20100052 Permit Pkg 031910City of Yelm
Applicant
Community Development Department
Building Division
Phone: (360)458-8407
Fax: (360)458-3144
Permit No.: 20100052
Issue Date: 3/1 912 0 1 0
(Work must be started within 180 days)
Name: NORTHWEST PERMIT INC. Phone: 360-945-2787
Address: 1345 GULF ROAD
POINT ROBERTS WA 98281
Property Information:
site address: 14807 99TH AVE SE Owner: JENNIFER COLON
Assessor Parcel No.: 78640017700 Subdivision: TAHOMA MEADOW Lot: 177
Contractor Information:
Name: WESCO
Address:
Phone: 206-378-2033
2800 THORNDYKE AVENUE WEST
SEATTLE WA 98199
Contractor License No.: WASHIES97106000 Expires: 9/28/2011
Project Information:
Project: MECHANICAL
Description of Work: INSTALL 3 TON HEAT PUMP
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
MECHANICAL
Contractor
NORTHWEST PERMIT INC.
TOTAL FEES:
Fees
$ 29.50
s z9.so
Applicant's Affidavit:
I certify that I have read and examined the information contained within the application and know the same
to be true nd correct. I also certify that the proposed structure is in conformity with all applicable City of
Yelm reg la ' s ' those govemin zoning and land subdivision, and in addition, all covenants,
easeme is n restrictions of record. If a plying as a contractor, I further certify that I am currently
register in t t o shington
Si natur Date
Firm
Sets of Prints:
nal Inspection:
Date:
I
City o~ Yelm
(.3b0) 458-8402
RECq: 00024401 3!19!2010 3:12 FM
OPER: CO TERM: 001
REFa: F,122
TRf~I: ,J3.000O BIIILGI~~1~~ITS
20100052
NpRTHIJEST PERMIT INC.
14407 99TH AOE 59,50CR
MECH
TENDEf~'ED: ~ x.50 C}~CK
Af~'LIED: 29.50-
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CHANGE: -----0.00
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: 14807 99TH AVE SE Parcel #: 78640017700
Subdivision: Lot #: Zoning;
New Construction ~ Re-Model / Re-Roof /Addition Home Occupation Sign
Plumbing ~ Mechanical Mobile /Manufactured Home Placement Other
Project Description/Scope of work: INSTALL 3 70N HEAT PUMP
Project Value: $4003.73
Building Area (sq. ft) 1 S` Floor 2"d 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 appiication.
BUILDING OWNER NAItAE: JENNIFER COLON
ADDRESS SAME ns ~F~o~FCr AooRESS EMAIL
CITY `'E~^^ STATE wA ZIP 9e597 TELEPHONE 360-349-9123
ARCHITECTlENGINEER LICENSE #
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
CaENERAL CONTRACTOR V~IESCO TELEPHONE 800-398-x663
ADDRESS 2800 iHORND~KEAVE W EMAIL
CITY SEATTLE STATE wA ZIP 98199 FAX
CONTRACTOR'S LIGENSE # ~sdr,s~-+i!_s~-~ ~~~~e: EXP DATE~~i ~ CITY LIGENSE# sosoi
PLUMBING CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LIGENSE #
EXP
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.
i
Applicant's Sig Y re Dat
Owner /Contra o /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
p ~C~~II~~
~~t~ 1 '.~ ZU~~
105 Yelm Avenue West (360) 458-3,j~~j 3~~~'/"
PO Box 479 (360) 458-~A(X-l ~'.L~-
Yelm, WA 98597 wu+m.ci.yelm.u~a.us
2a io ad Sa
March 17, 2010
City of Yelm
Attn: Gary Cazlson
105 Yelm Avenue W
PO Box 479
Yelm, WA 98597
Gary
Please process attached mechanical permit. We act as permit expeditors for our clients
and as such would ask that you do not mail the permits to the address on the application
Instead, please mail them to the address below:
Northwest Permit Inc.
1345 Gulf Road
Point Roberts, WA 98281
Please see attached check for payment of the permit fees.
Please be informed that we, Northwest Permit Inc. have taken over the permitting
services for Washington Energy Services. Please update your contact information with
the above contact address and below:
Contact: Naida Khan
Tel: 360-945-2787
Fax: 360-945-209 l
Email: naida@nwpermit.com
If you have any questions please contact me.
Thank you.
! ~~ ~.
Naida KH~apI
Northwest Permit [nc.
j~g~gIIC~l~~
MAR 1 3 2Ci8
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