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20130349 Permit Pkg 10302013 'f��o� TH�p,��' City of Yelm Permit ►vo.: 20130349 ? � � Community Development Department Issue Date: 10/30/2013 d � (Work must be completed within 180 days) Building Division Phone: (360)458-8407 EL ""'"`"`°" Fax: (360)458-3144 Applicant: Name: PRATTS PLUMBING Phone: 360-357-3262 Address: 3301 46TH AVE NE OLYMPIA WA 98506 Property Information: Site Address: 10338 THIRD ST SE Owner: STEVE BAILEY Assessor Parcel No.: Subdivision: Lot: Contractor Information: Name: PRATTS PLUMBING Phone: Address: PAMELA PRATT 3301 46TH AVE NE OLYMPIA WA 98506 Contractor License No.: Expires: 0/00/0000 Project Information: Project: MECHANICAL Description of Work: REPLACE NATURAL GAS WATER HEATER WITH SAME Sq. Ft. per floor: First Heat Type(Electric, Gas, Other): Second Third Garage Basement Fees: Item Contractor Fees MECHANICAL PRATTS PLUMBING $ 29.50 TOTAL FEES: $ 29.50 ApplicanYs Affidavit: OFFICIAL USE ONLY 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 further certify that I am currently Final Inspection: registered in the State of Wa ington. Signatur��r 3�t.��. Date �� 3�� j_"�� Date: ,,Y�, Firm `�',�{��—�� .��.� By� Cit� of Y�lm (3fa ) 458-8402 REC#: 00142531 lOJ3UJ2013 1 .17 PM OFER: CO TERM: 001 REF#; 6474 TRAN: 33.0000 6UTLDlNG PERMITS 20130349 29.50CR PRATTS PLUh18ING 1U338 THIRD ST SE MECH 29.50CR TENDEREG; 29.5Q CHECK ApPLIED: 2�.50— CHANGE: �� 0.00 � �; � � � 0�/19/2007 21:11 FAX 360a573262 �001 ��3�3�� CI`fY OF Y�LM RESIOENTIAL BUI�DING P�RMiT APPLICATlON �ORM Project Address: � �1 �'�� Parce!#. ��a� Q�� }� , Suf�division: Lot#: P1an#; Zoning: � New Construction .� Re-Madel/Re-Roof/Addition � Harrie Occupation Sign ^ Plumbing � Mechanical � Moblie i Manufactured Home Placement � Other F'roject Description/Scope of Work: � NQ�'t�Y"0.� ��t� �/J�Q,r �r �,c��,� V • •�— Project Value: Building Area (sq.ft) 1St Floar 2"° Floor Garage Deck Basement , Carport Patio #Bedrooms_ #Bathraoms` Neating: GAS/OTH�R or ELECTRIC(Circle One) Are there eny environmentally sensitive areas located on the parcel? � If yes, a comple#ed environmental cheokllst must accompany permit application. QU.ILDIN�01(VNER NAML: ADDR�S 3 � t_ EMAf� CITY STATE ZlP TELEPHpNE 3�D 4 ��_'� 7$ ARCHI�CTlENGi1VEE �ICErvsE# ADDRESS EMAIL C�n' STATE�ZIP TELEPHpNE G�IVERAf�CQNTRAGTOR TELEPH�NE ADDR�SS EMAIL CITY STATE�ZIP F,o,X CONTRAGTpR'S LICENSE#� EXP DATE CI�' LICENSE# P,L.UIV�C��NG,�CCJNTRA�T TELEPHONE�LO A�DRESS N EMA[� �p�� C�N STATE ZlP FAX 7 CONTRACi'OR'S LICENSE# , EXP DATE CiTY LICENSE# D ?.� M�CF�A�VlCAL�C�IVTRACTC�f� TELEPHONE ADDFZESS EMAI� C1TY STAT� 21P F,q)( CONTRACTOR'S UCENSE# EXP DATE CITY LIC�NSE# Copy of mitigation agreement with Yelm Community Schoois, if applicable. I he1'eby certify titat the aboye ir►formation ts Correct and that the constructle�n on,and the occupancy and#he use of the above desCribed propetty will be In a�cordance Wlth the laws,�UIeS and regulation5 of the 3tate of Washington a�1d the Glty oi Yelm_ � �+I O p�ican ' ' nature Date Owner Contractor Owner's Agent/Contractor's Agent (Please circle one.) All permlts are non-transferable and wi11 expire if work authorized by such permit is not begun within 180 days of issuance, or if work is suspended or abandoned�,�eriad of 180 days ; ��''�'�,T�D OCT ,� $ 2013 105 Yes�m Auerr.a.a 1�Veat . ;_, _ (960)458-3835 � Yrl.m, WA 9NG97 ____---."'",,,��,'X u�inur.crl.ve/rn.rnn.M.N