20050272 Permit Pkg 09072005City of Yelm
Community Development Department
Building Division
Phone: (360) 458-8407
Fax: (360)458-3144
Applicant:
Name: Fast Water Heater
Address: 12601 132nd Ave NE
Property Information:
Site Address: 16136 Prairie Creek Lp
Assessor Parcel No. 69240002100
Contractor Information:
Name:
Address:
Contractor License No:
Project Information:
Project: Conley
Description of Work: Gas Hot water tank
Sq. Ft. per floor: (1st) 0
Heat Type (Electric, Gas, Other):
Fees:
Item
---------------------------
Plumbing Permit
TOTAL FEES:
City: Kirkland
Subdivision:
Contact:
City:
Expires:
Permit Ivo: PL-05-0272-YL
Issue Date: 09/07/2005
(Work must be started within 180 days)
Receipt No: 38181
Phone: 425.814.3124
State: WA Zip 98034
Phone:
State: Zip:
Business License:
Lot:
(2nd) 0 (3rd) 0 Garage 0 Basement 0
Item Fee Base Amt Unit Fee Unit Rate No. Units Unit Desc
----------- ----------- ----------- ----------- ----------- -------------
27.00 20.00 7.00 7.0000 1.0000 Fixture
$27.00
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 Washington.