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
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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
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' 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.