20050387 Permit Pkg 110905City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Permit No: PL-05-0387-YL
Issue Date: 11/09/2005
(Work must be started within 180 days)
Receipt No: 39205
Applicant:
Name: Washington Energy Service
Address: 2800 Thorndyke Ave. W
ity: Seattle .-.,Q,~_-~
Phone: 206.282.4700
State: WA Zip 98199
Property Information:
Site Address: 71T Yelm Ave. East
Assessor Parcel No. 99001152000 Subdivision: N/A
Lot: N/A
Contractor Information:
Name: Washington Energy Service Contact:
Phone: 206.282.4700
Address: 2800 Thomdyke Ave. W City: Seattle
State: WA Zip: 98199
Contractor License No: WASHIES97108 Expires: 04/0210592
Business License: 3050.1
Project Information:
Project: Arnolds Country Inn
Description of Work: gas water heater replacem ent
Sq. Ft. perfloor: (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
Plumbing Permit 27.00
TOTAL FEES: $27.00 20.00 _ 7.00 7.0000 1.0000 Fixture
Applicant's Affadavit: /
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 futher certify that I am currently
registered in the State ;of Washington.
;,
Signature /~~~ " . ~- ` ~_,_, Date
Firm ~ ~
inal Inspection:
Date:
w1-~1-GU()5 03:49 Yelm CDD
360 458 3144 P.02
City of Yelm Kermit Fees Schedule
Community Dsvsll~pmtrtt pdp~~~t
Building Division pp I ~ l~,a No: PL-06-0x87-YL
Phone: (380) 488.8107
--o.~..,. Fax: (860) 458-x144 N~V - 'j 20()5
APPtMarhr
Nerve: Washington Energy 8enitel
Addrssa: 2800 Thomdytce Ave. W
CITY OF VE~M
'~
~.3g2c
Phone: =Oi.lE2.4700
StaAe; WA Zip gtilgg
Pro• hdbmlatl~on:
Prohct~ Amolda Country Inn
Description or Work: lias vrater Aeeoer eet-leoernem
SiOe Address: 717 Yalm Ave. 5ast
F'A90:
Item Aut Code
Plumbing Permit 032 001-3Z~_10-00
71DTAL FEE6:
Aaaeasor PB+sel No. N001152000
Item Fee Baas Amt Unit Fea
~-~ ~ ~ 7.110
587.00
U~t Rate No. Units Unit Desa
7.0000 1.DOl>D Fodure
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YELM
PO. Box 479
Yelm, WA 98597
360-458-8403
RECEIVED
RECEIVED FROM ~ ~~ "ULLARS _ ~-- -
i~JASHINGTpN DATE REC. NO.
ENIkG SERVICES
SEATTLE Gy A YK4 R VE Yd ~ _ , _ _ :
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2@6 28? g 7~7 Bi1DGETARY
RECEIPT No, 3 g 2 p 5
~~~ , ~~
AMOUNT
' REF NO.
~ 7 ~0e CNECK 5~ ~ 3
PL-@SO3L?7-yL pLUt1BLING PERMIT
ARNOLDS GAS WRTER HEATER
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