit Number
ITEM
Toilets
Urinals
Lavatory
Bath Tubs
Shower Baths
Kitchen Sink
Disposal Units
Dish Washers
Drinking Fountains
Laundry Tub
Automatic Laundr
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks
Misc.
Misc.
FEE ~ 6lUANTITY ~ FEE
~c ty I ~° ~Z~.l>~
l,r>s~' !t1'~~
i' ~'tJ
e~l
Address Phone
DESCRIPTION OF WORK
~ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
^' ~~~~ 7' `'~`'? firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
~. ~, (~~~ r ~~" ~ Firm
/~ .~
Signature "~ ,/ ~~'"
~ j ~ ~;
~,trt 1 ~, pr) No work shall ts~rperformed prior to receipt of validated permit.
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
Permit Fee J ~~~
TOTAL ENCLOSED FEE ~;). Ut) Recd by ~'~ Date ~ /~ Permit
CITY OF YELM
~~f7~'~ ~ µ PLUMBING PERMIT ~ ~~~~
P.O. Box 479 ~ ~'; :;;
Yelm, Washington 98597 Separate application for each structure .,~ ,~~ '
Telephone (360) 458-3244 Date c~ / r~r`~`~1`~%' 1:.
Const. Address ~,i ~} ~,r tarp ,~ , ,.%~ ~ .-~ ~~, ~~'~ ,;~.,d` ti~ t Occupancy ~ ~ ~~; E'' ~i+.~~. ! y ,J,.- ~ .-'~x.r ~
! r,..-
Contractor ~ , t.~ ).•,,, ,-r'pG
State Contrs. No._ ~''' ~1 ~~ ~' r~ ~ ~ /~ .~ (r`/ Building Permit Number
CJ
ITEM
FEE ~ 61UANTITY FEE
Toilets ~ f -,iii ~ /b~ G~
Urinals
Bath Tubs
Shower Baths
Kitchen Sink
Disposal Units
Dish Washers
Drinking Fountains
Laundry Tub
Automatic Laundr
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks
Misc.
Address . /c%S ~ A'!~/~ ~ ~~
,~ ~ `'""
'r
Address Phone
~, r`~~
DESCRIPTION OF WORK
,~ New
^ Addition
^ Remodel
^ Alteration
` CONTRACTOR'S AFFIDAVIT
_~ U ~ I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
~ / Firm ~
Signature ~ Y~ ~-.-p,~.
Gw No work shall ~~performed prior `f'o receipt of validated
permit.
Call (360) 458-84 7 for inspection.
FOR CITY OF YELM USE ONLY
Permit Fee ~~,,
TOTAL ENCLOSED FEE 9~~~
1~~~.
Recd by / %~~f/"`'' Date ~~/ Permit #~ ~~~
CITY OF YELM
°fT'~ PLUMBING PERMIT
P.O. Box 479 ~ ~ ~ ~ ,,a
Separate application for each structure ~ `~
~,-- ~~
Yelm, Washington 98597
Telephone (360) 458-3244
' st. Address ~.~~~ l ~~~~"t vv+ 'J ~
.,~.~.
Owner.' rr ', u' ~ ~`!:: S~~
Contractor
State Contrs. No
Building Permit Number
Date ,,,. !
Occupancy ~~+" ~~s'" ~
,. ~ ~--.
ITEM FEE 61UANTITY FEE
Toilets ` ~~
Urinals
Lavatory
`
' ~~'
Bath Tubs
Shower Baths
Kitchen Sink
Disposal Units
Dish Washers
Drinking Fountains
Laundry Tub
Automatic Laundry Equip.
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks ~?. U ~ ~
ISC,
I~/IISC.
Permit Fee ~~. C~L,~
TOTAL ENCLOSED FEE ~~~,~(,~
4~.25~ t~
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
Firm I a
'~r
Signature ''~-
No work shall be performed p r to receipt of validated permit.
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
Recd by ' ' t-- ~ ' Date ~ - Permit ~ f
CONTRACTOR'S AFFIDAVIT
F
OF THt+ ~ ~ } ?...f
~' CITY OFYELM PLUMBING PERMIT ~:; ~~ ~:~~
P.O. Box 479 Separate application for each structure ~ f''
Yelm, Washington 98597 ~ „~, i ~ 7 ; -,.
Telephone (360) 458-3244 U L~- Date .....~ ~ ~/ ~~'~~i~ ~ ~..~
Const. Address ,,~~'~~ [~t~ I~~r2" ~7~{~~/ ~P ~ ~ Occupancy ~..~~''~ ~"~ ~.+,r`~~i (,r i ~~",~ `*"~'t..s-1!~
mer ,~w~~ r•~ ~ I'~`strdw (~.~ ~.7~ ~,z~ i":~ Address ,~ L v C'"` f e~~i ~ .`> ~ .J ~ ~~ Phone ~ ~ ~ ~~ `
Contractor i~>~...,..'.~ f ~- , 4 Address Phone
State Contrs. No. ~~ ~ Y~'.-~ < .i ~~ t 7 2 ~ t`7Building Permit Number ~'~ ,~~
ITEM FEE AUANTITY FEE
Toilets .%. r,:>+:> ~ ~ ,~L>
Urinals
Lavatory __.,r,,~; ~ ~',~.U~
Bath Tubs ~- ~ ~;~ ~ ~ ~`~ . h ~~
Shower Baths
Kitchen Sink _.~,t,~..: _"~'.~ac;
Disposal Units
Dish Washers - % F~ ~ `" ;~`'
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. '~ , t~~,) ' "A -~'t.~
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks 1 ~ UCH '"", err
Misc.
Misc.
Permit Fee ~,~~) ~.,, ~;
TOTAL ENCLOSED FE ~7*~ G to
DESCRIPTION OF WORK
~-~ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
r`1
Signature j', ~ f ~-',fir--r'°""'"
~- -~ `
No work shall b~ performed prior to receipt of validated permit.
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
Recd by Date ~ ~ Permit # ~ ~~
Of" w
,~`' CITY OF YELM
P.O. Box 479
Yelm, Washington 98597
Telephone (360) 458-3244
PLUMB~YNG HERMIT ~ ~~~
Separate application for each structure r
Date f'~Y;~.~ ~`~.~11~L:)
Const. Address ~.~ ~(iU J /L~:d ~' v ~ `~-'
~.--
ner ~Y/: r9~r ~d~,~ ~a F~a ~'.~
Contractor C~1 >~ ~"
.~.,_.
Occupancy `' ~ v1G, ~~ ~"r,~r + ~~.~' /`:
~~(~ ~ -5~ ~ ~'~ ~ I' , ~_ Phone !.r'S ~i~:~.~~`7
Address Phone
State Contrs. No. If`.ti~~rL' C'~ ~ /f7 C ~? Building Permit Number ~' ~i~~~
ITEM FEE AUANTITY FEE
Toilets ~" ~; "" `` ~' " t)
Urinals
Lavatory ~:%• t~~% -' `%S~ '~~~
Bath Tubs ~ ~ e' , ,~
Shower Baths
Kitchen Sink -. -~!~r ~~Ut~~
Disposal Units
Dish Washers ~" . ,~ ! -- :~ ;~
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. ""`' u ~ . ~;%~,?
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks "~ . Cs G~
Misc.
-Misc.
Permit Fee ~ ~~ ra~~
TOTAL ENCLOSED FEE //f . ,~)~?
DESCRIPTION OF WORK
~ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
.,
Signature `""~~
r
No work shall b performed prior to receipt of validated permit.
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
Recd by Date ~ " Permit ~~~~
;' ;,,,~ r' ~~ .
r ~`~ A
CITY OF YELM ~ +~ ~`°'~
°ET"~ PLI~MBING PERMIT
P.O. Box 479 Separate application for each structure -]
Yelm, Washington 98597 Date ~'f -c' _~~'_.,~)~?
Telephone (360) 458-3244
cc~~ ~ - ,.--
Const. Address ~~ ~~ `~I ~'~V/ ~' ~ f ~ L1P 1lA ~~J ~'r~ Occupancy ~~ +"ter rY~ "( lt"~<!'o~~-v~ ~.P
~ner~~.,,,r;~crr~Cr~ ~.l=~~r~~°'S _ Addressl.~„',t -~.. .i^ie.~~;z'r•l ~~ ~.` ~~~ ~~Phon~~J,~~~,1ilo"~~k~~t~
Contractor ~"'t-.~ } ~ r ;c'
Address Phone.
.s
State Contrs. No. t`~c:ri ~ r~71^/ s//~~ .L-> / Building Permit Number ~ ifa
ITEM FEE AUANTITY FEE
Toilets %~. ;~ "% ' `~
Urinals
Lavatory ~~> ~ - ~~ ~. ~ ~ ~
Bath Tubs r) ~ ~ ~ ~
Shower Baths ~'. ~ j - ~
Kitchen Sink ~:~ ~~ ~ _
~ ~ u ~
Disposal Units
Dish Washers
% r--~ ~
~~ ~~ ~
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. ` tri) ,~ ~ ~
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks ' rf.) ._ ~~'
Misc.
Misc.
Permit Fee •,~U, ~~
TOTAL ENCLOSED FEE ~i~~ ~I]
DESCRIPTION OF WORK
--~]" New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
Signature ~/~"~. ..~`_"'___- , e,/'~..,~ ~,~ ; ~
-~. ,.
No work shall be performed prior to receipt of validated permit.
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
Recd by Date ~ 1 Permit #
CITY OF YELM ~ '" ~'
°fT"~ PLUMBING PERMIT
P.O. Box 479 ~ °' '~'
Yelm, Washington 98597 Separate application for each~satrfecture .r~~/s „ ~~~~ f~
Telephone (360) 458-3244 2/D_ ,,"~~ `~ "~
t~ ; , ~
Const. Address ,f ~'~ Z,~~~>~A ~-~% f r ~ ~~ ir`'~ ~;` ~ J ~`~ra ~t'~ Occupancy °~ rr" ~~= ~f_ ~~ r y
~~ ff / 1,
'~ler ~ -~' F' h'' Nj' ' ;/i' / A~ f`-/G-'6'A p ~i Addresses' ~ ~ ~ `""' ~~~/d b i / ! 6-J /" r i ~` Phon~ ') ~ i 2 "`~[: '(_~ 7 ~'
C,vrStractor ~ ' .~-~ ~•~~, Address Phone
State Contrs. No. >- % ,,: ~ f ~ ~ /1 E~7 ~:~~~ Building Permit Number r~ ~~` ~i ~y
ITEM FEE 9UANTITY FEE
Toilets ~-' ~ ~~ "'~
Urinals
Lavatory _' , , ~'.c:
Bath Tubs
Shower Baths ~ . i ~ ` . ~% ~
Kitchen Sink -~ ~% ~
Disposal Units
Dish Washers ; _ ~ c:>
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. ~- ~; ~ ~' ~ •L~~ ~~'
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks G' ~: 7~~'<"
Misc.
"4isc.
Permit Fee 4~~,
TOTAL ENCLOSED FEE ~~/, ~~
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinanc~es~of--C~•ity of Yelm.
Firm r~'.° i
Signatur
No work shall be performed prior to receipt of validated permit.
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
Date ~ /'~ Permit ~Y ~~~
Recd by
CONTRACTOR'S AFFIDAVIT
CIN OF YELM
°fT~ PLUMBING PERMIT
P.O. Box 479 Separate application for each structure -~
Yelm, Washington 98597 .~
Telephone (360) 458-3244 Date ~--) .~
-~ ~ ~... ~ 27 ,. ._.~
Const Address ~~`1 c~,l ,~ a ~"•~'~ ~ !r~'~f r ~,/I ~ ~ ~il c'~E ~ J~ Occupancy ~--'~''"Y'~~' ~'` ~ ~~ } i :-
I
S ~''~''"C ri~`/' tri7
F' _
- --- ~ - ,, n 1 ~
.,.,~ner 1':=',~,..~ r7 r>~fci.nr ~~ /vJ,; r7~ ~' ~ Address /.~ ~ /...~~ (~ ~s a-» . i ce.,~ ~.~~.~ ~~ I~~~hone - '' --L.c~"
wntractor C.>c.~) r., 1""..±° Address > Phone
State Contrs. No.~~x~~ u~ i~ ~~ j~ / ~.~i>~ Building Permit Number ~-~ ~ ~I I
ITEM FEE 61UANTITY FEE
Toilets `%', ~;~~ ~ ~ ,~-;
Urinals
Lavatory "~ ~ ~,% ~'
Bath Tubs
Shower Baths "~' ~~;;% .~: ;:~ ,~ ~
Kitchen Sink .f -;~ -~
Disposal Units
Dish Washers -? ~ -~,.- ~~'r.=~
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. ~-', ,,~) ~ ~"~~~. r.~,^~
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks ~ ~ ~-'~-. Ut=
Misc,
^Aisc.
Permit Fee ~;~. ~)
TOTAL ENCLOSED FEE ~1~ ~~
DESCRIPTION OF WORK
New
' ^ Addition
^ Remodel
^ Alteration
1 2. x.8~•~
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
Firm
,~` ...-•--y..~--
Signat e ~..-r--------.~.
No work shall be performed prior to receipt of validated permit.
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
Recd by Date ~~/~ Permit #~
C.7
OF TtIF ~ r ,
~` CINOFYELM PLUMBING PERMIT
~ ~ ~,l
y
P.O. Box 479
Yelm, Washington 98597 Separate application for each structure
~ " /" J ~
'
~ °~~°~~ ~~~
Tele hone (360) 458-3244
p c
~
ZJ Date
~ ~ ~ ~ f .;- ~ r ~ > 1 j
Address ~~ ~~ ~a `~- '~
Const ~
o
t'° !.,',(1 ~r, t. ~ ^. Occupancy
', )~ _...-
r~ ~F ~~~ r~ ~ L~ 'CC
a~~-H-~'.
~
~
.
. ~ ~'e,r . /
~'~
~I
~
~
-
-
°
'
'
Address / ,%5 /
i---
"~ t JOh~ ~tl s.~
1
/'r.-C ~ ,
~,~r
1" ~ ~~ ~ ~_
Phone ~~ .>.5L'D ~a-(: `C`
_..
,
.
y
r
.
.~ r
a
r
-ner
'" Address Phone
+~
c.untractor ~ ~,,~ f
r ~~?
~~~ Permit Number (c~ ~
ildi
B ~
-
State Contrs. No. ~ %r,., •y fi ng
u ~
ITEM FEE AUANTITY FEE
Toilets
"~. -°~ _,
..~
Urinals
Lavatory , ,..r ;~ `r> ~ r
Bath Tubs ~~ , x ~ / -
Shower Baths ~'~ ~=+~.~ t ,
Kitchen Sink ~ ; , , '
Disposal Units
Dish Washers - a ~ ~~
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. ~ ~~~
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks , cis'
Misc.
^~lisc.
Permit Fee ~
TOTAL ENCLOSED FEE ~~~. -
DESCRIPTION OF WORK
-0 New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
Firm
Signatur '""~~"`
No work shall be performed prior to receipt of validated permit.
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
~ L ~~
Recd by Date ~ ~~~ Permit #
CIN OF YELM ~° '°° 3~~'~
°fT"~ PLUMBING PERMIT
P.O. Box 479 .n
Yelm, Washington 98597 Separate application for each structure /
Date .~i ~!'; . t~.~.%~t'..~7
Telephone (360) 458-3244
=-~. '~ ~ ~ ~ Il ~-s ~
Const. Address ~~./r ~-~~ j ,~s,) ~/~ I f I ~.~/•~ ~~ L1r;? Occupancy '~° + G~ P till r 1 r y/ 'f ` ~r~ ~4'
~. n ~
'~
~ ~~ f ~ ~ Phone ~~~
~' .•ner~ ~ o~ ~,<,~ ~ ~> r , ~.+ c~~r~ ~S Address~~~ •7 `'~ /.~ ~r';urf~ ~i ~'~ ~, , ~ ~, v -L.L~•.rr~
G~rStractor ' > [ ~ ~ f c:! Address Ph
State Contrs. No.,~~ r3 r1~.> fd ~/ ~ ~~..} ~ Building Permit Number ~ %.-ary~
ITEM FEE AUANTITY FEE
Toilets "%~ l~f~, •--~~-~'~
Urinals
Lavatory T' ~- <-` •~t~
Bath Tubs ~' U
Shower Baths ~~' -
Kitchen Sink -~,; u ~ ~• ~ ~-~~
Disposal Units
Dish Washers ~ ~~. ~.~ : ~ ~ ~~
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. ~ . U(.. ~ ~.)
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks ~. C ~ ~ ~ ~
Misc.
°flisc.
Permit Fee __,'~~ ,~"~
TOTAL ENCLOSED FEE 1
~//~% D (~
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
Firm
.~„~
Signatur
No work shall be performed prior to receipt of validated permit.
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
Recd by Date~Permit # ~~~~
"~ (r~ ~~~
,~:.~:~ ,
CONTRACTOR'S AFFIDAVIT
OF THE
CITY OFYELM PLUMBING PERMI f ~ ~ ~'J~-
P.O. Box 479 Separate application for each structur ,! j ~, ;~.;)r.-~,~~~ `
Yelm, Washington 98597 Date ~~ l (~ ~ ~ ~f ;- ,; ~ ,~ ~, _,
Telephone (360) 458-3244
Const. Address ~ U ~' ~; ~ ~ ~ "'~ ~ `' f `~ G'~ Occupancy '~ "~ ` " ~-'~ ~ ~
~ ._
~,~ ~' Phone
r' ~ner ~ ~~~~~ C ` r~i° ~"` Address
~~
i% ` ~
x, f ` `~ ... r; ,~ ~ Address ~~f •.: S~ ~~I ~"!1 d L ~i 1-'~ ~ Phone /_,
State Contrs. No. /{'a)r.`s,~~ C~G~ C° f~ L_Building Permit Number r,~~ ~~~;~P~ ~`~ ~~~~ ~ ~'~
ITEM FEE AUANTITY FEE DESCRIPTION OF WORK
t
T
il ~~ > '~ ~'`, L~ ^ New
s
e
o
l
i
U Addition
s
r
na
t
L ? ' ~ ~ ~ ,s` Remodel
ava
ory _
Bath Tubs ^ Alteration
th
B
s
a
Shower
Kitchen Sink
CONTRACTOR'S AFFIDAVIT
Disposal Units I hereby make application for a Plumbing permit and certify that our
Dish Washers firm is registered as a contractor with the State of Washington and
Drinking Fountains City of Yelm and that work shall be performed in accordance with
of Yelm
f Cit
i
Laundry Tub .
y
nanc
all Codes and Ord
e~s o
Automatic Laundry Equip. ~ ~ j J "~ ~ p
Firm f / j e~l~~ 17 r~ ~ ~~'~~~u~'~`/ ~' ~'~ `
Catch Basin e '
~
FIOOr DralnS ~~•~/9r ~
Signature ~
Floor Sink
Hot Water Tanks No work shall be performed prior to receipt of validated permit.
ti
f
i
MISC. on.
nspec
or
Call (360) 458-8407
^~IISC.
FOR CITY OF YELM USE ONLY
Permit Fee ~~ "~ '~~
L,v~~ ~ ''
TOTAL ENCLOSED FEE ( Recd by ~ .~-' Dater r,`~wj', Permit #
l~C~
CITY OF YELM I` ~ '~ • '~`: 5
°ET"~ PLUMBING PERMIT
P.O. Box 479 Separate application for each structur ~ f ~ ~~~ ,.
Yelm, Washington 98597 ~. a °~
Telephone (360) 458-3244 Date
~~ ~ iS ~.
/ C.~ 3 i' ~ ~ ~' ' =i/ ~J .G~ r2l'C.~~~C~ .~~ S~ Occupancy f ~',~,.~ f't r p-~sr rr a rj
Const. Address
~~ (y~ Address ~~G' • ~~?'p! rr~~~ Phone l~ ,_''_'~- •-'
(' per
C.oritractor ~. { ~ ~°~
State Contrs. No. ~-~+ ^~ -~ %~ ~~~ trr%L Building Permit Number
ITEM FEE AUANTITY FEE
Toilets ~ t~a~3 ~ ~ ~'•
Urinals
Lavatory ~' `~ J °~ ~' ~~ U v
Bath Tubs "-t,r,: ' r •" •
Shower Baths
Kitchen Sink ~~ . c- '~ /~f ~ C>~
Disposal Units
Dish Washers i ~~-~ ~, ~'
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. ~"' ) ~ /(/~ ~~
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks ~ ~ ~ ~. `~•
Misc.
"disc.
Permit Fee ~{,;, ~~~
TOTAL ENCLOSED FEE ~~~ ~~
C//
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
_.~ ., __,
Q -,. a ~ t__...__..
Signature ~ ~ - ~ z _......_
,~ ~,~~
No work shall b~~performed prior to receipt of validated permit,
Call (360) 45$407 for inspection.
FOR CITY OF YELM USE ONLY
1
Recd by .-~~ .`!' Date~Permit # ~ ~'~ +
CONTRACTOR'S AFFIDAVIT
~F TNe
~`' CIN OF YELM
P.O. Box 479
Yelm, Washington 98597
Telephone (360) 458-3244
"9
PLUMBING PERMIT ~ ~ ~- :~3
Separate application for each structure ~J
Date ~~ ~°"'".~/ `)
,1
`~ (. ~ J, t ~ r ~ ~ / f ~ ~ Occupancy i~v' • <' (f /'~''s/4r r/rr r, f
Const. Address c ~ L
(`._~r)er i~sl.+,~-F.,°f fZ~/!/rll' ~'~h~+r'r:!i, D~~~ Cflt+~i~if~~ ~/'J fRI,C-!1 Address (i;;;' :5 ~ /~r fl ~~~ ~ °Phone
~ ~ ,~ . n
C,vrifractor %`' ~' ~~ i"_~ ~~ ~ I~~6rr t Address .' `~~ tr'~i X i`~Y ~' Phone `~ 9 ,~ ~ ~ ~f
State Contrs. No. ~l~l~~ ja ~~~y,F C~ ~f ' - tf> Building Permit Number fp r~~r
ITEM FEE 61UANTITY FEE
Toilets ~~~ U'ir P` :~~
Urinals `~ ~ . ~
Lavatory ~ J '''. tr ~
Bath Tubs
Shower Baths
Kitchen Sink l • vi.~' l~F'
Disposal Units
Dish Washers _
r' t;~ v'
~
~ .G ~~
Drinking Fountains
Laundry Tub
Automatic Laundry Equip,
Catch Basin
Floor Drains --%,,, (~ ~'` ~/,C.%
Floor Sink
Hot Water Tanks
Misc.
~~IISC.
Permit Fee o ', ~;~
TOTAL ENCLOSED FEE ~~ ~ ~
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yeim and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
.,
,~ '
Firm ~`~ ~ ~',~ .G ~,. ~....-
_.--'
Signature ~ ~ :~_ i 1 .~~'~ r, r
No work shall be performed prior to receipt of validated permit.
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
Recd by Date / Permit # ~ /
CONTRACTOR'S AFFIDAVIT
OF THp
CITY OF YELM
P.O. Box 479
Yelm, Washington 98597
Telephone (360) 458-3244
PLUMBING PERMIT ~ ~:-d~y~
Separate application for each structure /~ ~,
Const. Address •" ` ~% ~ ~;`~Gavs ~'~ ~ f`
Contractor C.~ ~F ~. ~~ Yt r ~r7 ~ 5 ~ J~-~
State Contrs. No, ~/~ C7 ~' ~ ~ ~ 1 r~ i` ~,? k'7~uilding Permit Number
Date/ ~~" ~"" L ~
Occupancy 9''d R /~~'.._.~!`~
-~
..:~"` ,'u~i,
Addressltt~p~"" F;~>U~~<.~~1~c~~f .~f~~ Phone ~~~?~-Cp~`P`"Z
.. Crn ~,,L~~r i
Address 1 "'~t:) ~?r~ /~ ~ !o Phony /,~~ ~j'.•Z ~"~~:f ~, {
ITEM FEE 6lUANTITY FEE
Toilets -? ~~ ~,,.> -~ ~. , p~
Urinals ~jr.~
Lavatory ~ ~~ , ~ ~) ~' ~ ~"~
Bath Tubs
Shower Baths
Kitchen Sink 1 U~-% ~ ~G+'~
Disposal Units
Dish Washers
Drinking Fountains
Laundry Tub
Automatic Laundry Equip.
Catch Basin
Floor Drains "7, ~ ~~ „~ ~., ~:~r7
Floor Sink -~ , ~~ , ~ ~
Hot Water Tanks "7. u~ } (.~
Misc. ~.:~rf~'r- ~-~ ., ,,a ~ ~ ,~~c~
^~IISC.
Permit Fee -~,~
TOTAL ENCLOSED FEE /`_~`lCi~
DESCRIPTION OF WORK
,.~ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
.~ ,/
Firm (... C~ , ~~ ~ r'~ ~a~; _a~ Kra _ Vic'
i -,d',~' l , •
Signature i .f;r::L~~'~~~` j~~~+~~
No work shall be performed prior to receipt of validated permit.
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
Recd by Date ~ Permit #~ /~
CITY OF YELM
°fT'~ PLUMBING PERMIT
P.O. Box 479 ti ~ ~~ ~~
97 Separate application for each structure ,~`~ .~, 1
Yelm, Washington 985
Telephone (360) 458-3244
...~ ~- .,
Const. Address ' - '~~- ` 'K~~ ~' ` ~..~ ~~ f Occ
l _ per ~'~ ~, r"~ •~~1 e r~ ~ 1 - ~ ~ d1~ vre ~C."~.j Add
Contractor ~"'t ~t~s.o~"'~~ Add
State Contrs. No. ~~1! d2lLC1~?~ /~~ ~' L ~~ Building Permit Number
ITEM FEE AUANTITY FEE
Toilets ''. « "~ ~~ ~~ ~a
Urinals
Lavatory 1(7 `- ~ ~' ~ ~
Bath Tubs
Shower Baths ~`' . c~ r,.;r ~ f ~ r• Cl ~
Kitchen Sink 7, ~~~> l e~-<%L>
Disposal Units
Dish Washers i:~ / _ ~ "..~~
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. V' (~~Ci I _ . l.~
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks "~ . ,; r ~ . ~t~
Misc.
isc.
Permit Fee c~, t_1 `~=
TOTAL ENCLOSED FEE ~~~
Date ~,+ '-'~-,,'" '('~
'`i
~pancy ~`~, /b'~ ~~ s
ess Phon r
ess Phone
DESCRIPTION OF WORK
,~7 New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
~" ~~ _ r
Signature f
,t /:
No work shall pe performed prior`fio receipt of validated permit.
Call (360) 458-8407 for inspection.
FOR CITY O~F,~'ELM USE ONLY
a
l ~'
+. ~
/A` jj J
Recd by r` ~~ Date ~` ~ ~''~~ Permit # ~~
CIN OF YELM ~ , ,~
°~T~ PLUMBING PERMIT - ~~~ ~ ~~
P.O. Box 479 ~ ~~ ~p
Yelm, Washington 98597 Separate application for each structure ~ ~y ~~~ R'~~~~ ~,~
Telephone (360) 458-3244 Date }'
~.. 1
Const. Address ~'~ L ~ ~ .~ '~~ ~~ + ~.~ ~,U` -Sf~ ~ Occupancy ~ ~%/ r"~ /,v ¢ vyr r ~lr : r r(..c-.-+t~'
;+, ~
r per ,~C .ia i , „: , f` ~ ~T i :~f%1 nl !J~"/ Address ~ ,.)L, I 1 ~' ~ ~µ~ -~ Phone rY~~r~~i r . '-' <'t~ .S
Gvrifractor C,' ~~.<).ti t"~ ~ Address Phone
State Contrs. No. !~ ~ ' ~ .~? ~~ %/~ wilding Permit Nu
ITEM FEE AUANTITY FEE
Toilets "', Jug a~J.G~[.?
Urinals
Lavatory ~ . ~'~~ ~ ~/~,:>
Bath Tubs - :~ ~ u '"? / ~ , U~
Shower Baths
Kitchen Sink "';~ ~~ ~~. L%i.~
Disposal Units
Dish Washers %` ~.k~ ~ ~~~ t~c~
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. ~ ~ "", t>~>
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks " UGC !~
Misc.
~!~ISC.
Permit Fee ~,~_ ~ ~ i
TOTAL ENCLOSED FEE //fir ~.~
DESCRIPTION OF WORK
~I New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
/.. -'~ : ~
Signature ~" --- ~~'""
No work shall be performed prior to receipt of validated permit.
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
i~~ ~ ~~~
Recd by Date Permit #
~ ~ ~..
~°~T"~ ~~nOFYE~M PLUMBING PERMIT X ~ ~ ~ '~~`~ .,
~ ~ P.O. Box 479 Separate application for each structure
Yelm, Washington 98597 j /~
Telephone (360) 458-3244 Date / e-
=- ~ ~.~ l
Const. Address ~`, ~,~~~' 7,h is r ~ ~ J~~: ,•J ~'~ Occupancy .. ~ ~lX"~ v,~~ ' ~~ a r, f !„_ ~' ~.'r ;..~ ~~`'~-.,a, ~-(
r' -per (';.: f , ..J~, ~. -~r' t.3 =,~'~r7trr
GUntraCtOr r_r3 i..-.. .,,% ~~.~+;.-
State Contrs. No. '%~ Building Permit Number.
Address i~:,a1 '.- rr`fiz,r,: I < j.~ ~'~ Phone ~ 7 !~' .~~y~ /~
Address Phone
ITEM FEE 6lUANTITY FEE
Toilets
Urinals
Lavatory
Bath Tubs
Shower Baths
Kitchen Sink
Disposal Units
Dish Washers
Drinking Fountains
Laundry Tub
Automatic Laundry Equip,
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks
Misc. ~.~.~ ;~a r"r` ,~ ,r "'~ a t~
"disc.
Permit Fee A'~ ,,:,..:-
TOTAL ENCLOSED FEE ~' ~"G.:=~
DESCRIPTION OF WORK
^ New
^ Addition
,~-Ci Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
p i,
Signature ~ ,i,~ a,n 1:~' f''. r L`.
No work shall be performed prior to receipt of validated permit.
Call (360) 458-8407 for inspection,
FOR CITY OF YELM USE ONLY
,'.-'`
rte} ,~
''
Recd b~' ~" ~~° ~ ' ~,.. / Datew~ ' ~''`"~~ Permit #
°f TIiF~ CIN OF YELM PLUMBING PERMIT
P.O. Box 479 ~
Yelm, Washington 98597 Separate application for each structure 1
Telephone (360) 458-3244 Date ` ~ ~
,~' i 1
Const.Address r'~(~t,~.~ ~ 'tif ~t~i ,-t~ J-~~!?!~ ~ Occupancy `;f a,~' ~/~~"rtfcf /L~f3ff'l.~r;+--~
'~'~' ~,~.~rY'.2 t~ ,p
~' ~~er ,,''~ rr ~ Address ~~~r ~~ i~~..J f k' Phone `Y ~/ti ,(,_.;; '~
State Contrs. No. ~l',drN.I C7~``zi/ ~%y; Building Permit Number
ITEM FEE 6lUANTITY FEE
Toilets t,-~ =~~
Urinals
Lavatory . ~', € % '~ J, G~
Bath Tubs ~~%, ~;r ~;, ~;
Shower Baths
Kitchen Sink ~' ~(:' F ! ~~ ~
Disposal Units
Dish Washers ;~ ~'~-~ r' ~;~. UCH
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. "7. ~:v f ~~). to c~
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks ~ L~~i' _~ ~:,
Misc.
~~isc,
Permit Fee ~~1~.~~
TOTAL ENCLOSED FEE ~t ~.~ ~,,~
DESCRIPTION OF WORK
~' Ivew
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
-,
_. ,. ; - ;~
Signature -~-%~`` -~~ ' ~~ __
No work shall b performed prior to receipt of validated permit
Call (360) 458- 407 for inspection.
FOR CITY OF YELM USE ONLY
~,~ + f
Recd by ~~ ~~ ~ Date Permit #1~~~ ;`~i
OF Tllp
~ '~ CITY OFYELM PLUMBING PERMIT ~~~
~ P.O. Box 479 Separate application for each structure ,r ~,P
Y I W h' t 98597
e m, as ing on
Telephone (360) 458-3244
Const.Address /~i.::~/~~ro..~t~ ,~;)rs~2rCl.~~1r-~:~ mil' ~(-`
C' per J <~~.~ 1:: f~~,t l~i{,~!"AN~. L_,~/~
Contractor t'`'G'S ~n.a S ~'~ ~ ?~- ~~'~
_,
State Contrs. No. fir.-~a 1 ~~1 _f~ (7~ ; / 1~ ~_ Building Permit Numb
,/ '`~ ,f ~
Date 1 ~ ._ ~!~ ~-
Occupancy ,~_ ..±~,~ ,~
~'.,q~r/r $..
Address h`~' ~ ~ ~ ~ Gam? ~ Phone `r~~~ "~~-~~~ ~'>
drl 7'17
ic> ~I C%
ITEM FEE AUANTITY FEE
Toilets j` t~C~ ~~ }'~uL~'
Urinals
Lavatory ~? u~ ~~~~.t1U
Bath Tubs ~ , f,~~ < ~~ ~
Shower Baths
Kitchen Sink ~~ r C1 F`~`~~,?
Disposal Units
Dish Washers ) t.;r~ ~_~' ~~- , ; ~;;
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. ~; ~, „~, ~ ; ~>~
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks ~ 1, l ~ '1 ~ (it1
Misc.
"4isc.
Permit Fee ~~~ ~, ~,
~,.- (.~:
TOTAL ENCLOSED FEE , ~%'~ ~~
DESCRIPTION OF WORK
J~' New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
___ _~
,_..,~ ~ i~f ..~"
Signature.--- .~
No work sh ~ e performed prior to receipt of validated permit
Call (360) 8-8407 for inspection.
FOR CITY OF YELM USE ONLY
r /
Recd by Date Permit # ~ (~
CIN OF YELM
°~T"~ PLUMBING PERMIT
P.O. Box 479 Separate application for each struct re'
Yelm, Washington 98597
Telephone (360) 458-3244 Dote _ ~
_,
Const. Address) ~~ =~Li ~ ,C,~ 1,~f r`,~r,) .~ ~ ~ ~ ~ Occupancy 1~ %' ~/f' ~ +'~~"~'
~' per ~'~'~' d:' , ~r ~-v ~~ E~k~ /r~ J'S Address c ~= r~
C.untractor + , rr •=- Address
State Contrs. No. ~~ ~ f1 C~.Y'~F !C [ ~+~uilding Permit Number «~ ~
ITEM FEE 9UANTITY FEE
Toilets G~~:) ~ ~ ~ ~
Urinals
Lavatory "? , Z ~.~Y;
Bath Tubs ~ , ~ ~-
Shower Baths
Kitchen Sink '~ . U r~ ~ ~ ~
Disposal Units
Dish Washers ~~'. cr ~~ •~ I,J~
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. -~ . r,~ / •~~~ ~'~
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks _ ~ a1~ ~• ~~
Misc.
"Wisc.
Permit Fee ~~~ , UG>
TOTAL ENCLOSED FEE i f, .df
- ~l ..
.s ~ ~',~,,,,~
~~ Phone
- --Phone
__ J~-~f---- 1 ~' -~
~~,.~7
A
;~' ~~ '~~
Firm
Signature , f ""°"
No work shall t~ performed prior,to receipt of validated permit.
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
1~
Recd by Date Permit
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
°~T"~
CITY OF YELM PLUMBING PERMIT
P.O. Box 479 Separate application for each structur
~ '0 `~ ~--
Yelm, Washington 98597 -
3244
8 Date
-
Telephone (360) 45
~ r"n°
~st.Address "~- J
,+i~r„r(
~~ PJ~ ,.:• ~~S ~' ~~
" Occupancy ~
~ ~ ~~ ~n+er~jC~a ~7~;,i^~1.~-c..P
~~
~ C
~ /
~
~~
S l~~
~"~ c,~~
~ Y r Phone ~ ~ Z ' ~ ~ -
Owner iE / ~.
Address -
l
l 6
~
f ~
~
Contractor ~ ~~ ~ J .,. C'c r~~. Address
~ Phone
State Contrs. No, l! ~^•° :.,L ~ X1.,1 ~ ;wilding Permit Number.
ITEM FEE AUANTITY FEE
Toilets '"'. ~:-~v ~ -~ : ~
Urinals
Lavatory "" ~. ~ G~ -~'
Bath Tubs
Shower Baths ~~~ • vcj ~,.,
Kitchen Sink •~;.> . «~
Disposal Units
Dish Washers ~ , c~~ !'• ~'~
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. , ~~~} ~ ~ ~''
Catch Basin
Floor Drains
Floor Sink
--Not Water Tanks ~'. rJe ~ • ~/
ISC.
MISC.
Permit Fee ~ ,,~~
TOTAL ENCLOSED FEE ~`~ ~ ~ 1~
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
f.. ,~'~
Signature ~ '`.- ~~i` G~.r''~~e'~""
No work shall be performed prior to receipt of validated permit,
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
Recd by ~--~ Date Permit # 1
CONTRACTOR'S AFFIDAVIT
Of TNP
~ C~noFYE~M PLUMBING PERMIT. ~~ ~~ ~~~~~
~ ~ P.O. Box 479 Separate a plication for each structu r
Yelm, Washington 98597 p ~ /- ~; ~~`_. ~,~,(;
Telephone (360) 458-3244 Date ~ ~ ~~ ~ ~~ ~~
,:. _..
~t. Address ~ `°~ ~ ~ ? ~ ~,~,~ 1~ l`_` _> ~" Occupancy 7 ' C/ ~ ~"~,` 1 ~~G-•~ t ~'_ _.
T ~ _ . r
} ~s
Owner f`~l ~•1 r'.~' J` rig r'+~ ~ .1 ~`h+'r.` rr~ f"S Address - L T-'~~~ 1~~r t = ~~ ~ Phone "ti 3,~~; :.i7 "' ~ ~ ~^
Contractor ~ ~. 3 ~ t~' ~~- U%~ ~~ Address Pone
_- ~ .• -
State Contrs. No. i ry ~~' k' ~- ~ ~ /~'~r Ct~uilding Permit Numl
ITEM FEE AUANTITY FEE
Toilets ~~ l;c;% c;~.J ~ . ~~
Urinals
Lavatory .;r, ,,:> ~ ~ f •~'(~
Bath Tubs
Shower Baths ~,'. ~.-1 ~ `- U v
Kitchen Sink -~ ~ ;7. v b
Disposal Units
Dish Washers ~ ~~ ,~.i I ~• J~t~
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. ~;~r ~ / 7,l)c.~
Catch Basin
Floor Drains
Floor Sink
-Not Water Tanks " c.-~' ~"'. !~~>
ISC.
MISC.
Permit Fee '~. Q E~
TOTAL ENCLOSED FEE {=~' ;~, tx'"`~
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
Signature ~ ~~,~(.%;~"~'
~-
No work shall be performed prior to receipt of validated permit.
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
!~ ~;, n
. ,~..
Recd by Date ~' Permit
`
CONTRACTOR'S AFFIDAVIT
~/ ~ ~~~~~ r~~
~' CITY OF YELM ~ ~ "~ .~
°fT"~ PLUMBING PERMIT ~~~ `
P.O. Box 479 Separate application for each structure ~
Yelm, Washington 98597 !~ ° ~~, - ~
Telephone (360) 458-3244 Date
,r'
- -t. Address ~'° '~~' "~°?~~ i,y li/Jf~ cE~ ~~ J ~'a Occupancy >>t f..~ ~.P ,r`.~ro y~+/ ~.r/ %~~,~5 r-,~r_~-c..-
Address ~ ~'/ ~~~ S G fr (,~ ~~ ~~~
Owner ,~;~rrr'r -~ t ,~~ . ~ ~ Phone
Contractor ~ x' - ~" Address Ph
State Contrs. No. /~~n~' ! '' ,~ r - 7_<`~,~ ~ Building Permit Number ~~'
ITEM FEE AUANTITY FEE
Toilets ~ ~• ;~1; f'--~~
Urinals
Lavatory -%. ~ ~; ~ ~ ~'` ~ ~' ~
Bath Tubs ~ • ~ ' ~ ~ ' ~~`~~
Shower Baths
Kitchen Sink ~' v i~ I 7 G
Disposal Units
Dish Washers ~` a; ~ .~ U
Drinking Fountains
Laundry~.Tub
Automatic Laundry Equip. "- ,~ ;1 ~. 4%~3
Catch Basin
Floor Drains
Floor Sink
' aot Water Tanks • ~•~ ~ ~'' ~
IISC.
Misc.
Permit Fee ~r,,r. Uc
TOTAL ENCLOSED FEE ~~),
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes ands ,Ordinances of City of Yelm.
Firm ~a"11~~',~ ~/~r~1.S~'`7~,/~ t
_..
.,:.....
s.~....~_ ..._ _...__.__
Signatu~e ~' A'
No work shall be performed prior to receipt of validated permit.
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
Recd by Date_ ~//~~Permit # ~ ~~~
CONTRACTOR'S AFFIDAVIT
~_ ~,~~ ~~r1~. ~~ ~~?
OF iN@ ~ ~.7 ....~
~ '~ c~nOFYE~M PLUMBING PERMIT ~ ~~ ~- a~;~
~ P.O. Box 479 Separate application for each structure '
Yelm, Washington 98597
Telephone (360) 458-3244 date ~' ~~ "" E~ ~~~~~`
hst. Address ,+'~~°,~" ~ ~-~`'i f " ~' ~+ + ~ ~ ~ ~" h/~!~ ~ ..7 ~ Occupancy ~ %:.''f,~/ F
~~~ rr~~~'^~
Owner ~ „f,,q : ~' L: ~n ,r r f c~ Address 1 ~.,&1~ ~ ~ ; ~ 1/, ~ , ~,,~ ~R ~ ~•V Phone
Contractor ! {.~ud~ ~f Address l `~ ^=`°`~~ ~~r~ `~` ~ ~ ~ 4 ~` Phone `r `f ~~' " f ~ ~ ~
_
State Contrs. No. ~~-J ~~ ~~ ~ .+a; Building Permit Number td '/~:> 4
~
.
ITEM FEE AUANTITY FEE
Toilets '. ~ -~;
Urinals
Lavatory }~, ~c~ ~t~
Bath Tubs - ;~ -~~p ~-~
Shower Baths ~ ~ ~ " . vGa
Kitchen Sink
Disposal Units
Dish Washers
Drinking Fountains
Laundry Tub
Automatic Laundry Equip.
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks
MISC.
Misc.
Permit Fee -~ ~. ~
TOTAL ENCLOSED FEE , j"~"o ~)~
DESCRIPTION OF WORK
^ New
~.,3''Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and certify that our
firm is registered as a contractor with the State of Washington and
City of Yelm and that work shall be performed in accordance with
all Codes and Ordinances of City of Yelm.
Signature ~ ~-
No work shall be performed prior to receipt of validated permit.
Call (360) 458-8407 for inspection.
FOR CITY OF YELM USE ONLY
~~ ~~
Recd by - Date ~ ~~~ Permit ~~~~~~