07-0112 Permit Pkg 032307~,~~ THFA `C City of Yelm
4
~ Community Development Department
Building Division
Phone: (360) 458-8407
L Fax: (360) 458-3144
APPlicant:
Name: Fast Water Heater
Address: 12601 132nd Ave NE
City: Kirkland
Property Information:
Site Address: 1010 Yelm ave. East
Assessor Parcel No. 99001985400
Subdivision:
Contractor Information:
Name: Applciant
Contact:
Address:
City:
Contractor License No:
Expires:
Project Information:
Project: Retail Marketing Service
Description of Work: Replace electric hot water tank
Sq. Ft. per floor: (1st) 0 (2nd) p
(3rd) 0 Garage 0
Heat Type (Electric, Gas, Other):
Fees
Permit No: PL-07-0112-YL
Issue Date: Not Issued
(Work must be started within 180 days)
Receipt No: 47706
Phone: 425.814.3124
State: Wq Zip 98034
Lot:
Phone:
State: Zip:
Business License:
Basement p
Item
____________ Item Fee Base Amt Unit Fee Unit Rate
Plumbing Permit -"" -~---- _______ No. Units Unit Desc
27.00 20.00 7.00 ~~~ ~"
TOTAL FEES: S27 00 7'0000 1.0000 Fixture _
Applicant's Affadavit:
I certify that I have read ar
to be true and correct. I al
Yelm regulations including
easements and restrictions
registered in the State of V1
that the
g and land subdivision, and in addit onaalpllcove'n2
as a contractor, I futher certify that I am currently
Sets of Prints:~
/ ~ Final Inspection:
Signature ~ ~~ ` ~ ~,,/~~
Firm K/ __ Date ~ z ~ ~ ~ Date:
,4 °F THFA`~ City of Yelm
a Community Development De a
Buildin p rtment
g Division
Phone: (360) 458-8407
LM Fax: (360) 458-3144
Applicant:
Name: Fast Water Heater
Address: 12601 132nd Ave NE
City: Kirkland
Project Information:
Project: Retail Marketing Service
Description of Work: Replace electric hot water tank
Site Address: 1010 Yelm ave. East
Fees:
Item
________________-_~___-` Acct Code
Plumbing Permit 032 001-322.10.00
TOTAL FEES:
Permit Fees Schedule
Permit No: pL_07_0112-YL
Phone: 425.814.3124
State: WA ZiP 9&0 ,~
Assessor Parcel No. gg00198~00
Item Fee Base Amt Unit Fee
27.00 __ 20.00 __-_-7.00
527.00
Unit Rate No. Units Unit Desc
7.0000 1.0000 Fixture
~ ~"; ~~I YELMF
PO L'uz4i9
YELM 'rPhro, Wn X8597
I 3sn~a58-32aa
'~E CE1`~.'E!`~
*'"T~~ENTY SEVEN DOLLARS & 00 CENTS
i ~~ cr r,~t_~, ~ ~ ~~~na
FWH ACQUISTION COt4P. rnTF rtt_c: rdn
12601 132ND AVE NE 03/19/07 47706
KIRKLAND WA 98034
BUDGETARY
RECEIPT No. ~ ;~ ,~ ij
AMOUNT
rr r ru'. I
27.00 CHECK 2830
PL=07-0112-YL 1010 YELM AVE B- GRETCHEN
_-~_
360818
CITY OF YELM
~}~~ ~~C~ /I~ RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address:1010 ALGIERS RD Parcel #: 99001985400 ~ \ ~A
Subdivision: Lot #: Zoning;
New Construction ^ Re-Model / Re-Roof /Addition ~ Home Occupation Sign
m Plumbing n Mechanical ^ Mobile /Manufactured Home Placement ^ Other
Project Description/Scope of Work: Remove/Replace Electric W~
Building Area (sq. ft) 15` 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.
~-/~
J6'I~ FO
J
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, rotes and regulations of the State of Washington and the
C(ty of Yelm. _
/ ~~ 3/14/07
Applicant's Signature Date
Owner / Contractor I 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 Yeim. Auenue Weat '-- -'- ---
PO Box 479 (360) 458-3144 FAX
Yeim, WA 98597 www.ci.yeln~wa.ua
Copy of mitigation agreement with Yeim Community Schools, if applicable.