20050093 Permit Pkg 03252005!R~C~M'~~~~
City of Yelm ~ ~ ~ ~
Community Development Department
I' ~,-~,-~~eree~
Building Division
Phone: (360) 458-8407
Fax: (360)458-3144
Applicant:
Name: Washington Energy Service
Address: 2800 Thorndyke Ave. W
Property Information:
Site Address: 502 103rd Ave. NE
Assessor Parcel No. 22730110100
Contractor Information:
Name: Washington Energy Service
Address: 2800 Thorndyke Ave. W
Contractor License No: WASHIES9710B
Project Information:
Project: Marilyn Ziebell
Description of Work: Gas Water Heater
Sq. Ft. per floor: (1st) 0
Heat Type (Electric, Gas, Other):
Fees:
Item
---------------------------
Plumbing Permit
TOTAL FEES:
City: Seattle
Subdivision: N/A
Contact:
City: Seattle
Expires: 04102/0592
(2nd) 0 (3rd) 0
Item Fee Base Amt Unit Fee
----------- ----------- -----------
25.00 20.00 0.00
$25.00
Permit rvo: PL-05-0093-YL
Issue Date: 03/25/2005
(Work must be started within 180 days)
Receipt No: 35970
Phone: 206.282.4700
State: WA Zip 98199
Lot:
Phone: 206.282.4700
State: WA Zip: 98199
Business License: 3050.1
Garage 0 Basement 0
Unit Rate No. Units Unit Desc
----------- ----------- -------------
7.0000 0.0000 Fixture
Applicant's Affadavit:
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
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 futher certify that I am currently
registered in the State of Wa gton.
Signature Z't.G(~t-- '1U~ 1 L Date `~/Z~fi Gj'
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Firm /~~ ° ~ C.~~~
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Date:
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