20100192 Permit Pkg 10112010City ofi Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Applicant:
Name: FAST WATER HEATER
Address: 12601 132 ND AVE. SE
KIRKLAND WA 98034
Property Information:
site Address: 908 CRYSTAL SPR RD NW
Assessor Parcel No.: 22718210405 Subdivision:
Contractor Information:
Name: FAST WATER HEATER
Address:
12601 132 ND AVE. SE
KIRKLAND WA 98034
Contractor License No.: FASTWHC052DF
Permit No.: 20100192
Issue Date: 10/11/2010
(Work must be completed within 180 days)
Phone: 425-814-3124
Owner: TIANNA WUN
Lot:
Phone: 425-814-3124
Expires: 2/16/2005
project Information:
Project: PLUMBING
Description of Work: REMOVE/REPLACE GAS WATER
Sq. Ft. per floor: First Heat Type {Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
PLUMBING
Contractor
FAST WATER HEATER
TOTAL FEES:
Applicant's Affidavit:
I certify th 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 reg lati s including those governing zoning and land subdivision, and in addition, all covenants,
Basemen s a d resyot+4ps of records If~pplying as a contractor, I further certify that I am currently
Firm
Date
Fees
$ 27.00
S 27.00
OFFICIAL USE ONLY
Sets of Prints:
final Inspection:
Date:
By:
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507977
CITY OF YELM 20 ~ O ~ ~ ~~
RESIDENT1AL BUILDING PERMIT APPLICATION FORM
Project Address:908 CRYSTAL SPRING ST P parcel #: 22719210405
Subdivision: Lot #: Zoning;
n New Construction ^ Re-Model / Re-Roof /Addition ^ Home Occupation Sign
~ Plumbing ^ Mechanical ^ Mobile /Manufactured Home Placement ^ Other
Project Description/Scope of Work: Remove/Replace Gas Water
Project Value:449.00
Building Area (sq. ft) 1g' Floor 2nd 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.
BUILDING OWNER NAME: WUN, TIANNA
ADDRESS 908 CRYSTAL SPRING ST P EMAIL
CITY YELM STATE WA ZIP 7 TELEPHONE253 224-2143
ARCHITECTfENGINEER LICENSE #
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
GENERAL CONTRACTORFAST WATER HEATER COMPANY TELEPHONE - -
ADDRESS 12601 132ND EMAIL carolrCcr~fastwaterheater.com
CITYKIR STATE ZIP FAX 425-636-7055
CONTRACTOR'S LICENSE # FASTWWH948BC EXP DATE~~4~~~ITY LICENSE # 1048
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 # EXP DATE CITY LICENSE #
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.
~~~~`~"`~~~ 10/4/10
Applicant's Signature Date
Owner ! Contractor l Owner's Agent /Contractor's Agent (Please circle one.)
All permits are non-transferable and will expire if work authorized by such permR is not begun
within 180 days of issuance, or if work is suspended or abandoned for a period of 180 days
105 Yelm Aoenue W¢st (360) 458-88 ~ ~ ~ ~~f f ~5
PO Box 479 (860) 458-31 V G~
Yelm, WA 98597 www.ci.yelm. .us
~{~ ~ 0 c, 210
BY:--------------------