20100003 Permit Pkg 010810City of Yelm
Community Development Department
Building Division
Phone: (360)458-8407
Fax: (360)458-3144
Permit No.: 20100003
Issue Date: 1/08/2010
(Work must be started within 180 days)
Applicant:
Name: PRATTS PLUMBING
Address: 3301 46TH AVE NE
OLYMPIA WA 98506
Property Information:
Site Address: 1 ~1 ~d t,^_~RTFR I P SF
Phone: 360-357-3262
Owner: CANDY GARRIS
Assessor Parcel No.: 52920005500 Subdivision:
Contractor Information:
Name: PRATTS PLUMBING
Address: PAMELA PRATT
3301 46TH AVE NE
OLYMPIA WA 98506
Contractor License No.: PRATTPF9900D
Phone: 360-357-3262
Expires: 7/29/2010
Lot:
Project Information:
Project: MECHANICAL
Description of Work:
Sq. Ft. per floor: First
Second
Third
Garage
Basement
Fees:
Item
MECHANICAL
Heat Type (Electric, Gas, Other):
Contractor
PRATTS PLUMBING
TOTAL FEES:
AMOUNT PAID:
BALANCE DUE:
Applicant's Affidavit:
I certify that I have read and examined the information contained within the application and know the same
to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm regulations including those governing zoning and land subdivision, and in addition, all covenants,
easements and restrictions of record. If applying as a contractor, I further certify that I am currently
registered' S1~~ta't~e"of' WAashin ton,,
Signature~~(A,~r ~ ~'(I Date l' ~~
Fees
$ 29.50
$ 29.50
$ 0.00
$ 29.50
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
~j~W o~3
CITY OF YELM
" RESIDENTIAL B1U,I,LDING PERMIT APPLICATION FORM
Project Address: I SI3~ ~~ L.~S~, Parcel #: ~ ~~ ~ ~~ `J~-~
Subdivision: Lot #: Zoning;
:: New~eonstruction :: Re-Model / Re-Roof t Addition ~: Home Occupation Sign
Plumbing ~`~ Mechanical Mobile /Manufactured Home Placement !_-' Other
Project Description/Scope of Work: `~CP~~C~~ J~ ~r ~C~1" ?>~S ~'~ ~~-'`~'le~Qr'
Project Value:
Building Area (sq. ft) 1 ~` Floor 2"d Floor Garage Deck
Basement Carport Patio~_
# Bedrooms- # Bathrooms- Heating: GAS/OTHER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? If yes, a
completed environmental checklist must accompany permit application. ,
BUILDING OWNER NAM
ADDRE S S "3 ~ EMAIL ',
CITY STATE ZIP TELEPHONE 3 ~ ~
ARCHITECT/ENGINEER LICENSE #
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
GENERAL CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
PLUMBING CONTRACTOR (_~~, TELEPHONE -~' ~ ~ ~
ADDRESS ~~3~ f - `~ ~ ~' __ EMAIL
CITY_~~~~~0 'S ,4,~STATE__!~ZIP ~ FAX
CONTRAC R LICENSE # EXP DATE' CITY LICENSE #
MECHANICAL CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE .ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
Copy of mitigation agreement with Yslm Community Schools, if applicable.
I hereby certify that the above in(olinatlon Is correct and that the construction on, and the occupancy and the use of the
above described property will be in accordance with the laws, rules and regulations of the State of Washington and the
of Yelm.
~~ ,~ - g
Qi cant's Signa ure Date
Owner /Contractor /Owner's Agent l Contractor's Agent (Please circle one.)
All permits are non-transferable and will expire if work authorized by such permit is not begun
within 180 days of issuance, or if work is suspended or abandoned for a period of 180 days
105 Yelm Avenue Weat (360) 458-3835
PO Box 479 (360) 458-3144 FAX
Yelm, WA 98597 www.ci.yelm.wa.u8