07-0345 Permit Pkg 091307City 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: Pamela Walker
Description of Work: 40 gallon Hot Water Tank-gas
Site Address: 312 Mosman Ave. SW
Fees:
Item Acct Code
Mechanical Permit 032 001-322-10-00
TOTAL FEES:
City: Seattle
Permit Fees Schedule
Permit No: M-07-0345-YL
Phone: 206.282.4700
State: WA Zip 98199
Assessor Parcel No. 21724411400
Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
33.25 0.00 0.00 0.0000 0.0000
$33.25
~~~~
SEP ~ ~ 2nni
CITY OF YE,i ~
~***THIRTY TtiREE DOLLARS & 25 CENTS
MICHELLE
M-07-0345-YL
PA}4ELA WALKER
I;E~;E;l~!. U fIluM DAZE kE{; N0. ~MOlitll ICE F :~Ir;
WASHINGTON ENERGY SERVICES CO 09/13/07 50298 33.25 CHECK 1873
2800 THORNDYKE AVE W
SEATTLE WA 98199 BUDGETARY
WASHINGTON ENERGY SERVICES COMPANY
NORTHWEST PERMIT INC
2800 THORNDYKE AVE W PH 206-262-4700
SEATTLE, WA 88199
' PAY TO THE
ORDER OF
1873
DATE ~ ~ (~ sa-ea2~i
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F O U D A T I O N
.. STN KK
Ph. 025-897-5000
1110 112th Ave NE Ste 100
Bellevue, Wq 980W
$ 33 2
VOID AFTER 90 DAYS LIARS
NOT VALID OVER x2,000.00
OL873u' I:i25L086251:LO
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190 24~~'
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: 312 MOSMAN AVE SW Parcel #: 21724411400
Lot #: Zoning;
New Construction ~/ Re-Model / Re-Roof /Addition Home Occupation Sign
Plumbing ~ Mechanical Mobile /Manufactured Home Placement Other
Project Description/scope of work: Replacing a gas to gas 40 gallon water heater
Project Value: $950.00
Building Area (sq. ft) 1S' 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
~amQleted environmental checklist must accompany permit application
BUILDING OWNER NAME: PaME~A w,au<ER
ADDRESS i1~ ^90SMAN AvE sw EMAIL
CITY y~~m STATE wa, ZIP 98597 TELEPHONE 360-458-2565
ARCHITECT/ENGINEER LICENSE #
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
CITY
WASHIES971U6
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.
Applicant's Sign re Date ~-
Owner /Contract /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
705 YPlttl a!!ertt[P. WCSI (360) -158-383a
PO Bps 47,9 (360) 458-3744 FA1
Ye[m, WA 985.97 u~u!u!.ciyelne.u~n.us