20050786 Permit Pkg 120806City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit No: M-OS-0786-YL
Issue Date: 12!08!2006
(Work must be started within 180 days)
Receipt No: 44941
Applicant:
Name: Northwest Permit Inc.
Phone:
360-945-2787
Address: 1345 Gulf Road City: Point Roberts State: WA Zip 98281
Property Information:
Site Address: 308 Edwards
Assessor Parcel No. 22719330500 Subdivision: N/A Lot:
Contractor Information:
Name: Washington Energy Service Contact: Phone: 206.282.4700
Address: 2800 Thorndyke Ave. W City: Seattle State: WA Zip: 98199
Contractor License No: WASHIES97108 Expires: 09/02107245 Business License: 3050.1
Project Information:
Project: Bess Owens
Description of Work: New Furnace and gas piping
Sq. Ft. per floor: (1st) 0 (2nd) 0 (3rd) 0 Garage 0 Basement 0
Heat Type (Electric, Gas, Other):
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
Mechanical Permit 38.25 0.00 _ 0 00 0.0000 0.0000
TOTAL FEES: 538.25
Applicant's Affadavit:
I certify that I have read and examined the information contained within the application and know the same OFFICIAL USE ONLY
to be true and correct. I also certify that the proposed structure is in conformity with all applicable City of # Sets of Prints:
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. ,Final Inspection:
Signature Date I Date:
Firm By'
CITY OF
YELM
P0. Box 479
Yelm, WA 98597
360-458-8403
RECEIVED ****THIRTY EIGHT DOLLARS & 25 CENTS
RECEIVED FROM DATE REC. N0.
WASHINGTON ENERGY SERVICES 12/08/06 44941
2800 THORNDYKE AVE W
SEATTLE WA 98199 BUDGETARY
RECEIPT No. 4 4 9 41
AMOUNT REF, N0.
38.25 CHECK 0778
P~fECHAN PERMIT M-05-0786-YL
City of Yelm
Community Development Department
Building Division
Phone: (360)458-8407
Fax: (360)458-3144
Applicant:
Permit Fees Schedule
Permit No: M-05-0786-YL
Name: Northwest Permit Inc. Phone: 360-945-2787
Address: 1345 Gulf Road City, Point Roberts State: WA Zip 98281
Project Information:
Project: Bess Owens
Description of Work: New Furnace and gas piping
Site Address: 308 Edwards Assessor Parcel No. 22719330500
Fees:
Item Acct Code Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
Mechanical Permit 032 001-322-10-00
38.25
0.00 0.00 -----------
0.0000 ----------- ------------
0.0000
TOTAL FEES: $38.25
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: 308 Edward St SW Parcel #: 22719330500
Subdivision: Lot #: Zoning;
New Construction ~/ Re-Model / Re-Roof /Addition Home Occupation Sign
Plumbing `/Mechanical Mobile /Manufactured Home Placement Other
Project Description/Scope of work: Replace 80 BTU Bryant Furnace and 20' gas piping
Project Value: `1578.00
Building Area (sq. ft) 151 Floor 2nd 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 NAME: Bess Owens
ADDRESS 3oa Edwa~~ street sw EMAIL
CITY Yolm STATE y~A ZIP 98597 TELEPHONE 360-458-0874
GENERAL CONTRACTOR wESCO TELEPHONE 206-378-6649
ADDRESS 2800 Thomdyke Ave W EMAIL
CITY Seattle STATE wA ZIP 98281 FAX
CONTRACTOR'S LICENSE # WASHIES9710B EXP DATEo9~o~CITY LICENSE # 060030501
PLUMBING CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S 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 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.
~ ~ ~ ,=
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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
eCf//I nVG/~1lC rr CLfL
PO Rox 479 6 458-3835
Yelne, WA 98597 (36~) 458-3144 FAX
u~rvu~. ci.yelm. roa. us
Northwest Permit Inc.
City of Yelm ~ ~~
Attn: Gary Carlson ~C`
105 Yelm Avenue W `~~1,' ~ ~L~
PO Box 479 ~~o~ G
Yelm, WA 98597
12/05/06
Gary:
Please process attached mechanical permit. We act as permit expeditors for our clients
and as such would ask that you do not mail the permits to the address on the application.
Instead, please mail them to the address below:
Northwest Permit Inc.
1345 Gulf Road
Point Roberts
WA 982.81
Please see attached check for payment of the permit fees.
Please be informed that we, Northwest Permit Inc. have taken over the permitting
services for Washington Energy Services. Please update your contact information with
the above contact address and below:
Contact: Melissa or Tania
Tel: 36U-945-2787
Fax: 360-945-2091
Email: ~~lcli~~.~c«'nw~~ermit.cc~nr or'I'anici<<? n~~hrrmit.r~nir
If you have any questions please call Melissa or Tania at 360-945-2787.
Thank you.
Tania M. Rcinecke
Northwest Permit Inc.