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20050638 Permit Pkg 071306~~pF T"EP~~ City of Yelm o Property Information: Site Address: 9827 Ramsey Dr. SE Assessor Parcel No. 69240004400 Community Development Department a re Building Division Phone: (360)458-8407 E M Fax: (360)458-3144 Applicant: Name: Fast Water Heater Address: 12601 132nd Ave NE City: Kirkland Contractor Information: Name: Fast Water Heater Address: 12601 132nd Ave NE Contractor License No: FASTWHC052p Subdivision: Contact: Hill, PC City: Kirkland Expires: 02H 6/0747 Project: Arnold Water Heater Description of Work: Replace gas water heater Permit No: PL-05-0638-YL Issue Date: 07/13/2006 (Work must be started within 180 days) Receipt No: 42743 Sq. Ft. per floor: (1st) 0 (2nd) 0 (3rd) 0 Garage 0 Heat Type (Electric, Gas, Other): Fees: Item Item Fee Base Amt Unit Fee Unit Rate Plumbing Permit 27.00 _ 20.00 7.00 7.0000 TOTAL FEES: $27.00 Phone: 425.814.3124 State: WA Zip 98034 Lot: Phone: 425.814.3124 State: WA Zip: 98034 Business License: 05-001048 Basement 0 No. Units Unit Desc 1.0000 Fixture Applicant's Affadavit: I certify that I have read and examined the information contained within the application and know the same to be true and correct. 1 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 futher certify that I am currently registered in the State of Washington. Signature ~, _ --_ `~~'~ Date ~1~/~/ Firm- ~~~ - - - - # Sets Final Inspection: Date: By: ~of T,~~p~ ~ City of Yelm a 9m Community Developm Building Division Phone: (360) 468-8407 Fax: (360) 458-3144 Applicant: Name: Fast Water Heater Address: 12601 132nd Ave NE Project Information: Project: Arnold Water Heater Description of Work: Replace gas water heater Permit Fees Schedule ent Department P City: Kirkland Site Address: 9827 Ramsey Dr. SE Assessor Parcel No. 69240004400 Fees: Item ---_~______ Acct Code Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc Plumbing Permit 032 001-322-10-00 27.00 20.00 7.00 7.0000 1.0000 Fixture y TOTAL FEES: $27.00 ermit No: PL-05-0638-YL Phone: 425.814.3124 State: WA Zip 98034 CITY OF YELM RESIDENT1AL BUILDING PERMIT APPLICATION FORM Project Address:9827 RAMSAY DR SE Parcel #: 69240004400 Subdivision: Lot #: Zoning; ^ New Construction ^ Re-Model / Re-Roof /Addition ^ Home Occupation Sign 1!9 Plumbing ^ Mechanical ^ Mobile /Manufactured Home Placement ^ Other Project Description/Scope of Work: Remove/Replace Gas Water Project Value:449.00 Building Area (sq. ft) 181 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 Copy of mitigation agreement with Yelm Community Schools, if applicable. I hereby certify that the above Information 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 City of Yelm. ~. -~~=~~ ~' /r/ ~:r. ~ 7i~ gyros Applicant's Signature Date Owner /Contractor /Owner's Agent /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 Auenue West (360) 458-3835 PO Box 479 (360) 458-3144 FAX Yelm, WA 98537 www.cE.yetm.wa.us