Loading...
1995 Plumbing Permits~,.. y ..~ ~~ ` ~~~ TowN of YE~nn PLUMBING PERMIT P.O. Box 479 Yelm, Washington 98597 Separate application for each structure ~® Telephone (206) 458-3244 ~~,~~~" ,l.j}7M ~~r1 Date Const. Address ~ ~/!Mn o/. Occupancy -- ~p-d~~-7-~-P-~-l'~J Owner ~ ~ 1 ~ ~. ~. • Address 9~~ ~"/~~ ~1~%y- ~~-~/U {Q~• Phone ~~~ ` ~~8~ Contractor - a/l/YVip l Address ~ Phone State Contrs. No. ~:~~ Building Permit Number ~-'~~~ ITEM FEE QUAN. FEE Urinals Lavatory ~ ~~ - ~ ~~~~ Bath. Tubs Shower Baths ~ ~ ~ tai f ~~ Kitchen Sink /~ ~ ~ / Disposal Units Dish Washers ~,0~ ~ ~O.~d Drinking Fountains Laundry Tub Automatio Laundry Equip. ,~. ~ ~ ~ ~ ~~ Catch Basin Floor Drains loor Sink Hot Water Tanks ~ ©~ ~ 7f aj~ Misc./e )A ~ ~~ ihJ,t~ 1l l /°i ~/~ Mist. - :~jl~,4G Permit Fee ~,~~ TOTAL ENCLOSED FEE ~~! ~~ I DESCRIPTION OF WORK ^ New ^ Addition ^ Remodel ^ Alteration CONTRACTOR'S AFFIDAVIT I hereby make application for a Plumbing permit and cer- tify that our firm is registered as a contractor with the State of Washington and Town of Yelm and that work shall be performed in accordance with all Codes and Or- dinances of Town of Yelm. Firm ~ .--~;l~T'yt~, r'1-C~w)//~~C'1~ tit 1.Q,r' !~i/JC Signature .t..ee_t n7~ ,iiiir~. ~St^ ;17~..~ O No work shall be performed prior to receipt of validated permit. Call 458-3244 for inspection. FOR TOWN OF YELM USE ONLY M Recd. by~ ~-~ _ ~~lv- I----- Date ~+ ~~__(- Permit ~t ~~Cj_ I 8 ~