20050449 Permit Pkg 012406pF THEP~ City of Yelm
.a~ ~~ Community Development Department
a
Building Division
Phone: (360)458-8407
YELM Fax: (360) 458-3144
Applicant:
Name: Washington Energy Service
Address: 2800 Thorndyke Ave. W City: Seattle
Property Information:
Site Address: 410 West Rd SE
Assessor Parcel No. 64303601503 Subdivision
Contractor Information:
Name: Washington Energy Service Contact: Thornquist, Linda
Address: 2800 Thorndyke Ave. W City: Seattle
Contractor License No: WASHIES97106 Expires: 04/02/0592
Project Information:
Project: Simmons
Description of Work: Gas Water Heater
Permit rvo: PL-05-0449-YL
Issue Date: 01124/2006
(Work must be started within 180 days)
Receipt No: 40140
Phone: 206.282.4700
State: WA Zip 98199
Lot;
Phone: 206.282.4700
State: WA Zip: 98199
Business License: 3050.1
Sq. Ft. perfloor: (1st) 0 (2nd) 0 (3rd) 0 Garage 0 Basement 0
Heat Type (Electric, Gas, Other): OTHER
Fees:
Item Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
Plumbing Permit 27.00 20.00 7.00 7.0000 1 0000 Fixturev
TOTAL FEES: $27.00
Appttcant;-s Artaaavitt:
I certify that I have read and examined the information contained within the application and know the same
OFFICIAL USE ONLY
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 Insp~ctien~y(
Signature Date
Firm
City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Permit rvo: PL-05-0449-YL
Issue Date: 01!24/2006
(Work must be started within 180 days}
Receipt No: 40140
Name: Washington Energy Service Phone: 206.282.4700
Address: 2800 Thorndyke Ave. W City: Seattle State: WA Zip 98199
Property Information:
Site Address: 410 West Rd SE
Assessor Parcel No. 64303601503 Subdivision: Lot:
Contractor Information:
Name. Washington Energy Service Contact: Thornquist, Linda Phone: 206.282.4700
Address: 2800 Thorndyke Ave. W City: Seattle State: WA Zip: 98199
Contractor License No WASHIES97106 Expires: 04/02/0592 Business License: 3050.1
Project Inforration:
Project: Simmons
Description of Work: Gas Water Heater
Sq. Ft. perfloor: (1st) 0 (2nd) 0
Heat Type (Electric, Gas, Other): OTHER t I'~ `t I 0 ~'
Fees: ~ ~~ C~ ~:-- cam, ,• ~,~,~,
Item Item Fee Basf ``~
--- ------------- --------- ---- ~ ~, ~ ~ ~.. ,. ~~ C' ~-- l .,~ ~ ~ c
Plumbing Permit 27.00
TOTAL FEES: 527.00 tr Lam;
,1~~~.'(7 Cam. \~~~~ ~-t~>
l I
Applicant's Affadavit
I certify that I have read and examined the information cc
to be true and correct. I also certify that the proposed str
Yelm regulations including those governing zoning and la
easements and restrictions of record. If applying as a co
registered in the State of Washington.
Firm
CITY OF
YELM
P.O. Box 479
Yelm, WA 98597
360-458-8403
RECEIVED
****TWENTY SEVEN DOLLARS & 00 CENTS
RECEIVED FROM DATE REC. NO.
WASHINTON ENERGY SERVICES CO 01/24/06 40140
THE PERMIT GROUP BUDGETARY
2800 THORNDYKE AVE W
SEATTLE WA 98199
RECEIPT No. 4 014 0
AMOUNT REF.NO.
27.00 CHECK 5467
PLUM PERMIT
WASHINGTON ENERGY SERVICES COMPANY
THE PERMIT GROUP
2800 THORNDYKE AVE. W.
SEATTLE. WA 98199
PH. 206-282-4700
' PAY TO THE (` ~ .. f .y~ O-~
ORDER OF ~
U U
5467
~~j Qi/ ~/ 98.882/1201
DATE ` L G 111 ~J
~~ ~
F o 0 1V D A T I O N NOT VALID OVER 52500
. .~
Pn.~2s-es,-sooo
1110 112th Avs NE Sts. 100
B.II.VU.. WA 98004
005467 . L 25 L086 25 . LO L00666
JAN-18-2006 01:15 Yelm CDD
360 468 3144 P.02
Permit Fees Schedule
City of Yeim
Comtnwuty DevelOp1118!f1t Dapa~imMtt Pemtit tJo: Pl.-05.0*t~-YL
Building Division PA i D
Phone: (as0) 45Tf•8407 ,IAN 2 4 711116
Fax: (380) 468.3144
ciN of YEt_nn
s.~•
Peons: ws.za2~c7oo
None: Waahingbon
Address: 2800 Thomdyke Ave. W
~. ~~
Sta4s: WA ~D 9819!
~.'~' i
project: Simmons
pescr~don of WoAc: Gas W~•~ ~
sn• Address: 410 wsat Rd sE Assessor Paroel No. 64303807',0s
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.Bass Amt Unit Fee ~
.
Unit Rave Nv. Unlf9 Unp Desc
A
t
Item -
Plumbirg Psftrllt 082 OOt-322-10-00 27.00 20.00 7.00 T.00~ 1.0000 Fhdcros
1'iDTAL FEES: ~•~
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231
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