20050093 Permit Pkg 032105City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360)458-3144
Applicant:
Name: Washington Energy Service
Address: 2800 Thorndyke Ave. W
Project Information:
Project: Marilyn Ziebell
Description of Work: Gas Water Heater
Site Address: 502 103rd Ave. NE
Fees:
Item Acct Code
Plumbing Permit 032 001-322-10-00
TOTAL FEES:
City: Seattle
Permit Fees Schedule
Permit No: PL-05-0093-YL
Phone: 206.282.4700
State: WA Zip 98199
Assessor Parcel No. 22730110100
Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
25.00 20.00 0.00 7.0000 0.0000 Fixture
$25.00
MAR-21-2~3~~c 12:1~J FROM:
T0:13b~4~8.:>144 P.1
CITY OF YELM
/RESIDENTIAL BUILDIN /P~~ERMR/~PP~ICATION t=ORM
Protect Address: '7~ ~ ~ t7 ~ ~~/'TV~ Parcel #: ~Z7 ~ o ~ ~O ~ oU
Subdivision: Lot #: Zoning;
I New Construction I Re-Model / Re-Roof /Addition I I Home Occupation Sign
I Plumbing echanical I Mobile /Manufactured Ho-mLe Placement O~th~e,,r~ r/~
Project Description/Scope of Work: G!' G .S ~ G 4 S ~~T~! ~~ ~-~' u ~"~CV
Project Value: L Wr ~
Building Area (sq. R) 1" Floor 2~ Floor Garage Deck
Basement Carport Patio
# Bedrooms- # Bathrooms^ Heating: AS/ THER or ELECTRIC (Cirde One)
Are there any environmentally sensitive areas located on the parcel? ~ ~ If yes, a
completed environmental checklist must accompany permit application.
BUILDING OWNER NAME: r / -''~ Q
ADORES O ~
CITY i1r` STATE ZIP TELEPHONE
GENERAL CONTRACTOR TELEPHONE
ADDRESS
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE_CITY LICENSE #
Copy of mitigation agreement with Yelm Community Schools, if applicable.
1 hereby certify that the :hove Information la eomad and that the wnatrudlen on, and the occupancy and the use
of the above described property will bo In acco-dance with the laws, rules and reyulatlona of the State of
Washlnpton and the C of Yelm.
~- 4 ~/zrlo ~
A plicant's Signature Date
Owner /Contractor /Owner's Agent / ntractor'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 ff work is suspended or abandoned for a period of
180 days
R:\Community DevebpmendForms & Ptocodures\Building Pami~c\ResBldgPermi[App.doc Page ~ of 3
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SEP-r71-2003 05:52 Yelm CDD
RECEIVED
MAR 2 4 ZOOS
04 T~~ City of Yelm ;
9 ~~ Community Development Departm Peeoeeerereore~
a ~ Building Division
Phone: {860) 456-E407 PAID ,
YELM Fdx: (360)458-3144 MAR 2 4 2005
Applicant: CITY OF YELM'
Name: Waabington Energy Service
Address: 2800 Thorndyke Avs. W City: Seattle
Project Information:
Project_ Marilyn Zlebell
Description of Work: Das water Heater
Site Address: 504 103rd Ave. NE
Foes:
Item Acct Code
Plumbing Permit 032 001-322-10.00
TOTAL FEES:
/1L CU~~ C,~~"
360 458 3144 P.Oli01
Permit Fees Schedule
Permit No: PL-00083-YL
<~ Ir) ~ 1-
Phone: 206.282.4700
state: WA Z'ip 96199
Assessor Parcel ~lo_ 22730110100
Item Fee Bane Amt Unit f:se Unit Rate No. Units Unit Desc
25.00 20.00 0:00 7.0000 0.0000 Fixture
525.00
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CITY OF
YELM
P.O. Box 479
Yeim, V`/A 9897
360-458-8403
~ECEIVEG
RECEIPT No. 3 5 9 7 0
`***TWENTY FIVE DOLLARS & 00 CENTS
,Oh,~ D ~ c R.C. f`10. ,b,~CI:N" R=` "''=
WA ENERGY SERVICES 03/24/05 35970 25.00 CHECK 4543
2800 THORDYKE AVE W
SEATTLE WA 98199
ATTN CANDICE GALLAGHER
425-770-3288 FAX 425-424-377 1`fISCELLANEOUS RECEIPT
JANINE
PLUt-iBING PER1~tIT / WASHINGTON ENERGY SERVICES