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20110145 Permit Pkg 02282011City of Yelm Community Development Department Building Division Phone: (360)458-8407 Fax: (360)458-3144 Applicant: Name: WESCO Address: 2800 THORNDYKE AVENUE WEST SEATTLE WA 98199 Property Information Permit No.: 20110145 Issue Date: 2/28!2011 (Work must be wmpleted wiMin 180 days) Phone: 206-378-2033 Site Address: 107 NISQUALLY PLAZA NE Owner: DOUGLAS CAMERON Assessor Parcel No.: Subdivision. Lot: Name: WESCO Phone: 206-378-2033 Address: 2800 THORNDYKE AVENUE WEST SEATTLE WA 98199 Contractor License No.. WASHIES97108000 Expires: 9(2812011 Project Information: Project: MECHANICAL Description of Work: REPLACE 75 GALLONG GAS WATER HEATER Sq. Ft. per floor; First Heat Type (Electric, Gas, Other): Second Third Garage Basement Fees: Item Contractor Fees MECHANICAL WESCO $ 29.50 TOTAL FEES: $ 29.50 Applicant's AHldavit: OFFICIAL USE ONLY I certify fat I nave read and examined the information contained within the application and know the same to be tree and correct. I also cenify that the proposed structure is in confortniry with all aDPlicabk City of ;f ~q of Prinls: Yelm r ul lions including those governing zoning and land subdivision, and m addition. all covenants, easem ~ nts n stn ions of record. If apptying as a contractor, I funkier certify Thal I am currently Final Inspection: registe he Stal of Wash- on. Si nalu a Date Z, Z Date: Firm 8y. City of Y~lm i~bn? 4F& a~,t~~ RE[.7i: Ori0;50r3 7./26/2011 12:19 PM GPER: GU ?FRY'S: 001 REFk: 71~ TRAM: ~;~,(.10(K; T~lIL~I'r~', PERMi?S 2~?llOidS ~7.~G?:R xfSCU 107 'r,i~lUAi_Lt PLRiA M: MEC!I 29.5~.)rk ifRCtTi£D: 2°.5~i pikGb: APP!_IEO: :?9.50 F80M-nw permit 13609452091 T-120 F002/002 F-590 Zotitic~w5 CITY OF YELM RESIDENTIAL BUILDING PERMIT APPLICATION FORM ProjeU Address: f07 NISQUALLY PLAZA Parcel #: 991J02039125 SukvJivisino 1 N #' 7n~g' C. Neer Ganstsuction ,~ Re-fifiodel t Re-Roof i Addition C Home Occupation Sign Plumbing ~ Mechanical =Mobile / Manufactured Home Placement ~ Other Project Deaalptionlscope of Work: REPLACE 75 GAL. GAS WATER HEATER Project value: Building Area (sq. ft) 1a Floor 2"0 Floor Garage Deck Basement Carporl_Patlo # eedrooms~ # 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: ootx3lAS cnnal:rxonl ADDRESS ,or Nlsrn>Atr v vux~ EMAIL CITY ve~ht STATE n'~ ZIP ees9r TELEPHONE 360.789.9639 ARCHITECTIENGINEER LICENSE # ADDRESS EMAIL CITY STATE ZIP TELEPHONE GENERAL CONTRACTOR wesco TELEPHONE eooaas-06f13 ADDRESS 28D9TH~NDYNEAVEW EMAIL CITY sErrne STATE wn ZIP ea+ee FAX CONTRACTOR'S LICENSE # wnslues9rtoa EXP DATE9+tt CITY LICENSE # saso, PLUMBING CONTRACTOR TELEPHONE ADDRESS EMAIL CITY STATE ZIP FAX CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE # MECHANICAL COI`1TRACTOR TELEPHONE ADDRESS EMAIL CITY STATE ZIP FAX CONTRACTOR'S LICENSE # EXP DATE_CITY LICENSE # Copy of mldgelion agreement wllh Yeim Cartlrnunity Schools, if applicable. 1 hereby oMify that aH above fMrnmatlen Is oorteot end that Me coMtrudlon on, and ars occupancy and the use of the above described property will he In accordmx W kh the lave., rule and regulatlona of the 9taN of Waahlnpton and the City of Yelm- 02~/5 /2m~1 Applicant's Signature _---~ Date Owner I Contractor! Owner's Agent / orttractor's Ag (Please circle one.) All permits art nontransferable and will expire if work authorized by such permit is not begun within 700 days of issuance, or if work is suspended or abandoned for a period of 180 days 203 Yalm Aueaua West (360) C38-3883 Po Box #r9 (9B0) f 38~1lJ PAX Yetra, WA 9839Y www.ciyelrn.wmas 0"2-15-'11 15:5?, FRCxt-nw permit 13609952091 T-120 P001/002 F-590 Nonhwest Petit Ina 1345 Gult Rwe Point Roberts g!A 98281 3b0-945-2787• 360.945-~t191; y 3-F Uf.r,(';+ 21~ o:zGs~. -~T.". ~i.. ~. v ,:,f .. /~taN,~u,riR ~ sN Y 'R.>y k.U~ ~{xy Litre • Yy~ 11 ' hi i t ). F, ., 11>'i i s s ~ 3f'ln +l > AiY^ c~ r "Y`, ~{-i ! ~t ~ ~~t. ~y ~! To: City of Yelm Fax: 360-458-3144 Attn: Gary Carlson From: William Millhollin Data: X27/152011 Re: Permit Applications Payee: ~/ ~: ^ UtgerA ^ For Hevlew ^ Please Convrteat p Please Repry ^ Please Recr~e Mello, Please process attached mechanical permit. We act as permit expeditors for our clients and as sue h would ask that you do not mail the pemilts to the address on the aunlicatian, Instead, release mail them to the address below: Point Roberts, WA 98281 Please charge the permit fees to Master Card #5588329500869419 Exp, Date 01/13, CVC# 892. The billing address for this ce is 2800 Thotndyke Ave W, Seattle, WA 98199. if you have any questions please contact me. William at 1-360-945-2787 Thank you. Northi west Permit Inc++. February 17, 2011 City of Yelm Attn: Karen Benneri 105 Yelm Avenue W PO Box 479 Yelm, WA 98597 Karen: Please see attached check for payment of the permit fees for 107 NISQUALLY PLAZA permit. #2U 110145. Please mail approved permit to: Northwest Permit Inc. 1345 Gulf Road Point Roberts, WA 98281 If you have any yueuuns please contact me at 360-945-2787 or by email at william<<T-m~pe~Tnit.~o~rt Thank you. William Millhollin Northwest Permit [nc.