20100031 Permit Plan 020910City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360)458-3144
Permit No.: 20100031
Issue Date: 2/09/2010
(Work must be started within 180 days)
Applicant:
Name: WESCO Phone: 206-378-2033
Address: 2800 THORNDYKE AVENUE WEST
SEATTLE WA 98199
Property Information:
site Address: 204 VAN TRUMP AVE NE Owner: DAVID ASHEF
Assessor Parcel No.: 64421301000 Subdivision:
Contractor Information:
Lot:
Name: WESCO Phone: 206-378-2033
Address:
2800 THORNDYKE AVENUE WEST
SEATTLE WA 98199
Contractor License No.: WASHIES97106000 Expires: 2/28/2009
Project Information:
Project: PLUMBING
Description of Work: REPLACE 60K BTU GAS FURNACE
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other): GAS
Second
Third
Garage
Basement
Fees:
Item
PLUMBING
Contractor
WESCO
TOTAL FEES:
Applicant's Affidavit:
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
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 further certify that I am currently
registered in the State of Washingto /~
Signature ~~~ Date ~ Q l/
Finn
Fees
S 25 00
S 25.00
# Sets of Prints:
Finallnspectlon:
Date:
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REC#: 00021142 /09/2010 2:19 PM
GFfk: CO TEk~i: 001
REF#: 59'0
TRAM: 33.~U0 I'tIILDING PER~IIT`~
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TENDERED: 2.00 ~~HECK.
r~'PLIED: ~~.00-
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CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: 204 VAN TRUMP ST NE Parcel #: 64421301000
Lot #. Zoning:
New Construction ~ Re-Model / Re-Roof /Addition Home Occupation Sign
Plumbing ~ Mechanical Mobile /Manufactured Home Placement Other
Project DescriptioNScope of work: REPLACE 60K BTU GAS FURNACE
Project Value
Building Area (sq. ft) 1" Floor 2n0 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.
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 ~: i :x~' -':. Tl' , ...
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 o(the
above described property will l1t in accordance with the laws, rules and regulations of the State of Washington and the
City of Yelm.
Applicant's Sig ature D e
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
PO Box d79 ~ FEB 0 S 2010 G (360) •158-3I ld F:L~
}'efm, it'.A 98597 uuew~.ci;vrlnr.u~a.ua
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