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07-0136 Permit Pkg 040207~pF 7HEp~~ City of Yelm ~p Community Develo Building Division Phone: (360) 458-840 ELM Fax: (360) 458-3144 pment Department 7 Applicant: Name: Fast Water Heater Address: 12601 132nd Ave NE City: Kirkland Property Information: Site Address: 624 Crystal Springs Rd. Assessor Parcel No. 22719240401 Subdivision: Contractor Information: Name: Contact: Address: City: Contractor License No: Expires: Project Information: Project: Yelm Community Services Description of Work: Install Comerci al Hot Water Tank Sq. Ft. per floor: (1st) 0 (2nd) 0 (3rd) 0 Heat Type (Electric, Gas, Other): Fees: Item Item Fee Base Amt Plumbing Permit 27.00 20.00 TOTAL FEES: 527.00 Applicant's Affadavit: _ QFFICIAL USE I certify that I have read and examined the information contained within the application and know the same 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: ~V~ ~ -7 ~ ! / • ~~ ~ Date: Signature C.% L7 Date Firm ~ "~ ,~- G f'~~/_~~ By. Permit rvo: BLD-07-0136-YL Issue Date: Not Issued (Wor k must be started within 180 days) Receipt No: 47839 Phone: 425.814.3124 State: WA Zip 98034 Lot: Phone: State: Zip: Business License: Garage 0 Basement 0 Unit Fee Unit Rate No. Units Unit Desc _ 7.00 7.0000 1.0000 Fixture