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Mechanical Permits~°ft"F~ CITY OFYELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 Separate application for each structure t ,~ ,~ ~-~ _ _ J.._ ~~T Telephone 360) 458-3244 Date (~ ` _ ~ ~,~ Const. Address 1 ~ ~ i t ( i ~. ~+ 1 ~; (;~. ~ ~,."f~ ~~f.''' Occ ~".~_ ~~;' kt~`? 11C~":~,. "~..~~.'~l > Add Contractor ~ -\-~ c~.f I ~' ~~,~.d S: ~ ~ ~~( ~ V~iC?`~, ~ °~' 3~''~t~ y-j . Address Phone -- State Contrs. No. t-.t r'~~~~,~~ ~ ~ ~ ~ J Building Permit Number ~,. ~ 'S ~' - >~~'~ ~L.~ l~Hot Air Furnaces ~-iJnder 100,000 BTU Fee S ~ ^ Over 100,000 BTU Fee S ^ Under 100,000 Fee S ^ 100,001 - 500,000 Fee S ^ Hot Water or ^ 500,001 - 1,000,000 Fee $ Steam Boiler ^ 1,000,001 - 1,750,000 Fee S ^ Over 1,750,000 Fee $ ^ Air Handling Units ^ Under 10,000 CFM Fee S ^ Over 10,000 CFM Fee S ^ Evaporator Coolers (Not portable) Fee $ ^ Repairs or alterations to any of the above Fee S ~ ~ '~. Vent or Vent Fan no vered by other permit) Fee S exhaust Hood Fee S ^ Incinerators ^ Domestic Fee $ ^ Commercial Fee S ~+._Other Appliances (list) r (_, /Y 1 ~~,~' - ~,i f ~~'Y'~G'~ M1 ~4 ~ .r . Fee S ~ ("w ^~ther mechanical Installations (list.- ~~~,~h~ )t :,By Value ~ ~ ' `~ ~~ '*..~Permit Fee TOTAL ENCLOSED FEE ~- i Permit ^ Gas ^ Oil ^ Electric ^ Others CONTRACTOR'S AFFIDAVIT I hereby make application for a Mechanical 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. 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 0~ ~ Permit #~~ CITY OF YELM ~°~T~'~ MECHANICAL PERMIT • P.O. Box 479 °~ Yelm, Washington 98597 Separate application for each structure , ,_ ~ - ~ ; Telephone (360) 458-3244 Date ~ ~~,' c~ ~~ - ~~~ ~~/ ,.__ a i', ~ ! .~ , ~ ,., ~ ~~ j-~' ~ ~~ ~,,-J ~,9 Const. Address ~ ` (1 ~ ~.. ..~ Occupancy 1 ~--`her -~-Z(~ 4~~ ~-li` 1'r~` 1~~~=. i S_` ' • Address "_1 Contractor '~ ~--~ 7~~.1rL- ,~~~•, ~~1-~ ,~a Address State Contrs. No.~'.~.~f`~''~~I~ ~ ~ ~ ~~ !.~° J Building Permit Number ~r, f Hot Air Furnaces ^ Hot Water or Steam Boiler ^ Air Handling Units ~lJnder 100,000 BTU Fee $ ^ Over 100,Q00 BTU Fee $ ^ Under 9b0,d'Ob Fee $ .~ ,. ^ 100,001 - 500,000 Fee $ ^ 500,001 - 1,000, 000 Fee $ ^ 1,000,001 - 1,750,000 Fee $ ^ Over 1,750,000 Fee S ^ Under 10,000 CFM ^ Over 10,000 CFM Fee $ Fee $ Fee $ ^ Evaporator Coolers (Not portable) ^ Repairs 4 alterations to any of the above Fee $ •Vent or V~nt F ~n ( overed by other permit) Fee $ ~,,, Exhaust Hood Fee $ ^ Incinerators ^ Domestic Fee $ ^ Commercial Fee S `lrs,:bther Appliances (list) ~'~~t~' ~~~~~~ (~ Fee $ t~'~ r ~ `~ Other mechanical Installations (list)l- ,~ r ~.1~y Value ~ G' ~t,~l„~ ~ Permit Fee ~ a j TOTAL ENCLOSED FEE `, ~'}('~ Permit ^ Gas ^ Oil ^ Electric ^ Others CONTRACTOR'S AFFIDAVIT I hereby make application for a Mechanical 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. No work shall be performed prior to receipt of validated permit. Call (360) 458-8407 for inspection. FOR CITY OF YELM USE ONLY r ~, ~;u~ ,-1 ~ .. Recd by `~ ~ ~~' Date 1 Permit #=~ ~~°F7.~ MECHANICAL PERMIT CITY OF YELM P.O. Box 479 Separate application for each structure ~ '~ ~ Y I W h' t 98597 ~ `'" e m, as ing on Telephone (360) 458-3244` Const.Address~$~c~j~p'~tr.` ~e~ ;,.VEC ~ ~~~~~r~;.,'~ ;r -, - `, ~ rr , Contractor ~~-i;~j?t(~_ ;~r`~~ (_ L~_ .~lr~ t,'_a State Contrs. No.'~'~t.~~'I~. (~ ~ I ~ ~ ~ ~Z~Mp Building Permit Number 'd .f Date 1 ~~ ~ ~ t, d ~ ~"~~ Occupancy ~~ ~ `~ :,~ ,;' ~ r , a~`~~ t,~ ~ ~~ ~ ''~ Address ~ `~,~~ ~~~ ~t ~°;€ i4~° I ~ ~ ,~~. Phone ":~E~'~-r~ .~p~~ i~'~~~ f Address Phone Hot Air Furnaces ~-Under 100,000 BTU Fee $ [~, ~ d , ^ Over 100,000 BTU Fee $ Permit ^ Gas ^ Oil ^ Electric ^ Oth ^ Under 100,000 Fee S ers ^ 100,001 - 500,000 Fee $ ^ Hot water or ^ 500,001- l,ooo,ooo Fees CONTRACTOR'S AFFIDAVIT Steam Boiler ~ ^ 1,000,001 - 1,750,000 Fee S I hereby make application for a Mechanical permit and certify that ^ Over 1,750,000 Fee S our firm is registered as a contractor with the State of Washington and City of Yelm and that work shall be performed in accordance Units ^ Under 10,000 CFM Fee $ ^ Air Handlin with all Codes and Ordinances of City of Yelm. g ^ Over 10 000 CFM F S Firm , ee ^ Evaporator Coolers (Not portable) Fee S - .. ~ ~-- ^ Repairs or alterations to any of the above Fee S * ~. ~~ ~ Signature ''~" ~~ ~ ` Vent or Vent F~n not covered by other permit) Fee $ ~ ,~ No work shall be performed prior to receipt of validated permit. , Exhaust Hood Fee S l ~r Call (360) 458-8407 for inspection. ^ Incinerators ^ Domestic Fee S FOR CITY OF YELM USE ONLY ~`` ^ Commercial Fee S ~` .'! _ 'Other Appliances (list) ~t~r~~ Fee S ~~t ~ ~` ~ !~ ~ ~ f .Other mechanical Installations Qi t~ri~^ ~ ~' By Value y, Recd by `.- Date Permit # ~ ~~~ ~~ ~,j~~~ Permit Fee ~ TOTAL ENCLOSED FEE ~~ i,'~,~.~ CITY OF YELM °~T~ MECHANICAL PERMIT P.O. Box 479 Separate application for each structure Yelm, Washington 98597 Telephone (360) 458-3244 ., Const. Address 1 t i ~ ~ ~ ~..,~ ~(! a-)~ Occupancy ,' ' ~er ~`y ~ f `~~t~:,~(~ ~'~~~~' v e -F- ~~t_.:? Address contractor r,l~~~~ ~ `~, '' `'~ ~,1.)~ Y Ir'~'~~ Address- State Contrs. No.~o ~,~, ~~~~ ~ ~ ~ ~1 ~~ Building Permit Number_ r ~, Hot Air Furnaces Under 100,000 BTU Fee $ ^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee S ^ Hot Water or ^ 500,001 - 1,000,000 Fee S Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ ^ Over 1,750,000 Fee $ ^ Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee S ^ Evaporator Coolers (Not portable) Fee $ ^ Repairs or alterations to any of the above Fee S ~~~J' ~ ~'~ -``S~ ~, Vent or Vent Fan (not covered by other permit) Fee $ C~xhaust Hood Fee $ ^ Incinerators ^ Domestic Fee $ -~' ^ Commercial Fee S ~ y~-.) `~btherAppliances(list)-'(G~~ ~T~1r ~~e~ Fee$ ~~~°• Other mechanical Installations (list) l tt~~' By Value ~ ,...~ r~, ~ ~ Permit Fee ,'~1.~ ~~~ TOTAL E LOSED FEE fj ~ w ~ ~9 Permit ^ Gas ^ Oil ^ Electric ^ Others CONTRACTOR'S AFFIDAVIT I hereby make application for a Mechanical 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. ...--"ti..._ r? .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 # °F TLf~ CITY OF YELM MECHANICAL PERMIT ~ P.O. Box 479 Yelm, Washington 98597 Separate application for each structure ~' on ~ `°~ , ~j('~ ~-,~- 360) 458-3244 h T l Date r one ( e ep Const. Address ` 14~~ ~'~~'~. ~~ ~ ~ ~ ~' y ~ `',~G~.'v ~ ~ L~ ~a~_ Occupancy y ; ~`~er .~ 1'i '; i ~ r ~, ; ~_. ! ~ ~: + ~ ~ ~:. 0 _ ~` ~, '~/' Address I ~ ~(~~.~ E r ~ ,, ~. ~ rS~ _ m, ''~R Phone~.~E~~ ~ ` y ..: - ~ .Qi'..tf1,-; i ntractor ~~~ c + ~'- ~~u;.~ ~ ~~ "~~ ~ a= if: `` '. L IaE"' "" Addresses _ C~,i`:~ ~~~,+~,a~; ~1_ .,,, : ~.~vr4~, Phone;~~- ' '_~~a~ . . o ~ 1" ~ t 1~ No ~ ~ lti'~ i''.~~"'I ~ ~ State Contrs .. Building Permit Number t~,%C~A' F / -~ . . . Hot Air Furnaces .Under 100,000 BTU Fee S ^ Over 100,000 BTU Fee S ^ Under 100,000 Fee S ^ 100,001 - 500,000 Fee $ ^ Hot Water or ^ 500,001 - 1,000,000 Fee S Steam Boiler ^ 1,000,001 - 1,750,000 Fee S ^ Over 1,750,000 Fee S ^ Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee $ ^ Evaporator Coolers (Not portable) Fee $ ^ Repairs or alte[ations to any of the above f 4 ~' Fee S > . ~ ~ '~ Vent or Vent Fan (not covered by other permit) Fee S Exhaust Hood Fee $ ^ Incinerators ^ Domestic Fee $ ~ ^ Comm`el!xrlcial Fee S ~ther A liances list ~ ~' Fee $ ~~ `,Other mechanical Installations (list)~t/1~ (~I1~iBy Value ~ s~ ~~ ~ermit Fee i„ TOTAL ENCLOSED FEE ~~~~ Permit ^ Gas ^ Oil ^ Electric ^ Others CONTRACTOR'S AFFIDAVIT I hereby make application for a Mechanical 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 p,.,..~..,-.. 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 # TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 ~ a ~ Telephone (206) 458-3244 Separate application for each structure ~ a=• ,r Date I T.~ i ~ - (.onst. Address ~ ~ Occupancy Owner. Address Phone Contractor Address ~' Phone State Contrs. No. - Buildin g Permit N umber ' ' '~ s ` ; ~..~ ^ Under 100,000 BTU Fee $ ^ Hot Air Furnaces permit ^ Gas ^ Oil ^ Electric ^ Others ^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ CONTRACTOR'S AFFIDAVIT or Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ I hereby make application for a Mechanical Permit and certify that our firm is registered as a contractor with the ^ Over 1,750,000 Fee $ State of Washington and Town of Yelm and that work © Air Handling Units ^ Under 10,000 CFM Fee $ shall be performed in accordance with all Codes and Or- ^ Over 10,000 CFM Fee $ dinances of Town of Yelm. ^ Evaporator Coolers (Not portable) Fee $ !-,,, ~~- ' '~~ '.ti - ^ Repairs or alterations to any of the above Fee $ Vent or Vent. Fan (not covered by other permit Fee $ ^ Exhaust Hood Fee $ ^ Domestic Fee $ Incinerators Commercial Fee $ Q Other Appliances (list) ~ Fee $ ^ Other Mechanical Installations (listt By Value Permit Fee TOTAL ENCLOSED FEE Firm `.. ~ ~ ~_..; , ..t,. ~ . ~....:; , ~. ti. ~~ ~ l _~ Signature r~`^~-4 ~~ ,~, , ~ ~s , No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY r _.. ~ ~ !4 J Recd. b3t__ - A{ - -i- ....__. Date .~" ~'ermit # ~ ':_:__. ,~ CITY OF YELM °ET"~ ~ ~ MECHANICAL PERMIT 4 P.O. Box 479 ~ ~ ~~' Yelm, Washington 98597 Separate application for each structur 7..,,~ ~ W K! ~ ~ ' °~ Te/le`phone (360) 458-3244 Date •~~ Const. Address f (.~' d'~y:~ ~~.r~,'L-1 .~..--' ~/'~ ~`ti ~~ ' .~ Contractor ~_~=-~( ~~`~~~'~ ~=--~~' State Contrs. Building Permit Number Occupancy. r;~ _~"; Address w a i° ` _ _ Phone ~' Hot Air Furnaces Under 100,000 BTU Fee $ ^ Over 100,000 BTU Fee S ^ Under 100,000 Fee S ^ 100,001 - 500,000 Fee S ^ Hot Water or ^ 500,001 - 1,000,000 Fee S Steam Boiler ^ 1,000,001 - 1,750,000 Fee S ^ Over 1,750,000 Fee $ ^ Air Handling Units ^ Under 10,000 CFM Fee S ^ Over 10,000 CFM Fee S ^ Evaporator Coolers (Not portable) Fee $ of the above ^ Repairs or alterations to any Fee S ''"" '>~r'Vent or VeM`~Fdn (no~co`Ge'T>3'd by other permit) Fee S /Exhaust Hood Fee $ ^ Incinerators ^ Domestic Fee S ^ Commercial Fee $ u Other Appliances (list) (,~ .~ ~`l~: i a";T,.':.~y~+~. 1 , : Fee S .,y ,, ~.~- f b ^ Other mechanical Installations (list) By Value Permit Fee Permit ^ Gas ^ Oil ^ Electric ^ Others CONTRACTOR'S AFFIDAVIT I hereby make application for a Mechanical 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 Cod/es~and (Ordinances of City of Yelm. Firm f \,~f J ,~~ ,' ']~~1.~= `=~ ~f~l~. Signature~~if ~ C CJ~_.-~-'""~~ ) No wor hall be performed prior to receipt of validated permit. Call (3 0) 458-8407 for inspection. FOR CITY OF YELM USE ONLY /,~'I 7'~ ~. Recd by Dat~ ~" ~ r-Permit # TOTAL ENCLOSED FEE .t.~,~,:-j~~~ °~TNp~ CIN OF YELM MECHANICAL PERMIT P.O. Box 479 ` "'~ ~ Yelm, Washington 98597 Separate application for each struc re ~ Telephone (360) 458-3244 Date }~;:l~ ~~~~7t. '_1~k'r.~..1 ~~~ rl,.:'t.~ Occupancy. a,~,~,,r~E'..~}i,.~ k.....~ Const. Address /~ . , a°~-- ~ ~-' I '`: ~ ~ T, i Amt.-~ .~ •~ (~ ~~C.~ '~ ~ ~' ` ~.l .,:~, ~...~ ner, ,( _` ~~ 1 ~ ~ +;~ t~ `, ; ~~- ~ ~'~-~ f~,..->1.__.° _~._. Address T ~-~~_~ ~ ~f..ra~. ~ hone .~ < ,.;), a...~ Contractor~t""'~ %i t ,~' I} `I ~~~~~k i i=~ State Contrs. No~'t '~ ~.~ ~ 1 ~ ~ ~- ~~~• ( ~~c~r'1 ~ ~-=A Building Permit Nu Hot Air Furnaces Under 100,000 BTU Fee S ~ ^ Over 100,000 BTU Fee S ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee S ^ Hot Water or ^ 500,001 - 1,000,000 Fee S Steam Boiler ^ 1,000,001 - 1,750,000 Fee S ` ^ Over 1,750,000 Fee $ ^ Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee S ^ Evaporator Coolers (Not portable) Fee S ^ Repairs or alterations to any of the above Fee $ ^ Vent or Vent Fan (not covered by other permit) Fee S ^ Exhaust Hood Fee S ^ Incinerators ^ Domestic Fee $ ^ Commercial Fee S ~'~] Other Appliances (list) Fee S ~~ ~` Other mechanical Ins t allations (list) , By Value ~ ' - ~ '~'t~'^' f ~t {-~ ~ ~~' ~ Permit Fee , j~ TOTAL ENCLOSED FEE ,~,`~,~ Permit ^ Gas ^ Oil ^ Electric ^ Others CONTRACTOR'S AFFIDAVIT 1 hereby make application for a Mechanical 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 OrdinancJe/s~of City of Yelm. Firm ~~c4 ~ 6/ 1 ~~ ~J _ No work shall b~ ~lerformed prior to receipt of validated permit. Call (360) 458-8407 for inspection. FOR CITY OF YELM USE ONLY ~l Recd by ~.-- ~ /~l Date Permit # ~ofT~ CITY OF YELM MECHANICAL PERMIT P.O. Box 479 ~ Separate application for each struct~r~ ' ,~`"% ~ ~ ~ 4'' Yelm, Washington 98597 °.~ _ t.= Telephone (360) 458-3244 ~~~ ~~ Date ~r Const. Address Occupancy, ~ ~~ / 7 e '~~ J ~ w> ~ f! ner Address hone Contractor . .-'r ~ ~ Address Phone State Contrs. No Building Permit Hot Air Furnaces Under 100,000 BTU Fee S ^ Over 100,000 BTU Fee S ^ Under 100,000 Fee S ^ 100,001 - 500,000 Fee S ^ Hot Water or ^ 500,001 - 1,000,000 Fee S Steam Boiler ^ 1,000,001 - 1,750,000 Fee S ^ Over 1,750,000 Fee $ Permit ^ Gas ^ Oil ^ Electric ^ Others CONTRACTOR'S AFFIDAVIT I hereby make application for a Mechanical 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 Y Im. /` ` ~,,._- ,~_~ ^ Air Handling Units ^ Under 10,000 CFM Fee S ^ Over 10,000 CFM Fee S ^ Evaporator Coolers (Not portable) Fee S ^ Repaiirs Xarat' s to any of the above Fee S Vent or Vent Fan not covered by other permit) Fee $ Exhaust Hood Fee S ^ Incinerators ^ Domestic Fee $ ^ Commercial Fee S Other Appliances (IistxG~ ~.~( ~/~~ Fee S ~ d Other mechanical Installations (list~ry, ~ ~~f~f/~yValue Permit Fee TOTAL ENC SED FEE ,,,,,,~~ ~.~ ~°' _- Signature~~l~,r~~J~' No work all be performed prior to receipt of validated permit. Call (36 458-8407 for inspection. FOR CITY OF YELM USE ONLY ..~'~ Recd by ~~ Da~~ ~~ Permit # CITY OF YELM °ET"~ MECHANICAL PERMIT :~ P.O. Box 479 `_f' , ~ ~~ ,~ Yelm, Washington 98597 // -r^ S,~efparate application for each structure k (~`'''~ Telephone (360) 458-3244 ,t.. ~ t ~C/ Date I ~ ` ~ ~"' - / Const. Addressd~~~1L~ ~/.h11.1./f_~~)L1t~~J('~.~, , 4 . ,~ ~ ner Contractor ,7 p State Contrs. Building Permit Number. Hot Air Furnaces Under 100,000 BTU Fee S ^ Over 100,000 BTU Fee S ^ Under 100,000 Fee S ^ 100,001 - 500,000 Fee S ^ Hot Water or ^ 500,001 - 1,000,000 Fee S Steam Boiler ^ 1,000,001 - 1,750,000 Fee S ^ Over 1,750,000 Fee S ^ Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee $ ^ Evaporator Coolers (Not portable) Fee S ^ Re~ir~r~fe~ ns to any of the above Fee $ ~Ve r e t anll(not covered by other permit) Fee $ s Exhaust Hood Fee S ~~`~"~` ^ Incinerators ^ Domestic Fee S ^ Commercial Fee $ Other Appliances (list)((~G~ N~~ 1~rq/1f Fee $ ,Other mechanical Installations (list ~PT7 y value ~' Permit Fee ,~ TOTAL EN L SED FEE ~~'~/ Permit ^ Gas ^ Oil ^ Electric ^ Others CONTRACTOR'S AFFIDAVIT I hereby make application for a Mechanical 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 No wor hall be performed prior to receipt of validated permit. Call (3 ) 458-8407 for inspection. FOR CITY OF YELM USE ONLY _~ _~J~ Recd b Date ermit # ~OfT~ PI,O Box 479 MECHANICAL PERMIT , Separate application for each structure Yelm, Washington 98597 ~! Date ~"~ ~ ^'-r' ~ f ~~ Telephone (360) 458-3244 ~.c~~~~5' ~~ ~ 1st. Address>~~1~~`~s'~i" ~ Occupancy ~!~~a~'!p~'ht,L ~/ y~ Owner `'~ Address ~Q ~ Phone 1' O `" ~ ~ ~~ t Contractor ~,r / / ~ ~ Address~y ~ [~ Phone State Contrs. No. f~`~il ~d ~ .~4G.J~ Building Permit Number ~(J~~ l .~/~'~ /S~ Ho} • la(~ ^ Hot Water or Steam Boiler Under 100,000 BTU Fee S ^ Over 100,000 BTU Fee S ^ Under 100,000 Fee S ^ 100,001 - 500,000 Fee $ ^ 500,001 - 1,000,000 Fee S ^ 1,000,001 - 1,750,000 Fee $ ^ Over 1,750,000 Fee S ^ Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee S ^ Evaporator Coolers (Not portable) Fee S to any of the above Fee $ ^ Repairs~r Qltergtio s ' ~ Vent or Vent~Fan ~~ot covered by other permit) Fee S v r~ /~ ~^ Exhaust Hood ~ i~~, ~~ Fee S ~ ~,Ibinerators ^ Domestic Fee S ~,~~ ^ Commercial Fee S Other Appliances (IistX,(,~{~ f~~~~ Fee $ /~~ „Other mechanical Installations list B Value ~ Permit Fee o d TOTAL ENCL SED FEE ~~~~ Permit ^ Gas ^ Oil ^ Electric ^ Others CONTRACTOR'S AFFIDAVIT I hereby make application for a Mechanical 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 r - e~._ _,__,_..~.---~_... Signature, ~ `' y- , _.,~ No work shall be~,~Y#ormed prior to receipt of validated permit. Call (360) 458-8407 for inspection. FOR CITY OF YELM USE ONLY ___, .J ,~ r'' Recd by DatWlti~--1' ~ Permit # ~°Ft~,,~ CITY OFYELM MECHANICAL PERMIT P.O. Box 479 R Yelm, Washington 98597 Separate application for each struct Telephone (360) 458-3244 Date "" ;, est. Address ~ Occupancy ~~o YI / /! ~J~ ~,~,~~/ ~ ~` r Owner ~ Contractor ~'° / ,~J ~! -~^' ~ o State Contrs. No.1"~ ! l ! L ~.1.. ,~,") 7! VC.+BUilding Permit Numl Address Phone Address Phone ^ Hot Air Furnaces ^ Under 100,000 BTU Fee $ ^ Over 100,000 BTU Fee S ^ Under 100,000 Fee S ^ 100,001 - 500,000 Fee $ ^ Hot Water or ^ 500,001 - 1,000,000 Fee $ Steam Boiler ^ 1,000,001 - 1,750,000 Fee S ^ Over 1,750,000 Fee S ^ Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee S ^ Evaporator Coolers (Not portable) Fee $ airs or alterations to any of the above Fee S ^ Re p ^ Vent or Vent Fan (not covered by other permit) Fee $ 0 Exhaust Hood Fee S ~cinerators ^ Domestic Fee S ~ . ^ Commercial Fee S ^ Other Appliances (list) Fee S `Other mechanical Installations (list) By Value ~~i~R~ /~~~ r~.!'t ~ l'CJ ! Permit Fee TOTAL ENCLOSED FEE Permit ^ Gas ^ Oil ^ Electric ^ Others CONTRACTOR'S AFFIDAVIT I hereby make application for a Mechanical 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 ~ t7 t.C.J ~' v .1-~ L~1 ~°' , Signature •'° - 'r ~ --''c'' 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 ' ~ Date_~y~~ermit # ~ _._.. .. ,~`' CITY OF YELM ~ °~i"~ MECHANICAL PER T P.O. Box 479 Separate application for each strut ure Yelm, Washington 98597 -~-~^ Telephone (360) 458-3244 ~ ~ / '~~ Date ~°'~ •-- ~st. A dress ~~ ~ Occupancy ~`99 ,'1 ~ ~ E,/ Owner Address : hone~~ Contractor ~ Address Phone State Contrs. No.~~~~/ U7`7~C Building Permit Number %`~ 1~' Hot Air Furnaces " " Under 100,000 BTU Fee $ rr ^ Over 100,000 BTU Fee S ^ Under 100,000 Fee S ^ 100,001 - 500,000 Fee S ^ Hot Water or ^ 500,001 - 1,000,000 Fee $ Steam Boiler ^ 1,000,001 - 1,750,000 Fee S ^ Over 1,750,000 Fee S ^ Air Handling Units ^ Under 10,000 CFM Fee S ^ Over 10,000 CFM Fee S ^ Evaporator Coolers (Not portable) Fee S ^ Repairs ~ IyteCra~ipn~Q any of the above Fee S Vent or ent Fan~~//(not(c~overed by other permit) Fee S Exhaust Hood Fee $ / ~ Incinerators ^ Domestic Fee S ^ Commercial Fee S Other Appliances (IistG1~,l~ NJ~,'~ ~/}/IJ Fee S ~ Other mechanical Installations (list Pfl~(~Y Value Permit Fee TOTAL ENCL ED FEE ~ Permit ^ Gas ^ Oil ^ Electric ^ Others CONTRACTOR'S AFFIDAVIT I hereby make application for a Mechanical 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 Ordinances of City of Yelm. ~` Firm ~L -a'-.~~-.ae Signature ~ ~'~'-~~ i' ~`~'' No work shall be performed prior to receipt of validated permit. Call (360) 458-8407 for inspection. FOR CITY F YELM USE ONLY /' fr~ ~ / / \ Recd by DatePermit #~~~~~'~`~` °~TtIF CITY OF YELM MECHANICAL PER IT P.O. Box 479 ~ `~ ~ s Yelm, Washington 98597 Separate application for each structur ~ ,C ~• Telephone (360) 458-3244 Date ~°~, Const. AddrQQess ~Gi ,;,, , ~. ! ~ ! p ner Contractor ~- - State Contrs. No. 1 ~" ~, Building Permit Number Hot it urnaces ^ Under 100,000 BTU Fee $ ^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee S ^ 100,001 - 500,000 Fee S ^ Hot Water or ^ 500,001 - 1,000,000 Fee S Steam Boiler ^ 1,000,001 - 1,750,000 Fee S ^ Over 1,750,000 Fee S ^ Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee $ ^ Evaporator Coolers (Not portable) Fee $ ~tions o any of the above ^ Repairs a Fee $ ~ ~ Vent or nt an~(not covered by other permit) Fee $ ^ Exhaust Hood Fee $ Permit ^ Gas ^ Oil ^ Electric ^ Others CONTRACTOR'S AFFIDAVIT I hereby make application for a Mechanical 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 %~',~~, / No work shall be Call (360) 458-8407 receipt of validated permit. ^ Incinerators ^ Domestic Fee $ ^ Commercial Fee S 'Other Appliances (list) (,l/~~7` f~.~"~ Fee $ Other mechanical Installations (list p(j11~y Value Permit Fee e TOTAL ENCL ED FEE FOR CITY YELM USE ONLY ~,~ ~ ~~ /~ -' Recd by 1...~ Date ~ Permit # 9~~fT~~ CITY OFYELM MECHANICAL PERMIT 4 P.O. Box 479 _,~r ~ - .~1~ ~ Q Separate application for each stru a `"(/ - Yelm, Washington 98597 ~C Telephone (360) 458 3244 Date '"5 ~ -- est. Address .'. Owner's - "~ . '' Contractor ~' ~~'"~.~ ~~ ~-~-/ ~-~i~ Address Phone State Contrs. No. Building Permit Number ~C1 p~~ ~ '~ Hot Air Furnaces ]oQ Under 100,000 BTU / Fee S ^ Over 100,000 BTU Fee S ^ Under 100,000 Fee S ^ 100,001 - 500,000 Fee S ^ Hot Water or ^ 500,001 - 1,000,000 Fee S Steam Boiler ^ 1000,001 - 1,750,000 Fee $ ^ Over 1,750,000 Fee S ^ Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee S ^ Evaporator Coolers (Not portable) Fee S ^ Repairs orv~alterati ns to any of the above Fee $ Vent ~r V nt~Fannot covered by other permit ) Fee S ^ Exhaust Hood Fee S ~Cinerators ^ Domestic Fee S ^ Commercial Fee $ ^ Other Appliances (list) Fee S Other mechanical Installations (list J~p/,~By Value Permit Fee r TOTAL ENCL ED FEE , Permit ^ Gas ^ Oil ^ Electric ^ Others CONTRACTOR'S AFFIDAVIT I hereby make application for a Mechanical 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` ~ Dam Permit # ~°~T~,,,~ CITY OFYELM MECHANICAL PERMI - P.O. Box 479 Separate application for each structure ~ ~ ~ -~~ /r "'" ' t 98597 - Yelm, Washing on Telephone (1360)4'/5`8-3244 Const. Address~r ~ ~I ~ ~~,,'-/ir= e ar 1..~ per Contractor n `' ~ ~ State Contrs. No. Building Permit Number Occupancy. ^ Hot Air Furnaces ^ Under 100,000 BTU Fee S ^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee S ^ 100,001 - 500,000 Fee S ^ Hot Water or ^ 500,001 - 1,000,000 Fee S Steam Boiler ^ 1,000,001 - 1,750,000 Fee S ^ Over 1,750,000 Fee S ^ Air Handling Units ^ Under 10,000 CFM Fee S ^ Over 10,000 CFM Fee S ^ Evaporator Coolers (Not portable) Fee S ^ Repairs or alterations to any of the above Fee S ^ Vent or Vent Fan (not covered by other permit ) Fee S ^ Exhaust Hood Fee $ ^ Incinerators ^ Domestic Fee $ ^ Commercial Fee S ^ Other Appliances (list) Fee S Other mechanical Installatio s list TA:JI!('w~- By Value C.~(;5~~,+LJ51N6 S1'1~'~1D~-'~f~lnlCT Permit Fee Permit ^ Gas ^ Oil ^ Electric ^ Others CONTRACTOR'S AFFIDAVIT I hereby make application for a Mechanical 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 Ordinances of City 9€~Celm. , Firm _.~,~~./r' <~_ Signatu -~"' f No work shall be performed prior to receipt of validated permit Call (360) 458-8407 for inspection. FOR CITY O YELM USE ONLY rl ~,. Recd by Date Permit # TOTAL ENCLOSED FEE ~~~, ~~I ~ ~, r ~`' CITY OF YELM °~T"~ MECHA,NICAL PERMIT' P.O. Box 479 Yelm, Washington 98597 Separate application for each structur T I h 360 458-3244 Date_ ~ G e ep one ( ) Const. Address ~ .-~ .r +~ . per !'. e~~,~ ContractorC~~'~ ~''~ 1 State Contrs. No~~/"'~,_1G~~ Building Permit Number Occupancy P ~,~ c~ ~~ ^ Hot Air Furnaces ^ Under 100,000 BTU Fee S ^ Over 100,000 BTU Fee S ^ Under 100,000 Fee S ^ 100,001 - 500,000 Fee S ^ Hot Water or ^ 500,001 - 1,000,000 Fee S Steam Boiler ^ 1,000,001 - 1,750,000 Fee S ^ Over 1,750,000 Fee S ^ Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee $ ^ Evaporator Coolers (Not portable) Fee $ ^ Repairs or alterations to any of the above Fee $ ^ Vent or Vent Fan (not covered by other permit) Fee S Permit ^ Gas ^ Oil ^ Electric ^ Others CONTRACTOR'S AFFIDAVIT I hereby make application for a Mechanical 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 finances of City of Yelm. f~ ~~ ~g- y/ ~ Firm :~'~''~.~`'~~' ,/~` / ~ _ Signat '"'~'~~ ~ _ f~" No work shall be performed prior to receipt of validated permit. Call (360) 458-8407 for inspection. ^ Exhaust Hood Fee $ ^ Incinerators ^ Domestic Fee S ^ Commercial Fee $ ^ Other Appliances (list) Fee $ Other mechanical Installations (list) By Value ~' " ~ Permit Fee , TOTAL ENCLOSED FEE ~',,,~ FOR CITY OF YELM USE ONLY ,.. /~ , ~1 Recd by ` Date Permit # ~` CIN OF YELM °~T'~ MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 , ~,~Separate application for each structur~e•, cam, (~ ~ " ~~ Z Telephone (360) 458-3244 ~~~~L..1G Date :?C"~ ~ ~'"~."'~` 1 Const. Address r T t ~ ~~ `~ (~ Occupancy ~~~`'~'~,~ .~ r7 ~'yner '•~`~ ? ~ ~` ~ ~~~~~.~'~ Address ~~ / ~ ~ ~/ •. s Phone ~~~~ ~ f~ ~j7 ~ r~ V ~~'c;ontractor / ~~ %~ Add/res~s'j '~`~ Phone State Contrs. Na~'7(.l~~dJ lJ! ~~ ~ Building Permit Number (/>(/~~~ -H`_ ~ J ~~ Y Hot Air Furnaces ^ Hot Water or Steam Boiler ^ Air Handling Units Under 100,000 BTU Fee $ ^ Over 100,000 BTU Fee S Permit ^ Gas ^ Oil ^ Electric ^ Others ^ Under 100,000 Fee S ^ 100,001 - 500,000 Fee S ^ 500,001-1,000,000 Fee S CONTRACTOR'S AFFIDAVIT ^ 1,000,001 - 1,750,000 Fee $ I hereby make application for a Mechanical permit and certify that our firm is registered as a contractor with the State of Washington ^ Over 1,750,000 Fee $ and City of Yelm and that work shall be performed in accordance with all Codes and Ordinances of City of Yelm. ^ Under 10,000 CFM ^ Over 10,000 CFM ^ Evaporator Coolers (Not portable) Fee S Fee S Fee S ^ Repair~so~r alf}~rat'ons to any of the above Fee S ~Venttfr Ven.•tCC,,//Fa`n not covered by other permit) Fee S 'J~Exhaust Hood Fee $ i ^ Incinerators ^ Domestic Fee S ^ Commercial Fee S other Appliances (list~~ f/,L~'f,,~ ~~7(,/ Fee S f~ /t Other mechanical Installations (list f~/~/r,~By Value ~~ /; ` 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 ~ Dater ~ermit # Permit Fee ~i ~/ TOTAL ENCL ED FEE ~/~ CITY OP YELM ~°~T"~'~ MECHANICAL PERMIT P.O. Box 479 ~ ~ Yelm, Washington 98597 ~~~ d Separate application for each struc ~ ~ ~. 4 Telephone (360) 458-3244 °~~ Date „m,'"r'~ _~l f Const. Ad,S~re Occupancy „~./' ~ ~°i ,r / / ~ , Phone ~~~U'~J~rL`~ vner"' . - ~ ~ Address \ Contractor "' ~ ~ Address ,(/~ Phone State Contrs. No. 117lf~~~~ Building Permit Number '~ r ~" ~[ Hot Air Furnaces ' Under 100,000 BTU _ Fee $ 1 0^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ O Hot Water or ^ 500,001 - 1,000,000 Fee $ Steam Boiler D 1,000,001 - 1,750,000 Fee $ ^ Over 1,750,000 Fee S ^ Air Handling Units ^ Under 10,000 CFM ^ Over 10,000 CFM ^ Evaporator Coolers (Not portable) Fee $ Fee $ Fee $ ^ Repairs or awlte~rati ns to any of the above Fee S Vent or~e~Fannot covered by other permit) Fee $ ~~( Exhaust Hood Fee $ Y^' Incinerators ^ Domestic Fee $ ^ Commercial Fee $ `~bther Appliances (list~.L}r~ }' ~~~'U Fee $ y~Other mechanical Installations (list ~j/~(I~By Value ~~,/l j~,(}~,Permit Fee Permit ^ Gas ^ Oil ^ Electric ^ Others CONTRACTOR'S AFFIDAVIT I hereby make application for a Mechanical 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 Gad __ ... / ; / "_ Signature No work shall be performed prior to receipt of validated permit. Call (360) 458-8407 for inspection. FOR CITY OF YELM USE ONLY ~ h Recd b~~ '~ Date-~+ Permit # TOTAL ENCL~S'~D FEE "~'~.:~ °E 711p~ CITY OF YELM MECHANICAL PERMIT P.O. Box 479 , Separate application for each struct ~ ~ ~ .~, ~ Q Yelm, Washington 98597 ~!~~~~` ~~ ~,,,,,(~~ Tell/ephone (360) 458-32/44 ~/ Date '"L Const. Address c ~~ r'~ ' ~. ~~ vner Contractor > ~ Address /~ ~ 1 Phone State Contrs. No.~~~~~`'7,~ / Building Permit Number ~~~~`~ /r -,L.1~-~-~ Hot Air Furnaces Under 100,000 BTU Fee $ ^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water or ^ 500,001 - 1,000,000 Fee $ Steam Boiler ^ 1,000,001 - 1,750,000 Fee S ^ Over 1,750,000 Fee S ^ Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee $ ^ Evaporator Coolers (Not portable) Fee S ^ Repairs or Iterations to any of the above Fee $ ,~ ~ Vent o'f ent Fan ~ot covered by other permit) Fee $ +~ ~ ~ Exhaust Hood Fee $ `+~d'~~'' ^ Incinerators ^ Domestic Fee $ ^ Commercial Fee $ Other Appliances (list~,~~(~uJ~ ~14~ Fee $ ~~ Other mechanical Installations (list ~ f~f~By Value / Permit Fee TOTAL ENCL ED FEE ~~ Permit ^ Gas ^ Oil ^ Electric ^ Others CONTRACTOR'S AFFIDAVIT I hereby make application for a Mechanical 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 b~=-~ ~ Date-~~~rmit # CIN OF YELM °ET"~ MECHANICAL PERMIT ~~ ~_ P.O. Box 479 Separate application for each structure ,T ~ Yelm, Washington 98597 ~ C.` "~ ~ Telephone (3601.) 458-3244 D~raete Const. Address ,~~,} ~~ Y -.-~' ner ~ s~ Address Phone ' ,r ~ Contractor ~ ~ Address Phone State Contrs. No. ~~ ~ ~~ ~ f ~ 71>~ 0 Building Permit Number ~~ T~ ^ Hot Air Furnaces ^ Under 100,000 BTU Fee $ ^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee S ^ 100,001 - 500,000 Fee $ ^ Hot Water or ^ 500,001 - 1,000,000 Fee $ Steam Boiler ^ 1 001 - 1 750 000 000 Fee S , , , , ^ Over 1,750,000 Fee S 000 CFM Fee $ ^ Under 10 , ^ Air Handling Units ^ Over 10,000 CFM Fee $ ^ Evaporator Coolers (Not portable) Fee $ airs or alterations to any of the above Fee $ ^ Re p ^ Vent or Vent Fan (not covered by other permit) Fee $ ^ Exhaust Hood Fee $ Incinerators ^ Domestic Fee $ ^ Commercial Fee S ^ Other Appliances (list) Fee $ ~Other mechanical Installations (list) By Value "77. ~tV'I~~U~C~~, ~+yf, }U~Q~l ~fC'~{TIt9~t1 Permit Fee , TOTAL ENCLOSED FEE Permit ^ Gas ^ Oil ^ Electric ^ Others CONTRACTOR'S AFFIDAVIT I hereby make application for a Mechanical 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 ~_f ~~; L _ ~ r. _ ~, r ~' ~ f ~' Signature' ,_,'!1./ U- a_~°r ~ yf~~i ~~'~.-~=~'~"""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 # ~~°~t~,,~ CINOFYELM MECHANICAL PERMIT _ P.O. Box 479 Separate application for each structure ~.- G ,,. .--- ~ ~~ ~~ Yelm, Washington 98597 '~~ _ ~~ Telephone (360) 458-3244 Date ~";.v ,1st. Adfdrerr~~ss~~~__~~~ ,/~~ Owner i~L,(_/!(.Y~ `~"c_~~ Contracfbrs„ 3~GN,".{('a/'/,~LJ/ L,1..14/l.~C..j ~7/~'p`~/ / aG.lrt[~' State Contrs. NoV1.~/U~~XT>~~"7~~ Building Permit Number Hot Air Furnaces Under 100,000 BTU Fee S ^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee S ^ 100,001 - 500,000 Fee S ^ Hot Water or ^ 500,001 - 1,000,000 Fee S Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ ^ Over 1,750,000 Fee S ^ Air Handling Units ^ Under 10,000 CFM Fee S ^ Over 10,000 CFM Fee S ^ Evaporator Coolers (Not portable) Fee $ ^~ Reprs~r~,ergt'ons to any of the above Fee S Ven or Vent ~an (not covered by other permit) Fee S Exhaust Hood Fee S _ incinerators ^ Domestic Fee S ^ Commercial Fee S Other Appliances (Iist~Nt~ ~~~~ ~/n4~ Fee S Other mechanical Installations (Iist~frJ p~~r//~yValue r Permit Fee l TOTAL ENCL ED FEE Permit ^ Gas ^ Oil ^ Electric ^ Others CONTRACTOR'S AFFIDAVIT I hereby make application for a Mechanical 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'^ ~ "' t ~; ~,, 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 #~~~~ ~F TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 ~ ' Telephone (206) 458-3244 Separate application for each structure ~'=. ~ ~ ,, Date ~ ,. _, . ' ,, - A ,. st. Address ~ ~'~'-- ~~~ Occupancy ~ ~ ~ 3 f -~ ` ` =-';: ,% ~ ~ Phone' Owner f Address- ~ 1 ~~ ~ ~ '~ ' z. ~- - . Contractor ~ f ~:: _j Address ~ ~ '' ~ - _`k. ~~ ~~, ~ - .~' Phone ,~, , State Contrs. No Building Permit Number r : _, %;' ^ Hot Air Furnaces ^ Under 100,000 BTU Fee $ permit ^ Gas ^ Oil ^ Electric ^ Others ^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ CONTRACTOR'S AFFIDAVIT or Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ I hereby make application for a Mechanical Permit and ^ Over 1,750,000 Fee $ certify that our firm is registered as a contractor with the St t f Washin ton and Town of Yelm and that work ^ Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee $ ^ Evaporator Coolers (Not portablel Fee $ ^ Repairs or alterations to any of the above Fee $ ^ Vent or Vent Fan (not covered by other permit Fee $ ^ Exhaust Hood Fee $ ^ Domestic Fee $ r] Incinerators ^ Commercial Fee $ .... ^ Other Appliances (list) Fee $ [] Other Mechanical Installations (list) _ By Value . ~ Permit Fee aeo g shall be performed in accordance with all Codes and Or- dinances of Town of Yelm. Firm Signature No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY Recd. by --- . - -__-- ....__. Date - -------------- Permit ~ -. ----.. __---- TOTAL ENCLOSED FEE ;'` ~~~; r O tl! D II U N U W L a~ a `~ 0 J Q O ~-+ U_ a c~ Za Q ~ `] ~ V d. N I~ J ~ M W ~ C ~ ~~ o~ LLxrncn p c o OmsN ZO ~ c 3a~L O ~ d I-- °' r~ w O N N c c O O .C S d d ,, ~,~ V C N N ~ ~ ~ v ~ ~ O Q a E 7 Z E d DE Z N a o ~ V .. A N Y ~, V C C C A V O V ~+ aN. C ~ N Y~ ~ r O 0 . p " ~ 3 c • 3 .. `° ^ ~ N Y N O m d „_, ~ ~ v ~ p c O ~ ~ ro U '.. Q _ E ~ Y ~ U W P L p L cd } L L Q 3 ~ ~ cb o N ,y^, ~ ~ c v 0 ~ Q W ~ O Q c ~ ~ o E o v, c p ~, ~ ~ ~ } ^ Q p !q C C O ~ N ~ F- a E ~ ~ c 3 ~ Z ~ .~ c ~ p ~ W ~ ~ O U O Yp~~..- ~ ~ ~ ~ o _ a w .~ p o ~ U ~ =~= N ~ C r E a~ ~ ~ ~ ~ L - L a~ - U fA N 'O - Y d . f a~ I c ~ ~ m .~ O a .~ p C O p L Y O v '` nn m C L o o ~ Y N a~ m ~ .a ~ - v ~_ L ~ yU O -"'' 3 E o Z n } J Z O W J W O z O h- O E ~. Ua 1 J~ A r~ v v x V ~ V > Y LL 7. y_ V- W FR ~H IR {A 6R 6R d9 {q FR W {fT 6A ~H W m E Y V V Y Y Y V V V Y V V V V V Y d Y Y V V V V Y V V V V V Y V Y V d ti LL W W {~ SYN~. 1L LL. ti {i li la. Li 1a. li LL ~ $ ZS E m ~ a ° ~ ~ Y m p $ V ~ g ~ ~O Y ~. 8 8 ~ o s o ~ ~ ~ N V a. Y SS S ~. V ~. A O ~ V E N ~ V C r- ~~~ ~ ~ a C ` O O p~ --- C C C N ~ .... ~ ~ V ~ C ~ ~' N v V .o ~ V O A m E ~ m . °_ ~ d _° c _a s `~ -- ~ .. ~ a a 3 Y A ~= a d .. 2 0 'A .. „ c Y Y O O N ~ A d V X •v ~' ~' 1-~~ _ = O Q W ~ ~ W C O O a ^ D pDODO °~ W W LL W N O J V Z W J a 0 CIN OF YELM ~°~T~'~ MECHANICAL PERMIT P.O. Box 479 Separate application for each structure ~ ~ ~ a Yelm, Washington 98597 ~7- Telephone (360) 458-3244 ~®r ~ ~ Date r f Const. Address ~ / Occu anc , p ,,,~/,,~ i t' ! ~ finer ~ "~ - V 0 6 ~ + Address .~J~~ ~ ,/Phone Contractor `(~,~;~ '~~~~~~,~.,~.~ Address Phone State Contrs. No~f ~L ~~~1 ~~ ~ Building Permit Number ~C/~~ `~ ~~~~~~ ~j Hot Air Furnaces J~Q Under 100,000 BTU Fee $ ^ Over 100,000 6TU /^ Over 100,000 BTU Fee S Fee S ^ Under 100,000 Fee S ^ 100,001 - 500,000 Fee S ^ Hot Water or ^ 500,001 - 1,000,000 Fee S Steam Boiler i ^ 1,000,001 - 1,750,000 Fee S ^ Over 1,750,000 Fee S ^ Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee S ^ Evaporator Coolers (Not portable) Fee S ^ Repai~or al ra~tjigyns to any of the above Fee S Vent Ve'7i ~an`'~(not covered by other permit) Fee S Exhaust Hood Fee S ^ Incinerators ^ Domestic Fee S ^ Commercial Fee S ,, r.. ,1~-,,Other Appliances (list~~ ~~ i~j4,(,} Fee $ r' ~ Other mechanical Installations (list"~,P/Ia~`iik3 By Value '~ i~~/ ~,/,~~Permit Fee Permit ^ Gas ^ Oil ^ ~ Electric ^ Others CONTRACTOR'S AFFIDAVIT I hereby make application for a Mechanical 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 be performed prior to receipt of validated permit. Call (360) 458-8407 for inspection. FOR CITY OF YELM USE ONLY ~~ r`2 Recd by ~ ~ Date Permit # TOTAL ENCL ED FEE ~ , CITY OF YELM ~°~T~''~ MECHANICAL PERMIT P.O. Box 479 ~ •. ~ "° ~'~ Yelm, Washington 98597 ~~~^~.~~ Separate application for each structures.,' ~ r,_ Telephone (360) 458-3244 ~ Date ~ (L ~ }~,~_,~_~~~ Const. Address ~"Y .~ Occupanc~yr / f /ner ~ ~ ~~` r 9 ~ Address G ~d ~ / ~~ Phone Contractor Address Phone tJI1 ff „- ~„ State Contrs. No.~,~(rll ~(l ~ Building Permit Number 1~1~~.~ ~ '" ~ ~' ~~ ~ Hot Air Furnaces Under 100,000 BTU Fee $ ^ Over 100,000 BTU Fee $ Permit ^ Gas ^ Oil ^ Electric ^ Others ^ Under 100,000 Fee S ^ 100,001 - 500,000 Fee $ ^ Hot water or ^ 500,001- l,ooo,ooo Fees CONTRACTOR'S AFFIDAVIT Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ ^ Over 1,750,000 Fee S ^ Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee $ O Evaporator Coolers (Not portable) Fee $ ^ Repair~sj o}r~a'lt~erations to any of the above Fee $ Vent bf Vent Far(not covered by other permit) Fee S ~+ Exhaust Hood Fee $ + C~. Incinerators ^ Domestic Fee $ ~ ^ Commercial Fee S Other Appliances (list ~.(~ ~~~ Fee $ Other mechanical Installations list Value ` (~aaS~I~Iy Permit Fee TOTAL ENCL ED FEE ~, I hereby make application for a Mechanical 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 ~ "'~~' -a;;.::., 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 by 4... Date Permit # 6 oFtxe~ P~.O. Box4E9 MECHANICAL PERM Yelm, Washington 98597 /~~.~'~' Separate application for each structurel~~ Telephone (360) 458-3244 ,c. Date f_ Const. Address Occupancy ; ,% ~~ finer - ~ ~ Address Contractor Address /~ State Contrs. No, ~,C.d/I`i l ~l ~~~ Building Permit Number (G'U'~~ Hot Air Furnaces Under 100,000 BTU Fee $ ^ Over 100,000 BTU Fee S ^ Under 100,000 Fee S ^ 100,001 - 500,000 Fee S ^ Hot Water or ^ 500,001 - 1,000,000 Fee $ Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ ^ Over 1,750,000 Fee S ^ Air Handling Units ^ Under 10,000 CFM Fee S ^ Over 10,000 CFM Fee $ ^ Evaporator Coolers (Not portable) Fee S ^ Repairs_or a t~rptio to any of the above Fee S +(~/ r, `Vent ~Ven Fan rt covered by other permit) Fee $ •~/ m° ` xhaust Hood Fee S ~ "~` Q Incinerators ^ Domestic Fee $ (~ ~ ^ Commercial Fee S Other Appliances (list ~~ ~"~~ Fee S `q~ther mechanical Installations (list~~!/~/R.~y value `~J''°° Permit Fee TOTAL ENCL ED FEE ,; ~,d~ Permit ^ Gas ^ Oil ^ Electric ^ Others CONTRACTOR'S AFFIDAVIT I hereby make application for a Mechanical 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 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 r~ Recd by r ~ Date Permit # !~ °~7~~ CITY OF YELM MECHANICAL PERMIT. ~ P.O. Box 479 "' ~~ ~; -' °~ " Yelm, Washington 98597 ~~~'-,"~~' Separate application for each structure / a~ Telephone (360) 458-3244 Date ` ~.G f ,.) _ ~ r., ,,. C_ onst. Address f~~ + ~ Occupancy ~' ~~ ~ 'ner > ~ ® Address e:? /~ ~ ~ ~ Phone Contractor. ~ ~it!/ ,~;~~~ Address Phone State Contrs. No. ///C~CJ~,/~`7~~ Building Permit Number (G~C/~ ~ ~~/'',. > ~ -! Hot Air Furnaces Under 100,000 BTU Fee $ ^ Over 100,000 BTU Fee S ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water or ^ 500,001 - 1,000,000 Fee S Steam Boiler ^ 1,000,001 - 1,750,000 Fee S ^ Over 1,750,000 Fee $ ^ Air Handling Units ^ Under 10,000 CFM Fee S ^ Over 10,000 CFM Fee $ ^ Evaporator Coolers (Not portable) Fee S ^ Re airs or~I't~je~atio~s to an of the above Fee S ~Venptl6r Vent Fa~n~r~Ot covered by other permit) Fee $ Exhaust Hood Fee S ~ q_ Incinerators ^ Domestic Fee S ~~ `v, ^ Commercial Fee $ ~~'~.~~. Other Appliances (IistX,~,~G /~ ~~ Fee $ Other mechanical Installations (listPr}~/~By Value ~ Permit Fee ~ TOTAL ENCL D FEE Permit ^ Gas ^ Oil ^ Electric ^ Others CONTRACTOR'S AFFIDAVIT I hereby make application for a Mechanical 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_~ C- -- No work shall be performed prior to receipt of validated permit. Call (360) 458-8407 for inspection. FOR CITY OF YELM USE ONLY ~..~ j r Recd by Date Permit #~,~~~~~. ~~°fT ~ CITY OF YELM MECHANICAL PERMIT P.O. Box 479 I ~ ~ ~ 4 Yelm, Washington 98597 ~~~~` C~ Separate application for each structure % _ Telephone (360) 458-3244 Date `~ ~ °'~ - ~ I'' ` 17 rK.. ~ ,.., Const. Addre Occupancy ;` d' ~ner ~ J +• Address ~r Phone Contractor ~ ~ ~'~~,~1 ~~.~. /~) /~.r.~~ State Contrs. No. ! l ~~L/ ~ Building Permit N Hot Air Furnaces 'Under 100,000 BTU Fee S '~ ^ Over 100,000 BTU Fee S ^ Under 100,000 Fee S ^ 100,001 - 500,000 Fee S ^ Hot Water or ^ 500,001 - 1,000,000 Fee S Steam Boiler ^ 1,000,001 - 1,750,000 Fee S ^ Over 1,750,000 Fee $ ^ Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee $ ^ Evaporator Coolers (Not portable) Fee S ^ Repairs o~ lI ergt~ons to any of the above Fee S Vent br Vent Fan (not covered by other permit) Fee S Exhaust Hood Fee S ~ ^ Incinerators ^ Domestic Fee $ ~ ~. ^ Commercial Fee $ Other Appliances (list~(~ ~-~(„~ ~/4l~ Fee S Other mechanical Installations (Iist~fDfj~/~By Value Permit Fee ~,r„~ TOTAL ENC SED FEE ~ j", Permit ^ Gas ^ Oil ^ Electric ^ Others CONTRACTOR'S AFFIDAVIT I hereby make application for a Mechanical 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 be performed prior to receipt of validated permit. Call (360) 458-8407 for inspection. FOR CITY OF YELM USE ONLY rl ~~ Recd by Date Permit # ~J TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 'o ~~ Telephone (206) 458-3244 Separate application for each structure ~ - Date Const. Address - -- Occupancy Owner t Address ~ ~ Phone Contractor Address Phone ~.1 State Contrs. No. Building Permit Number ,.r '` ^ Under 100,000 BTU Fee $ ^ Hot Air Furnaces ^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ or Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ ^ Over 1,750,000 Fee $ ^ Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee $ ^ Evaporator Coolers (Not portable) Fee $ ^ Repairs or alterations to any of the above Fee $ ^ Vent or Vent Fan (not covered by other permit Fee $ ^ Exhaust Hood Fee $ ^ Domestic Fee $ ,J Incinerators Commercial Fee $ ^ Other Appliances (list) Fee $ ^ Other Mechanical Installations (list) By Value Permit Fee TOTAL ENCLOSED FEE Permit ^ Gas ^ Oil ^ Electric ^ Others CONTRACTOR'S AFFIDAVIT I hereby make application for a Mechanical Permit and certify that our firm is registered as a contractor with the State of Washington and Town of Yelm and that work shall be performed in accordance with all Codes and Or- dinances of Town of Yelm. Firm Signature No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY Recd. by :. _ .. - - Date -- ----._ Permit ?t - - - TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 ~ `' ~ Telephone (206) 458-3244 Separate application for each structure ~. u ~ -"~ Date ,_ , . Const. Address ~ ~~~ • ~ Occupancy '`~ ~~ , Owner r ~ :c;. ~ ' { Address £ ' F ' ( Phone _. . Contractor ~ ~ s,r ~ Address ~ ,~ Phone State Contrs. No. ': Building Permit Number - ~ ~ '~~ " '' ~ ~~~ ^ Under 100,000 BTU Fee $ ^ Hot Air Furnaces ^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ or Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ ^ Over 1,750,000 Fee $ ^ Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee $ ^ Evaporator Coolers (Not portable) Fee $ ^ Repairs or alterations to any of the above Fee $ ^ Vent or Vent Fan (not covered by other permit Fee $ Exhaust Hood . - ~ . -. ~_.. Fee $ ` ~ , ^ Domestic Fee $ ` J Incinerators ^ Commercial Fee $ ^ Other Appliances (list) Fee $ ^ Other Mechanical Installations (list) By Value ~- ~ Permit Fee ; TOTAL ENCLOSED FEE Permit ^ Gas ^ Oil ^ Electric ^ Others CONTRACTOR'S AFFIDAVIT I hereby make application for a Mechanical Permit and certify that our firm is registered as a contractor with the State of Washington and Town of Yelm and that work shall be performed in accordance with all Codes and Or- dinances of Town of Yelm. Firm Signature ,~ °~, No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY Recd. by _ ---- Date -- ---_;:. Permit ~ _ ~._ .-._.. TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 Telephone (206) 458-3244 s Separate application for each structure t'F m -~ Date Const. Address '- Occupan cy - Owner } - Address - Phone Contractor Address Phone State Contrs. No, "` ~ Buildin g Permit Number ~ `~ { "^ Under 100,000 BTU Hot Air Furnaces ^ Fee $ permit Gas Oil Electric Others ^ ^ ^ ^ , ^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ CONTRACTOR'S AFFIDAVIT or Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ I hereby make application for a Mechanical Permit and certify that our firm is registered as a contractor with the ^ Over 1,750,000 Fee $ State of Washington and Town of Yelm and that work ^ Air Handling Units ^ Under 10,000 CFM Fee $ shall be performed in accordance with all Codes and Or- ^ Over 10,000 CFM Fee $ dinances of Town of Yelm. ^ Evaporator Coolers (Not portablel Fee $ Firm r' ^ Repairs or alterations to any of the above Fee $ Vent or Vent Fan (not covered by other permit Fee $ Signature ^ Exhaust Hood Fee $ No work shall be performed prior to receipt of validated ^ Domestic Incinerators Fee $ permit. Call 458-3244 for inspection. ^ Commercial Fee $ ^ Other Appliances (list) Fee $ FOR TOWN OF YELM USE ONLY ^ Other Mechanical Installations (list) ,_ By Value __ ~ Permit Fee Recd. b ~ ~._-.-- Date ' Y '-- :._. .~~`- Permit x _._.: TOTAL ENCLOSED FEE ~ ?, TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 ~ ~ Telephone (206) 458-3244 Separate application for each structure .a ~ °' f- _.j Date r ~- ~ -. Const. Address ~ .. s ~~~' ;; , ;-,. , , ~, ; . ' • Occupancy ~~ , s =, - , Owner , t'~= ' ' - - - - Address ''- ' ~, Phone Contractor ' x`~- ' ' ~' '~ °,~ `~'r~%~ Address Phone ,, No ' i State Contrs ~ -'! rJ Building Permit Nu ~.~ y l ~ mber ~ " ~:: ~ ' . , Hot Air~Furnaces ~- Under 100,000 BTU Fee $ Permit ^ Gas ^ Oil ^ Electric ^ Others ^ Over 100,000 BTU Fee $ [~ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ CONTRACTOR'S AFFIDAVIT or Steam Boiler 001 - 1,750,000 ^ 1 000 Fee $ I hereby make application for a Mechanical Permit and , , certify that our firm is registered as a contractor with the ^ Over 1,750,000 Fee $ State of Washin ton and Town of Yelm and that work ^ Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee $ ^ Evaporator Coolers (Not portable) Fee $ ^ Repairs or alterations to any of the above Fee $ ^ Vent or Vent Fan (not covered by other permit Fee $ ^ Exhaust Hood ~ Fee $ ^ Domestic Fee $ `j Incinerators ^ Commercial Fee $ Other Appliances (list) _~, '! Fee $ Other Mechanical Installations (list) By Value Permit Fee s 9 shall be performed in accordance with all Codes and Or- dinances of Town of Yelm. Firm' ~,, .. ,.,..~ Signature- _. No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY Recd. by -- - _ _- ...---- Date ----------.-. Permit # - ---- --_ --. TOTAL 'ENCLOSED FEE ;- ~ "; ,, TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 Telephone (206) 458-3244 Separate application for each structure ~ T - ,~ Date ~'st. Address Occupancy ~ %~- t7wner ' , . ' ` ~ ° " ~. Address ,~ .. ; _, - Phone Contractor '~ ~ Address - Phone State Contrs. No. ~ f - t Buildin g Permit Number ,.; ' < ^J~ Under 100,000 BTU Fee $ Hot Air Furnaces '" p ermit ^ Gas ^ Oil ^ Electric ^ Others ^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ CONTRACTOR'S AFFIDAVIT or Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ I hereby make application for a Mechanical Permit and certify that our firm is registered as a contractor with the ^ Over 1,750,000 Fee $ f W h' t d T f Yelm and that work ^ Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee $ ^ Evaporator Coolers (Not portable) Fee $ ^ Repairs or alterations to any of the above Fee $ ^ Vent or Vent Fan (not covered by other permit Fee $ ^ Exhaust Hood Fee $ ^ Domestic Fee $ ^ Incinerators ^ Commercial Fee $ ~~ ~], Other Appliances llistl ~ . Fee $ [] Other Mechanical Installations (list) .; By Value Permit Fee State o as ing on an own o shall be performed in accordance with all Codes and Or- dinances of Town of Yelm. Firm -_ Signature ~ ~ _ No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY (~ Recd. by ...: ___ `__.---- Date -_.?-f:.___-:. Permit # . .--.-_--- TOTAL ENCLOSED FEE ~. TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 (~ g ~- ~ ^~, Telephone (206) 458-3244 Separate application for each structure ~~ ~~ p j Date ,r •st. Address ^ - ,: ~ '.~- r ~ ,' ~ - ~flccupancy ~ -~_~' ?'~ '~ ~ , `Owner ~ - s Address- '~° ~'' ~ ~`~ ~'' Phone ~ Contractor - r + ' ~ ` ~ ~~ -~ Address Phone No 4 ~ ~~~ State Contrs. ~ ~ 7 Buildin g Permit Number ~ ~ ^ Hot Air Furnaces [~ Under 100,000 BTU Fee $ '.' permit Gas Oil Electric Others ~ ^ ^ ^ ^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ CONTRACTOR'S AFFIDAVIT or Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ I hereby make application for a Mechanical Permit and certify that our firm is registered as a contractor with the ^ Over 1,750,000 Fee $ St t f Washin ton and Town of Yelm and that work ^ Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee $ ^ Evaporator Coolers lNot portable) Fee $ ^ Repairs or alterations to any of the above Fee $ Vent or Vent Fan (not covered by other permit Fee $ Exhaust Hood Fee $ ^ Domestic Fee $ ^ Incinerators © Commercial Fee $ --,_] Other Appliances llistl' Fee $ ^ Other Mechanical Installations (listl.. ,~. ~ By Value Permit Fee aeo g shall be performed in accordance with all Codes and Or- dinances of Town of Yelm. Firm Y:..3~'~^~'J~. ... Signature ~ -~~`~~ ' ~~ ~~ ~- No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY Recd. by -. ...---'---_--- Date ,°- ---j!'~Permit 3t -..---.-_---- TOTAL ENCLOSED FEE 'I TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 Telephone (206) 458-3244 Separate application for each structure Date Address ~st :, .. i - ` , Occupancy ' . . .owner °, ;, ? - Phone - Address Contractor '" Address Phone State Contrs. No: ' " Buildin g Permit Number ^ Hot Air Furnaces Under 100,000 BTU Fee $ Permit Gas Oil Electric Others ^ ~ ^ ^ ^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ CONTRACTOR'S AFFIDAVIT or Steam Boiler 001 - 1 750,000 Fee $ ^ 1 000 I hereby make application for a Mechanical Permit and , , , certify that our firm is registered as a contractor with the ^ Over 1,750,000 Fee $ State of Washington and Town of Yelm and that work ^ Air Handling Units ^ Under 10,000 CFM Fee $ shall be performed in accordance with alt Codes and Or- ^ Over 10,000 CFM Fee $ dinances of Town of Yelm. ^ Evaporator Coolers (Not portable) Fee $ Firm ^ Repairs or alterations to any of the above Fee $ ^ Vent or Vent Fan (not covered by other permit Fee $ ^ Exhaust Hood Fee $ ^ Domestic Fee $ [] Incinerators ^ Commercial Fee $ ,~ Other Appliances (list) ;Fee $ ^ Other Mechanical Installations (list) ` By Value Permit Fee Signature No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY Recd. by --- - _ , ... --' -.-- Date _ ..........::.. Permit x -..---.-_ --- TOTAL ENCLOSED FEE J TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 Telephone (206) 458-3244 Separate application for each structure ;' -Date est. Address - ---Occupancy ;~ ~` tnvner }` Address ` '~ '` Phone Contractor - Address Phone .. State Contrs. No, ~ _ ¢ •~' Building Permit Number % ~. ~~~ Under 100,000 BTU Fee $ ' ?"' Permit Gas Oil Electric Others Hot Air Furnaces ~ Over 100,000 BTU Fee $ ~ ^ ~ ~ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ CONTRACTOR'S AFFIDAVIT or Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ I hereby make application for a Mechanical Permit and ^ Over 1,750,000 Fee $ certify that our firm is registered as a contractor with the State of Washin ton and Town of Yelm and that work © Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee $ ^ Evaporator Coolers )Not portable) Fee $ ^ Repairs or alterations to any of the above Fee $ ^ Vent or VentJFan (not covered by other permit Fee $ ^ Exhaust Hood Fee $ ^ Domestic Fee $ ^ Incinerators Commercial Fee $ `] Other Appliances llistk -. _„ . Fee $ ^. Other Mechanical Installations (list) -,~,: By Value ~ Permit Fee TOTAL jENCLOSED FEE , 9 shall be performed in accordance with all Codes and Or- dinances of Town of Yelm. Ir Firm Signature ° No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY Recd. by _ .-. .___ Date ;:_, :~ Permit ~ . TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 Telephone (206) 458-3244 Separate application for each structure Date est. Address Occupancy _ owner ~. Address _ Phone Contractor Address Phone State Contrs. No. ``' ~' ~ `~ Buildin g Permit Number ~ Y ._ __ ^ Hot Air Furnaces ^ Under 100,000 BTU Fee $ permit ^ ^ ^ ^ Gas Oil Electric Others ^ Over 100,000 BTU Fee $ ' ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ CONTRACTOR'S AFFIDAVIT or Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ I hereby make application for a Mechanical Permit and certify that our firm is registered as a contractor with the ^ Over 1,750,000 Fee $ State of Washington and Town of Yelm and that work © Air Handling Units ^ Under 10,000 CFM Fee $ shall be performed in accordance with all Codes and Or- ^ Over 10,000 CFM Fee $ dinances of Town of Yelm. ^ Evaporator Coolers (Not portable) Fee $ Firm ^ Repairs or alterations to any of the above Fee $ Vent or Vent Fan (not covered by other permit Fee $ ^ Exhaust Hood Fee $ ^ Domestic Fee $ ^ Incinerators ^ Commercial Fee $ Other Appliances (list) Fee $ ^ Other Mechanical Installations (list) . -~ -^ By Value Permit Fee TOTAL ENCLOSED FEE -: Signature No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY Recd. by ;' - - Date - ~--- - ::"Permit st :. - - TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 `, ~~ Tele hone (206) 458-3244 Separate application for each structure ~ ~" P Date ` ~ -- . Addr s ~ t Occupancy P F % ~ ~ ~~~ "~ e s s . Owner ~~f` Address - ' ~~~ ~ Phone . - Contractor ' . w - Address ~ _ ` ;:: _~ ~ '' ;`+ Phone , te Contrs No " St ~ - Buildin g Permit Number ~~ ~ •~- ~ ~~' ~ £ . . a ., ^ Hot Air Furnaces ~; Under 100,000 BTU ` Fee $ Permit Gas Oil Electric Others ~ ^ ^ ^ ^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ CONTRACTOR'S AFFIDAVIT ^ Hot Water ^ 500,001 - 1,000,000 Fee $ I hereby make application for a Mechanical Permit and or Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ certify that our firm is registered as a contractor with the ^ Over 1,750,000 Fee $ State of Washington and Town of Yelm and that work © Air Handling Units ^ Under 10,000 CFM Fee $ shall be performed in accordance with all Codes and Or- ^ Over 10,000 CFM Fee $ dinances of Town of Yelm. ^ Evaporator Coolers (Not portablel Fee $ Firm _ - ^ Repairs or alterations to any of the above Fee $ Vent or Vent Fan (not covered by other permit Fee $ ^ Exhaust Hood Fee $ ^ Domestic Fee $ ^ Incinerators ^ Commercial Fee $ ,~ Other Appliances (listl Fee $ ^ Other Mechanical Installations (list) ~ "' By Value ~' Permit Fee TONAL ENCLOSED FEE Signature No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN' OF YELM USE ONLY Recd. by -- `_-.---- Date - ----- ._ 1--- Permit ~ -- ------ TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 ~' Telephone (206) 458-3244 Separate application for each structure `^, Under 100,000 BTU Fee $ Hot Air Furnaces ~ ^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ or Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ ^ Over 1,750,000 Fee $ ^ Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee $ ^ Evaporator Coolers )Not portable) Fee $ ^ Repairs or alterations to any of the above Fee $ ~] Vent or Vent Fan l not covered by other permit Fee $ ^ Exhaust Hood Fee $ ' k'`~ ^ Domestic Fee $ ^ Incinerators ^ Commercial Fee $ ,_] Other Appliances Ilistl ' `Fee $ ^ Other Mechanical Installations (list) .,~. :~ By Value Permit Fee TOTAL ENCLOSED FEE Permit ^ Gas ^ Oil ^ Electric ^ Others CONTRACTOR'S AFFIDAVIT I hereby make application for a Mechanical Permit and certify that our firm is registered as a contractor with the State of Washington and Town of Yelm and that work shall be performed in accordance with all Codes and Or- dinances of Town of Yelm. ~~ Firm ~ ~ ~ ~~~ Signature - "~ ' •- _ .~- - .., No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY Recd. by _ .,'...- Date '_:: ~ _... Permit tt _ _._ .- TOWN OF YELM P.O. Box 479 Yelm, Washington 98597 Telephone (206) 458-3244 est. Address owner 6 Contractor State Contrs. No ' MECHANICAL PERMIT Separate application for each structure K'`~ ~ ~ ~ ~. Date ~ ~ ~ '~ Occupancy <' ~ Address ' 3 Phony Address Phone + , t _Building Permit Number ~ `,~ ''~ ,Under 100,000 BTU Fee $ ^ Hot Air Furnaces ^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ or Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ ^ Over 1,750,000 Fee $ ^ Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee $ ^ Evaporator Coolers (Not portable) Fee $ ^ Repairs or alterations to any of the above Fee $ ^ Vent or Vent Fan (not covered by other permi t Fee $ ^ Exhaust Hood Fee $ ^ Domestic Fee $ ^ Incinerators Commercial Fee $ ,_] Other Appliances (list) ~ 'Fee $ ^ Other Mechanical Installations (list) ;, - By Value Permit Fee Permit ^ Gas ^ Oil ^ Electric ^ Others CONTRACTOR'S AFFIDAVIT I hereby make application for a Mechanical Permit and certify that our firm is registered as a contractor with the State of Washington and Town of Yelm and that work shall be performed in accordance with all Codes and Or- dinances of Town of Yelm. Firm Signature } ~'~ l - No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY Recd. by ._.... % . --- Date - ,.; - ''-... Permit ~ . ...._- .- TOTA"L ENCLOSED FEE TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 Telephone (206) 458-3244 Separate application for each structure R `"s ." . Date Address t j 4 Occupancy . es ~ owner , ; x . - Address , ; , , : ~ -' ~ Phone Contractor Address Phone , ~ No State Contrs '~ ~ ~` Buildin g Permit Number ~ ~ ~ =4 ' ~~ ~ ,! . . Q Hot Air Furnaces Q Under 100,000 BTU Fee $ j permit Gas Oil Electric Others ~ ~ ^ ^ ^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ CONTRACTOR'S AFFIDAVIT or Steam Boiler ^ 1 001 - 1 750 000 000 Fee $ I hereby make application for a Mechanical Permit and , , , , certify that our firm is registered as a contractor with the ^ Over 1,750,000 Fee $ State of Washington and Town of Yelm and that work © Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee $ ^ Evaporator Coolers (Not portable) Fee $ ^ Repairs or alterations to any of the above Fee $ Vent or Vent Fan (not covered by other permit Fee $ [] Exhaust Hood Fee $ ^ Domestic Fee $ [] Incinerators ^ Commercial Fee $ ~] Other Appliances (list) .' Fee $ ^ Other Mechanical Installations (list) `By Value Permit Fee shall be performed in accordance with all Codes and Or- dinances of Town of Yelm. Firm ,~` - Signature ~ d`f i~ , - No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY ;' f. Recd. by -.. , ..:.. _..:- - Date -_ -- • - - .. Permit ~ - .- - = TOTAL ENCLOSED FEE I TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 r , - Telephone (206) 458-3244 Separate application for each structure _. ~ ~~ . /3 ' Date Const. Address ' ~ Occupancy ,_ _ ' <- ~, Owner ~ i~ ' ; , ,`, : Address ,. - ; ; r.::: Phone Contractor ~ ` ' Address Phone State Contrs. No .' Building Permit Number ~ ~ `~ y~~ Under 100,000 BTU Fee $ ~ ' '1 ^ Hot Air Furnaces Permit ^ Gas ^ Oil ^ Electric ^ Others ^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ CONTRACTOR'S AFFIDAVIT or Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ I hereby make application for a Mechanical Permit and ^ Over 1,750,000 Fee $ certify that our firm is registered as a contractor with the State of Washington and Town of Yelm and that work © Air Handling Units ^ Under 10,000 CFM Fee $ shall be performed in accordance with all Codes and Or- ^ Over 10,000 CFM Fee $ dinances of Town of Yelm. ^ Evaporator Coolers (Not portable) Fee $ ^ Repairs or alterations to any of the above Fee $ Vent or Vent fan (not covered by other permit Fee $ ^ Exhaust Hood Fee $ ^ Domestic Fee $ J Incinerators ^ Commercial Fee $ ^ Other Appliances Ilistl ~ Fee $ ^ Other Mechanical Installations (list) F By Value Permit Fee Firm ;, ~r Signature "~' ,. '' No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY Recd. by - ..., - ' - - Date •- --=-- Permit # . - TOTl~L? ENCLOSED FEE - TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 r _;. ~ ~ ,R Telephone (206) 458-3244 Separate application for each structure ; _-- Date ..- ~ .; - •. Const. Address ~ .' . ' . ~' _ ' :, ; '. ,. Occupancy L ' ;'; Owner Address ~ ~ Phone Contractor _ Address Phone State Contrs. No. %` `~ i ' ~ Building Permit Number ~ ~ i ' ''`' _- _ _ 1---~~ - Under 100,000 BTU Fee $ ^ Hot Air Furnaces ^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ or Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ ^ Over 1,750,000 Fee $ © Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee $ ^ Evaporator Coolers (Not portable) Fee $ ^ Repairs or alterations to any of the above Fee $ ^ Vent or Vent Fan (not covered by other permit Fee $ ~; ,; ^ Exhaust Hood Fee $ ~'~ ^ Domestic Fee $ J Incinerators ^ Commercial Fee $ Other Appliances (list): '` _ ,: } Fee $ ^ Other Mechanical Installations (IistY .; ,, r'.;. By Value ' Permit Fee ,; TOTAL ENCLOSED FEE "~' ;;~'~ Permit ^ Gas ^ Oil ^ Electric ^ Others CONTRACTOR'S AFFIDAVIT I hereby make application for a Mechanical Permit and certify that our firm is registered as a contractor with the State of Washington and Town of Yelm and that work shall be performed in accordance with all Codes and Or- dinances of Town of Yelm. Firm .,. ~.. r ~ e 9 r• t Signature .. ~,. ~ . ``: ; ~^` No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY Recd. by!,,.3~ -- Date :~`-..`.....L. Permit # --.---.--__-- TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 Telephone (206) 458-3244 Separate application for each structure I°~:~: ~ ~ , . Date ~.: - '. C'onst. Address '` ~ t" " ~"~ Occupancy ~" '' ~' s ~~ Owner= s'~ r ~~ ~ ~ -i~ ' ~ Address ~- ~ ` .~ 'F ~ `-% Phone f Contractor ~' ' +~"' ~ '-~ "~ Address Phone State Contrs. No ~ ~` ~'~- ~' . Building Permit Number ''~::.~ ~ _.^~~- ~-1 Q, Under 100,000 BTU Fee $ Hot Air Furnaces ' ^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ or Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ ^ Over 1,750,000 Fee $ ^ Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee $ ^ Evaporator Coolers (Not portable) Fee $ ^ Repairs or alterations to any of the above Fee $ Venf or ,Vent Fan (not covered by other permit Fee $ ^ Exhaust Hood Fee $ ^ Domestic Fee $ j Incinerators ^ Commercial Fee $ ^ Other Appliances (list) F~" , ~ ~ ~_: Fee $ ^ Other Mechanical Installations (listl ; ` - By Value ' Permit Fee TOTAL ENCLOSED FEE " . ; ,;'~ Permit ^ Gas ^ Oil ^ Electric ^ Others CONTRACTOR'S AFFIDAVIT I hereby make application for a Mechanical Permit and certify that our firm is registered as a contractor with the State of Washington and Town of Yelm and that work shall be performed in accordance with all Codes and Or- dinances of Town of Yelm. Firm r } i ~ Signature i ~.~~ '+u~,'~'~~---~' No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY Recd. by ... , . ~ Date ..__ ._Permit ~ . .__._ TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 Separate application for each structure ~ ~ ' Telephone (206) 458-3244 ~ Date ~-~st. Address ~ Occupancy t ; ~,,,ner ~ ~` Address Phone Contractor ` - Address Phone ~.. , State Contrs. No :`+ ' Building Permit Number ^ Under 100,000 BTU Fee $ Permit Gas Oil Electric Others ^ Hot Air Furnaces ^ ^ ^ ^ ^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ CONTRACTOR'S AFFIDAVIT or Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ I hereby make application for a Mechanical Permit and certify that our firm is registered as a contractor with the ^ Over 1,750,000 Fee $ - State of Washington and Town of Yelm and that work ^ Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee $ ^ Evaporator Coolers (Not portable) Fee $ ^ Repairs or alterations to any of the above Fee $ ^ Vent or Vent Fan (not covered by other permit Fee $ ^ Exhaust Hood Fee $ ^ Domestic Fee $ ^ Incinerators ^ Commercial Fee $ _„j Other Appliances (list) Fee $ [] Other Mechanical Installations (list( By Value - ~ Permit Fee shall be performed in accordance with all Codes and Or- dinances of Town of Yelm. Firm Signature No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY Recd. by , __ =- _...---- Date : -.--' ---~--' Permit it . _..----_... TOTAL ENCLOSED FEE ,, ' TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 Telephone (206) 458-3244 Separate application for each structure ~ ~ _,~ •'~ Date ,.~ ~ ( , C,onst. Address ' .. i ,~ ,, ~ .~ ,: .. . ,~ ~ __ , Occupancy ; ,, :. r „ Owner Address ~ ~ ,~ - ' F' Phone ~, - Contractor y %- - ~ ' Address Phone State Contrs. No. _', ~ Building Permit N umber r i` r ., . ti, ... Under 100,000 BTU ~ Fee $ =~ %`- ~• ^ Hot Air Furnaces ' '' Permit ^ Gas Oil ^ ^ ^ Electric Others ^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ CONTRACTOR'S AFFIDAVIT or Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ I hereby make application for a Mechanical Permit and certify that our firm is registered as a contractor with the ^ Over 1,750,000 Fee $ State of Washington and Town of Yelm and that work ^ Air Handling Units ^ Under 10,000 CFM Fee $ shall be performed in accordance with all Codes and Or- ^ Over 10,000 CFM Fee $ dinances of Town of Yelm. ^ Evaporator Coolers (Not portable) Fee $ ^ Repairs or alterations to any of the above Fee $ ^ Vent or Vent Fari (not covered by other permit Fee $ ^ Exhaust Hood Fee $ ^ Domestic Fee $ Incinerators ^ Commercial Fee $ Other Appliances (list)::. Fee $ ^ Other Mechanical Installations (list) i' '~ By Value Permit Fee Firm ~.:. Signature --° No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY ;; Recd. by ~, ; -- - - Date ---:~ s--`- $ermit ~ - _.. _., ~. TOTAL ENCLOSED FEE •• ; ` `~ TOWN OF YELM P.O. Box 479 Yelm, Washington 98597 Telephone (206) 458-3244 MECHANICAL PERMIT Separate application for each structure Date onst Address c Occupancy . , Owner Address Phone Contractor Address Phone State Contrs. No, `' Buildin g Permit N umber ~ ` ^ Under 100,000 BTU Fee $ ' ~' ^ Hot Air Furnaces Permit ^ Gas ^ Oil ^ Electric ^ Others ^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ CONTRACTOR'S AFFIDAVIT or Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ I hereby make application for a Mechanical Permit and certify that our firm is registered as a contractor with the ^ Over 1,750,000 Fee $ State of Washington and Town of Yelm and that work ^ Air Handling Units ^ Under 10,000 CFM Fee $ shall be performed in accordance with all Codes and Or- ^ Over 10,000 CFM Fee $ dinances of Town of Yelm. ^ Evaporator Coolers lNot portable) Fee $ Firm ^ Repairs or alterations to any of the above Fee $ Vent or Vent Fan (not covered by other permit Fee $ ^ Exhaust Hood Fee $ ^ Domestic Fee $ ? Incinerators ~j Commercial Fee $ Other Appliances (listl ~-~ Fee $ ^ Other Mechanical Installations (list) By Value Permit Fee Signature No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY Recd. by - _ -- - Date --- ----- Permit it - -...~. TOTAL'ENCLOSED FEE TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 ~ t ;~, Telephone (206) 458-3244 Separate application for each structure ~ , Const. Address -` . Occupancy ~ Owner Address Phone Contractor ~ ,-- ~ ~ ~' Address ;, , - Phone State Contrs. No, "' ~ , , ,, ~ - Buildin g Permit Number 4-~ -y- ---' ~ ' ^ Under 100,000 BTU Fee $ ^ Hot Air Furnaces permit ^ Gas ^ Oil ^ Electric ^ Others ^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ CONTRACTOR'S AFFIDAVIT or Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ I hereby make application for a Mechanical Permit and ^ Over 1 750 000 Fee $ certify that our firm is registered as a contractor with the , , State of Washington and Town of Yelm and that work ^ Air Handling Units ^ Under 10,000 CFM Fee $ shall be performed in accordance with all Codes and Or- ^ Over 10,000 CFM Fee $ dinances of Town of Yelm. ^ Evaporator Coolers (Not portable) Fee $ , Firm ^ Repairs or alterations to any of the above Fee $ } j~ Vent or Vent Fan (not covered by other permit Fee $ ^ Exhaust Hood Fee $ ~1/ Incinerators ^ Domestic Fee $ ^ Commercial Fee $ ^ Other Appliances (list) Fee $ ^ Other Mechanical Installations (list) ; , , d -By Value Permit Fee TOTAL ENCLOSED FEE I Signature "~ No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY Recd. by -.. -_._---- Date .-:. --.-Permit it - .--...-.--- TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 1 `# Telephone (206) 458-3244 Separate application for each structure ~` ~~~ Date ~j, , 4~ J ' y st. Address Occupancy ' ''' ,` Owner fa ~s 4 t Address ~ ~ Phone ` Contractor ` ~' ~ Address Phone ~ , State Contrs. No ' ; , Building Permit Number ~ ~ ;: ..f ~:f "~ t ^ Under 100,000 BTU Fee $ ^ Hot Air Furnaces ^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ or Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ ^ Over 1,750,000 Fee $ © Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee $ ^ Evaporator Coolers (Not portable) Fee $ ^ Repairs or alterations to any of the above Fee $ [] Vent or Vent Fan (not covered by other permit Fee $ ^ Exhaust Hood Fee $ ^ Domestic Fee $ ^ Incinerators ^ Commercial Fee $ ^ Other Appliances Ilistl Fee $ ^ Other Mechanical Installations (listl By Value Permit Fee Permit ^ Gas ^ Oil ^ Electric ^ Others CONTRACTOR'S AFFIDAVIT I hereby make application for a Mechanical Permit and certify that our firm is registered as a contractor with the State of Washington and Town of Yelm and that work shall be performed in accordance with all Codes and Or- dinances of Town of Yelm. Firm Signature No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY Recd. by -- ~ ~'-'- -,---- Date 3` :":_- Permit ~ - -------_ .-- TOTAL ENCLOSED FEE !;I TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 Separate application for each structure :~. ~ ~ Telephone (206) 458-3244 Date ~' __ st. Address, f Occupancy ~~ '' - Address • {' Phone Owner Contractor ~ ~ Address Phone State Contrs. No, = - ~ Building Permit Number `~ '' Y' ^ Under 100,000 BTU Fee $ Hot Air Furnaces ^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ or Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ ^ Over 1,750,000 Fee $ ^ Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee $ ^ Evaporator Coolers (Not portablel Fee $ ^ Repairs or alterations to any of the above Fee $ ^ Vent or Vent Fan (not covered by other permit Fee $ ^ Exhaust Hood Fee $ ^ Domestic Fee $ ^ Incinerators ^ Commercial Fee $ ^ Other Appliances (list) Fee $ ^ Other Mechanical Installations (listl By Value Permit Fee Permit ^ Gas ^ Oil ^ Electric ^ Others CONTRACTOR'S AFFIDAVIT I hereby make application for a Mechanical Permit and certify that our firm is registered as a contractor with the State of Washington and Town of Yelm and that work shall be performed in accordance with all Codes and Or- dinances of Town of Yelm. Firm Signature No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY Recd. by --. -'.._ ..:' .------ Date -_.;--;'..-----. Permit x -- .--_.-_ -.. TOTAL ENCLOSED FEE ~, i TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 b '~ ` Telephone (206) 458-3244 Separate application for each structure f ' i Date +' Address st ~ ~ Occupancy f . Owner Address l Phone Contractor ~ `' --- - - Address Phone No State Contrs Building Permit Number ~`~t`~ ' ~ '~ . . ^ Hot Air Furnaces ^ Under 100,000 BTU Fee $ .f ~ Permit Gas Oil Electric Others ^ ^ ^ ^ ^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ CONTRACTOR'S AFFIDAVIT or Steam Boiler 001 - 1 750,000 ^ 1 000 Fee $ I hereby make application for a Mechanical Permit and , , , certify that our firm is registered as a contractor with the ^ Over 1,750,000 Fee $ State of Washington and Town of Yelm and that work ^ Air Handling Units ^ Under 10,000 CFM Fee $ shall be performed in accordance with all Codes and Or- ^ Over 10,000 CFM Fee $ dinances of Town of Yelm. ^ Evaporator Coolers (Not portable) Fee $ Firm ^ Repairs or alterations to any of the above Fee $ ^ Vent or Vent Fan (not covered by other permit Fee $ ^ Exhaust Hood Fee $ ^ Domestic Fee $ ^ Incinerators ^ Commercial Fee $ Other Appliances (list) Fee $ ^ Other Mechanical Installations Ilistl By Value Permit Fee Signature No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY ~, Recd. by --- - . , , --'---- --- Date - --s--'_`''--- Permit # ..._.-_ _. TOTAL ENCLOSED FEE ' , TOWN OF YELM P.O. Box 479 Yelm, Washington 98597 Telephone (206) 458-3244 MECHANICAL PERMIT Separate application for each structure Const. Address Occupancy Date - Owner Address Phone ° , Contractor t Address ~ - - v ~~' Phone State Contrs. No.. ~ Building Permit Number ~~~ ,.,,,~ ~~" ~~ Under 100,000 BTU Fee $ Q Hot Air Furnaces ~^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ or Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ ^ Over 1,750,000 Fee $ ^ Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee $ ^ Evaporator Coolers (Not portable) Fee $ ^ Repairs or alterations to any of the above Fee $ [~ Vent or Vent Fan (not covered by other permit Fee $ rj Exhaust Hood Fee $ ~, ^ Domestic Fee $ ~] Incinerators ^ Commercial Fee $ Other Appliances (listl ; Fee $ ^ Other Mechanical Installations (listl By Value Permit Fee Permit ^ Gas ^ Oil ^ Electric ^ Others CONTRACTOR'S AFFIDAVIT I hereby make application for a Mechanical Permit and certify that our firm is registered as a contractor with the State of Washington and Town of Yelm and that work shall be performed in accordance with all Codes and Or- dinances of Town of Yelm. Firm `~ ~~ - T r. Signature°~~ _ , " _ ..._.. '~-- No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY _ EF .- Reed. by -- w ` _ --- ._-.---- Date r:~-~- -` Permit # - -.--.--__- TOTAL ENCLOSED FEE ~ `I TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 $ '~' ' Telephone (206) 458-3244 Separate application for each structure - v t '~' t, -Date _ ~, ,," ~ ~~ Const. Address . t °~ ' ~ c .' ; t .r a Occupancy ,- " `,;. ~ Owner Address < - , Phone Contractor ' Address Phone ~. ;; State Contrs. No. Building Permit Number ~ ; „,Under 100,000 BTU Fee $ ~ ' Permit Gas Oil Electric Others ^ Hot Air Furnaces ^ bver 100,000 BTU Fee $ ^ ^ ^ ^ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ CONTRACTOR'S AFFIDAVIT or Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ I hereby make application for a Mechanical Permit and ^ Over 1,750,000 Fee $ certify that our firm is registered as a contractor with the State of Washin ton and Town of Yelm and that work ^ Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee $ ^ Evaporator Coolers (Not portable) Fee $ ^ Repairs or alterations to any of the above Fee $ l~' Vent or Vent Fan (not covered by other permit Fee $ -t Exhaust Hood ~ Fee $ ^ Domestic Fee $ ^ Incinerators Commercial Fee $ i :'(_ , [].Other Appliances (list) Fee $ ' ~" , ;,. Other Mechanical Installations (list) ~. " ,.:; By Value Permit Fee ,. -~ 9 shall be performed in accordance with all Codes and Or- dinances of Town of Yelm. Firm Signature ~~'~- No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY r /' Recd. by -- ~~- .---- Date --.:~ _..:".- Permit ~ - .--- --. --. TOTAL'' ENCLOSED FEE ..,~ r" TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 n Telephone (206) 458-3244 Separate application for each structure ~ ~ +~ " ,•' Date ~~,~ St Address ' ~~ ~~' ' `~ '' Occupan cy ' > }' ~' '" . r ,~ Owner ~ ` Address Phone Contractor ~ ~ ' ~ ~ ~~',-- .~ , f 1 t i " a Address Phone No State Contrs "'! `` ' ~ ~`~ ~~'Buildin g Permit Number ~ ' r '' '~ ,: . Y , ^ Hot Air Furnaces ^ Under 100,000 BTU Fee $ Permit Gas Oil Electric Others ~ ^ ^ ^ ^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ CONTRACTOR'S AFFIDAVIT or Steam Boiler ^ 1 001 - 1,750,000 Fee $ 000 I hereby make application for a Mechanical Permit and , , certify that our firm is registered as a contractor with the ^ Over 1,750,000 Fee $ State of Washington and Town of Yelm and that work ^ Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee $ ^ Evaporator Coolers (Not portable) Fee $ ^ Repairs or alterations to any of the above Fee $ ^ Vent or Vent Fan (not covered by other permit Fee $ ^ Exhaust Hood Fee $ ^ Domestic Fee $ ^ Incinerators ^ Commercial Fee $ ^ Other Appliances (list) Fee $ ^ Other Mechanical Installations (list)..., .. =r~By Value Permit Fee shall be performed in accordance with all Codes and Or- dinances of Town of Yelm. Firm Signature ~~' No work shall be pertformed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY ,~ ~,. Recd. by .. ? _.. ._._. Date _ ~:..... Permit # ._ .._. _..... TOTAL ENCLOSED FEE ;~ ~ ;! ~~-~;~~ TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 Telephone (206) 458-3244 Separate application for each structure ; ~,- - Date Add ' ,',; y Occu anc '` st. ress P y Owner # Address Phone Contractor ~ ~ ~ Address ~ ~~ ~ ~ ~ ~ Phone State Contrs. No, ;" Building Permit Number ^ Under 100,000 BTU Fee $ ^ Hot Air Furnaces ^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ or Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ ^ Over 1,750,000 Fee $ ^ Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee $ ^ Evaporator Coolers (Not portable) Fee $ ^ Repairs or alterations to any of the above Fee $ j] Vent or Vent Fan (not covered by other permit Fee $ ^ Exhaust Hood Fee $ ^ Domestic Fee $ ^ Incinerators ^ Commercial Fee $ ^ Other Appliances (list) ~'' '''Fee $ ^ Other Mechanical Installations (list) By Value Permit Fee Permit ^ Gas ^ Oil ^ Electric ^ Others CONTRACTOR'S AFFIDAVIT I hereby make application for a Mechanical Permit and certify that our firm is registered as a contractor with the State of Washington and Town of Yelm and that work shall be performed in accordance with all Codes and Or- dinances of Town of Yelm. Firm Signature ..~- . ~' No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY Recd. by ,,, , .. - - Date --+~ --= Permit # -.... TOTAL ENCLOSED FEE ,- ~r;'I TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 Telephone (206) 458-3244 Separate application for each structure i <: 5 `~ ... b -,.~ f _. _r ; ~ ` ~,, r. Date - 1 ~ . st. Address ," - w; ,-' , '!,~ _.," Occupancy ... Owner ! - :' .. , Address ~' Phone ~ ! . Contractor "~ '~ ' °° ., , Address Ph e on Y ~ State Contrs. No '.' ` ~ ~`~ `~ _~Buildin g Permit Number ~ t~". ~ °~~ .,~~. ~' t t r Hot Air Furnaces ~~,~ Under 100,000 BTU ~"~ Fee $ rI r s' ~ Permit ^ Gas ^ Oil ^ Electric ^ Others Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ CONTRACTOR'S AFFIDAVIT or Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ I hereby make application for a Mechanical Permit and certify that our firm is registered as a contractor with the ^ Over 1,750,000 Fee $ ~ f W h' t d T f Y Im and that work ^ Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee $ ^ Evaporator Coolers (Not portable) Fee $ ^ Repairs or alterations to any of the above Fee $ Vent or Vent Fari (not covered by other permit Fee $ ^ Exhaust Hood Fee $ ^ Domestic Fee $ r] Incinerators ^ Commercial Fee $ ^ Other Appliances (list) 3 . ' Fee $ ^ Other Mechanical Installations (list) By Value , ,, ;' Permit Fee ~', TOTAL ~ ENCLOSED FEE ~' ,'t' : ~~ State o as ing on an own o e shall be performed in accordance with all Codes and Or- dinances of Town of Yelm. Firm .,~,-':° Signature +~`': No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY `~ Recd. by - -- - ~ - - Date ~`.x.. f ~_ Permit Jt . -..- TOWN OF YELM P.O. Box 479 Yelm, Washington 98597 Telephone (206) 458-3244 MECHANICAL PERMIT ~ ~ ~~ .a Separate application for each structure <~''~ -~ ' f ~ ' ' Occupancy st. Address ;~,_.: Owner Address Contractor '' ~ Address State Contrs. No.- ~~~' Building Permit Number', ^ Under 100,000 BTU Fee $ ^ Hot Air Furnaces ^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ or Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ ^ Over 1,750,000 Fee $ ^ Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee $ ^ Evaporator Coolers (Not portable) Fee $ ^ Repairs or alterations to any of the above Fee $ ^ Vent or Vent Fan (not covered by other permit Fee $ ^ Exhaust Hood Fee $ ^ Domestic Fee $ rj Incinerators ^ Commercial Fee $ ^ Other Appliances (list) Fee $ [}.,Other Mechanical Installations (list) `~. ~ ;B~eValue Permit Fee Date i Phone Phone ~: Permit ^ Gas ^ Oil ^ Electric ^ Others CONTRACTOR'S AFFIDAVIT I hereby make application for a Mechanical Permit and certify that our firm is registered as a contractor with the State of Washington and Town of Yelm and that work shall be performed in accordance with all Codes and Or- dinances of Town of Yelm. Firm ~ f` Signature ~.f .~, s. , , No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY Recd. by _. aj .:.'. -._---- Date _. `. _' Permit # - .---..-. . TOTAL ENCLOSED FEE ; ~ ,~ g TOWN OF YELM P.O. Box 479 Yelm, Washington 98597 Telephone (206) 458-3244 MECHANICAL PERMIT Separate application for each structure ~ `~ ~ . _ ,~ j Date _ Const. Address ~"~ ~ ~ '" w ~ .. ._ r ,. Occupancy ~ ~'`~'-~' -:~,~ s'_-f Owner ,, ,;: .~.n . ,' E ti ~`~' r _ ,~ Address ; r ~ . `r.. , .''e ..-;~' Phone Contractor ~ ~~ ' Address ~ Phone _ _ State Contrs. No, ~` ' r'~ Buildin g Permit Number ~ !Under 100,000 BTU ~ Fee $ fir, ~ Hot Air Furnaces • ` Permit Gas Oil Electric Others ^ ^ ^ ^ ^ Over 100,000 BTU Fee $ [~ Under 100,000 Fee $ =_~ ~ ~ ` ' ^ 100,001 - 500,000 Fee $ , _ , ^ Hot Water ^ 500,001 - 1,000,000 Fee $ CONTRACTOR'S AFFIDAVIT or Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ I hereby make application for a Mechanical Permit and certify that our firm is registered as a contractor with the ^ Over 1,750,000 Fee $ State of Washington and Town of Yelm and that work © Air Handling Units ^ Under 10,000 CFM Fee $ shall be performed in accordance with all Codes and Or- ^ Over 10,000 CFM Fee $ dinances of Town of Yelm. ^ Evaporator Coolers (Not portable) Fee $ ^ Repairs or alterations to any of the above Fee $ ~.~ ~] Vent or Vent Fan (foot covered by other permit Fee $ ^ Exhaust Hood Fee $ - ~] Incinerators ^ Domestic Fee $ ~f Commercial Fee $ C1 Other Appliances (listl:,: ,',:t~ ,rt Fee $ ^ Other Mechanical Installations (list) P: - ',,~. ,_ , By Value Permit Fee ~~. Firm Signature No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY r s i t Recd. by _;tj a~. 4`/ ~i Date _.if :'Permit ~ ._ .1 TOTAL' ENCLOSED FEE'S ~ : ;`. I TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 Telephone (206) 458-3244 Separate application for each structure _. , . r ! ~ 54.. :I Qate _ Const. Address , ' ~ Occupancy Owner Address '~ ~ Phone Contractor ` ~ Address Phone State Contrs. No. r'' ~"~" ~ ~'' x--`Building Permit Number ~' '~ r'',.~, ! r'~-~'?,, ;~ Tr '"Under 100,000 BTU Fee $ ^' Hot Air Furnaces ~"^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ or Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ ^ Over 1,750,000 Fee $ © Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee $ ^ Evaporator Coolers (Not portable) Fee $ ^ Repairs or alterations to any of the above Fee $ Vent or Vent Fan (not covered by other permit Fee $ r7 Exhaust Hood Fee $ ^ Domestic Fee $ ^ Incinerators ^ Commercial Fee $ [] Other Appliances (listl Fee $ ^ Other Mechanical Installations (listl -= By Value Permit Fee ~: ' TOTAL'ENCLOSED FEE ~~ ,~' ~'~~' Permit ^ Gas ^ Oil ^ Electric ^ Others CONTRACTOR'S AFFIDAVIT I hereby make application for a Mechanical Permit and certify that our firm is registered as a contractor with the State of Washington and Town of Yelm and that work shall be performed in accordance with all Codes and Or- dinances of Town of Yelm. Firm Signature No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY ;p Recd. by _ ~ Date __ _~_.'Permit ~ .-._..._ TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 Telephone (206) 458-3244 Separate application for each structure - ~) ' -~ , _ ,r - Date ,r ,~ ,, Const. Address ' ~ Occupancy. `~ "}' _,.. . _~ - ,>: - Owner ' ' ,' Address - ~ , `, Phone ' Contractor Address Phone r 1, State Contrs. No. Building Permit Number "' E r' ~]' Under 100,000 BTU Fee $ Hot Air Furnaces '"~ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ or Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ ^ Over 1,750,000 Fee $ ^ Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee $ Permit ^ Gas ^ Oil ^ Electric ^ Others CONTRACTOR'S AFFIDAVIT I hereby make application for a Mechanical Permit and certify that our firm is registered as a contractor with the State of Washington and Town of Yelm and that work shall be performed in accordance with all Codes and Or- dinances of Town of Yelm. ^ Evaporator Coolers (Not portable) Fee $ ^ Repairs or alterations to any of the above Fee $ Vent or Vent Fan f not covered by other permit Fee $ t-] Exhaust Hood Fee $ ^ Domestic Fee $ ~] Incinerators ^ Commercial Fee $ ^ Other Appliances (list) Fee $ ^ Other Mechanical Installations (list) -~, By Value Permit Fee Firm -- 1, "-, ~y No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY Recd. by -.:-- ./ -.~` _---- Date _';-----<'__ Permit ~ .- _------. - TOTAL ENCLOSED FEE ,~_ I TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 "~ Telephone (206) 458-3244 Separate application for each structure e - ~ ~ >~ ' . Date Const. Address Occupancy .- ~` Owner f' ~ Address ~ Phone Contractor ~ Address hone State Contrs. No '` `;' ~ ~~ Buildin g Permit Number ~ `- ~' ~' ~ 7~ " Under 100,000 BTU Q Fee $ Hot Air Furnaces ^ . Permit ^ Gas ^ Oil ^ Electric ^ Others ^ Over 100,000 BTU Fee $ [~ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ CONTRACTOR'S AFFIDAVIT or Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ I hereby make application for a Mechanical Permit and certify that our firm is registered as a contractor with the ^ Over 1,750,000 Fee $ dT fYl dth t ork ^ Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee $ ^ Evaporator Coolers lNot portable) Fee $ ^ Repairs or alterations to any of the above Fee $ Vent or' Vent Fan (not covered by other permit Fee $ ^ Exhaust Hood Fee $ ^ Domestic Fee $ `( Incinerators Commercial Fee $ ^ Other Appliances Ilistl . ~ , , ;Fee $ ^ Other Mechanical Installations (list) ~ ~? "-6y Value Permit Fee TOTAL ENCLOSED FEE ~j~'~ State of Washington an own o e m an a w shall be performed in accordance with all Codes and Or- dinances of Town of Yelm. .,- .. Firm ,~ "'. •. ..,.P_ ~ . Signature ,._ °` . No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY Recd. by .. `',. _.-.-- Date '- ---'.------ - Permit tt - .--- -- _ .- TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 Telephone (206) 458-3244 Separate application for each structure s f Qate f Address Const '` i' ! - - Occupancy - % ~ ~` ' . ; Owner - ~ ~ ° Address , `~ " ~' Phone , ,: Contractor ~ ,.. Address Phone State Contrs No Building Permit Number .~ ~ ' . ; . '~ ~ ; e . . . ~ Hot Air Furnaces Under 100,000 BTU ~~ Fee $ ~~'~ Permit ^ Gas ^ Oil ^ Electric ^ Others ^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Not Water ^ 500,001 - 1,000,000 Fee $ CONTRACTOR'S AFFIDAVIT or Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ I hereby make application for a Mechanical Permit and certify that our firm is registered as a contractor with the ^ Over 1,750,000 Fee $ State of Washington and Town of Yelm and that work ^ Air Handling Units ^ Under 10,000 CFM Fee $ shall be performed in accordance with all Codes and Or- ^ Over 10,000 CFM Fee $ dinances of Town of Yelm. ^ Evaporator Coolers (Not portablel Fee $ Firm ^ Repairs or alterations to any of the above Fee $ [] Vent or Vent Fan (not covered by other permit Fee $ ^ Exhaust Hood Fee $ `,''~ ^ Domestic Fee $ J Incinerators ^ Commercial Fee $ Other Appliances (listl;r t,,~"" ~ ;Fee $ ~~'. ^ Other Mechanical Installations (listl a :;~ By Valuer ~,%f Permit Fee TOTAt'ENCLOSED FEE ,; ~ , "rY Signature No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY ,„ Recd. by _ - .~.. _. ~'~---. Date _: - -' -- Permit # - --- .-- --- TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 ;, ,,, -, Telephone (206) 458-3244 Separate application for each structure -" ,. -~ ~. , ..Date x t Const. Address ~ ~~- ,-Occupancy Owner 'r Address ~~ Phone Contractor ~ ~~' % '" ~ ''~ ' '~'" Address Phone ~{ State Contrs. No. ~ #"' Building Permit Number ~~:" '~ '~ ~"~~ 'f i '' ^ Under 100,000 BTU Fee $ a " ~' permit Gas Oil Electric Others ^ Hot Air Furnaces ^ Over 100,000 BTU Fee $ ^ ^ ^ ^ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ CONTRACTOR'S AFFIDAVIT or Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ I hereby make application for a Mechanical Permit and ^ Over 1,750,000 Fee $ certify that our firm is registered as a contractor with the State of Washington and Town of Yelm and that work ^ Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee $ ^ Evaporator Coolers (Not portable) Fee $ ^ Repairs or alterations to any of the above Fee $ Vent or Vent,'Fan (not covered by other permit Fee $ ^ Exhaust Hood ~ Fee $ ^ Domestic Fee $ J Incinerators Commercial Fee $ ~.,. ^ Other Appliances (fistl - _ Fee $ ^ Other Mechanical Installations (list) ;„ By Value Permit Fee shall be performed in accordance with all Codes and Or- dinances of Town of Yelm. Firm - ^ Signature No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY f / :/ Recd. by _. ~ `..._-._ Date ' _. :`__.. Permit ~ .- ..-__. . TOTAL' ENCLOSED FEE ~ ;'I TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 Telephone (206) 458-3244 Separate application for each structure - Date :$~`~ ' ' st. Address -' #_.. '' ~ Occupancy .~_;' `' Owner ~` ~ ~ '' Address Phone +~?~ j, Contractor Address Phone State Contrs. Nos ~ ~? r ,'~~` Building Permit Number °i"T ~: ~ ,~' f f ^ Under 100,000 BTU Fee $ ^ Hot Air Furnaces ^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ or Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ ^ Over 1,750,000 Fee $ © Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee $ ^ Evaporator Coolers )Not portable) Fee $ ^ Repairs or alterations to any of the above Fee $ [] Vent or Vent Fan (not covered by other permit Fee $ ^ Exhaust Hood Fee $ ^ Domestic Fee $ ^ Incinerators ^ Commercial Fee $ J Other Appliances (list) Fee $ ^ Other Mechanical Installations (list) `' ~. By Value Permit Fee Permit ^ Gas ^ Oil ^ Electric ^ Others CONTRACTOR'S AFFIDAVIT I hereby make application for a Mechanical Permit and certify that our firm is registered as a contractor with the State of Washington and Town of Yelm and that work shall be performed in accordance with all Codes and Or- dinances of Town of Yelm. Firm f~ ,..:_ _ - __ ..._ ignatur~--._ No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY ,. r Recd. by i ! -- Date ~ __..;~1?ermit 3t - ..-- - TOTAL ENCLOSED FEE -, ,._;I TOWN OF YELM P.O. Box 479 Yelm, Washington 98597 Telephone (206) 458-3244 MECHANICAL PERMIT Separate application for each structure ~ - .- ~., __ t - .Date ,~ ., ,~ ,,: ;, ~ ~ r Const. Address ~'~ '~ Occupancy ~~ ` '' '' "' Owner ~`~~' ~ ~ `' Address ~ ` ~ ~ ~ `~'~ `~~ ~~ Phone ~ ~ ~" s z Contractor ~. ! ''' . ' ~. " -'~.. Address ~ Phone i State Contrs. No. ~`~ ~ > ' • , -` ~ } ~ '- `'Building Permit Number ' {. =~ "°', . ~ ~ ry Under 100,000 BTU Hot Air Furnaces ~" Fee $ <~}' permit Gas Oil Electric Others ^ ^ ^ ^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ CONTRACTOR'S AFFIDAVIT 000,001 - 1,750,000 or Steam Boiler ^ 1 $ I hereby make application for a Mechanical Permit and , certify that our firm is registered as a contractor with the ^ Oven 1,750, ee State of Washington and Town of Yelm and that work © Air Handling Units ^ Under 10,000 FM Fee $ shall be performed in accordance with all Codes and Or- ^ Over 1 000 C M Fee $ dinances of Town of Yelm. ^ Evaporator Coolers (Not portable) ee $ Firm ^ Repairs or alterations to any of the o e ~ Fe -• ` ~,~ ` Vent or Vent Fan (not covered by other rmit Fee $ } Signature ' ^ Exhaust Hood Fee $ No work shall be performed prior to receipt of validated ^ Domestic J Incinerators Fee $ permit. Call 458-3244 for inspection. ` ^ Commercial Fee $ Q Other Appliances (listk.: ,'3°_ ~' ~ ; '; Fee $ -.FOR TOWN OF YELM USE ONLY ~ ^ Other Mechanical Installations (listl ~. _ _;~ By Value r~,~`', r Permit Fee ~ ' ` Recd. by`--' . -..bate - ---- Permit ~ - .-..-. --- . ~ ,' k ,, TOTA~ ENC LOSED FEE ~ ; TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 -- Telephone (206) 458-3244 Separate application for each structure - . Date Const. Address E, Occupancy Owner ~ ~ ~`'3 Address ''~ ~'' ' `` ' ,`hone „... Contractor ~` ~ ~.~'?`~ ~ ~'~ =~~ } ' Address Phone No State Contrs Buildin g Permit Number '~~ ; ' , . . ^ Hot Air Furnaces ^' Under 100,000 BTU Fee $ =~`~e, `~'' permit ^ Gas ^ Oil ^ Electric ^ Others ^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ CONTRACTOR'S AFFIDAVIT ^ Hot Water ^ 500,001 - 1,000,000 Fee $ or Steam Boiler 001 - 1,750,000 Fee $ ^ 1 000 I hereby make application for a Mechanical Permit and , , certify that our firm is registered as a contractor with the ^ Over 1,750,000 Fee $ St to of Washin ton and Town of Yelm and that work © Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee $ ^ Evaporator Coolers (Not portable) Fee $ ^ Repairs or alterations to any of the above Fee $ ^' Vent or Vent Fan (not covered by other permit Fee $ ^ Exhaust Hood Fee $ ^ Domestic Fee $ `] Incinerators ^ Commercial Fee $ ^ Other Appliances (list)'.!. ~~ ~ #: <.~;; Fee $ Other Mechanical Installations (I~stl ., ,~'::, 1~=- By Value _. ,, Permit Fee ,: - _ __ ~~.-- -~.. 'f m a g shall be performed in accordance with all Codes and Or- dinances of Town of Yelm. Firm ~ - Signature - ~ " `'` - No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY ~~ ~ Recd. by - , - :~`~- - - Date - -ri'.:' ---~`~ Permit ~ - - TOTbL r ENCLOSED FEE W; " TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 ~ "° Telephone (206) 458-3244 Separate application for each structure ~ °~ ' .. - r~ Date ~ ~ `~ ~ Const. Address - ~ ~ `"' , ` • r z Occupancy `;,` `~' ,~ Owner '~. ~ ~~ Address ~ Phone ~. ~, ' ' ~ ~ `~° ~ Address Phone Contractor ,:: ' State Contrs. No, ' ' ~ '~ ~ - ~ T-Building Permit Number ~~ ~~ ~' ~ '' i~..µ ~, ~( Under 100,000 BTU Fee $ Hot Air Furnaces ^ Over 100,000 BTU Fee $ [~ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ or Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ ^ Over 1,750,000 Fee $ ^ Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee $ ^ Evaporator Coolers (Not portable) Fee $ ^ Repairs or alterations to any of the above Fee $ Vent or Vent Far- (not covered by other permit Fee $ [] Exhaust Hood Fee $ ^ Domestic Fee $ _f Incinerators ^ Commercial Fee $ ^ Other Appliances (list) ~ t' `{ ~ ;-`-'`Fee $ [] Other Mechanical Installations (listl_"r-' 'r' . ~_ By Value Permit Fee j' %. TOTl~L YENCLOSED FEE ~ ; ;;1 Permit ^ Gas ^ Oil ^ Electric ^ Others CONTRACTOR'S AFFIDAVIT I hereby make application for a Mechanical Permit and certify that our firm is registered as a contractor with the State of Washington and Town of Yelm and that work shall be performed in accordance with all Codes and Or- dinances of Town of Yelm. Firm Signature ,, "A -,.' , No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY Recd. by - ~ , ~ .---- Date -- ~:'~.. Permit 3r . .--- .-_ __. TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 `• ~ Telephone (206) 458-3244 Separate application for each structure ~ ; _. ; Date ,, f ~ : - Const. Adidress c. ' ' ' %' ' ~ Occupancy _° ~ , Owner , ' ~~~ ''> ~ "' Address ~~ 3 '. _r ` ~ t Phone Contractor ~ ~`_~ ~~' ~ ' °~'-' ~" ~' Address Phone .~: State Contrs. No., Building Permit Number '`~ g° ~~~~_ 't~ `^ Under 100,000 BTU Fee $ "Hot Air Furnaces ^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ or Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ ^ Over 1,750,000 Fee $ ^ Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee $ ^ Evaporator Coolers (Not portable) Fee $ ^ Repairs or alterations to any of the above Fee $ Vent or Vent Fan~(not covered by other permit Fee $ Exhaust Hood Fee $ ~~` ^ Domestic Fee $ ,~ Incinerators ^ Commercial Fee $ ^ Other Appliances (listl, ~, ~ _ ~ s~:r_ ~~a~'°~ Fee $ ';~ ^ Other Mechanical Installations (list)s ;= By Value ~~ {_, Permit Fee ~ ~) ' f .J'. TOTAL` ENCLOSED FEE ~;- ~ ~~,~' Permit ^ Gas ^ Oil ^ Electric ^ Others CONTRACTOR'S AFFIDAVIT I hereby make application for a Mechanical Permit and certify that our firm is registered as a contractor with the State of Washington and Town of Yelm and that work shall be performed in accordance with all Codes and Or- dinances of Town of Yelm. Firm Signature No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOW4~ OF YELM USE ONLY 1 7 Recd. by -- . -_- '~~- -- Date __, rf .:r'_.. Permit # ._-.--_ -.- TOWN OF YELM P.O. Box 479 Yelm, Washington 98597 Telephone (206) 458-3244 MECHANICAL PERMIT Separate application for each structure C ~7 ,.. '~' ~, 7 {; Date ~. ~- Const. Address' ~ " . ~~b ' ' ~ ccupancy ~' '~-- ~ ~-~°'~ 1"' ~''' ' <.. - ,. - , Owner ~ s° ~ ,. ^a Address `~ Phone Contractor '~ ~ `' ~'''~ ~ ~. ~} Address ;~ Phone State Contrs. No. .: "> ~ ';}% ''` Buildin g Permit Number •'~ ,~` ~ ' r^~~~ ^ Hot Air`Furnaces) ^ Under 100,000 BTU Fee $ ~`~ Permit ^ Gas ^ Oil ^ Electric ^ Others ^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Not Water ^ 500,001 - 1,000,000 Fee $ CONTRACTOR'S AFFIDAVIT or Steam Boiler ^ 1 001 - 1,750,000 Fee $ 000 I hereby make application for a Mechanical Permit and , , certify that our firm is registered as a contractor with the ^ Over 1,750,000 Fee $ State of Washin ton and Town of Yelm and that work ^ Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee $ ^ Evaporator Coolers (Not portable) Fee $ ^ Repairs or alterations to any of the above Fee $ Venf`or Vent Fan (not covered by other permit Fee $ r , ^ Exhaust F~ood~` ~ Fee $ ^ Domestic Fee $ ,J Incinerators ^ Commercial Fee $ [] Ocher Appliances (listl ;~ . ~ . ° ~~~`~ ~ ~, r;=, .'Fee $ ^ Other Mechanical Installations (listl , .' . ;- : ~ ~> By Value Permit Fee 9 shall be performed in accordance with all Codes and Or- dinances of Town of Yelm. Firm Signature No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY d Recd. by -- {4 ~,-- Date . _,_'. c' Permit 3r ..--.--_ -- TOTAL ENCLOSED FEE ~, ,~', =;,,' ,~,:, ;~_ TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washin ton 98597 ~" ~ '' Telephone (206) 458-3244 Separate application for each structure - °~ ' y~ Date ~~~ ' Address '' Const , ~ f ~: Occupancy ~ . , ^ Owner' /~ ~'' ~ Address "~ f -, Phone Contractor ~ '" ' ~E - Address J Phone No State Contrs ._. _ _ }~ Building Permit Number '~ ,. ' ''' ~ %. . . _ ^ Hot Air Furnaces ~{.Under 100,000 BTU Fee $ # ' permit ^ Gas ^ Oil ^ Electric ^ Others ^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ CONTRACTOR'S AFFIDAVIT or Steam Boiler ^ 1 001 - 1 750,000 Fee $ 000 I hereby make application for a Mechanical Permit and , , , certify that our firm is registered as a contractor with the ^ Over 1,750,000 Fee $ State of Washin ton and Town of Yelm and that work ^ Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee $ ^ Evaporator Coolers (Not portable) Fee $ ^ Repairs or alterations to any of the above Fee $ ^ Vent or Vent Fan';(not covered by other permit Fee $ ^ Exhaust Hood Fee $ ^ Domestic Fee $ J Incinerators ^ Commercial Fee $ ^ Other Appliances (listl . _ ;`_l ; Fee $ ^ Other Mechanical Installations Ilistl r' ; x~~ By Value Permit Fee f,, TOTAL ENCLOSED FEE ~~,- ;,~~`~.~~~ _ , -„~, 9 shall be performed in accordance with all Codes and Or- dinances of Town of Yelm. .; _. - Firm ~~~:: .'., x ~ __ ~: - r. Signature No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY Recd. by -.- - . - . _ _..---- Date -------------- Permit ~ - -.-- ._ --- TOWN OF YELM P.O. Box 479 Yelm, Washington 98597 Telephone (206) 458-3244 ., - i ~ Y', MECHANICAL PERMIT r 3 F;- . Separate application for each structure ~ ~~ ~ ~~ _.... y Date Const. Address Y ~€ ~ '~ ~ Occupancy - `~ ,'' Owner ~ ,., ' ,~.-._,_ _ ~ ' ~ %-_ "'< ~~ "'~ Address ~, ~ .~ " Phone .. , ._... Contractor ~'F"~~s '~- +'~ s~-'~ ~ ~ Address Phone State Contrs. No ~' % ~ '~ ` ' ~ -, Building Permit N _ f~. ~.,.% umber ` ` ' ^ Hot Air Furnaces ~~~Under 100,000 BTU Fee $ ~ "°` Permit ^ Gas ^ Oil ^ Electric ^ Others ^ Over 100,000 BTU Fee $ [~ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ CONTRACTOR'S AFFIDAVIT or Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ I hereby make application for a Mechanical Permit and certify that our firm is registered as a contractor with the ^ Over 1,750,000 Fee $ St t f Washin ton and Town of Yelm and that work ^ Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee $ ^ Evaporator Coolers (Not portable) Fee $ ^ Repairs or alterations to any of the above Fee $ Vent or Vent Fan ('not covered by other permit Fee $ ^ Exhaust Hood Fee $ ^ Domestic Fee $ ~ Incinerators ~] Commercial Fee $ ^-.Other Appliances (listt- ' '.1 _ , ' ~. ~ ",r ~ ~ 'Fee $ ^ Other Mechanical Installations (listl' ~,, !.' , .: By Value Permit Fee aeo g shall be performed in accordance with all Codes and Or- dinances of Town of Yelm. ._ Firm ,~ `.,,. ., ~ . , Signature ~• _.._._ , . No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY Recd. by Date - =-- --- -- Permit ~ - - TOTAL ENCLOSED FEE '1I TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yetm, Washington 98597 ~ ' Telephone (206) 458-3244 Separate application for each structure - t Date Address Const ' ~ ~ ~ - - - Occupancy . , Owner ,~ ,. _ ' , , ;,: , _ Address , _` :. , t 'Phone Contractor Address ~ Phone No State Contrs Building Permit N umber '~ ; ` . . ^ Hot Air Furnaces ^ Under 100,000 BTU Fee $ permit Gas Oil Electric Others ^ ^ ^ ^ ^ Orer 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ CONTRACTOR'S AFFIDAVIT or Steam Boiler ^ 1 001 - 1,750,000 000 Fee $ I hereby make application for a Mechanical Permit and , , certify that our firm is registered as a contractor with the ^ Over 1,750,000 Fee $ State of Washington and Town of Yelm and that work ^ Air Handling Units ^ Under 10,000 CFM Fee $ shall be performed in accordance with all Codes and Or- ^ Over 10,000 CFM Fee $ dinances of Town of Yelm. ^ Evaporator Coolers (Not portable) Fee $ Firm ^ Repairs or alterations to any of the above Fee $ [] Vent or Vent Fan (not covered by other permit Fee $ ^ Exhaust Hood Fee $ ^ Domestic Fee $ J Incinerators Commercial Fee $ ^ Other Appliances (list) Fee $ ^ Other Mechanical Installations (list) By Value Permit Fee TOTAL ENCLOSED FEE !p ~ ~ ~ ,,; Signature No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY Recd. by - ~:. -;`'- - Date'-'--- ---... Permit ~ -__.. TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 i•' ~" .' Telephone (206) 458-3244 Separate application for each structure ~' Date est. Address ' .'. Occupancy - ~ ~> t~wner ~ Address ~ Phone Contractor Address Phone StateContrs.No. Building Permit Number ~~ -.,,.,~ QQfUnder 100,000 BTU Fee $ ^ Hot Air Furnaces s~ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ or Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ ^ Over 1,750,000 Fee $ ~ Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee $ ^ Evaporator Coolers (Not portable) Fee $ ^ Repairs or alterations to any of the above Fee $ ^ Vent or Vent Fan (not covered by other permit Fee $ ^ Exhaust Hood Fee $ ^ Domestic Fee $ ^ Incinerators ^ Commercial Fee $ `J Other Appliances (list) Fee $ ^ Other Mechanical Installations (listl = By Value Permit Fee Permit ^ Gas ^ Oil ^ Electric ^ Others CONTRACTOR'S AFFIDAVIT I hereby make application for a Mechanical Permit and certify that our firm is registered as a contractor with the State of Washington and Town of Yelm and that work shall be performed in accordance with all Codes and Or- dinances of Town of Yelm. Firm _ f ... l _ ,. No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY Recd. by -_ `..:. _-: -- Date...•------._- Permit it ..__._._-. -i' , TOTAL ENCLOSED FEE ~ ` "` TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 ~'• Telephone (206) 458-3244 Separate application for each structure Date st. Address '' ~ Occupancy ' < ` Owner ,~ » ~ ~` ' ~~ ''~` ~ Address Phone e 3 f .~ t i d » Contractor ~ ` '~ ~r ~"' 1 ' c = ' Address ~ ~ _'~ "' Phone State Contrs. No. ' "" ` 'w. f <' t~_Building Permit Number }-~ - ~'' , ,_,-' ^ Under 100,000 BTU Fee $ ^ Hot Air Furnaces ^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ or Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ ^ Over 1,750,000 Fee $ ^ Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee $ ^ Evaporator Coolers (Not portable) Fee $ ^ Repairs or alterations to any of the above Fee $ ^ Vent or Vent Fan (not covered by other permit Fee $ ^ Exhaust Hood Fee $ ^ Domestic Fee $ ^ Incinerators ^ Commercial Fee $ ~] Other Appliances (list) Fee $ [] Other Mechanical Installations (listl By Value Permit Fee Permit ^ Gas ^ Oil ^ Electric ^ Others CONTRACTOR'S AFFIDAVIT I hereby make application for a Mechanical Permit and certify that our firm is registered as a contractor with the State of Washington and Town of Yelm and that work shall be performed in accordance with all Codes and Or- dinances of Town of Yelm. Firm .-J No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY Recd. by ~ _- -- Date ;:_ Permit ~ ...__ -- TOTAL ENCLOSED FEE <'.~°»;~ r~rF~ TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 ~ °° Telephone (206) 458-3244 Separate application for each structure °~ - 7 ~' .._. ,Date - Const. Address :..,,_..:_ :. ` ~ Occupancy .,-. -. ,' - Owner j •. Address - _, . 'Phone ;" Contractor a • ~ ~ . ' Address Phone State Contrs. No, ~~ '" Buildin g Permit Number "r;,~ i ^ Hot Air Furnaces 'Q` Under 100,000 BTU ' " Fee $ `' permit ^ Gas ^ Oil ^ Electric ^ Others ^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ CONTRACTOR'S AFFIDAVIT or Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ I hereby make application for a Mechanical Permit and certify that our firm is registered as a contractor with the ^ Over 1,750,000 Fee $ State of Washington and Town of Yelm and that work ^ Air Handling Units ^ Under 10,000 CFM Fee $ shall be performed in accordance with all Codes and Or- ^ Over 10,000 CFM Fee $ dinances of Town of Yelm. ^ Evaporator Coolers lNot portable) Fee $ ^ Repairs or alterations to any of the above Fee $ Vent or Vent sari (not covered by other permit Fee $ ^ Exhaust Hood Fee $ , '~;~; ~ Incinerators ^ Domestic Fee $ Commercial Fee $ ^ Other Appliances Ilistl Fee $ ^ Other Mechanical Installations (list) ' r.;; By Value ~„ ,• ~, Permit Fee •, r -_ TOTI'CL` ENCLOSED FEE -;`-,•' Firm Signature * . ,~ No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWtV OF YELM USE ONLY /• , Recd. by - ._ ".,._ ; ' - Date _~:. '-~' Permit # -.. - TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 }" Telephone (206) 458-3244 Separate application for each structure -~ ~ ~$ ' ; Date st. Address + ~~' Occupancy . Owner ~ ~.~ ~ ~ Address ~ '` ~~ 'R.hone Contractor ~ .. ,. ;r' . ~ _ a ., ; t~ , ' ; Address ~, a _: _ ; :.~ hone P State Contrs. No +~- ~~ .. Buildin g Permit Number :, : ~, ~ ,` .~;, ^ Hot Air Furnaces ^ Under 100,000 BTU Fee $ permit ^ ^ ^ ^ Gas Oil Electric Others ^ Oven 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ CONTRACTOR'S AFFIDAVIT or Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ I hereby make application for a Mechanical Permit and certify that our firm is registered as a contractor with the ^ Over 1,750,000 Fee $ f W h' t d T wn of Yelm and that work ^ Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee $ ^ Evaporator Coolers (Not portable) Fee $ ^ Repairs or alterations to any of the above Fee $ Vent or Vent Fan (nof covered by other permit Fee $ ^ Exhaust Hood Fee $ ^ Domestic Fee $ ^ Incinerators ^ Commercial Fee $ ,_] Other Appliances (list) Fee $ ^ Other Mechanical Installations (list) By Value Permit Fee !i., State o as ing on an o shall be performed in accordance with alt Codes and Or- dinances of Town of Yelm. Firm Signature No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY Recd. by - . - - -- Date - --------_ - Permit ~ - __.._ --- TOTI~L' ENCLOSED FEE .`~. TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 ~ ? :` Telephone (206) 458-3244 Separate application for each structure F Date st Address ` Occupancy ~- " . Owner `, ~ ~. r' Address ` ~~"' `" Phone Contractor ` , ~-" ~ ~' • '' Address Phone State Contrs. No `' ;. ~ Buildin g Permit Number ~ ~-t.^.,~`'" Qf Under 100,000 BTU Fee $ '" Hot Air Furnaces , P ermit ^ Gas ^ Oil ^ Electric ^ Others ^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ CONTRACTOR'S AFFIDAVIT or Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ I hereby make application for a Mechanical Permit and certify that our firm is registered as a contractor with the ^ Over 1,750,000 Fee $ State of Washin ton and Town of Yelm and that work ^ Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee $ ^ Evaporator Coolers (Not portable) Fee $ ^ Repairs or alterations to any of the above Fee $ ~; ^ Vent or Vent Fan (not covered by other permit Fee $ ^ Exhaust Hood Fee $ ^ Domestic Fee $ ^ Incinerators ^j Commercial Fee $ ~] Other Appliances (tista '. `. t ~ Fee $ ^~ Other Mechanical Installations (IistY -"~~"; ;'-` ! -- By Value Permit Fee 9 shall be performed in accordance with all Codes and Or- dinances of Town of Yelm. Firm + r Signature ~"~ ~ ~~~ No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY Recd. by - . '~_ ' ...---- Date "..=- ..:Permit ~ ....--..-__.. TOTAL ENCLOSED FEE - ' , ~ ~,~ TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 s '` Telephone (206) 458-3244 Separate application for each structure Date st. Address Occupancy ~ ;"'~ Owner ~ ` ~ Address `' Phone x Contractor ~ t, Address Phone State Contrs. No. - Building Permit Number ~ ,~.r Q, Under 100,000 BTU Fee $ Per Oth it Oil El t i G ^ Hot Air Furnaces ^ Over 100,000 BTU Fee $ m ^ r ers ^ as ^ ec c ^ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ' ^ Hot Water ^ 500,001 - 1,000,000 Fee $ S AFFIDAVIT CONTRACTOR or Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ I hereby make application for a Mechanical Permit and ntractor with the d i i t ^ Over 1,750,000 Fee $ as a co ere s reg s certify that our firm State of Washington and Town of Yelm and that work © Air Handling Units ^ Under 10,000 CFM Fee $ shall be performed in accordance with all Codes and Or- ^ Over 10,000 CFM Fee $ dinances of Town of Yelm. ^ Evaporator Coolers (Not portable) Fee $ i ^ Repairs or alterations to any of the above Fee $ Firm -_. f ~-3t .. _ ,. -. [] Vent or Vent Fan (not covered by other permit Fee $ ~ Signaturd,,,- ---' ~ __ ^ Exhaust Hood Fee $ No work shall be performed prior to receipt of validated ^ Domestic Fee $ permit. Call 458-3244 for inspection. ^ Incinerators ^ Commercial Fee $ ~] Other Appliances (listl ; - Fee $ FOR TOWN OF YELM USE ONLY ^ Other Mechanical Installations (list) `': ; .:' ;~" By Value `~ Permit Fee y =. `y Recd. by -, - . - ---- Date :.--------_ Permit # - .--- --. - TOTAL ENCLOSED FEE " TOWN OF YELM P.O. Box 479 MECHANICAL PERMIT Yelm, Washington 98597 Telephone (206) 458-3244 ~ ; - Separate application for each structure r Date Const Address Occupancy "" . _ . Owner ;`~' ~; ~ ~ -` ~ ~':' '" '' Address r '~ `~ ~ '"' Phone Contractor Address Phone State Contrs. No. ~ ~ _., Buildin g Permit Number .t.., ~'~ ~ ~~~ ~ ~ ~~ Hot Air Furnaces ~`~Under 100,000 BTU Fee $ `~%~''%'-1 Permit ^ ^ ^ ^ Gas Oil Electric Others ~ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ CONTRACTOR'S AFFIDAVIT or Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ I hereby make application for a Mechanical Permit and certify that our firm is registered as a contractor with the ^ Over 1,750,000 Fee $ State of Washington and Town of Yelm and that work ^ Air Handling Units ^ Under 10,000 CFM Fee $ shall be performed in accordance with all Codes and Or- ^ Over 10,000 CFM Fee $ dinances of Town of Yelm. ^ Evaporator Coolers (Not portable) Fee $ s ; ,: ^ Repairs or alterations to any of the above Fee $ Vent of Vent Fan (not covered by other permit Fee $ ^ Exhaust Hood Fee $ ^ Domestic Fee $ J Incinerators ^ Commercial Fee $ [].Other Appliances (list) . _~. "Fee $ ^' Other Mechanical Installations (list) _~ ;~~ :` °:: By Value ;,1 Permit Fee Firm ~ ~ ~; , ~_: ~ ~," ;: l._, a .._ ,: s .. Signature '' ~ 'a ~' i' No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY `i~ Recd. by _. ;' _ _.__. Date ~ .:... '~' Permit ~ . _..._-___- TOTAL ENCLOSED FEE ;.'. r , ; ~: , TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 Telephone (206) 458-3244 Separate application for each structure ~~ ~ .: } ~, ..Date Address Const ~ t' Occupancy :~ ,. ' ' . Owner ' ~ _ Address, ~°~ r ~ ' ~ Phone Contractor %' ~ ~ -`" ~- ~ ~ ~~~ ~~ '" " ~ Address Phone No State Contrs -~-~- ' " 1 Buildin g Permit Number . , Hot Air Furnaces ~Q. ' ~Under 100,000 BTU Fee $ ,'~, ~ Permit Gas Oil Electric Others ^ ^ ^ ^ ^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ CONTRACTOR'S AFFIDAVIT or Steam Boiler ^ 1 001 - 1,750,000 Fee $ 000 I hereby make application for a Mechanical Permit and , , certify that our firm is registered as a contractor with the ^ Over 1,750,000 Fee $ State of Washington and Town of Yelm and that work ^ Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee $ ^ Evaporator Coolers (Not portable) Fee $ ^ Repairs or alterations to any of the above Fee $ ^ Vent or Vent Fan (not covered by other permi t Fee $ ^ Exhaust Hood Fee $ ^ Domestic Fee $ J Incinerators ~] Commercial Fee $ ^ Other Appliances (list),, 'r ; . , . , , ~ . ~ ';Fee $ ^ Other Mechanical Installations (list).,, > 't . By Value ' Permit Fee ~:_ . u ._ shall be performed in accordance with all Codes and Or- dinances of Town of Yelm. ,p-. Firm ~ ,, ~~~~ ik > Signature -'~,~" ~~~ ~ ~~ - No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY ,, , . Recd. by -- .._ .__ __.---- Date --------:--,:.- Permit # - .-.-._- TOTAL ENCLOSED FEE f". ; I TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 Telephone (206) 458-3244 Separate application for each structure Date t, _ Address Const ;' Occupancy . Owner ': ~ ' _Address ~... Phone ~ Contractor r ~ } '' ~ Address Phone t t N St C Buildin Permit Number S ~, ?~ ~ * ~~ ~- rs. on o. a e , - , 0 Hot Air Furnaces ~'~ Under 100,000 BTU Fee $ ~ ~''~ Permit ^ Gas ^ Oil ^ Electric ^ Others ^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ CONTRACTOR'S AFFIDAVIT ^ Hot Water ^ 500,001 - 1,000,000 Fee $ I hereby make application for a Mechanical Permit and or Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ certify that our firm is registered as a contractor with the ^ Over 1,750,000 Fee $ State of Washington and Town of Yelm and that work ^ Air Handling Units ^ Under 10,000 CFM Fee $ shall be performed in accordance with all Codes and Or- ^ Over 10,000 CFM Fee $ dinances of Town of Yelm. ^ Evaporator Coolers (Not portable) Fee $ Firm ^ Repairs or alterations to any of the above Fee $ Signature ' ~ ` °' ~] Vent or Vent Fan (not covered by other permit Fee $ ''~' r] Exhaust Hood Fee $ No work shall be performed prior to receipt of validated ^ Domestic Fee $ permit. Call 458-3244 for inspection. I] Incinerators ^ Commercial Fee $ ^ Other Appliances (list). s Fee $ ~ FOR TOWN OF YELM USE ONLY Other Mechanical Installations (list) _ By Value Permit Fee ; 'a Recd. by `~. _.___ Date __ ____.: Permit ~ . ...- __ ... r TOTAL ENCLOSED FEE '::. ;~ TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 Telephone (206) 458-3244 Separate application for each structure a .~_ . Date Address Const ~ ~'` '~ " Occupancy . Owner ` F' Address t Phone Contractor Address Phone State Contrs No ` - Buildin g Permit Number ~ ' " ~-=~,- _'~ . . , "" ' ^ Hot Air Furnaces Q. Under 100,000 BTU ' Fee $ ~ ~° Permit Gas Oil Electric Others ^ ^ ^ ^ ^ Orer 100,000 BTU Fee $ [~ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ CONTRACTOR'S AFFIDAVIT or Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ I hereby make application for a Mechanical Permit and certify that our firm is registered as a contractor with the ^ Over 1,750,000 Fee $ State of Washington and Town of Yelm and that work ^ Air Handling Units ^ Under 10,000 CFM Fee $ shall be performed in accordance with all Codes and Or- ^ Over 10,000 CFM Fee $ dinances of Town of Yelm. ^ Evaporator Coolers (Not portablel Fee $ Firm a ^ Repairs or alterations to any of the above Fee $ ^ Vent or Vent Fan (not covered by other permit Fee $ ^ Exhaust Hood Fee $ ^ Domestic Fee $ ,J Incinerators ^ Commercial Fee $ ^ Other Appliances (list!.' < _ - ,' Fee $ ^ Other Mechanical Installations (list) ;: ' By Value ' Permit Fee ' ~"""'I .t: TOTAL ENCLOSED FEE ,, ~~ ; ~~" Signature.; f. ' ~ _ No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY . ~ ;- r. , ~~ S . ~ } Recd. bp-u"~~-'' _. Date `~_.~ 1 ,'Permit 3r ...-_- TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 Telephone (206) 458-3244 Separate application for each structure Date -'~ est. Address Occupancy_ owner Address Contractor ~ ~' Address State Contrs. No. Building Permit Number ^ Under 100,000 BTU Fee $ ^ Hot Air Furnaces ^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Hot Water ^ 500,001 - 1,000,000 Fee $ or Steam Boiler ^ 1,000,001 - 1,750,000 Fee $ ^ Over 1,750,000 Fee $ ^ Air Handling Units ^ Under 10,000 CFM Fee $ ^ Over 10,000 CFM Fee $ ^ Evaporator Coolers (Not portable) Fee $ ^ Repairs or alterations to any of the above Fee $ j] Vent or Vent Fan (not covered by other permit Fee $ ^ Exhaust Hood Fee $ ^ Incinerators ^ Domestic Fee $ Commercial Fee $ No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. ^ Other Appliances Il~st) -- Fee $ FOR TOWN OF YELM USE ONLY ^ Other Mechanical Installations (list) By Value ., Permit Fee - Recd. by -. - - Date - - - • -Permit x -- TOTAL ENCLOSED FEE ' " r ~~ Phone Phone Permit ^ Gas ^ Oil ^ Electric ^ Others CONTRACTOR'S AFFIDAVIT I hereby make application for a Mechanical Permit and certify that our firm is registered as a contractor with the State of Washington and Town of Yelm and that work shall be performed in accordance with all Codes and Or- dinances of Town of Yelm. Firm Signature