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Mechanical Permits LogTOWN OF YELM P.O. Box 479 MECHANICAL PERMIT Yelm, Washington 98597 Telephone (206) 458-3244 ' Separate application for each structure - ., -; Date ` ' Address Const ... ,; Occupancy ~ ' "' ' ' # - . Owner r. .r Address Phone Contractor , - ~w. ; .; , ' Address ._,`, { _ Phone State Contrs. No. Building Permit Number ' ;z ^ 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 Yetm 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 Ilistl Fee $ ^ Other Mechanical Installations (list) By Value Permit Fee Signature t ~f. ~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 .;,, `` __ ~ Permit x --__. - - Date _ __ 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 Date ., ~: Const. Address Occupancy ' ~ ~' ~ ~' Owner , , ; ~ f : ., Address ~ " Phone ; Contractor Address : ° Phone , State Contrs. No, ~ ` t - {~. Buildin g Permit Number ._ .. x ~ ' r ' . R Under 100,000 BTU ~ Fee $ ;r ~: 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 $ 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 (lists ~r'i",, ;=' ;%; ~;;_~:, By Value - ~~;? ,, ~ ,f Permit Fee .~ ,; ` ~ ~ r, 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 .t- _ _..---- Date' ;F- -' -,'Permit St - .--. -- -- TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 ,. Telephone (206) 458-3244 Separate application for each structure j~~ /-' -ry~ _ a ` Date ~~1~CJ " 9(/~ --f- Const. Address .G `~ Occupancy _ ;. Owner ' , . Address . ' : , Contractor '~ {` Address ,, r State Contrs. No,b ~ ~ ~ ' .~ ., Building Permit Number `c:-k ~ ~ << . Phone - Phone - ^ 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 $ Incinerators ^ Domestic Fee $ ^ Commercial Fee $ ~.: ~.. ' ^ Other Appliances (list)_•. ,,: j, :~~ ~ ~~;~ Fee $ ^ Other Mechanical Installations (list) By Value "Permit Fee ~ ~. r ~ >~~, ',~ :. 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 '~ ''~~t . Signature ~ ~- "--- - r No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY ~; ,, Recd. by -; i -.-. Date ~ ~.=_:h Permit x . TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 Telephone (206) 458-3244 Separate application for each structure - ~~: ~ ~~} i, . , Date , ~,- ~,. ,. ~_. Const. Address '' Occupancy F~ ~ '` ~,-_ ~° r Owner .: r , i , ~ ~ Address ~.- ',` Phone - _ _ - ~ ~ ,- Contractor ' x ~ ~ ~ Address ~ ,T ,. Pflone 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 $ ^ Vent or Vent Fan (not covered by other permit Fee $ ^ Exhaust Hood Fee $ Incinerators ^ Domestic Fee $ ~] Commercial Fee $ ^ Other Appliances (list) Fee $ ^ Other Mechanical Installations (list 1. _- e: 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 MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 Se arate a lication for each structure ' ~,-~ ~ Telephone (206) 458-3244 P PP - -~ -,Date i ~~ ~' ` ~ -fi. Const. Address -' ~. ~ _ ~ ~ /' ` > Occupancy , . ' ' ~' `'~ a' ~ /` . Owner ~ ~ r- .~~ '~ ~ ~' Address ` ~ ~ ~ :~ ~' ~ -.Phone ~ _i ~ -~ , Contractor ~ ' ~r; ~ ~ ~° e i ' r'" Address f ~ Phone ~ 4 State Contrs. No `~ .f ~` % F Building Permit Number ~ a` 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 $ 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 "..~' , ^ Repairs or alterations to any of the above Fee $ ^ Vent or Vent iFan (not covered by other permit Fee $ Exhaust Hood Fee $ ^ Domestic Fee $ Incinerators ^ Commercial Fee $ [] Other Appliances (listl;.~." ~,.,, ,- ,,,, Fee $ ^ Other Mechanical Installations (I~stl _,'~ ~~ ;; ~ ,,:~ By Value ,1 ~ 4~. ,,`" 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 `\- `P'ermit ~ -__.. TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 Telephone (206) 458-3244 Separate application for each structure - - Date Const. Address f' Occupanc . " f' y r Owner ~~ .~ ~ ~ ~ Address ~ '<' ~ Ph one Contractor ' ' ~'~~ ~ Address ~-~ ' ~' ''~'~ ~ Ph ~ - one State Contrs. No. " _ %' ~ ~'-~ Buildin g Permit Number f '~~%" ` ,~' '~ %~ ~ Under 100,000 BTU Fee $ ^ Hot Air Furnaces "'^ Over 100,000 BTU Fee $ Permit ^ Gas ^ Oil ^ Electric ^ Others ^ 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 © 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 (listl • z , , ~;_' `Fee $ ^ Other Mechanical Installations (lists ,~, .. By Value Permit Fee TOTAL' ENCLOSED FEE .'; ~ ' I 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 ,1 f •, ~. Signature + I 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 ~ r• Telephone (206) 458-3244 Separate application for each structure y - ~ r Date i ~ Const. Address _ Occupancy ~' t Owner _ Address - ,• ;_, Phone ~_ Contractor ' ~ Address Phone State Contrs. No. Building Permit Number ' ~- -- > `~''o ^ 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 $ `'Q; 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 $ Incinerators ^ Domestic Fee $ Commercial Fee $ ^ Other Appliances (tistl Fee $ ^ Other Mechanical Installations (list) By Value Permit Fee TOTAL ENCLOSED FEE '-, f ' 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 i ;, f Recd. bx .. ~ .____ ._.__. Date __-~ .:{Permit ~ ....._.._ __ TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 ~_ Telephone (206) 458-3244 Separate application for each structure a . Date C~nst. Address •. ,: ~;` ~ ;_~. ~ ~ ..:Y. Occupancy ~ ~ , : ~ ~. Owner > ~ ~' i' .. Address +`' `Phone Contractor ~ r'~"", . ` ~ r` Address Phone _., ;~, - State Contrs. No.~ - r Building Permit Number _.~r - ~ _.y *`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 $ 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 ^ Repairs or alterations to any of the above Fee $ ^ Vent or Vent Fan (not covered by other permit Fee $ ^ Exhaust Hood Fee $ Incinerators ^ Domestic Fee $ Commercial Fee $ ^ Other Appliances Ilistl Fee $ ^ Other Mechanical Installations (listl ` `ti_>By Value • ,r 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 ~, .t ~ `, . Recd by ~.. ." -- _...- - Da1=e .. ~.rPermit tt . _.__- TOWN OF YELM P.O. Box 479 Yelm, Washington 98597 Telephone (206) 458-3244 MECHANICAL PERMIT Separate application for each structure Const. Address Occupancy Owner Address Contractor Address - State Contrs. No. ' $uilding 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 (list) By Value' Permit Fee TOTAL ENCLOSED FEE Date 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 _ 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 I `~- ~~- ~ - - f Date >`~ :.% v .~~" ,' Cvnst. Address "s d~"~ r Occupancy ~ ~~ ~"~ ~ ° a~t ' '~ '~ ~' ~° :' Owner!' ~ ~~~ , ~ ~''i ~ "+ t '~ ~ Address F . r ' ~~'''~ Phone Contractor ~ ~'~~ ~ ~ ~ e ~ ~` ~ Address ~ " ~~ ~ ~~~h~One ~~ ~ ~ ~. State Contrs. No ~ ~ ~- t` r~s '- ,..,_ Building Permit Number I L-, ., ~- ~~~ ^ 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 f not covered by other permit Fee $ ^ Exhaust Hood Fee $ ^ Domestic Fee $ Incinerators ^f Commercial Fee $ ^ Other Appliances (listl 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 ~` ~ ' ~f ~~ ~~ ;-" A No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY Other Mechanical Installations (list) By Value ~~ ~ Permit Fee TOTAL ENCLOSED FEE '~;~~'.r,~,, -~" _ F ;' , ~' - ' Recd. by _. + ~ ____ Date _~ .`Permit ~ . ...._- TOWN OF YELM P.O. Box 479 Yelm, Washington 98597 Telephone (206) 458-3244 MECHANICAL PERMIT Separate application for each structure '`~ :- Date ~ ` ~ (,oust. Address ~ ~ Occupancy Owner `~° Address ~ = :~ Contractor Address State Contrs. No. -'1 Building Permit Number 7-"- ~-t~ -_ u _, ~-~ 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 $ CJ Vent or Vent Fari (not covered by other permit Fee $ ,~ ^ Exhaust Hood Fee $ '`j ^ Domestic Incinerators Fee $ ^ Commercial Fee $ ^ Other Appliances (Iist1'' '' Fee $ ^ Other Mechanical Installations (list) By Value 1+, Permit Fee ~.: TOTAL ENCLOSED FEE 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. ._ I 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 it - --- --__.. TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 _ -• i Telephone (206) 458-3244 Separate application for each structure ~ ~- ~ ~ ' " r' Date ' Const. Address ... t.: r Occupancy ~~ '~ ~ w ~.~~ ~° Owner ~~ s, s ~ Address , j ~, ~ PT;I 1 one , Contractor ~ Address' ~ J `- Phone State Contrs. No ~ -~ Buildin g Permit Number 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 ^ Over 1,750,000 Fee $ certify that our firm is registered as a contractor with the T fYl dth t k ^ 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 (listl Fee $ ^ Other Mechanical Installations (list) By Value Permit Fee TOTAL ENCLOSED FEE State of Washington and own o e m an a wor shall be performed in accordance with all Codes and Or- dinances of Town of Yelm. t ...- .,~ . 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 1t - .-----. --- TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 Telephone (206) 458-3244 Separate application for each structure , ~• :• ~ ~... , ~- Date ' ~ ,_ Canst. Address ~ ~ , Occupancy ~ "` ~'~ ~ ~ ~~ ~ t Owner r` t i ~ ,,_ ; r ,~ . .. ~ -' ` ~ ~ Address G hone ?P . , Contractor ~' ~ ~ .~ Address ~ Phone ~. State Contrs. Flo. r Building Permit Number .' ,~' ^ Under 100,Od0 BTU Fee $ ^ Hot Air Furnaces ^ Over 100,000 BTU Fee $ Permit ^ Gas ^ Oil ^ Electric ^ Others ^ 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 dT fY I dth t k ^ 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 $ Incinerators ^ Domestic Fee $ Commercial Fee $ [j Other Appliances (list) , ,: „ ~ Fee $ ^ Other Mechanical Installations (list) By Value Permit Fee ~r`. State of Washington an own o e m an a wor shall be performed in accordance with all Codes and Or- dinances of Town of Yelm. Firm ~,. ;; A~._ ~.~ 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 ;, ; ' ~'; I TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 '' ' "} Telephone (206) 458-3244 Separate application for each structure ~ ~- ~- -- r , - ;, _. -~ r` Date '' ~ - d s . ~.x, ' COOSt. Address ' ~~~, ~s 4,~ ' .,~~ ~~~`..a Occupancy.. t ' t-' ' ~.~ K-.' 1~,` ~~ .-~~ ~ - ;~ - .. Owner ~ }` 'e ~, ,..~ ~~~ , ,; ~.~~ ~.1~ `~ .~ Address ~ . '~ ~,~'` " i f<,•~ ~_~_~ Phone -, ~. Contractor ~ r~~r ~ '~ '~ - Address" ~` •~ ~~ ;~ Phone State Contrs. No 'X r- ` ` ~ Building Permit Number t ~ ~ ~~ ^ 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 St t f W sh' 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);.:. ~ :, :i,;~Fee $ ^ Other Mechanical Installations (list) By Value Permit Fee ?r"%~ ,. a e o a ing shall be performed in accordance with all Codes and Or- dinances of Town of Yelm. -_..__ '. ;~.,. ::.~ ,., Firm ~ ,. . C°' . , ~a T `* ..0 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 ........ . ..... TOTAL' ENCLOSED FEE 4.,('~ ";:~.:"I 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 ~" - OccupancZ ,_ =3--., ' - ~` f Owner b ~~ -'' ~ '~ ~' ' Addressr` r Phone r ,~ Contractor :_; ' ;~' Address' "{ ~' Phone ~'`"~" State Contrs. No •"4'r J''t: ~ ~'~~~~ Building Permit Number ^ Under 100,000 BTU Fee $ Permit Gas Oil ^ Hot Air Furnaces ^ ^ ^ 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 W h' 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 $ • ~-,. [J, Other Appliances (listl~, _~ { ~.,,_- -" Fee $ ^ Other Mechanical Installations (list) By Value ,t Permit Fee a e o as ing shall be performed in accordance with all Codes and Or- dinances of Town of Yelm. '4_a. _' Firm ._' ., -> '".-_, =. .. _ _;~--~-w... __ 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 -. '- - Data ---:. ---:-~ 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 ~ ~~ ~ ~ , r , ,: - Date Const. Address `,J-~~_% _~ ~ ~.:.~ -:~' - =-' Occupancy '~ `E =,;~ ~:~ Owner ~ ~~~ ~~ ~' ~~' ~ ~~~' '~ Address ~ ~ r.,~_ Phone ~ Contractor ~ ' Address 1 ;' Phone ' State Contrs. No 'A `.~ ~ ~': --~ Building Permit Number . ~"' .:~-~- °~ ,r_,.~._ ^ Under 100,000 BTU Fee $ permit ^ ^ ^ ^ Hot Air Furnaces ^ Over 100,000 BTU Fee $ ^ Gas Oil Electric Others ^ 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 f 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 portablel 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 $ ,~, E~ .~ .. Otf~er Appliances Ilistl. ,.. '~.? Fee $ ^ Other Mechanical Installations (list) By Value Permit Fee State o Was 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 <'~r .. - -._---- Date .-..-- ..---- "permit # . ._.-.-. . TOrtAL 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 -> ' Date Const. Address ~, ' " ~ ~ Occupancy .,~,. ` `~~ ~ - •r~ ~ ~ Owner Y _. ~_,~. , , ~,,. Address ~ <' ~ %' ~. `*- ~~ :~; Phone Contractor %,'~ ~-+~ '~ ~~' Address ~'~f• ` ~ ~ - ' Phone No State Contrs ,. ~ ~ ~" ~ .-~ Buildin i 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 W shin 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 $ Incinerators ^ Commercial Fee $ Q Other Appliances (listl ~ ` :Fee $ ^ Other Mechanical Installations (tistl By Value Permit Fee aeo 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 - -.---- .. -+Permit ~ -- .-----_ .-. TOTAL ENCLOSED FEE ' ': TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 ~ ::. r _ ~" ~ Telephone (206) 458-3244 Separate application for each structure , ~- ~ ~ _~- ,Date t .. Const. Address `' ~ M Occupancy r ' " ,- . ~, _ Owner ~~~ ~~ ~ ? -% ~ -~ - ° - Address Phone ' ~~ Contractor ~ = ~' ~ a ~ Address Phone State Contrs. No. - r `'`" < ~ ` Building Permit Number ' ~}' .r .-' 'Under 100,000 BTU Fee $ i.-'' ^' Hot Air Furnaces ~` 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 ^ 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 $ Vent or Vent Farm ~n~ot 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 f . X. ,. TOTAL ENCLOSED FEE ~ ~ ~ -`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 .~ '~ ; - ._ Datel - ~J.t r ~+Permit st - --- -- -- TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 ~- ~ ,k - Telephone (206) 458-3244 Separate application for each structure ~ -: ~% - -~ :; Date ~. ~~ t,unst. Address ~~ ~' ~ '' T ' Occupancy ' '' r __ _ ~ Owner Address ~ `'~ ~ ' Ph ` one Contractor '~ ~ ~ ~ ~ ~ ~`` Address Ph one .. State Contrs. No. '"`' ~' °` ''` "-"~ Buildin - . - g Permit Number ~ ~ _ ~" ' `'-.' ~~j' Under 100,000 BTU Fee $ ,;.: ^ Hot Air Furnaces 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 ^ 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 $ ^ Vent or Vent "~a,n (not covered by other permit Fee $ ^ Exhaust Nood ." Fee $ Incinerators ~ Domestic Fee $ ^ Commercial Fee $ ^ Other Appliances (list) ', ~::. ~ _,~._Fee $ ^ Other Mechanical Installations (I~stl ~ ~' _ ,By Value Permit Fee TOTAL ENCLOSED FEE ~ ,1 - ~, Signature - - k 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 _ ~o' Permit ~ - ---..- --. TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 Telephone (206) 458-3244 Separate application for each structure f ~, ~ §• i D,~te ~ , .~ ~, ~. , ., Const. Address ., ,.., : , ; >, , ," ; F ; .` , : - • ~ Occupancy _ _ k- ` r r . Owner ~ ,'•`<:. ' _ ~, _' `y { . , -. ~ Address .: K:~ ~ > ; ~' one __ -Ph Contractor '-~ ' ~ ~ ` - ' J Address Phone State Contrs. No. ' r ~ ~ } ~' ~ ~ .;;,<< Building Permit Number ~ ~ . f. Under 100,000 BTU Fee $ 0 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 alteratipns 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 (listl: .' , .,, By Value 1 ,r' 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 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 t~ - .------- --- TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 , ; > ~; _ ~'~ Telephone (206) 458-3244 Separate application for each structure ~ -•• ~ < '~ .. 1~ _. ~ - _ Qate ~ _-. t' Const. Address ~ f, ,r~~ '~`.: ~'-~ ~,~` Occupancy ~~ ~`~'' ~ ~"% °' Owner "„~~ ~ `~ ~ Address ~ A ~ _. " ~ Phone < ` " Contractor ~ r " ~-.~' '~ Address Phone _. ~ _ .<~ State Contrs. No '~" ~~Building Permit Number ~" ~ '~~-' ~ ~„ '.~ ,,,.; ~ ~,% (^'. Under 100,000 BTU Fee $ Hot Air Furnaces m' ^ 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 (listl:"z_ _ Fee $ d a' t [~ Other Mechanical Installations (list), ~~, ~,-~,fF :;; By Value , ~~,~ Permit Fee ~"` crr ~!. TOTAL ~ ENCLOSED FEE ~ ~ ': ~' x 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 Town of Yelm and that work shall be performed in accordance with all Codes and Or- dinances of Town of Yelm. Firm 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 .~i: _- -- Date ~ •~Permit # . .---.._ -- TOWN OF YELM P.O. Box 479 Yelm, Washington 98597 Telephone (206) 458-3244 (,, i MECHANICAL PERMIT Separate application for each structure w ,e - ; 'y ' Date ' Cunst. Address Occupancy ~'` r T Owner Address r+ 'Phone Contractor ~: ~ Address Phone State Contrs. No. - r, Buildin g Permit Number ` k ~ ~ j ---~- [] 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 $ ~f Vent"or Vent Fan (not covered by other permit Fee $ ^ Exhaust Hood Fee $ ^ Domestic Fee $ Incinerators ^ Commercial Fee $ Other Appliances (list),.;. ; A `. ~ ~' ~ ~ Fee $ ^ Other Mechanical Installations (list).:: = , r ; k..° 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 r ~~ 1 , ~ Recd. by __ - ,.. _;____ Date ~ Permit 3r . TOWN OF YELM P.O. Box 479 Yelm, Washington 98597 Telephone (206) 458-3244 MECHANICAL PERMIT Separate application for each structure ,. -:~ ~ ~ ~. Date . Const. Address ` ' t; ' ` ~ 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 $ 'I © 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 $ I ^ Vent or Vent Fan (not covered by other permit I Fee $ ^ Exhaust Hood Fee $ Incinerators ^ Domestic Fee $ ' ^ Commercial Fee $ ^ Other Appliances (list) Fee $ ^ Other Mechanical Installations (list) By Value Permit Fee 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. ,~, , _. r Firm ~'- ~ ~~ ~~~ ,F Signature , . _. ~ . a1_ •, --~ 7 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 P.O. Box 479 MECHANICAL PERMIT Yelm, Washington 98597 Telephone (206) 458-3244 z° ~ ,a Separate application for each structure ~ - r Const. Address ~, , . Occupancy ~ t _ Owner ~ ' Address Phone Contractor ~' Address Phone- State Contrs. No. r Building Permit Number - s,f. - ^ 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 Yetm. ^ Evaporator Coolers (Not portable) Fee $ Firm r ^ Repairs or alterations to any of the above Fee $ ^ Vent or Vent Fan (not covered by other permit Fee $ ^ Exhaust Hood Fee $ Incinerators ^ Domestic Fee $ ~] Commercial Fee $ ^ Other Appliances (fist) 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 f ``~ Recd. by _. __- Date Permit ~ :._,.,:_. - ~ , r ti--- TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 ; :r ^~~ Telephone (206) 458-3244 Separate application for each structure -w ~-' ~: .. . Date - - ti: ~, Const. Address ~ ~ °} Occupancy i 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 $ Permit ^ Gas ^ Oil ^ Electric ^ Others ^ 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 k © 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 $ Incinerators ^ Domestic Fee $ ^ Commerci~) Fee $ ^ Other Appliances (listl , : Fee $ ^ Other Mechanical Installations (list) By Value Permit Fee State of Washington and Town of Yelm and that wor 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 ~„ _ ;., Date .r , Const. Address ,. ``! OccupancY_ z .' ~,, , „ ._- r ;.: -.. Address Owner ~ _ ~'~ t~ Phone a t - Contractor '~ ~ ~ - '~ ' ~~-~ ~ " ~+ -`~ ~ ~' ~ Address ~ Phone State Contrs. No. Building Permit Number ~ ~ ~. ~- t ' r .. r , - `^tlUnder 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 $ Incinerators ^ Domestic Fee $ ^ Commercial Fee $ ^ Other Appliances (list)- ~ ~," . Fee $ ^ Other Mechanical Installations (list) _, ~:: h' "-'.:- 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 4:. 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 ~~• ~' ~I ,_ Const. Address ' ~ `n' Occupancy ,. .. Owner `' ~ Address ~ ~ Phone ~. Contractor ~_... Address i ~Phone - _ State Contrs. No ~ '~ .~ , ' ~"~ ~~ Buildin g Permit Number , ' ^ 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 Commercial Fee $ ^ Other Appliances (list) Fee $ ^ Other Mechanical Installations (listl By Value _. `: Permit Fee TOTAL ENCLOSED FEE< Signature No work shall be performed prior to receipt of validated permit. CaII 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 Se arate a lication for each structure ~ ~ _ ,{ Telephone (206) 458.3244 p pp ' Date _ tess , ; Const. Add ~~> ~ a Occupancy , p' ; ; . n Owner ~ ~ ~ ~,,;_ ` Address Phone Contractor t' ... y.' Address s Ph ' one State Contrs. No. ~ ,~ ~ ~ . `Buildin g Permit Number - _ - '~ , - r ^ 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 ^ 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 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 - .--- --_ --- TOTAL ENCLOSED FEE ` TOWN OF YELM P.O. Box 479 Yelm, Washington 98597 Telephone (206) 458-3244 MECHANICAL PERMIT r° , Separate application for each structure -- - ` ,. Date ' t ._ t < <, Const. Address . '~ Occupancy Owner - r~r Address k Phone Contractor ~ f ' ~ ~ ' '' : ~ ~ Address Phone State Contrs. No. _ Building Permit Number ' _ t_ ~; Under 100,000 BTU Fee $ f ^ 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 Incinerators Fee $ ^ Commercial Fee $ ^ Other Appliances (listl .. ~, ~ :, ; ~ -- . „ Fee $ ^ Other Mechanical Installations (listl By Value ,¢. ` Z~ Permit Fee X 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 Separate application for each structure ~•• L, a ' ~.i Date -i ~ ` Const. Address ~t . ~ Occupancy + ._ ' t ~ . , Owner Address - - r ~ : y( Ph one . Contractor . ~ ~ Address - °' Ph one State Contrs. No. - - ' : .' Buildin g Permit N ._ umber '` •- '~ ` is ~ - .' ~ ~ 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 k 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 State of Washington and Town of Yelm and that wor shall be performed in accordance with all Codes and Or- dinances of Town of Yelm. Firm` ,l ~. _ r~' '~ .. Signat~r2 ~~ ,9- ;,, , ~ ~~ , ~ ~ ~° 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 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 a °~ ~ ~ q i r ~1 ; Date ~i i - r Const. Address ~ r `; ~ ~ Occupancy -~ ~ .',r ~. F ,. . - ... Owner _ ~ Address - `' ~ Phone Contractor ~ Address t Phone ' ,~ . .,., State Contrs. No. ~' f ~ ` ~' Building Permit Number ~. _ ::~ ~ °~ ~~ [ i "Under 100,000 BTU Fee $ ~' ~~ `! P it G Oil h El i O ^ Hot Air Furnaces ~ ^ Over 100,000 BTU Fee $ erm ^ as ^ ^ ectr t ers c ^ ^ 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 i h h ^ Over 1,750,000 Fee $ t e t certify that our firm is registered as a contractor w 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 $ ,:....._.at,~ , . , Firm ... ;, ~ ''~; .~ ~. ^ Vent or Vent Fan ( not covered by other permit Fee $ ~~ Signature ~' ~ '~ '' ' ` ^ Exhaust Hood Fee $ c ; ~ No work shall be performed prior to receipt of validated t I i ^ Domestic Fee $ permit. Call 458-3244 for inspection. nc nera ors ^ Commercial Fee $ ^ Other Appliances (list) Fee $ FOR TOWN OF YELM USE ONLY ^ Other Mechanical Installations (list) ,,.'..' , ~-, ~ i°~ By Value ~ z Permit Fee R j, - Recd. by_: ~ >_ __...--- Date `-_:: .'i- Permit sr - ----- -- c, 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 Const. Address .~ -- Occupancy ;-`~, .- ~ .'' . f` Owner _"' ° :: ' , µ Address ' ::. ;: ;., .Phone Contractor Address Phone 3.r: 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 Uniis ^ 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 $ Incinerators ^ Domestic Fee $ ^ Commercial Fee $ ^ Other Appliances (list).'' ~ Fee $ ;~,,' ^ Other Mechanical Installations (list) By Value -~~ Permit Fee - 1. , 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 - -.. _ . Permit # - .. -_ - - Date - ---- - - . TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 r ~ ~~ ~ ~ ~~°; °~~ Telephone (206) 458-3244 Separate application for each structure ~-.• ~ ~ ~ j _. ~ ' t _' , -Rate ~ ~ ... ~~~: A 1 at i .~ ,~ t .~ !~ t } t. x i r Const. Address ~ ~ = ~ r ~ ,~ Occupancy - ' ~ ,' ~; ,,, ,~ ~ ! f ~~ 1 ' t Owner _ . ` `.. ., , , ,' ' '' : , " ; Address ,- ~ :. _- ~t. t .' r 'Phone Contractor '~ ~ ~ t k ' `' Address Phone State Contrs. No ~ r- _` ~ ~`~ ~~" Building Permit Number 3- t i ' ' ~~ ~~-.. , ^[ Under 100,000 BTU Fee $ ^ Hot Air Furnaces ^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Not 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 Ven?t Fan (not covered by other permit Fee $ Exhaust Hood Fee $ ^ Domestic Fee $ Incinerators ^f Commercial Fee $ Other Appliances )list) .; Fee $ ^ Other Mechanical Installations (list). ,. By Value Permit Fee f. 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 ~, TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 ,~ r* ~ ? Telephone (206) 458-3244 Separate application for each structure ~ v --w ; 4 .. ' F Date ~ r:-`~ ' i ` e~ { Const. Address ~ ~'`° ~ ~ ~ Occupancy ,. .- =- ~' ' ' ; Ph Owner ~ ~._. ' ~ _ ~ ~ t , - ~ ' ~' ~ ~~ Address ' ~ ~ one Contractor ' ~` Address Phone State Contrs. No. Building Permit Number - ,rt . ~~ 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 $ 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 ^ Repairs or alteratjons to any of the above Fee $ ^ Vent or Vent Fari 7not covered by other permit Fee $ ^ Exhaust Hood Fee $ ^ Domestic Fee $ Incinerators ^ Commercial Fee $ ^ Other Appliances (list),:. c 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 x ......- TOWN OF YELM P.O. Box 479 Yelm, Washington 98597 Telephone (206) 458-3244 MECHANICAL PERMIT Separate application for each structure t,,,~~st. 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 $ ^ 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 TOTAL ENCLOSED FEE Permit ~ Gas ^ Oit ^ 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 e ,, ", s, , Recd. by _- - __--- Date : -..y- hermit ~ - ---.- -- Date -. Phone Phone " TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 Se arate a lication for each structure Telephone (206) 458-3244 p PP Date ~~~ ' r~ Const. Address ~ ~ Occupancy Owner Ai Contractor Ai State Contrs. No .- r w$uilding Permit Number dress - Phone dress ` ~+ t Phone ^ Under 100,000 BTU Fee $ ^ Hot Air Furnaces ^ Over 100,000 BTU Fee $ [i 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 'Incinerators Fee $ - " ^ 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 >~ x ~ ~.~ ~ ~ ~~ ; ~ „ ,; 'a Signature ~' ~ ~ ) _"R 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 MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 Separate application for each structure ~_ ~'~ ~ ' Telephone (206) 458-3244 Date -`~.'~ , F t Const. Address r - 1 ~'~ Occupancy Owner "i Address' fi' ~ Phone ~ -` Contractor t~. ~` , `, 't ~r~~..- :` ' ; . 4 ~ Address _. - Phone State Contrs. No .-, -`- ~ " ' " Building Permit Number _.j~- ~1~~ ! ;' ' '` ' '` Q' "Under 100,000 BTU Fee $ Q Hot Air Furnaces ^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ^ Not 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)..' .-t Fee $ ^ Other Mechanical Installations (listl _ , !- ~ -$y 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 _; 1 ;,, ~' Recd. b __..__. Date ._'__ tx-: Permit ~ ...._..- . Y - __.. 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 Const. Address ~ ~ Occupancy , , ,'' ,' - , ,`- ~ , .;; ~ Owner Address Phone Contractor i 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 ^ 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 ~, j; y - ^ Repairs or alterations to any of the above Fee $ Signature ~J Vent or Vent Fan (not covered by other permit Fee $ ^ Exhaust Hood Fee $ % :.?y,~, No work shall be performed prior to receipt of validated j] Domestic Fee $ permit. Call 458-3244 for inspection. Incinerators ~] Commercial Fee $ ^ Other Appliances (list) ~ ;; Fee $ FOR TOWN OF YELM USE ONLY Other Mechanical Installations (list). .:'. , „ ; ,;--:, By Value y.- ,. Permit Fee 'y;" Recd. by-,- z .`. _ --..__._ Date -.-.-- ['~'ermit 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 s ' Date %' ,/ ,r ~" .~` ~" Cunst. Address ~ Occupancy Owner ; :: ~ ., Address ;; ~ ' ,,' , . r . ~'".Phone ` Contractor ti.. ' - .° - Address Phone State Contrs. No. ' ~ ~" '' `~' ,'"% Building Permit Number ~ :"` nom-, !~-~- ~1 RJ~ ' ~ 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 $ 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 ^ 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) , ;4 :,Fee $ [] Other Mechanical Installations (list). !.._ By Value F„~ 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 ~ - -,:... TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 - v '' Telephone (206) 458-3244 Separate application for each structure Date f. ~ t ' 'r Const. Address ~ ~' - Occupancy '' '` _ _ Owner , .' ,_, - Address ~ , , ' .Rhone Contractor t~ ~ 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 $ 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 ^ Repairs or alteratipns 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 (tist)t ? ~ ;Fee $ ^ Other Mechanical Installations (list) ~ By Value ~~ ~'=;f Permit Fee ,~ " 1`" t , TOTAL ENCLOSED FEE -'! ~ r"~'~, ~. 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. bg..- '~. ,, _.. DateJ..%i- `r.-... Permit ~ - -- TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 Telephone (206) 458-3244 Separate application for each structure ~ j ~' E Date - ~~ ~ ~~ a Coast. Address '; . t: 3~. -.,° ..; ,,, ~~ Occupancy ;' `,> ,' .;~:. Owner ' i %' ~ Address Phone Contractor •- ., ~ : ' " ~'. ~ ' Address '" ' ~ .~ ~` . >t .a` ~ Phone i State Contrs. No: , ,.r ''Building Permit Number ^ Under 100,000 BTU Fee $ ^ Hot Air Farnaces ^ 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 $ 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 ,,, `.- -. •;:: ~~,._.-r::__. ^ Exhaust Hood Fee $ Incinerators ^ Domestic Fee $ ^ Commercial Fee $ ~, ^ Other Appliances (Iist1 , ( ~',~ i ~ ~ •~ Fee $ ^ Other Mechanical Installations (Iistl t By Value Permit Fee No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY Recd. by --- - . _ - ...---- Dat~~~~L~Permit St .......... ... TOTAL ENCLOSED FEE,; _ , TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 '"' ~ `a Telephone (206) 458-3244 Separate application for each structure •~ °~< ~~ .„. ~ ., .. ' e .pate ~) ; ,; Const. Address ~ Occupancy '~ ; _ ~' ~ `' Owner I ' ~ °' Address ~ ~ ~~' 1 hone Contractor ' ,: ' r Address Phone State Contrs. No '~ '' ~ ' ~r Building Permit Number ~ ` >~--. ~' ' I `r tT- ~.•. F7f 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,: ;--:,. Fee $ [] Other Mechanical Installations (list) , ~. _ -_, , By Value ,-.r`; 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 ` -._ G 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 '~ "' Telephone (206) 458-3244 Separate application for each structure ~ ~ ~ 3 = .,F .i . •~, Date ~ ~ ~~~ t,unst. Address ~ t' '~ ~i ~ t `.',.~ ~' Occupancy '' ~` =-~` Owner ~,~ ~ ~~ „o ~ Address ` t ~~ ~,. ;`hone 6 Contractor `~` - ~ ` • ! ~ ' ! --%~-' Address Phone s ~> _'~ '~ ','e 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 lNot portable) Fee $ ^ Repairs or alterations ,,tc~ any of the above Fee $ <.. Vent or Vent Fanz (not covered by other permit Fee $ -`; Exhaust Hood Fee $ `~~~"~" ^ Domestic Fee $ Incinerators ~] Commercial 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. ^ Other Appliances (list) ~ ?" ~ ;=,`;~Fee $ '.' FOR TOWN OF YELM USE ONLY [] Other Mechanical Installations (I~stl t' ~' ;~' , a~ By Value ,,,/,~ € , ;i. ,_j ,, - Permit Fee :~~' Rec'd. by _. ' __. Date _r .. . 1?ermit sr . --~ - -..t_ - -----•_.._. TOTAL FENCLOSED FEE ^ - .' ~ ``' TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 Telephone (206) 458-3244 Separate application for each structure 1 ~•$ Date r` C.vnst. Address v ~ ~ Occupancy r` ~' Owner ; , ~ t , j r' '" ' -" Address - i ~ - _ : •. ,; „Phone Contractor `~ ~ ~ ~ ' ~ F Address °' Phone State Contrs. No ` '' -' ' ~ ~ . `' ; ~~ Buildin g Permit Number - ~, ^ Hot Air Furnaces p 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 $ - ^ 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 (fist) Fee $ ^. Other Mechanical Installations (listl By Value Permit Fee 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 --:j - - - --- ---- --- 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 - " , , -_ ate f c,onst. Address f ~ -- ~ _ ~ 3 - % - ., r -' ` - - Occupancy ~ ~ .. '' "` Owner -,, ~ ; : ` ' ~ _'~ .. ~ Address ~ -. _ , ~: r ,~ ' 'Phone Contractor ~ .a `< <' 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 $ ^ 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 Yeim. ^ 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; _ Fee $ ^ Other Mechanical Installations (list) > By Value Permit Fee A TOTAL ~ ENCLOSED FEE ~' Firm _. .>- Sign~i31~`r"e 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 _.. ~' "'' --- ._.---- Date - -..-- .-.;'Permit St ....--.._- .-- TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 ~,~+ e° °y Telephone (206) 458-3244 Separate application for each structure ~ ~~-~ ~ °~ ~ ~` ,, ._ r 1 .i ,- ~~'. pate . a; t,onst. Address ' 1 ~~; ' ~ - %' Occupancy ~ ~ ~ ~ ~~ ' ~ ~ . ,: ;,, Owner r,k ' ' ,' ~~ •. ~ Address ,~.. ,. i ~ (~ = f~hone Contractor - f a - ~ ~ Address Phone State Contrs. No ~ ~` _'~~- Building Permit Number ' ' ~.. 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 $ 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. t '; Firm ,~; . ,,1 g '; Si na et ~ "'~=~ - - ~- ._ _ _. 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 --- ~rmit 3t - ---- --_ -- TOTAL. ENCLOSED FEE ,' ~':I TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 f~ '`~ ~i ' ~ Separate application for each structure - Telephone (206) 458-3244 -. -- Date ` Gonst. Address ~ ~ <'- ~ Occupancy ~- Owner , Address > '" Phone Contractor 7 ~ `~'~~ Address Phone ~~ State Contrs. No. = ~ ~ ~' ` ~ - Building Permit Number "" ,, ~' Under 100,000 BTU Fee $ ~''. ^ Others Permit ctri Oil El G ^' Hot Air Furnaces ^ ^ as ^ e c ^ Over 100,000 BTU Fee $ ^ Under 100,000 Fee $ ^ 100,001 - 500,000 Fee $ ' ^ Hot Water ^ 500,001 - 1,000,000 Fee $ S AFFIDAVIT CONTRACTOR 000 Fee $ 001 - 1 or Steam Boiler ^ 1 000 750 I hereby make application for a Mechanical Permit and , , , , ntractor with the d i t as a co ere s certify that our firm is reg ^ 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 $ j ' ,..., Vent or Vent Fan (not covered by other permit Fee $ F _...._ __. .,. ,- -, Signature ~ : ^ Exhaust Hood Fee $ No work shall be performed prior to receipt of validated ^ Domestic Fee $ permit. Call 458-3244 for inspection. Incinerators ^ Commercial Fee $ Q Other Appliances Ilistl''. ;;'Fee $ FOR TOWN OF YELM USE ONLY ^ Other Mechanical Installations (Iist1 ` ; By Value ;% ', Permit Fee ~': i r Rec'd. 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 _ ,, ~- .- . , _z..~.. `'-` ~ •, f Date -~ _ ; . Const. Address ~ ~ 1 k` Occupancy ~., - r % - Owner r!, ' , ~ r , ,,. Address '' , ~` ~`'~ Phone - _ Contractor F"r' 4` + i ~' ' '-_ , ,F Address Phone State Contrs. No ..~ ;~ 5 i ' ~ _ '~{`~' Buildin \i g Permit Number 1 r- ,L~ ,a 3 -' i~"~ ' t t Y ~ S ^' 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 Fen t (not covered by other permit Fee $ ^ Exhaust Hood Fee $ ;': , - ^ Domestic Fee $ Incinerators ^ Commercial Fee $ ^ Other Appliances (list) : ~ _ , ~,- `Fee $ ^ Other Mechanical Installations (listl, ~ By Value '; i Permit Fee ~,,' ri; f TOTIL' ENCLOSED FEE.. ,, ,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 MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 ~ ; Telephone (206) 458.3244 Separate application for each structure - .. .. ,,. ~-. z ., , ; , . I ~. Date 1, e t ,r .~ a Const. Address ~'<'- ~ ~ ~ ~ ' `' ~ Occupancy , ,`, ~ ~ `F ' Owner `~~ ~ ~' ~ ~~~ .~~ ~ Address `~ ~`~~ '~ ~~~~ Phone f ' Contractor ~"~ ~ ° ~' _~ ~ Address Phone - i.,~. - State Contrs. No. "~ ~ ~'~`-' ~ ~`- Building Permit Number '`- a , ~~ 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 St t f W shin 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 ~ notcovered by other permit Fee $ ^ Exhaust Hood Fee $ ^ Domestic Fee $ Incinerators ^ Commercial Fee $ ^ Other Appliances (list) . ~ ~, Fee $ aeo 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. >'~iI FOR TOWN OF YELM USE ONLY ^ Other Mechanical Installations (list) ' ~By Value '~ T=om- TOTAL [ r t Permit Fee ` ;~) Rec'd. by r. _~ _ ._ Date rt .:_;~= Permit ~ . - -•__ NCLOSED FEE ., ` TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 ` '~ Telephone (206) 458-3244 Separate application for each structure - ~" f ' ' ~ ~ Date ~,-. Const. Address '. ''' - ° -'; r ~ Occupancy.., ~' ~ ~. ~ „ ,' Owner ~ ~ Address ~ ~` ;Phone ._ __. . :; ' Contractor ' ''~'- {' ' ~ ~ Address ~ ,,,' Phone' State Contrs. No ~ ~ - ~'~, ~ Building Permit Number ' -Q.~ ,Under 100,000 BTU Fee $ ^ Hot Air Furnaces ^ Oven 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 (nb~ covered by other permit Fee $ Exhaust Hood Fee $ ^ Domestic Fee $ Incinerators ^ Commercial Fee $ [Q Other Appliances (list) ~, ,,; , ~ Fee $ :,, , [~ Other Mechanical Installations (list) _: + ;• , By Value r 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 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. b}~ __ r ~~ ~ ~__- Date :: , ~:ff Permit irk TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 '~ '~ ; Telephone (206) 458-3244 Separate application for each structure Occupancy .„ Const. Address ~ ~ -~ `` ~, Owner ~ ~ ~~ ~` ~ ~ _ ~ ~ ~ ~ Address '' ~ r ' '' .~~' t 'hone Contractor _ ~ Address Pho-nee/ State Contrs. No .~ `~ ~ ~' Building Permit Number 1L ~ ~~ / fl, Under 100,000 BTU Fee $ Hot Air Furnaces f ^ 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 (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 1t - ..--.----- TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 . ~;'~ ~ ~ ~r Telephone (206) 458-3244 Separate application for each structure ., ~ ~ ~ ,, _ .. Date ~~: . , r ~ ~_' _. ~ ' Const. Address ~ Occupancy - '~ t~--~' ~'~ ~~ - - ~. -; Owner ~ - " ; ..' r ?_. ' Address . Phone `..' ~i Contractor ~.~ . '" ~' " '`' ~'`~` `~- ~ Address ~ Phone State Contrs. No. ~ Building Permit Number ~ '? ~ .- ' l ~~.!; r. r '~ 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 St t f W shin 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 (list), `~ f «,': By Value Permit Fee aeo 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 1 Recd. by -- ;`- -- Date _-P- ,'`Permit tt - .--- .-- -- TOTAL' ENCLOSED FEE .''_ ~I TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 " ~" "~ '"^ -'d 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 portablel Fee $ ^ Repairs or alterations to any of the above Fee $ Vent or Vent "Pony (n"ot 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 f ~J > , 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 Town of Yelm and that work shall be performed in accordance with all Codes and Or- dinances of Town of Yetm. 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'...=-- -- ,'h'ermit ?~ . ..._._.. TOTAL f ENCLOSED FEE ` `% . Vii,'.` I TOWN OF YELM P.O. Box 479 MECHANICAL PERMIT Yelm, Washington 98597 Separate application _`; '? `' ; for each structure - Telephone (206) 458-3244 1~ T Date Const. Address' ,~"- !- Occupancy Owner ~'" ~ ~ ~' = `~+ ~"t Address . w. %' Phone Contractor '` Address Phone No ~ ` ' State Contrs - ::: Buildin g Permit Number . Hot Air Furnaces '~;~Under 100,000 BTU • Fee $ 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 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 all Codes and Or- ^ Over 10,000 CFM Fee $ dinances of Town of Yetm. ^ 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) ;_•, ~:" .k.< , , iFee $ ^ Other Mechanical Installations (list) ... ;' ;, By Value ' Permit Fee h ~` i :. J".~. 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 _. :.Ir ,~~ .-'Date _`___. ~~Permit x '.~ -'_. TOWN OF YELM P.O. Box 479 MECHANICAL PERMIT Yelm, Washington 98597 Separate application for each structure ~ .: •,; ~ Telephone (206) 458-3244 f ` -~ ' -- t , Date Address ' ' Const ' ~~ '' ~' ~ 'Occupancy ,, r . . ,. , Owner } -' Address Phone ` `' ~;.~ Contractor ~' Address f ;, Phone ~ _~ ~'.~l::~ ~ ,~_ ;~ State Contrs. No "~ '~ '` Buildin Permit Number °~ '-~~ g ~~~ ' '~ .'"~~" ~~.~ ~., e J t ;-~,. ^ Under 100,0(10 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 Yefm. ^ Evaporator Coolers (Not portable) Fee $ ^ Repairs or alterations to any of the above Fee $ Vent or Vent FanA(not covered by other permit Fee $ ..%„ ,~ ,< Exhaust Hood <:_ ~~ + Fee $ ~ ,~,;~ ^ Domestic Fee $ Incinerators ^ Commercial Fee $ .. ~, Other Appliances (list) ~ ; r;:.Fee $ '"'' ^ Other Mechanical Installations (list) By Value Permit Fee , ,~ TOTAL ENCLOSED 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 4 '. 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 ~ - ~ t. __ - Date roost. Address ~ ~ - .~ ~~ Occupancy ~~ "` ~ ~1. ` - ./~' <,, Owner " ,~_ %_, ~s .~, ., ;'_, Address ~'•, f 1rPho n . ~ ne ' Contractor r- ' .a' ~~~ ~ ~ Address .1 ~ `~~` F' ~ +~Phone State Contrs. No. : ~~ ~~ '~ r.~ ~ ~~ Building Permit Number ~ ~ ~ ;M [~„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 $ 1:~ .. s' ^ Vent or Vent Fan (not covered by other permit Fee $ ^ Exhaust Hood Fee $ ^ Domestic Fee $ :Incinerators ^ Commercial Fee $ ^ Other Appliances (Iist1,-f. .' , ~; ~; ;Fee $ ^ Other Mechanical Installations (listl_ ': ~ t>'~:, ` `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 x .. --___. TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 Separate application for each structure Telephone (206) 458-3244 a. w~ o} t , ~~ Date ~ ~ ~ ~~ t m ,, Const. Address - ~ ~- ' ~ ~ `~ ' `' r' ~~ ~~ `Occupancy ~ ' -~ , . - ~, _ , Owner - Address ~ ''' ~ ~ ~ -~ ~ ~ ~~ Phone rr ~-~ ~ ,~ Contractor Address- ~ _C~' ~ ''Pfione 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 $ ^ Not 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 (nof t covered by other permit Fee $ ^ Exhaust Hood Fee $ ^ Domestic Fee $ Incinerators ' ^ Commercial Fee $ Other Appliances (list);; _~ ~ i ,:c Fee $ '' '.~:t 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 ~ s ~~ ~ f~. , 5 Signature No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. :'~' FOR TOWN OF YELM USE ONLY ;. 1 _ y. 1 ~ ; Other Mechanical Installations (list) _ `. r ~ r By Value - '• Permit Fee ),, Recd. by -. ~~ :; __..---- Date .1. ._i.. 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 ' Address - t C i ~ Occupancy - - . ons Owner Address ~ Phone Contractor Address Phone No State Contrs Buildin g Permit Number r , . . , ^ Hot Air Furnaces Q Under 100,000 BTU ' Fee $ 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 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 atl 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 ^ Commercial Fee $ ^ Other Appliances (list) ~ - Fee $ ^ Other Mechanical Installations (listl 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 ~ -.... TOWN OF YELM P.O. Box 479 Yelm, Washington 98597 Telephone (206) 458-3244 MECHANICAL PERMIT _ Separate application for each structure a--~" ~-~ ,: j. ~_ ' ~ ~-. Date _ , ~~ * .~ ;~ ; ,~ ~~ r. Occupancy .-~'' ~ . ~ ~"'R ,. ,f , ~ ~ %"~` ~onst. Address ~ '~' - %~ ~~ ~. , t •. ,. Owner _ ~-" ~~.<~ ~ '' ~. r~ ~~„ Address. ~ ~,.~ ~, ~ ~ ~ ~ r ~' ~,1, ,hone ~"~~~ _ ~ __ a , ~ t ; ,, Contractor - r~ ~ f~ ' ? 4 { ~' -': ""~"~ ~ f Address `'Phone .,, State Contrs. No ~L''-~~ P ra~~' "-'-''~ Building Permit Number :_a•`F..~ ( 1 ~~ _, 1~ i 'i ~t 1 ~ r `Q`; Under 100,000 BTU Fee $ ^ Hot Air Furnaces , r ^ 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 $ ,,~: , , 4 ; , ~] Vent or Vent Fan (not covered by other permit Fee $ ~;~' ~, Exhaust Hood Fee $ ,, `'~t; ^ Domestic Fee $ Incinerators ^ Commercial Fee $ ~, Other A Dances (listl._,t .i ;.;."; ;:ifee $ '~` CQ pp ' , .~ ~ -. , 1... „~ ^ Other Mechanical Installations (I~st! ~ ~~ ~.~ By Value ¢~. - Permit Fee y ~ ~. r, 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 r ! , 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 ~`i .-. r~~t= Lanst. Address ~ _ "~ ~'~-- ~ Occupancy ~ ~ ~ ~' ~ r :' r~ ,~ p f , Owner ~ ~ ~~ `, ,- ~' ~ `k,~ ~~ Address ';,~ ~ , , :{ .`Phone :a t: a '" ,,' Contractor ;' ~ ii'~ - Address 'Phone ~, ,_ , , StateContrs.No ~~ ~'~',""~~".` Building Permit Number =i. ,{ ~ [~~ 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)".F r~"" ~.:: r.Y,~,;.~ 1 ~.'? :Fee $ ^ Other Mechanical Installations (listl ~„ y ,_-~ 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 ~ . 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 _ ~...: __ -.-.__. Date __ .':.Permit ~ ......_.... TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 t "~ '" ' Telephone (206) 458-3244 Separate application for each structure a .r '~ ~j, ..Date ~' , "~~ -._ Const. Address a ~,-~ "' `+ ~., ~ Occupancy ~ fr' ~ ~-t''` ~ ' .~.. .;~ r .a Owner .:~, r ~ ~ ; y ' ` ' " ' ~ ~ Address F " ~ " ~" ~~, ~ Phone. Contractor '' ~ ' ~ r -" ~ ' : ~ Address Phone 'w State Contrs. No. '~" ~` , '~ ~, ~.. Building Permit Number "" ~( .._.a s ~; 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 (fist) ; _ _i. f, . ~ Fee $ ^ Other Mechanical Installations (list); ;? t' ':_; 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 ` ~ - --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 - __ _...__. Date ': ':: 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 ~' Date Address Const - Occupancy . Owner r °~ Address ~ Phone 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 ^ 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 $ Signature ~ ~ ' ` ` r~~` ~~ ^ Vent or Vent Fan (not covered by other permit Fee $ ^ Exhaust Hood Fee $ No work shall be performed prior to receipt of validated Incinerators ^ Domestic Fee $ permit. Call 458-3244 for inspection. ^ Commercial Fee $ ^ Other Appliances ( list) Fee $ FOR TOWN OF YELM USE ONLY ^ Other Mechanical I nstallations (list) By Value Permit Fee j 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 . Const. Address ~ ''' ` " ~ r Occupancy Owner ~ ~ ~ ~ Address ~ ~ ~ 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 ^ ^ ^ ^ ^ 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 Yefm. ^ 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 (listh .. Y ~ :,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 ~ - .---..- .-- 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 ~ ~' ~ =y Date ,.~ Const. Address ,~, : +. .; Occupancy ~ ~: `, _, .' ~, . ~ ~ ~ , Owner Address ' 4 ~, ~ ~ _' , ;,_. ~ Phone ` Contractor ,~~' - ' } ' ~' Address Phone State Contrs. No. Building Permit Number „' :`~ ~"_~~_ ;.._ ~ -~ TT ~' Under 100,Otl0 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 ,_ ~, ~ .; 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 Separate application for each structure r, ./ Date _ ! , Address onst C ~~.' ~ - k Occupancy ~ ~ ~ ` . . Owner ' r Address - ~ ~ Phone Contractor Address Phone State Contrs No Buildin g Permit N 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 $ 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 (tistl - 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 ~ . _..__ _. TOTAL ENCLOSED FEE ., TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 ~" ~ '' Telephone (206) 458-3244 Separate application for each structure 4 t - r ..Date - Address C~nst ~' - ` ~ "~" ' " ~ Occupancy 'j' `' r . Owner ~ ~` %~ ~~~" ~~ Address , ~ ~ -~~' '°Phone ~~ Contractor ` ' -.-r' ` ~"~ - '~ - Address " _ ~ "` .e~" ~ ~=- Phone "" State Contrs. No. ` r' ~ Buildin g Permit Number ' ,~JeUnder 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 $ 1 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 $ i'. ^ Exhaust Hood Fee $ , '`p` .- ^ Domestic Fee $ Incinerators ^ Commercial Fee $ ^ Other Appliances Ilistl" -'~ ~ °~ ' `.~ ~ ~ "~~~ Fee $ ^ Other Mechanical Installations (list). >;A. ; ~ By Value ~:; Permit Fee ~' ; ,~sf TOTAL ENCLOSED FEE ~ ;~ ,;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 ._--- ;=.- Permit x - .---.._ .-- TOWN OF YELM P.O. Box 479 MECHANICAL PERMIT Yelm, Washington 98597 ~~~~ r' °~ "8 `" Separate application for each structure ~~y-~ ~ ~~ ~ ~~ Telephone (206) 458-32 44 - -Date t - C.onst. Address ~ .,. ,: ' ' ~ -~ '' ~ Occupancy f '~~` ~ ' Owner ~ Address f = Pl-one , Contractor t ~' ~ ' r % ~ ~ - Address Phone State Contrs No "~~ ' ~ .' Building 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 ^ 1,000,001 - 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 o 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) ,;, 1 ~ ,; ,.,~ 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 "' ~ Rec'd. by ... -; Sate Permit Jt _ •.-_ ~ ,; TOTAL ENCLOSED FEE ~~, ', ~~ 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 ~ ~ ? ,~: ; t 1 Occupancy F I f `~ ' Owner ~' +-' Address ~~ %---T~ ~ ' -~ 'i~hone Contractor - ~ i- -• ,' ~' t' -' t '' ~ % t.--°'- ~= ~ Address Phone State Contrs. No.' ~"%~~ ~~~~~ Building Permit Number ' `` Ewe ~--' ~~ 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 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 $ 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 ... .. ~A Signature i No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. [Q Other Appliances (list):=. ~::' t. s` ! ^ t ~ __Fee $ FOR TOWN OF YELM USE ONLY ^ Other Mechanical Installations (list) _ ~.~:-~ By Value 4~ ?. ,:, Recd. b ~ ;/ . Permit Fee tr' ± Y --- - -. --- Date -__-- :.' Permit x __ ______.---. r~ A w -, ~ 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 Const. Address ~ ~. .~ ~ ' ~~ ~ ~ ~ ~~- Occupan cy ~`~ '' -E-~" '~ , Owner `'`~ ~ ~~ Address , >` ~ ~~~~'~ Phone Contractor ~,.- I-~ t %' ~' Address Phone State Contrs. No ' ~~ ~ ' ' j r Building Permit Number _ .., . . .. .,~. ``Under 100,000 BTU ~` Fee $ `"' P it Oth Oil El i G t ^ Hot Air Furnaces erm ^ as ^ ^ r ers ec c ^ ^ Over 100,000 BTU Fee $ ^ 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 tor with the t i d as a con rac stere certify that our firm is reg ^ 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 $ y-, Signature ~:_„ ~~`'~ _ Y Vent or Vent Fan ( not covered by other permit Fee $ ^ 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 I listl t ~ ?;`:. . Fee $ ~ FOR TOWN OF YELM USE ONLY ^ Other Mechanical I nstallations (list) - `=6y Value ' ~, Permit Fee j i Rec'd. by _. ?- ..___ Date . _r. ;':. Permit ~ . .._.._.. -- TOTAL ENCLOSED FEE,. ".,' ~, ~ ~: ~; TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 ~` ~ ~; "-;i"r Telephone (206) 458-3244 Separate application for each structure d •• ,_~ ,, , . ~'~~~ Date ., ;~._ Const. Address! E- =.'~p '' r ~ ~ ~, , ~_~,~. ~~ Occupancy ~ a ~'- i :3~~'~~ L f ,~ Owner ~-~' r ~ a r~s ~ ~'~ ~` Address c.~ ~`~ '~ ~ ~ '~ Phone~~ Contractor ~, , `~ '~ `~ ~~ ~`' ~ 'r Address. ~~•'~''~~ f ~~~~ ~ °" ~ Phone State Contrs. No. Building Permit Number ~ "'',,~_ .~ '.' a ' ^ 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 Vent Fan (not covered by other permit Fee $ ^ Exhaust Hood ' ` ' Fee $ ^ Domestic Fee $ Incinerators Commercial Fee $ ^ Other Appliances (list) •' ~ °.'Fee $ ^ Other Mechanical Installations (listh By Value Permit Fee TOTAL ENCLOSED FEE 9 shall be performed in accordance with all Codes and Or- dinances of Town of Yelm. ~~ Firm ~'~ .~ ~ ,~<.F: a' s a 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 OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 Telephone (206) 458-3244 Separate application for each structure „ ~ j Date Const. Address ~, ._., Occupancy ~:- ~~ ~' , Owner ~. ,~ - , 1 ' '' . , , Address '~ Phone ` Contractor '~~ %' ~ - ,, Address Phone State Contrs No ` . <> ~- ' ' -'' -` ~ "' Buildin Permit N g .~ - 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 $ 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 (Jnot covered by other permit Fee $ ^"Exhaust Hood Fee $ ' ^ Domestic Fee $ ~' Incinerators ' ^ Commercial Fee $ ^ Other Appliances (listl _ ~ .- ~ s - ; -. ,Fee $ ^ Other Mechanical Installations (list) „, ; -, By Value Permit Fee z . _% TOTAL ENCLOSED 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 - , - - .---- Dated _.`-- ... Permit 3t - ..-- __ ... TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 _ -- Telephone (206) 458-3244 Separate application for each structure •{ ' --. ,;., t_. . , Date T Const. Address ` 3 -~ Occupancy ' ~; ~ ,~' ~ s- ~'' ~ -c Owner r` ~a~~ ~ Address~°~ ~"' ~ ,` ~ ;~ °~~ Phone Contractor . " '~ i r', ~ ~" "` _ :~ ~. ~~ Address Phone ,, ,Ff State Contrs. No ~~ `_': ,~' ~' Building Permit Number ^ Under 100,000 BTU Fee $ `;` t = 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 Vent Fan (not covered by other permit Fee $ ^ Exhaust Hood Fee $ ^ Domestic Fee $ Incinerators ^ Commercial Fee $ [^ Other Appliances (listf . ~ ; , ~ f1'_ Fee $ ^ Other Mechanical Installations (lists ,r ~ 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 Recd. by _ - - - Date - {= ---:: - Permit x -_ TOTdL'ENCLOSED FEE ~,, , 1I TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 ~~; ~; y Telephone (206) 458-3244 Separate application for each structure - Date Const. Address ~ ~' ' j ~-~ Occupancy ~'' ' Owner w ~ ~ d ~ ~ ~s ~ ` ~ i Address e t / ~.~ Pine i Contractor ``~ .--.,j `-+' ti ' ` Address Phone ~,. j, State Contrs. No '~"<< 1, ~- ~ ~. '% % % ' Building Permit Number ~ ` iY~ ~ '~ _, - '~] Under 100,000 BTU Fee $ ^ Hot Air Furnaces e'^ 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 $ Ty ^ Vent or Vent Fan `f'not covered by other permit Fee $ ^ Exhaust Hood Fee $ ^ Domestic Fee $ Incinerators Commercial Fee $ Other Appliances Ilistl-.: ~ `. Fee $ ^ Other Mechanical Installations (listk '' ~ ~ , ; ~: By Value K Permit Fee - __ ,~ ~. ~_ f _ ,-.. 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 ' - r-- -- Datk ,'" - -~ Permit it - - TOTAL ENCLOSED FEE'~~. 4,~, , TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 " Telephone (206) 458-3244 Separate application for each structure •~ ' Date Coost. Address ' " '~ ~ , ~ -..' :. ~' ~ Occupancy ` ;~, ,` ~ ~~ Owner t ,`~ ~ ~ Address ~ ~ ~~, _, ~' ~ r ~ ~~~ ~~ ' i tl ~~Phone Contractor -r`~,~ ~~~ ~~ ~ ° ~ ~~ Address ' ~ ~° ~' ~~ ,_ ~Y~~,~~SOne State Contrs. No > ;' Buildin .r g Permit Number ;' [~ Under 100,000 BTU Fee $ ''r 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 $ 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 lNot 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 $ Cj Other Appliances (list) ~ _ . ~ ~._ Fee $ [] Other Mechanical Installations (list) `; By Value Permit Fee ~t: TOTAL ENCLOSED FEE 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 ._._~. _;.. Permit ~ .- -_-_-. . TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 ~` ~'° '" Telephone (206) 458-3244 Separate application for each structure ',., ~ ~' `°~ s ~~ ' ~'~~ .Date `~` , Const. Address ~ .`;. ~ Occupancy - ~- ~'` '~ -- Owner. ?-:~~~.' ~ ~ ' ~ Address ' '''i. , ;` P ; - " f r Y" 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 Vent Fan (not covered by other permit Fee $ ^ Exhaust Hood Fee $ ^ Domestic Fee $ Incinerators ' ^ Commercial Fee $ ^ Other Appliances (IistR : ~ , _ - - ± ` 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 Recd. by :. ~ ._.---- Date -_~ 'Permit # - .--- -_ -- TOT~L" ENCLOSED FEE ,:~~~ ~„~, i ~. TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 ~ k. ~ " Telephone (206) 458-3244 Separate application for each structure :~ r ° Date Const. Address r ~ ~ ~ Occupancy = • ~ '` r'~° `.~ i ~ . ,~ , :- Owner ~ r ~ =~.L-''' ' .. , _ ':- ~ ~.~ ~ ~ ` ~ Address ; , (r. ~ ~._ . ; ; , , .. ' -~ hone ~-r-v- ,~; P Contractor ~~ ' ' : '-k - ' .ti,-~'~ ~ r Address '` Phone - 'r~ State Contrs. No. ~~'- ~ "~' Building Permit Number i } - - ' ~, , '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 f~not covered by other permit Fee $ ^ Exhaust Hood Fee $ ^ Domestic Fee $ ~ Incinerators ^ Commercial Fee $ [J Other Appliances (list)-',.•, ' . - ~ r~+`.~ Fee $ ^ Other Mechanical Installations (list) ;'~ _ ~ ; ; By Value Permit Fee - , :: a~ 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 _, ';I TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 `~ "~ ` " Telephone (206) 458-3244 Separate application for each structure ° ~~ Date Const. Address ~`-~ Occupancy x~ ~ ~` ~ ,, Address r` ~ ~,~ a`` %~~hone Owner- 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 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 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 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 ; Const Occupancy ,r . Owner ~ "'' ~. Addressi ~~ Phone Contractor '' Address Phone State Contrs. No. " ` ' , ' Building 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 ^ 1,000,001 - 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 $ ~ ~'; a "., ,' ., Firm >~ ^ Repairs or alteratio ns 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 Incinerators ^ Domestic Fee $ permit. Call 458-3244 for inspection. ^ Commercial Fee $ ^ Other Appliances I list)_' ;"Fee $ `r FOR TOWN OF YELM USE ONLY ^ Other Mechanical Installations (listl _~ ~ By Value. ` Permit Fee ~, r~~ `~' Recd. by ., __ Date _ <' ............. 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 i ~, r•~ ~ ;~ ,s _, r Date , Const. Address ;~~ R - r r; `. Occupan cy ,_:~ ~ `.~ ~" .,7. Owner _~ ~ ~" ri Address. ~ ~ ~^~~~°~Phone Contractor ~ ~ ~ ~ !~ ~'~~ ~ ~ ~~ ~ ~ ~~'' ~~' Address ~~~~ Phone No ` ~ State Contrs ~ `r `~, ~ Building Permit N umber . ^ Hot Air Furnaces ~~mUnder 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 $ ^ 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_1.' Fee $ ^ Other Mechanical Installations (list) , -- By Value Permit Fee ~=;,,-_ TOTAL `ENCLOSED FEE 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 3t . - - TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 r ~ '~ Telephone (206) 458-3244 Separate application for each structure ~ ~•" ~' _;- . " ...., .. Date ~ .~ , r i y ~ . t r Const. Address 1 '; ..~ , : v ~..+' ~ ,~' . ~ r . , ,- Occupancy ,-=-,~ ~'%~;.~ ~ Address ~~ ~~` ~~ ~ `~ Owner ,~~."~~-~ . '-.~ _ a ; ~ ~ '~' ~ 'T Phone - Contractor ~ ~ ~ '~ t ~ '~-~' ~ ~' ~ ~ - `~ ' Address Phone } ~ ~ ~ Building Permit Number ~ State Contrs. No. ~ ~ L s 1 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 t~ any of the above Fee $ ,._. Vent or Vent Fan 1 note covered by other permit Fee $ ^ Exhaust Hood Fee $ ^ Domestic Fee $ Incinerators Commercial Fee $ [~ Other Appliances (listl;:~d," . ` t 1 '; ';~,~=Fee $ ^ Other Mechanical Installations (list! ~`f' ?_•~ By Value Permit 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 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 - 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 ~ , Const. Address 4 , , ~_ f ,;'. , : "~ ' `£ .-Occupancy ~ >' . s }. . ,~ Owner, , . , , . ~ ' . . ~ ~ i , ~i Address_ ~ '~ ` n ., ~ ~ Phone .~, Contractor r, ' r- u'' ~" ,z ~ Address` ~ ~~ ~~ ~' ' r Phone State Contrs. No. Building Permit Number "-' ~ ~ ' 1 `~ F' [..,Under 100,000 BTU fee $ ^ Hot Air Furnaces ^ Orer 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) ~ , , - l:ee $ r.: ^ 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 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 1s TOTAL ENCLOSED FEE ~,'~ TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 C ' '~ ' , Telephone (206) 458-3244 Separate application for each structure °~ - _ ~ '~ ~`; _ Date 1 .~ ° J Const. Address ~" ' t' "~ Occupancy ' ~. ~ ~' ~ , . ~' ~ ~ ~~. Address~~-~ r - x , ~ Jar ~ ~~, t'-•~Phone Owner _ ,-.- .. .', ~ ,, , ::. ; Contractor ~ ~ r ~'~~` , '~~'' Address Phone State Contrs. No ' ''~~' "~ t~ _"~ '-` ~-r 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 $ 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. r~ Firm u', -_ .~~, __: : -. _. _. s. .. _ Signature No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. Other Appliances (list) k ~;~,^'- _ ~ ~`~=~..~ee $ C1 Other Mechanical Installations (list) ~.,;~., By Value , ',~'; ;' = Permit Fee I~j TOTdL ENCLOSED FEE ' FOR TOWN OF YELM USE ONLY Recd. by ._._, ~~ ...._-_. Dat~ ' :_~~ ~~~~ Permit ~ ~ _..._..__ TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 "' `` Telephone (206) 458-3244 Separate application for each structure Date ' ~ ; ,~ ~ fi Occupancy r t ~ .~ - ~' t . Const. Address ~` ~ ' n Owner `, is ~ y ,' ;, '' :~:..{ Address I. '~' ~ .. -- ~,..x Phone l s. 3 , r i : -~ ~ - i S" ~ , Contractot %' '* ~ Address ~ ~ -'~ ~ t - Phone State Contrs. No. Building Permit Number `~ ~' i° i i `~'' ,fit Under 100,000 BTU Fee $ ` ` Oil ^ Electric ^ Others Permit Ga ^ 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 $ S AFFIDAVIT CONTRACTOR 000 Fee $ 001 - 1 750 or Steam Boiler ^ 1 000 I hereby make application for a Mechanical Permit and , , , , contractor with the d i t as a ere s certify that our firm is reg ^ 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 $ r s, ` Firm x ~ ^ Repairs or altefations to any of the above Fee $ ,f f`~ ,r~, ~_ ,. .. , „ ,~ ^ Vent or Vent Fan (not covered by other permit Fee $ r , Signature ,~~"-,-~ ,_ .°,,~ ~-.. ^ Exhaust Hoa~d~~ r~~. ~ '•~': Fee $ _~~ ~-~ No work shall be performed prior to receipt of validated ^ Domestic Fee $ permit. Call 458-3244 for inspection. Incinerators ^ Commercial Fee $ ^ Other Appliances (list) Fee $ FOR TOWN OF YELM USE ONLY ^ Other Mechanical Installations (listl ' `.; ~. ~r' ,<' By Value y,t .. , ,` Permit Fee r : "~~ Rec'd. by ._ _ .:. ._ ._.___ Date .'..___._'._... Permit ~' . ...._: TOTAL ENCLOSED FEE ~`~ TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yelm, Washington 98597 c Telephone (206) 458-3244 Separate application for each structure " _- ~. -. ,, - Date Occupancy ~`~ ~ Const. Address , Owner ,.. ;''~ ~~ s~ ~ Address ~ ~~~~ ~ ~ ~ ~~.,~~ Phone Contractor ~ ` '~ ; ~ Address Phone ..: ' ' ~ Buildin Permit Number ~ --'" ~~ State Contrs. No., ,.c. g w': ~'s--ti ~ , ~ ~-- `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 $ 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 VentAFan (not covered by other permit Fee $ ^ Exhaust Hood Fee $ ^ Domestic Fee $ Incinerators ^ Commercial Fee $ ^ Other Appliances llist? ; . ; , ~ ,' ~ ' 'Fee $ ^ Other Mechanical Installations (list) ' By Value Permit Fee TOTAL ENCLOSED 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 ,. , i / ." ,. Recd. by __ __._._._ Date' ._ „_ '. Permit ~ '~. . TOWN OF YELM P.O. Box 479 MECHANICAL PERMIT Yelm, Washington 98597 Telephone (206) 458-3244 { Separate application for each structure DatQ Address ~ at ;; 7 t. _ Occupancy '. `. ._ . Owner i ~. Address Phone ._ Contractor ~ ~ '~ ~ ~ _._ ~' ' ' '~ ~ ~~'~~ Address ~" ~ ~ ~ ~ ~ ~~ ~ 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 ^ 1,000,001 - 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 $ ^ 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 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 -- - .l -- Date - - --- - - Permit sr - .--.--- --- TOTAL ENCLOSED FEE I TowN of YELnn 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 Contractor '~ :.. - - ' .,=-; ~ Address t- , , _. ,' `~r Phone No 'ti 'r ~~ ~~ ' ~' ~' State Contrs Building Permit N ' '~ ~~ ~ ~ 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 $ ^ 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 portable) Fee $ ^ Repairs or alterations to any of the above Fee $ ~] Vent or Vent Fan f not covered by other permit Fee $ ^ Exhaust Hood Fee $ ^ Domestic Fee $ Incinerators ^ Commercial Fee $ ^ Other Appliances (listl, ~, ~`°'r~-r'.-- Fee $ Other Mechanical Installations (listl _ :'.. ?-- ~ 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. bye ,- ' ,,. r.' -- Date ~: -.-- .--.-- -Permit # .. ;- --_ -- TOTAL ENCLOSED FEE I TOWN OF YELM MECHANICAL PERMIT P.O. Box 479 Yetm, Washington 98597 "~ "` Telephone (206) 458-3244 Separate application for each structure Date ~ .st. Address 's f' ~ ' ~'- - Occupancy '` Owner "ti` J'' ~ _ ~~ t Address'" ! i . - '~. `~ t~'~"hone Contractor -" r'~-~ ~ "'+' Address Phone State Contrs. No. 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 ^ 1,000,001 - 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 $ t. ~)~::t ^ 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 aeo g shall be performed in accordance with all Codes and Or- dinances of Town of Yelm. Firm ,,,._ ~i ~.. 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 ~ -~ ... TOTAL ENCLOSED FEE {