Plumbing PermitsTOWN OF YELM
P.O. Box 479
Yelm, Washington 98597
Telephone (206) 458-3244
PLUMBING PERMIT
Separate application for each structure
Date
Const. Address Occupancy
Owner Address Phone
Contractor Address Phone
State Contra. No, Building Permit Number ' - '-'"''-' `" ~ ~ ~ i '
ITEM FEE QUAN. FEE
Toileh
Urinals
Lavatory
Bath Tubs
Shower Baths `~ :a
Kitchen Sink
Disposal Units
Dish Washers
Drinking Fountains
Laundry Tub
Automatio Laundry Equip.
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks 1 ,;~ ,; ' ~ ~ ~~
MISC. a .;
., :, ~ ~ _ -_ -,
, , i
Misc.
Permit Fee
TOTAL ENCLOSED FEE ~ I`-' ~..,~.~~-
~ DESCRIPTION OF WORK ~
^ New
^ Addition
[~ Remodel __
^ .Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes and Or-
dinances of Town of Yelm.
Firm
Signature
No work shall be performed prior to receipt of validated
permit. Gall 458-3244 for inspection.
FOR TOWN OF YELM USE ONLY
Recd. by -- -------- - ---------- Date --=-----'---- Permit # - ----
TOWN OFYELM PLUMBING PERMIT
P.O. Box 479 ~°-
Yelm, Washington 98597 Separate application for each structure .: .:
Telephone (206) 458-3244
Dab
Const. Address ~ ~ Occupancy -
~,
Owner ~~ ~ ;~ ~ `~4, Address ~ Phone
Contractor +° ~~ - Address Phone
- ' ... ,
State Contrs. No. ~ # 't ~ '~_ Building Permit Number ,..~, '~ ~~ ` "-`°~ ~ ' ~'~~-
ITEM FEE QUAN. FEE
Toilets ~ r °~°';
Urinals
Lavatory ~ G
Bath Tubs
Shower Baths
Kitchen Sink
Disposal Units
Dish Washers
Drinking Fountains
Laundry Tub
Automatio Laundry Equip. :~,
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks
Misc. ~ _ ~.~
~_.
Misc.
Permit Fee ~ % ~-°~
TOTAL ENCLOSED FEE ~ =` f ;.,,`~;.
DESCRIPTION OF WORK
^ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes 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 ~~
~;
Aec'd. by -- -r?-- ~ --------- Date __---- --f._--- Permit ~ ~., ,r
TOWN OF YELM PLUMBING PERMIT
P.O. Box 479
Yelm, Washington 98597 Separate application for each structure ~< ~: ,
Telephone (206) 458-3244
Dah f .
Const. Address Occupancy _
Owner Address Phone
Contractor ~ -' ~`t~. r'"- Address Phone
4_
_: _ r.
State Contrs. No. ~ ~ °' " ~ ; i 3 Building Permit Number ..-7 ~ ~'~ ~ ~~
ITEM FEE QUAN. FEE
Toilets -
ty
~~~~` -
Urinals
Lavatory
Bath Tubs , ,' ,
Shower Baths °..
Kitchen Sink ` ~;~
Disposal Units
Dish Washers ; "€', 4 ~.. .~
Drinking Fountains
Laundry Tub
Automatio Laundry Equip.
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks ,
Misc.
Misc.
Permit Fee 1
TOTAL ENCLOSED FEE ~ ~~~
: t.-
I DESCRIPTION OF WORK I
^ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes 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
Aec'd. by ________ Date ,:_^__ Permit # ~ ~, _____-~__
TOWN OFYELM PLUMBING PERMIT
P.O. Box 479
Yelm, Washington 98597 Separate application for each structure ` '~; w ~ ;' ~'
T I h 206 458 3244
e ep one ( ) r
.Date
Const. Address F- Occupancy ,~
• _
Owner Address -' ~ ' ~ Phone •'
L ~ _ ^. ~,
Contractor Address Phone
State Contrs. No. i. =Building Permit Number ~ ;,,; '~ °~ ~c ~'
ITEM FEE QUAN. FEE
Toilets '
Urinals
Lavatory ;,~ ~"
Bath Tubs ~ ~_ ~`
Shower Baths'=. . ~ ~'
Kitchen Sink ''
Disposal Units
Dish Washers r .~. {' ~:
Drinking Fountains
Laundry Tub
Automatio Laundry Equip.
:, _.,
- .
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks P ~ ,~
_ ~ ~ '
_
Misc. ..._,.~_ ~. -.~:~
Misc. ; r ,r .
.,
' • ~' Permit Fee
d
TOTAL ENCLOSED FEE ~ " ` r_,~?
~ t . •..
DESCRIPTION OF WORK
^ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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
r'
.
Recd. by -- ` ==__-- ~- -------- Date --t--------r'-'--- Permit ~ '=f ~ --:.
TOWN OFYELM PLUMBING PERMIT
P.O. Box 479
Yelm, Washington 98597 Separate application for each structure ~ ;, ~ ~ -~~
Telephone (206) 458-3244
Date
Const. Address '~ Occupancy
Owner _ ~ '_ ;: Address ~ , ~ Phone:., '
Contractor ~ ~.; Address Phone
,~ ~ ~ r
State Contrs. No. ~ ~ ~~ ~ ~' ~~ ; ` ~ }~ Building Permit Number " ~~ -~~ ~~
ITEM FEE QUAN. FEE
Toilets ,,
Urinals
Lavatory ~~; ,
Bath Tubs
Shower Beths. ~ ,.
Kitchen Sink ~ # }
Disposal Units
Dish Washers , ' } '
Drinking Fountains
Laundry Tub
Automatic Laundry Equip.
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks
;x
Misc.
Misc.
' Permit Fee `
TOTAL ENCLOSED FEE
DESCRIPTION OF WORK
^ New
^ Addition
^ Remodel
^ Alteration _
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes 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 ~F YELM USE ONLY
.r
~` ,,
Recd. by -- - ~ ~ ~ ~~;
'---- --------- Date -------+''----- Permit ~t ~- --
TOWN OFYELM PLUMBING PERMIT
P.O. Box 479
Yelm, Washington 98597 Separate application for each structure , ,_
Telephone (206) 458-3244
i ....
Date
Const. Address -Occupancy
.,
Owner Address Phone
Contractor '. ~ ' ~ Address s Phone
State Contrs. No. ~`` &uilding Permit Number ~. !~_ '
ITEM FEE QUAN. FEE
Toileh
Urinals _
Lavatory ~`
Bath Tubs " ' ''
Shower 'Baths'
f
~ ` ~'
Kitchen Sink
j '
I
Disposal Units
Dish Washers '
Drinking Fountains
Laundry Tub
Automatic Laundry Equip.
Catch Basin
Floor Drains
;Floor Sink
Hot Water Tanks `,:~ -~
Misc.
Misc.
Permit Fee
TOTAL ENCLOSED FEE
rJ ;
I DESCRIPTION OF WORK I
^ New
n Addition _
^ Remodel
'~, ^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes and Or-
dinances of Town of Yelm.
Firm _ ~ -
4 l
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 ~'----------rt Permit # - --------
TOWN OF YELM
P.O. Box 479
Yelm, Washington 98597
Telephone (206) 458-3244
PLUMBING PERMIT
7 ~.
Separate application for each structure , :'" ~ ' ~' ~.
Datt _. , .. _ . ,;
Const. Address Occupancy
x, _.
Owner ~ ._ ., __ l ,-.- , ° , : Address ~: _ ~ ~ ~ ~. ti .::; , Phone
. -,
Contractor ~ ~-~ - Address Phone _
State Contrs. No. Building Permit Number ` ; ~ ~ ~ "
-~ t
ITEM fEE QUAN. FEE
Toilets ,' ~ °~`
Urinals
Lavatory r'° Y'
Bath Tubs
Shower Baths :' i.
Kitchen Sink ~ ~`
Disposal Units
Dish Washers
Drinking Fountains
Laundry Tub
Automatio Laundry Equip.
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks ~ °
Misc. - ;_., , ~,
Misc.
Permit Fee
TOTAL ENCLOSED FEE
I DESCRIPTION OF WORK
^ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes and Or-
dinances of Town of Yelm.
's,:
Firm ~ . ~ ,, ~ 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 ..- -~--- ----------- Date ---=-------1~ ~ermit # ----- ----------
TOWN OF YELM PLUMBING PERMIT
P.O. Box 479
Yelm, Washington 98597 Separate application for each structure
Telephone (206) 458-3244
r DaN ' ,
,, ,t:
., ,
Const. Address i~a ,:-~ Occupancy - '
Owner f ~ Address ~ ~~ ` ~ ~. -~' ~~ ~Y~~~'hone
Contractor ~ ~ , ;:y .~-~..' ;T,~~°~` ~~' `' Address "' Phone
State Contrs. No. Building Permit Number ~'~' F ~' "~'~ • ~ '' ' ~~~~~
., rte ~-~
ITEM FEE QUAN. FEE
Toilets -' ~~`
Urinals
Lavatory I `":,~`~, ~-? ~ ~ ~N',r
Bath Tubs
Shower Baths f ' }' 1. ' "' `~'",
Kitchen Sink F, ;~ ~' I~t,,t
Disposal Units
Dish Washers
~;a' ~1 ,. "
„` ~,
~ ~ ~,
Drinking Fountains
Laundry Tub
Automatio Laundry Equip. '1 , ' ,p',
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks ~ ~
,~' '1
'' •" -
Misc. , ;
1 ~`
f ~.
Misc.
Permit Fee
TOTAL' NCLOSED FEE , '`
DESCRIPTION OF WORK
^ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes and Or-
dinances of Town of Yelm.
;.
- ,
Firm ~ - -' a ~. f ,
Signature
No work shall -Cie performed prior to receipt of validated
permit. Call -458-3244 for inspection.
FOR TOWN OF YELM USE ONLY
Aec'd. by -- -------'-- - -------- Date' i --_- ------~-- i~erm;vt ~ -----------•-•--
TOWN OF YELM PLUMBING PERMIT
P.O. Box 479
Yelm, Washington 98597 Separate application for each structure ~'
Telephone (206) 458-3244
Dab
Const. Address Occupancy ,..:• "~-
Owner - ~ , t ~ Address ~~.-r ':'bone
Contractor f ~ t ~. ~ ) Address Phone
,.
State Contrs. No. Building Permit Number ~ ' ~ ~~
s.
ITEM FEE QUAN. FEE
Toilets
°~
` •
,~
' ~~?
Urinals
Lavatory -
Bath Tubs
Shower Baths
C, '~~ i
Kitchen Sink '
Disposal Units
Dish Washers ..">'
Drinking Fountains
Laundry Tub
Automatio Laundry Equip. `
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks ~ !~
Misc. ~ ~ ~ ~'
Misc.
Permit Fee
TOTAL ENCLOSED FEE
3'
I DESCRIPTION OF WORK ~
^ New
^ Addition __
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes and Or-
dinances of Town of Yelm.
Firm ~ ;` ,
Signature
No work ~fiall be performed prior to receipt of validated
permit. Call 458-3244 for inspection.
FOR TOWN OF YELM USE ONLY
Recd. by -- -~---- ~ - - -------- Date -=-------- hermit # ---•------------
TOWN OFYELM PLUMBING PERMIT
P.O. Box 479
Yelm, Washington 98597 Separate application for each structure ;~ "' `}
Telephone (206) 458-3244
4 DaN- `~ ~ ~ . ~,
Const. Address ~ ' ~ 'Occupancy ~`` < `~
Owner ~` ~` Address ~" x > f' Phone
Contractor ` x ~ ; r Address Phone
State Contra. No. ' ~ ~ ~ ' ~ ~'t Building Permit Number ~ ~' ~
ITEM FEE QUAN. FEE
Toilets '
Urinals
Lavatory a
~t':
Bath Tubs
Shower Baths
Kitchen Sink ~ ;;,
Disposal Units
Dish Washers -'
Drinking Fountains
Laundry Tub
Automatio Laundry Equip. _
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks "r : _
Misc. ~ " i
Misc.
Permit Fee
TOTAL "ENCLOSED FEE `
~,;
DESCRIPTION OF WORK
^ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes and Or-
dinances of Town of Yelm.
Firm
Signature.
No work shall~e performed prior to receipt of validated
permit. Call 458-3244 for inspection.
FOR TOWN OF YELM USE ONLY
~~ f. .-
Reed. by _- f , ~ =------- ------ Date --= f?-------------~ Permit ~ ------- --------
TOWN OF YELM PLUMBING PERMIT
P.O. Box 479
Yelm, Washington 98597 Separate application for each structure ~ `'
Telephone (206) 458-3244
Date "
Const. Address ~:" Occupancy ' ~ _. _ ,
Owner _4 _ • i '> Address Phone
Contractor `,~.. Address ~ Phone
,. -
,~.~ ,
State Contrs. No. ~" ` ~ ~° Binding Permit Number ~'` "P ~:` , '`~
ITEM FEE QUAN. FEE
Toilets
Urinals
Lavatory ' ;~ ,
Bath Tubs
Shower Baths
Kitchen Sink
Disposal Units
Dish Washers
Drinking Fountains ,"~ •
Laundry Tub
Automatio Laundry Equip.
Catch Basin
Floor Drains i .;` • ~ `~
Floor Sink
Yot Water Tanks
Misc. ~
Misc.
• ` ,~ r Permit Fee `;;
TOT/tL'r ENCLOSED FEE
DESCRIPTION OF WORK I
^ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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
l~ <<i
Recd. by --- -------- _.~-=-- ------- Date --~-----`------- Permit # ---~,
TOWN OF YELM
P.O. Box 479
Yelm, Washington 98597
Telephone (206) 458-3244
PLUMBING PERMIT
Separate application for each structure
Date
Const. Address Occupancy
Owner - Address ~ - Phone
Contractor Addross Phone
State Contrs. No. Building Permit Number
ITEM FEE QUAN. FEE
Toilets ' '`' "
Urinals
Lavatory
Bath Tubs
Shower Baths
Kitchen Sink ',-.. ,p
Disposal Units
Dish Washers
t
Drinking Fountains
Laundry Tub
Automatio Laundry Equip.
Catch Basin
Floor Drains
':Floor Sink
Hot Water Tanks ~ -
Misc.
Misc.
Permit Fee
TOTAL ENCLOSED FEE ~ ,, ~ I
^ New
^ Addition
^ Remodel
^ Alteration I
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes 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 PLUMBING PERMIT
P.O. Box 479
Yelm, Washington 98597 Separate application for each structure :, __ ~:y ,. -~ ;' a
Telephone (206) 458-3244 - -
Dab .
Const. Address ~ ,,,,) ~ ' Occupancy
Owners r ' ~' ~~~ ` ~ ~ ~ Address ~ ~~- ~ Phone
Contractor f 1' , Y / ~ ~ Address Phone
,~ ,.--
State Contra. No: -~° '~' ~ •" 'Building Permit Number ~ ' ' `~`~
. _.~- , . .
ITEM FEE QUAN. FEE
Toilets '
Urinals
Lavatory r ~:
Bath Tubs
Shower Baths
{,,
Kitchen Sink '
,
,
Disposal Units _
Dish Washers &.
Drinking Fountains
Laundry Tub
Automatio Laundry Equip. ~.
Catch Basin
Floor Drains
Floor Sink
,Hot Water Tanks ;+
Misc. ~ ,-
Misc.
Permit Fee °
TOTAL ENCLOSED FEE
I DESCRIPTION OF WORK 1
^ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 eh'' - --
No work shall be performed prior to receipt of validated
permit. Call 458-3244 for inspection.
FOR TOWN OF YELM USE ONLY
Recd. by_ -• ri----- - - --------- Date..: p----~ ~--'~-'Permit ?t -----------•----
TOWN OFYELM PLUMBING PERMIT
P.O. Box 479 ,
Yelm, Washington 98597 Separate application for each structure
_,
Telephone (206) 458-3244 -,
Date r
Const. Address Occupancy ~ ~'
Owner r _~' ~ Address ~ Phone
Contractor Address Phone
State Contrs. Not `Building Permit Number
ITEM FEE QUAN. FEE
Toilets ,
Urinals
Lavatory
~~
Bath Tubs
Shower Baths
Kitchen Sink
Disposal Units
Dish Washers
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. ;~'
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks
Misc.
Misc.
Permit Fee
TOTAL 'ENCLOSED FEE •` '
~ DESCRIPTION OF WORK ~
^ New
^ Addition
^ Remodel _
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes 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
t ~~ -.
Recd. by.--- : --~'------------------ Date ---------r-- Permit ~ ----------------
TOWN OF YELM PLUMBING PERMIT
P.O. Box 479
Yelm, Washington 98597 Separate application for each structure ~ ~ ~:` ~ ~ r° ~~
Telephone (206) 458-3244 , .,
Datt k ~,
Const. Address `' Occupancy
Owner „_ Y` 4" Address ~ Phone
Contractor Address Phone
State Contrs. No. ~ 'Building Permit Number ~~ ,t
;, ;
ITEM FEE QUAN. FEE
Toilets
r' ' ~ `'
+'
Urinals
Lavatory
,° `` '~'
Bath Tubs
Shower Baths '$
,-
'
Kitchen Sink ''~
~,,
'~`
Disposal Units
Dish Washers 'e ~ ,,F
Drinking Fountains
Laundry Tub
Automatio Laundry Equip. i.
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks ~' '~' = J
Misc.
Misc.
Permit Fee
TOTAL ENCLOSED FEE ~' -" ''
F'i
~ DESCRIPTION OF WORK ~
^ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes and Or-
dinances of Town of Yelm.
Firm
~f~
Signature '• 1 '
No work shall be performed prior to receipt of validated
permit. Call 458-3244 for inspection.
FOR TOWN OF YELM USE ONLY
-;
Recd. by --- J - ----~- - -------- Date ---- ~ - _ ; ~_ ,'Permit # ------- --------
TOWN OF YELM PLUMBING PERMIT
P.O. Box 479
Yelm, Washington 98597 Separate application for each structure .,,v `y ~ ~' ' a
Telephone (206) 458-3244
DaN
Const. Address ~ - ` F `-Occupancy
Owner " P r ~ Address Phone
Contractor Address ~ Phone
State Contrs. No. '~ Building Permit Number -
ITEM FEE QUAN. FEE
Toilets
Urinals
Lavatory
Bath Tubs
Shower Baths
Kitchen Sink
Disposal Units
Dish Washers
Drinking Fountains
Laundry Tub
Automatio Laundry Equip.
Catch Basin
Floor Drains
Floor Sink
,iot Water Tanks
Misc.
Misc.
Permit Fee
TOTAL ENCLOSED FEE
~ DESCRIPTION OF WORK ~
^ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes and Or-
dinances of Town of Yelm.
Firm
Signature "~ s
No work shall be performed prior to receipt of validated
permit. Call 458-3244 for inspection.
FOR TOWN QF YELM USE ONLY
Recd. by -- ------ ~ --------- Date ------------ Permit # ---~-----------
TOWN OFYELM PLUMBING PERMIT
P.O. Box 479
Yelm, Washington 98597 Separate application for each structure ~ ~ .~ .~ ~}
Telephone (206) 458-3244
DaN
Const. Address ~` ~ ;': -~ . `%' %" ~ <' `~, 'Occupancy -~"- -
~ " Phone
Owner '` ' ~' `~"~ iAddress
. .
..~ ~ , ~
Contractor . ," ~ : " Address ' ., Phone, ,
State Contrs. No.; t"" '%' - . r -~°°~-
Building Permit Number ! ~ F k." ,i
ITEM FEE QUAN. FEE
Toilets '~ -,,. ," '
Urinals
Lavatory , t, . ~ i a ' )
Bath Tubs
Shower Baths ;~ ~, '; ;' ' ~;' .
Kitchen Sink
,
Disposal Units _
Dish Washers ~ ~~
Drinking Fountains
Laundry Tub
Automatio Laundry Equip. ~~ ~~ r""
Catch Basin
Floor Drains
Floor Sink
;iot Water Tanks ~~ ' f
Misc. ,~ ~`!
Misc.
( ~ ~: Permit Fee ,.
"~
TOTAL'- ENCLOSED FEE ~.~~
~ DESCRIPTION OF WORK ~
^ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes and Or-
dinances of Town of Yelm.
Firm
Signature { ~ t ~~ ,ure ,' ~ -
No work shall be performed prior to receipt of validated
permit. Call 458-3244 for inspection.
FOR TOWN OF YELM USE ONLY
,~~ ~ d - i3
Recd. by --- --'- --- -------- Date -----.- ,.------- Permit !t '.- ~ ---'--~.:
TOWN OF YELM PLUMBING PERMIT
P.O. Box 479 ~. •.
Yelm, Washington 98597 Separate application for each structure ;•, 1 ,,
Telephone (206) 458-3244
i ~ Datt
Const. Address ~--~' Occupancy - -
Owner ~ ' 1 Address _ r'~"~' Phone
Contractor -L ~ ~ r' ~ ~~ ;'. Address 1 Phone
State Contrs. No.i = ~' ~} ''• Building Permit Number ' ~%' r ~~ .
ITEM FEE QUAN. FEE
Toilets ';
Urinals
Lavatory ~. `~ i
Bath Tubs ~ '~' ~
Shower Baths:
r ~ ~ '
`'
Kitchen Sink ~ '~,,
Disposal Units
Dish Washers ,~ ; ' ; : ; ;~ '
Drinking Fountains
Laundry Tub
Automatio Laundry Equip. ' '
Catch Basin
Floor Drains
Floor Sink
clot Water Tanks ; ; k:~,
Misc.. ~ ~~
Misc.
Permit Fee ~• ~.
TOTAL ENCLOSED FEE "
DESCRIPTION OF WORK
^ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 it _ j _`.:_
TOWN OF YELM PLUMBING PERMIT
P.O. Box 479
Yelm, Washington 98597 Separate application for each structure s` ~ ~~ ,n
Telephone (206) 458-3244
s , ,:... Date
Const. Address '~1'L ~; ` L ~ Occupancy ..._ ~ ~ %'-~ ~'
Owner ~ ~` ~ J ~ Address r ' ~ a'l r - Phone
Contractor -~ ~ a ' ' '' ~.• ' ~ • ¢~ ~ `%' ' :` Address g- Phone
State Contrs. Nod ~` _ ~: ~ '! Building Permit Number 7 ~ • '
ITEM FEE QUAN. FEE
Toilets ~ '' `%
Urinals
Lavatory ,'~~,''-~ ~ f a
Bath Tubs i
Shower ;~a#hs` ~°R i- r'
Kitchen Sink ~'
J ~ '~~'
Disposal Units
Dish Washers '~' ~ ~'r"
Drinking Fountains
Laundry Tub
Automatio Laundry Equip. =~ `. `'r ~'%'"~
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks ~~` ~. ! °`:~-'
Misc. ; ~~
Misc.
rf,, ~, Permit Fee d','
TOTAL ENCLOSED FEE ',' ?,-~ `~
~ DESCRIPTION OF WORK ~
^ New
^ Addition
^ Remodel
^ Alteration _
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes and Or-
dinances of Town of Yelm.
Firm
,; -
j l~ / j..
Signature '` ti ~~=%~ "
No work shall be performed prior to receipt of validated
permit. Call 458-3244 for inspection.
FOR TOWN OF YELM USE ONLY
•; ~
Recd. by _-- _ •---_=„-•- d--------- Date ~ ~•~1__----- Permit #'. ;,.-~..._,.:
TOWN OF YELM PLUMBING PERMIT
P.O. Box 479
Yelm, Washington 98597 Separate application for each structure ,. w ,
Telephone (206 458-3244 ,
:~ Dats
Const. Address ~ '' Occupancy
Owner ' ' Address ~'' ~ Phone
,"
Contractor ;' ~ '-~ ` ~ - - Address Phone
,~'`_- -
State Contrs. No.: ~ ''Building Permit Number ~'' -
ITEM FEE QUAN. FEE
Toilets ' f ~ . ~ .',~
Urinals
Lavatory ~
Bath Tubs ';' a }
y~,, .,
,,
Kitchen Sink ,%
Disposal Units
Dish Washers ~ ~,_ ';~~ , ~ x',i
Drinking Fountains
Laundry Tub
Automatio Laundry Equip. ,`
Catch Basin
Floor Drains
__ Floor Sink
Hot Water Tanks `
Misc. - A.
Misc.
' Permit Fee
TOTAL ENCLOSED FEE ~`
DESCRIPTION OF WORK
^ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes 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 -- --~---~-v { ----------- Date ,--- `- =--- Permit # `, ---°---+~
TOWN OF YELM
P.O. Box 479
Yelm, Washington 98597
PLUMBING PERMIT
Separate application for each structure '~'1
Telephone (206) 458-3244
Date
Const. Address , ' ~~~ ` - -Occupancy '' ` ~
f
Owner , ~ - `' -~ x' Address ' -' , . `'.:Phone
~3
Contractor. ` )" Address -"~ ~ Phone
,, -
;:
State Contrs. No. ~" -Building Permit Number ~ ~~.; «..~~.: ' ,`
ITEM FEE QUAN. FEE
Toilets '`
Urinals
Lavatory . ~-~
Bath Tubs E
Shower ,$aRh~° , , . {; ~'" "f
Kitchen Sink ~ ' 1 ~~`
Disposal Units
Dish Washers ,'
Drinking Fountains
Laundry Tub
Automatio Laundry Equip. /?
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks ~;' ' r" ` "
Misc.
Misc.
Permit Fee ~',r~
TOTAL` ENCLOSED FEE ;"; ~~k' ; ; ~'
~ DESCRIPTION OF WORK _ ~
^ New
^ Addition
^ Remodel
^ Alteration __
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Touun, of Yelm.
r ~. ..
Firm ~ "~ 1 ~''-' '
~~~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 __,- ` ,'_ P-_ Permit ~ `_ --_-_-- "
TOWN OF YELM PLUMBING PERMIT
P.O. Box 479 ... ,
Yelm, Washington 98597 Separate application for each structure , ;, ~ ,~ .,
Telephone (206) 458-3244 • > ;; ,
Date
Const. Address ,~ ~ Occupancy ,,.= x '' ~ .J ~'
Owner ; ~ _: ~`, "~ Address r `~ ~.~~' ' Phone
~,
Contractor ~' Address ~ ~ Phone
~ ; ~:
State Contrs. No. ~''~ -wilding Permit Number `"-~~. ~.,_
ITEM FEE QUAN. FEE
Toilets
Urinals
Lavatory
Bath Tubs
Shower Baths
Kitchen Sink
Disposal Units
Dish Washers
Drinking Fountains
Laundry Tub
Automatio Laundry Equip.
Catch Basin
Floor Drains
Floor Sink
Not Water Tanks
Misc.
Misc. _ ,~ ,j `~
Permit Fee
TOTAL ENCLOSED FEE
DESCRIPTION OF WORK 1
^ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes 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 ~ _==:y {--- Permit # ----------------
TOWN OF YELM PLUMBING PERMIT
P.O. Box 479
Yelm, Washington 98597 Separate application for each structure ..
44
Telephone (206) 458-32
Date `
Const. Address ~• Occupancy '~
Owner ' ," Address -' -Phone
Contractor ~ Address Phone
State Contra. No. Building Permit Number ~ ~` ~,:,~
ITEM FEE QUAN. FEE
Toileh
Urinals
Lavatory '
Bath Tubs
Shower Baths
Kitchen Sink #~
Disposal Units
Dish Washers
Drinking Fountains
Laundry Tub
Automatio Laundry Equip.
Catch Basin
Floor Drains
Floor"Sink ~' ;'
Hot Water Tanks ~;'~
Misc.
Misc.
Permit Fee
TOTAL .ENCLOSED FEE y ''
1 DESCRIPTION OF WORK
^ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes and Or-
dinances of Town of Yelm.
Firm r - •_ 6 ,
Signature-
No work shall be performed prior to receipt of validated
permit. Call 458-3244 for inspection.
FOR TOWN OF YELM USE ONLY
Aec'd. by -- ----- - ---------- Date ----=-------- Permit ~ ----------------
TOWN OF YELM PLUMBING PERMIT
P.O. Box 479
Yelm, Washington 98597 Separate application for each structure ~,h ~ ~ ~~ a F~'.
Telephone (206) 458-3244 F ~ ,+ ~; ~!
Date
Const. Address f ~ '
Occupancy ~'' °'
Owner - `' f Address Phone -
Contractor __ ,~ Address 4 Phone
"r. ~- ~
State Contra. No.. - ; . `'~ ~ '':~~f~'ding Permit Number ' ` ~~ -~~ ` ' ~.
ITEM FEE QUAN. FEE
Toilets
Urinals
Lavatory
Bath Tubs
Shower Baths
,.
..
IfitckaA-~Smk~> , ..<
~ 3
~-
Disposal Units
Dish Washers '
Drinking Fountains
Laundry Tub
Automatio Laundry Equip.
Catch Basin
Floor Drains , ., i~ ~~'
Floor Sink
1.~ f~
Hot Water Tanks - ~ 1' ''
Misc. -
Misc.
Permit Fee
TOTAL ENCLOSED FEE
~ DESCRIPTION OF WORK ~
^ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes 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 ~-YELM USE ONLY
Recd. by -- ---•.----• ~-= - ----- Date ----- • -'- ------- Permit ~ ----------------
TOWN OF YELM PLUMBING PERMIT
P.O. Box 479 .,
Yelm, Washington 98597 Separate application for each structure , `~
Telephone (206) 458-3244
Date t ", _~
Const. Address - ~` ~ , f , =Occupancy ~ ~ ~ -`l
r _
Owner Address R`~ ' " Phone
.,
Contractor _ ~ ~ ~ Address -- Phone
.. _ _ _.,
.~~~:-
State Contrs. No. -' ~'_! :building Permit Number. - ~` _
ITEM FEE QUAN. FEE
Toilets ~ `^
4..
Urinals
Lavatory ~''' _
Bath Tubs
Shower ~athS., r.
Kitchen Sink -
Disposal Units
Dish Washers ~'
Drinking Fountains
Laundry Tub
Automatio Laundry Equip. f ~ ! ',~ ,_
Catch Basin
Floor Drains
_ door Sink
Hot Water Tanks ~ ; r `,~
Misc. '
Misc.
Permit Fee ,'- U ,
TOTAL NCLOSED FEE <;1. , ,1
DESCRIPTION OF WORK
^ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes 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 PLUMBING PERMIT
P.O. Box 479
Yelm, Washington 98597 Separate application for each structure , , '~° ' `'
Telephone (206) 458-3244
Dab ,
Const. Address ~ _,^Occupancr : r' ,
__ ' Owner _ ~ ' Address Phone
Contractor ' - ~ Address Phone
r
State Contrs. NO.R Building Permit Number ~ ~'
ITEM FEE QUAN. FEE
Toilets ,; ~'~ "
Urinals
Lavatory 1
J ,t~ .'~F
Y C.' ,/
Bath Tubs
.,,,:
t.
,:
Shower ~atks~' ' ''
:,
Kitchen Sink
Disposal Units
Dish Washers ,'
Drinking Fountains
Laundry Tub
Automatio Laundry Equip.
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks ~ i4 ;
Misc. }
f'
Misc.
Permit Fee `;, .`
TOTAL ENCLOSED FEE
~ DESCRIPTION OF WORK ~
^ New
^ Addition
^ Remodel
("l Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes 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 - ------r-~- Permit ~ ----------------
TOWN OF YELM PLUMBING PERMIT
P.O. Box 479
Yelm, Washington 98597 Separate application for each structure ry
Telephone (206) 458-3244
-.
Date '
Const. Address '"r "Occupancy ,1~-~ ~~`
_ Owner ~ + Address Phone
Contractor ~~ ~ r ` ~~ ~ ~ ' e Address Phone
_~ ,..
State Contrs. No. ~ ~ '~' '" Building Permit Number 'r" _~ t
ITEM FEE QUAN. FEE
Toilets `,,
Urinals
Lavatory ~ ;' •,i
Bath Tubs
~' ~ ,
Shower .BaNfi"~ '~ ~` ~
Kitchen Sink `~ ,-.r
i~
Disposal Units __
Dish Washers ' a ;' ,.'
Drinking Fountains
Laundry Tub
Automatio Laundry Equip. - ;', ~ ~''
Catch Basin
Floor Drains
Floor Sink
'iot Water Tanks ~' R .
Misc. ~
Misc.
Permit Fee
TOTAL ENCLOSED FEE
~,
~ DESCRIPTION OF WORK ~
^ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes 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
x
Aec'd. by --- --------=-- - -- - -- Date - -'~~-- -~": • Permit # ---------------
TOWN OFYELM PLUMBING PERMIT
P.O. Box 479
Yelm, Washington 98597 Separate application for each structure ~ '~' `; ;
Telephone (206) 458-3244
Date
Const. Address Occupancq }
Owner ~ ~ - Address ~% ~~~ Phone
Contractor t . ` ~ Address Phone
,~.
State Contrs. No. 'Building Permit Number ~ ~' ~' ~ '
ITEM FEE QUAN. FEE
Toilets ;'` , ,>
Urinals
Lavatory
Bath Tubs
Shower ,Bells ~ `
Kitchen Sink ~.
Disposal Units
Dish Washers f
Drinking Fountains
Laundry Tub
Automatio Laundry Equip.
Catch Basin
Floor Drains
Floor Sink
Wot Water Tanks
Misc.
Misc.
Permit Fee
TOTAL kNCLOSED FEE
I DESCRIPTION OF WORK
^ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes and Or-
dinances of Town of Yelm.
Firm
d
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 ~ ----------------
TOWN OFYELM PLUMBING PERMIT
P.O. Box 479 ~ ,•~~ ,~ ~ ,,
Yelm, Washington 98597 Separate application for each structure ~ ~, .~ ,
Telephone (206),458-3244 k
-r Date ,~
,,
~, :_- ~ , ,
n
Const. Address ,.., ~ .': , rte:, , ~; L Occupancq ~ . ~ _ ° ~ ' t' .
s "
Owner - -;' ' ,~ ` ':~ A ~,~ ; ~~ ~ Address ~ ~ ~ ~`` ` %~~~ ~ Phone
r
Contractor ~• ~ `' ~~1-' J .~~ _F--~'=' Address Phone
State Contrs. No..~ ,`~~'~' ' ~>;% Building Permit Number -%~ -~ '::;~~~
ITEM FEE QUAN. FEE
Toilets '` ~ ?
Urinals
Lavatory ~
x ~ ~'~~`
Bath Tubs
Shower Baths =, ~~;i,"f~ ~~~~~ / , ~ ,;
Kitchen Sink '.r "~ !f ,, ;
Disposal Units
Dish Washers ' F r., !;'
Drinking Fountains
Laundry Tub
Automatio Laundry Equip. <<~ r ~ ' "~
Catch Basin
Floor Drains
Floor Sink
4ot Water Tanks ~ ~ ~
Misc. ~ ~° ~I~ ~;
Misc.
Permit Fee " ~~ ~ ~ ~ ~'
TOT~'L'ENCLOSED FEE ~' ~~'''~
,; ~ ,~
~ DESCRIPTION OF WORK ~
^ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes and Or-
dinances of Town of Yelm.
Firm ', • > ,, r: -
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 # ----------------
TOWN OFYELM PLUMBING PERMIT
P.O. Box 479 -
Yelm, Washington 98597 Separate application for each structure `„>
Telephone (206) 458-3244
Dats
Const. Address -. - ,` `` ;- ,, _ _ Occupancy ~ ~ :. -
Owner Address Phone
.. ,
Contractor ~ ~ '' Address ¢ '~~' Phone
i - _
~'_`
State Contrs. No, _, ` 'Building Permit Number ' 'F'~ ~ ;.,o ~ _
ITEM FEE QUAN. FEE
Toilets _
Urinals
Lavatory
Bath Tubs
Shower Baths
Kitclir~n"Sink '~
Disposal Units
Dish Washers
Drinking Fountains
Laundry Tub
Automatio Laundry Equip.
Catch Basin
Floor Drains
Floor Sink
4ot Water Tanks
Misc.
Misc.
Permit Fee
TOTAL' ENCLOSED FEE °i,`}.
~ DESCRIPTION OF WORK ~
^ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes 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 OFYELM PLUMBING PERMIT
P.O. Box 479
Yelm, Washington 98597 Separate application for each structure
Telephone {206).458-3244
~::
Date
Const. Address ' ' Occupancy '
Owner ~~ ~' Y-~ Address ~ ~ Phone
Contractor - ~ Address Phone
-- - ;~~~
State Contrs. No. ' x •`$~"ilding Permit Number
~;
ITEM FEE QUAN. FEE
Toilets
Urinals
Lavatory
Bath Tubs
Shower :$ath~:'
Kitchen Sink ''
Disposal Units
Dish Washers
Drinking Fountains
Laundry Tub
Automatio Laundry Equip. ' ~'
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks -
Misc. „'
Misc.
Permit Fee -
TOTAI ENCLOSED FEE
DESCRIPTION OF WORK
^ New
^ Addition _
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes 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 PLUMBING PERMIT
P.O. Box 479
Yelm, Washington 98597 Separate application for each structure ` tY '~.
,~:
Telephone (206) 458-3244 '
c
Date _ i
Const. Address Occupancy :
Owner .-} ~' Address ''' Phone '
Contractor `;- '. '..~E' ~ _ . t °` ~ ~' y Address Phone
~-
x +° , . ~~ ~ ~ i t
State Contrs. Noy` Building Permit Number _ ,
ITEM FEE QUAN. FEE
Toilets
'.-x;
Urinals
Lavatory ~ ;': '
Bath Tubs ~ ,;~
~ '
Shower 'Baths:; ~}
'
k . (.,-
~ '
Kitchen Sink ? ~;-; ~
Disposal Units
Dish Washers ~ ~~~,~~ ~ .~ ,-~
Drinking Fountains
Laundry Tub
Automatio Laundry Equip. ~°
Catch Basin
Floor Drains
Floor Sink
Mot Water Tanks ~,~ ..
Misc., 7 ''
Misc.
Permit Fee
TOTAL ENCLOSED FEE
DESCRIPTION OF WORK
^ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes 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
ftec'd. by -- --~--- -- - ---- ------- Date ------ -------- Permit ~ ----------------
TOWN OF YELM PLUMBING PERMIT
P.O. Box 479
Yelm, Washington 98597 Separate application for each structure . ~ i ~~' ,
Telephone (206) 458-3244
Date
Const. Address - 7 Occupancy ~ - ~' '
.
Owner :. , ; r' Address, ~ `• " ~ - ' , `" Phone
Contractor - '.f Address Phone
State Contrs. No. ,'; .; _... Building Permit Number ~`~" ' ~` ' " ~` "
ITEM FEE QUAN. FEE
Toilets
Urinals
Lavatory ; ;
Bath Tubs
Shower::: Baths'
Kitchen Sink
Disposal Units
Dish Washers
Drinking Fountains
Laundry Tub
Automatio Laundry Equip. r'
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks
:',r
Misc.
Misc.
Permit Fee
TOTAL' ENCLOSED FEE ` "~
~ DESCRIPTION OF WORK I
^ New
^ Addition
Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes and Or-
dinances of Town of Yelm.
Firm
s,
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 PLUMBING PERMIT
P.O. Box 479 ..„ 4
Yelm, Washington 98597 Separate application for each structure ~"; ~; '.,
Telephone (206) 458-3244
Date -
Const. Address ' ' Occupancy ~' ,
Owner = f~ ~ ~ 'x~ ~ ~ Address ,.~: ~~ Phone
Contractor % ~ -'! Address Phone -.~..
State Contrs. No. - 'Building Permit Number ~ "' '
~;
ITEM FEE QUAN. FEE
Toilets _ '
Urinals
Lavatory ;
Bath Tubs ~` .;
Shower ,atlas
Kitchen Sink
Disposal Units
Dish Washers
Drinking Fountains
Laundry Tub
Automatio Laundry Equip.
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks
Misc. r ,i
Misc.
Permit Fee
TOTAL ENCLOSED FEE
~ DESCRIPTION OF WORK ~
^ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes 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 PLUMBING PERMIT
P.O. Box 479 ~- .
Yelm, Washington 98597 Separate application for each structure ~ .; u' _, ,.~ ~~
Telephone (206) 458-3244
Date ~? ~ ,. f,
Const. Address - 12'.r~ `' `~ ~ Occupancy tea,,. ~ ~~'' ~
t k, .
Owner >~~~ ~ f ~ ~,;~'~. ~ ~ Address ~... ,,,~~" ~ ' 3 ~ % ~' ~ ~ ~ Phone ~.
Contractor ~' 'a ~ ~' r ~ ~'. '7".' '~ . Address Phone
. C 6
State Contrs. Nay _-,~. ' ''' ~ Building Permit Number y ° =-~ `~ ,` "~~~` , f ~~
ITEM FEE QUAN. FEE
Toilets -'; ~`t' e ~ ~ ~' `~
Urinals
Lavatory
"" ~~~
z
~-~ e ~.
`~'
Bath Tubs ~r," ,,-~ ~ ~'}.~'
Showere_~stltl°` '`},<< ~'y ~
Kitchen Sink ,%:`t '1 ~' ''~)
Disposal Units
Dish Washers ~ ~~,~,~, r° ~ 'P,'~
Drinking Fountains
Laundry Tub
Automatio Laundry Equip. 1, :' r' ; ~''"
Catch Basin
Floor Drains
_ door Sink
Hot Water Tanks
.t, -
''
,..
p `~~
'.j r
Misc. - r ~ r'
~ , ~'~~ '(f'~
Misc.
Permit Fee ~, ~F''`
TOTAL' ENCLOSED FEE ~ `,.`, ;%t:~`
~ DESCRIPTION OF WORK ~
^ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes and Or-
dinances of Town of Yelm.
Firm
r
'~~` 1
Signature ~ ic~.'i~-~~ ;.~"~"
No work shall be performed prior to receipt of validated
permit. Call 458-3244 for inspection.
FOR TOWN OF YELM USE ONLY
z~ ..F
f !.
,:
Recd. by -- •---,-t - --------- Date ---•--- t ~---°--- Permit # -- ------------•
TOWN OF YELM
P.O. Box 479
Yelm, Washington 98597
PLUMBING PERMIT
Separate application for each structure
Telephone (206) 458-3244
Datf i ~ ,~
Const. Address _ _ Occupancy. ~; ~ ; , .-
f
Owner '~` Address ~~ Phone '
Contractor '''' ~ ' ~' ~ , ' ~. ` Address Phone , ~,
State Contrs. No. ~ 3itilding Permit Number ,,~~ i'
ITEM FEE QUAN. FEE
Toilets
Urinals
Lavatory
Bath Tubs
Shower Baths
Kitchen Sink
Disposal Units
Dish Washers
Drinking Fountains
Laundry Tub
Automatio Laundry Equip.
Catch Basin
Floor Drains
Floor Sink
'iot Water Tanks
Misc.
Misc. r
Permit Fee
TOTAL ENCLOSED FEE
~ DESCRIPTION OF WORK _ ~
^ New
^ Additan
Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes and Or-
dinances of Town of Yelm.
Firm ;~
t - 'tp..~
Signafure m 'Y" ~~
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 ~ ----------------
TOWN OF YELM PLUMBING PERMIT
P.O. Box 479
Yelm, Washington 98597 Separate application for each structure , -p, ~ s I
Telephone (206) 458-3244
Date ,. -_
Const. Address ~ ~ Occupancy '' "
Owner ~"
'` ~~ Address ~ ,'
Contractor " " - Address
State Contrs. No. =' '`~~ ihd~g Permit Number ~`~ "-.~_
7
ITEM FEE QUAN. FEE
Toilets ~~, ° "1
Urinals
Lavatory t~`"
Bath Tubs
Shower Baths
Kitchen Sink:; ~"" ~; '
Disposal Units
Dish Washers
Drinking Fountains
Laundry Tub ;". <- -'" y~
Automatio Laundry Equip.
Catch Basin
Floor Drains ~.; ~`~
-floor Sink ~ ~
F ~.r` ' )
Hot Water Tanks ,~` '~'
Misc. f~ rb, ~ ; t rl } ,~
Mist.
Permit Fee '`'
TOTAL ENCLOSED FEE , , } ~. r' ;~
r. ,,
Phone
Phone
DESCRIPTION OF WORK
^ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes and Or-
dinances of Town of Yelm.
Firm `
t ~
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 ~ ------•---------
TOWN OF YELM
P.O. Box 479
Yelm, Washington 98597
Telephone (206) 458-3244
PLUMBING PERMIT
Separate application for each structure ,, ~ .
Date ~ __.
:'.r_ a
Const. Address ' ~. Occupancy
..
., ,
Owner ~ ~ ~ ~-- r,~ ° Address ~ ~ + ~"` ~~ '.s,' ~ Phone
a
- _:,
Contractor '' 1 ' ~ : Address ~ % ,:._.~ -~ - ' --_' ~.-~~_- - -Phone
State Contrs. No. _ . <~: ''~ ~ ~ ~ ; '`
~::~~ ,,4~~ilding Permit Number '
,,,~.
ITEM FEE QUAN. fEE
Toilets
Urinals
Lavatory
Bath Tubs
Shower Baths
~Citeben :Sink , ; ':' A ..'.
Disposal Units
Dish Washers
Drinking Fountains
Laundry Tub .; ;'
Automatio Laundry Equip. ' ' , ~ ,f'
Catch Basin
Floor Drains
floor Sink
Hot Water Tanks p
Misc.
Misc.
' Permit Fee E,~;~
TOTAL ~NCLOSED FEE ~ ~,y
~ DESCRIPTION OF WORK ~
^ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes and Or-
dinances of Town of Yelm.
Firm
Signature 4
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 -•--------r---. Permit ~ --------------°
TOWN OF YELM PLUMBING PERMIT
P.O. Box 479
Yelm, Washington 98597 Separate application for each structure ~ u
Telephone (206) 458-3244
Dah
Const. Address ~ - ~ ' Occupancq t'~ ~ y '
Owner ~ Address Phone
Contractor ~ "% '~ ~ ~ ! 4 r Address ~ ~ ~ r Phone
State Contrs. No. ~~~= ~` ~Boitding Permit Number ~' t~
ITEM FEE QUAN. FEE
Toilets
Urinals
Lavatory 5 ' i
Bath Tubs
Shower Baths
ISitEb'sir~Sink~s , j '`t'
Disposal Units
Dish Washers
Drinking Fountains
Laundry Tub , ~ ~-
Automatio Laundry Equip.
Catch Basin
Floor Drains
Floor Sink
,iot Water Tanks
Misc.
Misc.
Permit Fee , pf
TOTAL ENCLOSED FEE 'i,t
~ DESCRIPTION OF WORK ~
^ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes 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 PLUMBING PERMIT
P.O. Box 479
Yelm, Washington 98597 Separate application for each structure ,~ ; ,. ',
Telephone (206) 458-3244
Dab -.i
Const. Address 5 _ j Occupancy - ~"=~~-
Owner. - Address Phone
Contractor Address . ~ ~' , r' Phone
State Contrs. No.' ' %~.- .°Building Permit Number ~ = `~-'
......1 .. 4 .. - - .
ITEM FEE QUAN. FEE
Toilets '' `~
Urinals
Lavatory x
Bath Tubs
Shower ~Batl~s~
Kitchen Sink -
Disposal Units
Dish Washers ,`
Drinking Fountains
Laundry Tub
Automatio Laundry Equip.
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks
Misc.
Misc.
Permit Fee
TOTAL ENCLOSED FEE
~ DESCRIPTION OF WORK ~
^ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes and Or-
dinances of Town of Yelm.
Firm ~~ ~ ~ '~
`--
Signature ., 5.; - , ~ ,
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 OFYELM PLUMBING PERMIT
P.O. Box 479
Yelm, Washington 98597 Separate application for each structure ~~
Telephone (206) 458-3244
,- ~ -
..-
~, • _1
at ,,
.-.
,~ D
r 1 )
~; ~
CCnst. Address ~ E ^~' ~!' ~~' r !y'' ~' OCCUpinCy ~$. ~!~..~ + Y+~'.t ~ r
Owner ~ A ~ ` " ~ ~' Address ~ ~~~ ~ k, ' ~ Phone .
Contractor ~'` "~~ '~'~ .. ~ Address Phone
_. ,-.. _,
x - ~ _.
State Contrs. No. Building Permit Number -- _ .,,. ~: ~~ ~' ~
ITEM FEE QUAN. FEE
Toilets ~~ r`-
t:~.; `
Urinals
Lavatory ~ -,
Bath Tubs
Shower Baths `;~,: ~,^ '% ;;
Kitchen Sink
Disposal Units
Dish Washers ,'~'~' ,,~~'
Drinking Fountains
Laundry Tub
Automatio Laundry Equip. ~~'~ ;; ; ~~~' ~d;,~
Catch Basin
=loor Drains
Floor Sink
Hot Water Tanks ~,,~'~ ,~~, ~'`~~~ ~ •~
Misc. s d,~ -` °~ ~`
Misc.
Permit Fee `w'', `y~'l
TOTAL ENCLOSED FEE ,~ , ~~ ~ 'i`~
~\/'"~
~ DESCRIPTION OF WORK ~
^ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes and Or-
dinances of Town of Yelm.
;.
Firm ~
Signature f ~ '. _
i
No work shall brr performed prior to receipt of validated
permit. Call 458-3244 for inspection.
FOR TOWN OF YELM USE ONLY
~:
`' -
Rec'd. by _-- - =__- -_-- -- - -_ Date _ ~_.-_-____,'_ Permit # -- -------------
TOWN OF YELM PLUMBING PERMIT
P.O. Box 479
Yelm, Washington 98597 Separate application for each structure ,~'`~
Telephone (206) 458-3244
... ..t i~ d pate ..
Const. Address r i, ~ ''.% Occupancq '~~ ~'~
Owner _ -- ~ ~- ~ Address '` Phone
Contractor ~ ~° g" Address ~~ , ~ Phone
State Contrs. No. f ~ ~~" `` .~ Building Permit Number ~ ~ ' ~ ~ ~ ~~
ITEM FEE QUAN. FEE
Toileh '
Urinals
Lavatory
,,,
~
Bath Tubs ~?" v ,~
Showers !.,' y ! ~ ° ''
Kitchen Sink ';~ ,f" ;~ %~ r
Disposal Units
Dish Washer
.r ~,
' '
r,.
/~,~~a
`
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. -;
f j'
.~
Catch Basin
Floor Drains
Floor Sink
riot Water Tanks ~ "~~ ~ '% ^~;.~''
Misc.; .~~ x ~ ~ t/; ',
33 ~
Misc.
~',,~ Permit Fee ~'r
TOTAL 'rENCLOSED FEE ~ ,' ~ ~ ~,i
DESCRIPTION OF WORK
^ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes and Or-
dinances of Town of Yelm.
Firm
aC-,~ '~ ~.-..
Signature ,~ x - ~...,_......_.
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 - -~-x-- ---- Permit ~ ----------------
TOWN OFYELM PLUMBING PERMIT
P.O. Box 479
Yelm, Washington 98597 Separate application for each structure , , ; ~ ,~ ~ ~'>
Telephone (206) 458-3244
f , ' Dab ~ ~ ~ ~ r ~,
s ` ~~ ~1.
.r :..
Const. Address r ' ~ ~ ~' 4ccupancr, ~ `' ' `%
Owner ~ ' t ~ .~ ~'~p Address ~~` ~ ,~ -~~ .Phone
Contractor ~ `% ~. " ~ ' ~ ~ Address ~~ Phone
State Contrs. No. "' ~''~'' ~ f : ~ ?wilding Permit Number , - ..e'
ITEM FEE QUAN. FEE
Toilets ~!,„', ~ f ~'.
Urinals
Lavatory '~; ,~ , ,,' ` ; ,~,;
Bath Tubs
Shower Baths 't~~,~ ~~:~ "~ , 'r~;!
Kitchen Sink ~
~` ;` r'' ~
Disposal Units
Dish Washers '~~,',; ~~ ~,,=i
.~ :~
Drinking Fountains
Laundry Tub
Automatio Laundry Equip. ;? r -;- f ~'~
,,
Catch Basin
Floor Drains
floor Sink
Hot Water Tanks ~ ~ ~';'
~ ~ ;~
Misc. '.d ' ~! - 4 r'1
`;.
Misc.
f~ Permit Fee
,, 4.}` ~ -~'i
~'.~
TOTIdI'ENCLOSED FEE ~, ;m~~'
DESCRIPTION OF WORK
f
New r z~
'~ `<<
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes 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 __J _.__.~__, Permit # _ ~ '
-'• --a--~---a- .._st-, Date .. ' ---~---~=-
TOWN OFYELM PLUMBING PERMIT
P.O. Box 479
Yelm, Washington 98597 Separate application for each structure ,~ :,` ,,.~ ,'
Telephone (2.06) 458-3244
Datt
Const. Address ~' Occupancy
• . ,• ~ ~ ,
Owner < ' ''
{ Address '~ . c . ' Phone
Contractor ~ ~.' ~~ ~ ~ ~ Address Phone
State Contrs. No, ~ {'~ *~ ~ • ?wilding Permit Number ~' ~ ~ ~~~ .~
ITEM FEE QUAN. FEE
Toilets ~~=
~: % ~'
Urinals _
Lavatory ~ '
f
Bath Tubs ;^j "
Shower~.Batks ,. ;,
Kitchen Sink
Disposal Units
Dish Washers :: '"
Drinking Fountains
Laundry Tub
Automatio Laundry Equip. ~ ~'
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks
~'. '
s 'A:,
Misc. ~ '~~
Misc.
Permit Fee ';
TOTAL ENCLOSED FEE % „, ;rj j j
I DESCRIPTION OF WORK
^ New
^ Addition
^ Remodel
^ Alteration _
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes 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 # ----------------
TOWN OF YELM PLUMBING PERMIT
P.O. Box 479
Yelm, Washington 98597
Separate application fo
r each structure
~ _ :~ ,~
Telephone (206) 458-3244 ~ ,'ti,~ ~ ;'
~
Date ~
_..
Const. Address
x Occupancy
~.
°`~~-
Owner ~ ~ ~ ~' ti Address ~ ~ ~ ~ '~%` Phone
Contractor ~ ~"~
. ~ .,
~' - -, t- ` Address Phone
-
State Contrs. No. :'Building Permit Number - ~~ ~
~ `` `,
'
t
.
ITEM FEE QUAN. FEE
Toilets ~ ~~. #{
Urinals
Lavatory ~ ; '~
Bath Tubs
Shower Baths `~' '
,q..~
Kitchen Sink ;' i
Disposal Units
Dish Washers ;' >. )
Drinking Fountains
Laundry Tub
Automatio Laundry Equip. ;; , r
Catch Basin
Floor Drains
floor Sink
Hot Water Tanks
Misc.. .. ,`
Misc.
Permit Fee ~r
T01iAL ENCLOSED FEE
,~ {,
DESCRIPTION OF WORK
^ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes and Or-
dinances of Town of Yelm.
Firm
,' /1
{.
Signature ~~': ~-'` `
No work shall be performed prior to receipt of validated
permit. Call 458-3244 for inspection.
FOR TOWN OF YELM USE ONLY
~ ... f
Aec'd. by --- --- ~-----•~- -------- Date - ---~------- Permit # ---°----------.
TOWN OF YELM PLUMBING PERMIT
P.O. Box 479 , ,; .f
Yelm, Washington 98597 Separate application for each structure ,. > .,
Telephone (206) 458-3244
" Date
Const. Address ~ _ ` ' ~ Occupancy F .~'
Owner ' ~ "+ • Address ~ ~ ~' Phone -
Contractor '' '` ~. ~ ~ ~ Address // Phone
State Contrs. No. ~ -'~ Building Permit Number , ~ ~ `~ ~~~
ITEM FEE QUAN. FEE
Toilets
r ~"~' "~~
Urinals
Lavatory
f
`; ~'~
Bath Tubs ~,: ,'
Shower ~l~sths~ t-'
,. ~ '~
Kitchen Sink ,~',
Disposal Units
Dish Washers ~ ~;f . ,%'
Drinking Fountains
Laundry Tub
Automatio Laundry Equip.
Catch Basin
Floor Drains
floor Sink
Hot Water Tanks
Misc. r. , ,
Misc.
Permit Fee
TOTAL 'ENCLOSED FEE
I DESCRIPTION OF WORK I
^ New
rl Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes and Or-
dinances of Tawn of Yelm.
;.
-, _.
_., ~,
Firm ~~' w-.< ,:;.. _
Signature ~ _ - -. / _ o
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 PLUMBING PERMIT
P.O. Box 479 -..
Yelm, Washington 98597 Separate application for each structure ,., .
Telephone (206) 458-3244
.~ Date
- ~ ~ -~r s ~ ~ -r:
Const. Address -t' ` { ~" '` a ' ' ,
c`. Occupancy '~
Owner ~' Address ¢ ~ r ~ ~' - Phone
Contractor ~~ '` "~ ~ 1., Address Phone
State Contrs. No. Building Permit Number ?~` ` t ` °
ITEM FEE QUAN. FEE
Toilets %`~ ~ ~,"
Urinals
Lavatory
X -
Bath Tubs °~',f
Shower ~fatl~ ~ '`'
',
Kitchen Sink ~' ,' a
Disposal Units
Dish Washers ! ~" "
Drinking Fountains
Laundry Tub
Automatic Laundry Equip. , ,; ,
Catch Basin
Floor Drains
floor Sink
Hot Water Tanks ~~
6 '~~ '~'
Misc. ,,,
f' ,,,
a , .
%r .e F
t ,
Misc.
Permit Fee -~•z
,' k
- ~ .'
TOTAL f:NCLOSED FEE
DESCRIPTION OF WORK
^ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 alt Godes 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
1"
Recd. by -- -----•-- ---------- Date `-~----:"_\_- Permit ~ ---------------•
TOWN OF YELM PLUMBING PERMIT
P.O. Box 479 ~. ~; ~- r-
Yelm, Washington 98597 Separate application for each structure ;°, :~ . ,~ ;x
Telephone (206) 458-3244 -
Date
Const. Address '' ~~_Occupanty
Owner ~~~~~ .r ~~ ~ Address ,:~~ "7 -- Phone
Contractor ~. ~ ~ ' ' ~ ~ _Address Phone
E
1 t I .L
~•
State Contrs. Not ~ ~ ~' ~$uilding Permit Number '{~ ~ ~
ITEM FEE QUAN. FEE
Toilets )"~ ~i~ ~ >','r
Urinals
Lavatory ,~
~~
E,,,.
~ t
Bath Tubs
Shower Baths
y j
f.
Kitchen Sink
~ , t.
f._ ~'~
Disposal Units
Dish Washers , ,' , ,,'
Drinking Fountains
Laundry Tub
Automatio Laundry Equip. ,{ , - '" `
'i
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks
MISC. is
Misc.
"Permit Fee ~- ~ ~:,
TOTAL ENCLOSED FEE ~ , ,;~ ` '
~ DESCRIPTION OF WORK ~
^ New
^ Addition
Q Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes 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
i
-_;
Recd. by -- ------- - ;r -------- Date -----'---- Permit # ----------------
TOWN OFYELM PLUMBING PERMIT
P.O. Box 479 ;
Yelm, Washington 98597 Separate application for each structure {~ '
Telephone (206) 458-3244
r :. - Dab ~.
Const. Address "~ ~:~'t - ° : ,' ~ ,% ` `Occupancy ~-~;. ~ ' '~ ~~ -
Owner _____rr ! r' ;~. i~.1""~~ '' Address ~~. ';z ,~ fi .~ £' ~ Phone _
Contractor i-~' `,=r ~i Address Phpn_e
State Contrs. No. ~ ~' ~~~r`; t ~` wilding Permit Number _ I ~,,.,.~~ ~t 4 ~ ~' ~
ITEM FEE QUAN. FEE
Toilets ^ f'
,S
Urinals
Lavatory
~,~ `~' ,~
,' ' a
Bath Tubs
Shower Baths ~~'~-~" °'
Kitchen Sink ';. '~ 'f~'
Disposal Units
Dish Washers ~ ~° r''S
Drinking Fountains
Laundry Tub
Automatio Laundry Equip. ~ `•'''
r
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks ~~ `, `, ,
Misc. t , ^ f' ~, 'I
Misc.
Permit Fee R~
TOTAL? ENCLOSED FEE
;(,
`.
DESCRIPTION OF WORK
-IVe
^ Ad ition
Re odel
Alt anon
C NTRACTOR'S AFFIDAVIT
h eby ke application for a Plumbing permit and cer-
t fy 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 Godes 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
Rec'd., by --- .c e,.'. ----------- Date ~ -------r--- Permit ~ - --°~---°--
TOWN OF YELM PLUMBING PERMIT
P.O. Box 479
Yelm, Washington 98597 Separate application for each structure ,
{;
Telephone (206) 458-3244
,,
. - Date --~--r. ;-.'
..m
Const. Address +' ~'~ ~.,., _~ ~- r . Occupancy
Owner 1 Address ' .~,~' ~ ` ~ Phone
Contractor "` {~'~ Address Phone
State Contrs. No,' ~ ~ Building Permit Number ~r~--~:;. ~:`~ "~ ~ ,~
f _ {
ITEM FEE QUAN. FEE
Toilets ~%f 'f''~
Urinals
Lavatory '' rl'
Bath Tubs
Shower Baths ~ ~ ~ r~' ~~
x. , ,.
Kitchen Sink :'
Disposal Units
Dish Washers ~'~ ' ~;~ ; ~'
Drinking Fountains
Laundry Tub
Automatio Laundry Equip. `< ~ :,; f ``~'
A
Catch Basin
Floor Drains
floor Sink
Hot Water Tanks , _ - r" ~' ~=,1`
Misc. ;~- :~ _~ r. ~ ~ `~? ~~
Misc.
5 Permit Fee
f..r ~'~'
TOTA ENCLOSED FEE ~ ~'~'
DESCRIPTION OF WORK
^ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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- '~° ' =%'
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 OFYELM PLUMBING PERMIT
P.O. Box 479
Yelm, Washington 98597 Separate application for each structure ~F ~;
Telephone (206) 458-3244 - °
_~~~.. Date ~°
Const. Address 1 a~`~ ' ' Occupancy
Owner ~~'> ~~' Address ~ ' ~:.° .q ~~`~~hone
Contractor ~- ~ '~
' ' Address Phone
State Contrs. Noy ~ ~ ~ f>, j
"`' _, ~ Building Permit Number ~ a :-~ ,,~•, ,' ~ -
... l
ITEM FEE QUAN. FEE
Toilets ~"~'
Urinals
Lavatory '?
Bath Tubs
Shower Baths -~ -'~'
Kitchen Sink
r~,a
Disposal Units
Dish Washers "~ •r` ~;-~, ~'
Drinking Fountains
Laundry Tub
Automatio Laundry Equip.
. ~ _~ r
,~
';
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks ~=„
Misc. ~
r' '.k ,,
Misc.
`~ Permit Fee `,
TOTAL ENCLOSED FEE ` ' ,~°i;
~ DESCRIPTION OF WORK ~
^ New
^ Addition
^ Remodel
^ Alteration _
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 --- ------ r ----- ~~ ------ Date -r------~I ----- Permit # ----------------
TOWN OF YELM PLUMBING PERMIT
P.O. Box 479
Yelm, Washington 98597 Separate application for each structure
Telephone (206) 458-3244
- Date
Const. Address j`+ r Occupancy
Owner ~' ~ ~ ~~ Address r ~ Phone
Contractor ~' r ~ " ` ' ~ Address Phone ,.
State Contrs. No. ~ - > .r
Building Permit Number r ` I '
e. ~, . ,
ITEM FEE QUAN. FEE
Toileh
~::
Urinals
Lavatory ~
L~~ '
Bath Tubs
Shower Baths
~~
~
Kitchen Sink
Disposal Units
Dish Washers
Drinking Fountains
Laundry Tub
Automatio Laundry Equip.
Catch Basin
Floor Drains
rloor Sink
Hot Water Tanks ,'
Misc. ` '~'
Misc.
Permit Fee ~`*~, ~ ~%~
TOTAL ENCLOSED FEE '
DESCRIPTION OF WORK
^ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes 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 OE YELM USE ONLY
Recd. by --- ---_'_-- ,"` -------- Date ~-----~'-{---- Permit ~ ---------------
TOWN OF YELM PLUMBING PERMIT
P.O. Box 479
Yelm, Washington 98597 Separate application for each structure :~
Telephone (206) 458-3244
a ,
.Data .~. .
..
Const. Address T,' F ~ . ~` Occupancy '~}
Owner ~~-_ -' ~ Address ~~ ~` ~~ ` _ Phone
Contractor ,r ~`._: ' -~ ~ ''` Address Phone ~,
State Contrs. No. ` '. ~ `~ Building Permit Number ..:,f `f'.; ~ ~ ~ ~r
ITEM FEE QUAN. FEE
Toilets ~ '~~)
Urinals
Lavatory •'r','~
Bath Tubs
Shower Baths .~~ ; :, ;
Kitchen Sink ~ `'
Disposal Units
Dish Washers
Drinking Fountains
Laundry Tub
Automatio Laundry Equip. ~ 'tl °: s f '
~. k .
Catch Basin
Floor Drains
floor Sink
Hot Water Tanks ' ~ ~ ~~
Misc. ~ . ;
Misc.
' Permit Fee ;-', --
TOTA~ ENCLOSED FEE ~~'',~~ -'=~„'}
J 1 i
~ DESCRIPTION OF WORK __ ~
^ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes and Or-
dinances of Town of Yelm.
Firm _- `~ _
r
Signatura~ ~ ',~ ~ ` _ ~~
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 PLUMBING PERMIT
P.O. Box 479
Yelm, Washington 98597 Separate application for each structure ;, ., ,;
Telephone (206) 458-3244 ,
;r:i Date .-. r~ ' f,,
Const. Address ~ '.~ %' ~%„t%~ Occupancy ~~` - '
.., , .
ti P
Owner ' f,-____'=___- ~„ '" t + ~_ • r ~ Address ~' ~ ,1 i Phone
Contractor ,~--.- ' ~~' ~ Address Phone
State Contrs. No. ~" --Building Permit Number ~~ .~ ~ ~j; ~ ~ ~
ITEM FEE QUAN. FEE
Toilets ';) ~,, f ~i~,
Urinals _
Lavatory '~'.~
Bath Tubs r'p-~ ~~ ;
Shower :,B
}. '.~<< "'
Kitchen Sink ~'r %r~ ,;%,~
Disposal Units
Dish Washers ' '` ,;~, , ~ , rl
Drinking Fountains
Laundry Tub
Automatio Laundry Equip. ,~ ~l„' !
Catch Basin
Floor Drains
floor Sink
Hot Water Tanks °~"~~
.~,
Misc. ,f - _ ~ ~
Misc.
,,~, ;` Permit Fee '-r",_ ~x
TOTAL ~ E CLOSED FEE -_ : ` ,' '!
~~;~
DESCRIPTION OF WORK
^ New
^ Additan
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes and Or-
dinances of Town of Yelm.
' ,~
Firm ,d ~=~ ~ ~ ~ ~ ,.
~,~''
Signature ' ~ i`
No work shall be performed prior to receipt of validated
permit. Call 458-3244 for inspection.
FOR TOWN OF YELM USE ONLY
J- 7
Recd. by -- --~----,~ --~-------- Date ------,~--'---- PermLt ~ ----------------
TOWN OFYELM PLUMBING PERMIT
P.O. Box 479
Yelm, Washington 98597 Separate application for each structure -., .3
Telephone (206) 458-3244 ,
' Datt
_...
Const. Address '~ Occupancy ~,'~::~
Owner • y ~ ~ ~ , Address ~ Phone ".
Contractor ~ ~' ~"~ ~ ~ ~ ~ ~ ~' ~ `~.~.o ' .~~~' ~ Address -Phone
r' ' i
State Contrs. No._ ...., " ' ~" -~ ~ Building Permit Number ~ ~ ' ~ .~ k ` ' ~~ ~
ITEM fEE QUAN. FEE
Toileh ~ ;~i
Urinals
Lavatory ;
Bath Tubs ,.;d, ,_. t',~`
Shower ~B.s~h~ ~ l,' ~1
Kitchen Sink t~ ' ~
Disposal Units
Dish Washers '`
Drinking Fountains
Laundry Tub
Automatio Laundry Equip. ;~: ,+, ,~~~
Catch Basin
Floor Drains
floor Sink
Hot Wafer Tanks "
Misc. ~
.y.. ~z ~ '
Misc.
` Permit Fee ~~~
TOTAt ENCLOSED FEE : ~,~~ ~ ~,~~
~ DESCRIPTION OF WORK _ ~
^ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes 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
P.O. Box 479
Yelm, Washington 98597
PLUMBING PERMIT
Separate application for each structure 3:°~ ~ ~ .`
Telephone (206) 458-3244
Date
p y t
Const. Address '~ ' ~ Occu anc '
;.
,..
,. , __
f-
Owner ~ ',: .; ,• .., _ • _ , ~ , .: Address , : _ one
~~' Ph
Contractor ~ '}=:~ ~ " '~ Address Phone
~ ','
State Contrs. No. Building Permit Number ' ' '"~~ -
ITEM FEE QUAN. FEE
Toilets ,+~
Urinals
Lavatory `_
i
~;;
Bath Tubs
Shower Baths
Kitchen Sink ) <, r',. `'~
Disposal Units
Dish Washers
Drinking Fountains
Laundry Tub
Automatio Laundry Equip.
Catch Basin
Floor Drains
floor Sink
Hot Water Tanks ~ %~ ~ l " ~".
Misc. ~ ,,
~,
~ a
"'i ~ r
Misc.
~ ~ ,' Permit Fee ~`~' ``~~ ~~
TOTAL NCLOSED FEE ,~.aj f~'
DESCRIPTION OF WORK
^ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes and Or-
dinances of Town of Yelm.
Firm
~ ~ ,-
Signatur~, -~ "~~f ~ ~~~
~~
No work shall be performed prior to receipt of validated
permit. Call 458-3244 for inspection.
FOR TOWN OF YELM USE ONLY
Recd. by --- --- --~F ~-.. ` r'--- Date l ;'-r-'--_- Permit ~ ----------------
TOWN OF YELM PLUMBING PERMIT
P.O. Box 479
Yelm, Washington 98597 Separate application for each structure w~ ~ ~~
Telephone (206) 458-3244
._ - Date ~ ~ f
-
Const. Address :' ~' ~- ~ .' ; ,::~' }''" '' ' _ . ' ' . s~„ ;"- Occupancy ~ ~ '
Owner '- ~ ~ ~~ '~ '~~%ti~, ~ Address -` _ Phone
Contractor ~'; ~, ~' ' '` ~ ~~ ~ } ~ ~ ~ ~~`~~~ ~' ' ~ ='~ i Address Phone
- a ~ ~ ~ ~ ~'
State Contrs. No. r-- ~' '~ . ` %"~~~uilding Permit Number ~,_;~+"
:e
ITEM FEE QUAN. FEE
Toilets _ ' l
. ~
Urinals
Lavatory '' ` ~ ~
Bath Tubs ,.
',r' ,°.
~ r '''
Shower Bat;~iS"• ~ " ~ }
Kitchen Sink ;r -~,
Disposal Units
Dish Washers ~' ' ~ ~ ~ ~"~
Drinking Fountains
Laundry Tub
Automatio Laundry Equip. f
~'~',' ;;~
r"
!,';>
Catch Basin
Floor Drains
floor Sink
Hot Water Tanks
~'
~ `;~ ,`
Misc. j' f ,. a -'j ,~ .,'
Mist.
.
Permit Fee ,
- :'~)
TOTAL ENCLOSED FEE `~~ ;%y~
~ DESCRIPTION OF WORK _ ~
^ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes and Or-
dinances of Town of Yelm.
j.
Firm ~"~
Signature l~~ ~~~- `1.
r; ~ tl
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 # ---------------•
__
TOWN OFYELM PLUMBING PERMIT
P.O. Box 479
Yelm, Washington 98597 Separate application for each structure ` ~~
Telephone (206) 458-3244
DoN
Const. Address ~ ~ ~~ ~~ Occupancy ..; `
r ;:
i .. - . .
,; ,
Owner ~ ~ Address .. ~ - ~ - -`= Phone
Contractor ~ . ~:- ~ `' , ~ Address %• ~' Phone
State Contrs. No. • ,' > ~~'Building Permit Number
ITEM FEE QUAN. FEE
Toilets _
,r'•. ,
Urinals
Lavatory - r
Bath Tubs
Shower ~aNc:,~ " " `
j
Kitchen Sink
Disposal Units
Dish Washers
Drinking Fountains
Laundry Tub
Automatic Laundry Equip.
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks
Misc.
Misc.
Permit Fee "~,J
TOTAL ENCLOSED FEE
1• ;
~ DESCRIPTION OF WORK _ ~
^ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes and Or-
dinances of Town of Yelm.
Firm
Signature
No work shall be performed prior to receipt of validated
permit. Call 456-3244 for inspection.
FOR TOWN OF YELM USE ONLY
Recd. by ------- - ----------- Date /-~.d..~'----- Permit ~ ----------------
TOWN OF YELM
P.O. Box 479
Yelm, Washington 98597
T I h e (206) 458-3244
PLUMBING PERMIT
Separate application for each structure ,. .
e ep on
,, DaN
Const., Address ~ -> `t_. ~. _~ Occupancy. '`~_ ~
Owner _~ ~ ;:~ ;' Address ~ ~ ~~ , i ~'' ~ Phone
fr
Contractor `~ ~ ~~ < ~?~-~ `' ° ' 'J%' ~ . ' Address Phone
~, M1; ,: ,
State Contra. No. ~_~ %~ ~ ~ ~~ ~r'.'i:IBuilding Permit Number ~r' °"~'~~ ~~+`
ITEM FEE QUAN. FEE
Toilets ~,4~'r: ' ,a, /n
Urinals
Lavatory ~ ~ ~~` ~ ~-' ``~`~,~
Bath Tubs
Shower Baths
1 'J' ~~l ~~~~~ ~~` ~,"`i
f'
Kitchen Sink r: ~`3 !
,,
Disposal Units __
Dish Washers .~ . ,~'~`
Drinking Fountains
laundry Tub
Automatio Laundry Equip. ~ 1
Catch Basin
Floor Drains
Floor Sink
dot Water Tanks
"`:
~ y-.
` ~; x=',%
Misc. ~ ;.ut-; a'
Misc.
,; Permit Fee "'~ ,"~~:,~
TOTAL IrNCLOSED FEE ~ ~~`~3
~ DESCRIPTION OF WORK ~
^ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes and Or-
dinances of Town of Yelm, _,
1`
]_
Firm ~ =s r "~
1, s ~' 1
_....,_
- _.,.
Signature ~ ' _ ~~' '°
1
No work shall be performed prior to receipt of validated
permit. Call 458-3244 for inspection.
FOR TOWN OF YELM USE ONLY
,._
Recd. by --- -~`--------- - - -------- Datd --------- ---= ~ Permit ~ ------- -- -----
TOWN OF YELM PLUMBING PERMIT
P.O. Box 479
Yelm, Washington 98597 Separate application for each structure
Telephone (206) 458-3244
' Dah
Const. Address ~ Occupancy ~ '
Owner Address -` Phone
Contractor ~. € Address Phone
State Contrs. No. ~._:,,~:' .- _.. Building Permit Number ~
,,._ -
ITEM FEE QUAN. FEE
Toilets
1
Urinals
Lavatory '' ~ `,
Bath Tubs
Shower Baths ` ; r ~'
,d~.
Kitchen Sink : ~
Disposal Units
Dish Washers
~
' ~'
-
''
Drinking Fountains
Laundry Tub
Automatio Laundry Equip. ~: ;
Catch Basin
Floor Drains
Floor Sink
4ot Water Tanks ~ ' ,
Misc.
,"
Misc.
Permit Fee - ~ ~ " ~:,~'
TOTAL° ENCLOSED FEE ~
1 DESCRIPTION OF WORK
^ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 - ' -----'--A_~ Permit ~ ------ --------
TOWN OF YELM
P.O. Box 479
Yelm, Washington 98597
Telephone (206) 458-3244
PLUMBING PERMIT
Separate application for each structure t .: '.
n_._ ,
Const. Address ~ Occupancy - -
Owner ' L.. ' Address ~-~ - ~ Phone
Contractor ' ` Address ~ Phone
_, ;-
State Contrs. No. -~~ Building Permit Number- --- r' ~~ ~.-`- r ,- ~ ` ~~
ITEM FEE QUAN. FEE
Toilets ~ ' '`'
Urinals
Lavatory
r
Bath Tubs
Shower :Baths:.]
.'/
,' ~' ~
'
Kitchen Sink
Disposal Units
Dish Washers
Drinking Fountains
Laundry Tub
Automatio Laundry Equip.
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks
Misc.
Misc.
Permit Fee ""
TOTAL ENCLOSED FEE :~ • -; , 5
DESCRIPTION OF WORK
^ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes 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 PLUMBING PERMIT
P.O. Box 479
Yelm, Washington 98597 Separate application for each structure ; •, '~ ,
Telephone (206) 458-3244
• Date E
,. ,,
Const. Address '`
• , ; r ~ ~ Occupancy j`'
Owner ~' Address f f r.1,, 'phone
Contractor .~ ~".' ~-r ,~`f ~ ` ~ ' ~ ~ - ' Address Phone
State Contrs. No. ~~ ~ - / ~ ` ~~uilding Permit Number ~' ~-~~s'-~ ~1 ~ °-°
_ ~,;~.- ,
ITEM FEE QUAN. FEE
Toilets
{-y ~ ~ '"
,~ `~ a~,rl.~~
Urinals
Lavatory ~ ~, ~ ~-~: "~ ~
Bath Tubs
Shower Baths ;~ ,;;~, ~ ~{'
Kitchen Sink -;~ f
, ;,;
Disposal Units __
Dish Washers f ' f ~ , r } ;i
Drinking Fountains
Laundry Tub
Automatio Laundry Equip. ' -~ . `4
,'-
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks ,~ ~'~ ~
. ' ~,~~~
Misc.
~~ ¢
,
~, ~ -~,` ~~',
Misc.
~; ,, Permit Fee ~, ;;%
TOTAL ENCLOSED FEE , , ;i
~ DESCRIPTION OF WORK ~
^ New
^ Additan
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes and Or-
dinances of Town of Yelm.
r
Firm `~ ~s f,~i '''_~:~ ~: 9 , ~.. .-t._;
. ;%
Signature y~s`~~'* ~ _ ~ '~„~;---.
( i ~ ;'
,~.
No work shall be performed prior to receipt of validated
permit. Call 458-3244 for inspection.
FOR TOWN OF YELM USE ONLY
,~ Y
Recd. by --- ~ ~- -- - Date 1 '-----__--=r Permit ~ ------- -------•
~_,, ,
TOWN OF YELM PLUMBING PERMIT
P.O. Box 479
Yelm, Washington 98597 Separate application for each structure W °'
Telephone (206) 458-3244
Date
Const. Address ~ ~ rs ' %~ .' ~~ a Occupancy ~
Owner ~ t Address
Phone
Contractor ~ ' Address Phone
State Contrs. No. -'~ ~~, ~s Building Permit Number
ITEM FEE QUAN. FEE
Toilets ' ' -<
a -- ,/! .- '` f ~
Urinals
Lavatory ,r ,~~,~ - ,- t ~,
Bath Tubs
Shower Baths ~~; j
Kitchen Sink ~~ ;
Disposal Units
Dish Washers y,
Drinking Fountains
Laundry Tub
Automatio Laundry Equip. - ;~", ~ , ~ "'
~r
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks ` ~ "~'
,`, '; ' ~ "~~~ "'~
Misc..
,-
' ~, ~;
Misc.
Permit Fee ~ ; -
TOTAL ENCLOSED FEE ~~ ` '`
;''
DESCRIPTION OF WORK
^ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes and Or-
dinances of Town of Yelm.
Firm ~:, ~ r~-• ~''i r- ~ a . 9 '~ :_.
~,
Signature ~-~ '~ "` ~~~
;'~'
i ~;~ .
No work shall be p8rformed prior to receipt of validated
permit. Call 458-3244 for inspection.
FOR TOWN OF YELM USE ONLY
Recd. by -------•------------------------ Date ------------------:_ Permit # ----------------
TOWN OFYELM PLUMBING PERMIT
P.O. Box 479
Yelm, Washington 98597 Separate application for each structure
Telephone (206) 458-3244
Date
Const. Address } .'` Occupancy
Owner _ ~ -' Address
Contractor ~ -+ -' ~ ~ Address
State Contrs. No. ~~?' ~.~'= Building Permit Number y ~`
:~
Phone
Phone
ITEM FEE QUAN. FEE
Toilets ;,''` ~' '
l! ,r
Urinals
Lavatory
Bath Tubs
Shower Baths
Kitchen Sink ~
_
~:... - ~~~
Disposal Units _.
Dish Washers _'~~` ~ ' , ~-;
Drinking Fountains
Laundry Tub
Automatio Laundry Equip. ~''~~_
~. ~~' -' ,
Catch Basin
Floor Drains
floor Sink
Hot Water Tanks ~'
~ `,,~~~~j
l di.
Misc. ~ f. ,~ .
Misc.
;. , Permit Fee •;
TOTAL ENCLOSED FEE
DESCRIPTION OF WORK
^ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes 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 PLUMBING PERMIT
P.O. Box 479
Yelm, Washington 98597 Separate application for each structure ~, ' ~ ,`-
Telephone (206) 458-3244
Dab
Const. Address Occupancy
Owner ,~~ ' Address ~~
Phone
Contractor ~ ~ ~~ ~~ Address r ~ Phone
State Contrs. No, ~ ~ `:$ wilding Permit Number ~~
ITEM FEE QUAN. FEE
Toileh
>~ ~ _ ~,
~ J;
Urinals
Lavatory ~ ~"'
..~,,.
;
Bath Tubs
Shower Baths
Kitchen Sink '
;; '`s
Disposal Units
Dish Washers ~' ~. ,>~~.'
Drinking Fountains
Laundry Tub
Automatio Laundry Equip.
Catch Basin
Floor Drains
Floor Sink
Hot Water Tanks
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Misc.
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J
f p(w
Misc.
r• ~ Permit Fee ~"~ ~ `~
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TOTAL ENCLOSED FEE i;h
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DESCRIPTION_OF WORK
^ New
^ Addition
^ Remodel
^ Alteration
CONTRACTOR'S AFFIDAVIT
I hereby make application for a Plumbing permit and cer-
tify 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 Godes and Or-
dinances of Town of Yelm.
Firm '
Signature `. ~ T ' `' , ,
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 ~ ----------------