20120196 Permit Pkg 06112012City of Yellin
ComrnurYh Nraroanem DawaBnent
Building Division
PM1Ona:)580) dgFSa07
Fu: (800)" 1
Almaden:
Name: BIGFOGT HEATNC
Atltlresa: 10.5ID 123RD AGE SE
YELM WA 98597
FaopeMln /omuuan:
Site Address: 15720 95TH CT SE
Assessor Parcel NO.: dJ35J101HC0 SuLtllybbn:
Permit GIG 20120196
luue Date: M1vm12
Work must x competed its lam days)
Sense : TYPE CURRENT OWNER
NAME
Lot
Name: BIGFOOT HEAT F/C
Phone
I Carl that l raw rwtl and OmnYed Oe informal chartered ,the me appli anon and date the some
Address
to be "a and mn laleo &I OU pmphawe real' a in ch An y won all appical City of
NSMMPdn6:
145101DRD AVE BE
eaaemn taN re date of moved It ppMlq as aaNnRw. INnMr sMy that l am waves
YELM WA W&W
mi
Cwth mLevees NO.:
Egim: BNO(DOO
Firm OF
Pre Informatlon:
Project: PLUMBING
Deecrpfwn of Work: REPLACE FURNACE
Sp. Ft. per floor.
Heal Type lEle c, Gas, Olney:
Hist
sedend
Thad
Garage
Basement
Few
Item ConOedor
Fees
PLUMBING BIGFOGT HEAT A2
5 2500
♦OTAL FEES:
is 2600
Appil 1AMGVX:
CFFICMI USEIXILY
I Carl that l raw rwtl and OmnYed Oe informal chartered ,the me appli anon and date the some
to be "a and mn laleo &I OU pmphawe real' a in ch An y won all appical City of
NSMMPdn6:
Yvan rpula4rna irvNdiiq lame 9ovamllq wing and land a idivis r, and In ad]Nim, all mronents.
eaaemn taN re date of moved It ppMlq as aaNnRw. INnMr sMy that l am waves
Flnel lnyucLWl:
mi
Y_9bn'.
C? cone
Firm OF
City of Yell
(3E ) 45B -8492
RECN: 0OWN 6/11/2012 3.48 PH
TER: CO TERM: 091
AEW GOES
iAANBIGKPOST MIMED LICENSE
HEAIIMGAM AIR
BUSINESS LICENSES A 35.000A
IRAN: 93.0000 OUIL0In.0� ITS
70120196 BIGPOOT HEAT A/C
1920 95TH CT BE
PL 25.AR
TENDERED: 60.00 CHECN
APPLIED:
CHANGE: 0 G9
zoigo yL
CITY OF YEW
RESIDENT WL BUILDING PEWr APPLICAMN FORM
PmIed AMresa: iSl2� 9J Ck$E N(4(d -e
Pascal 4:
SuWMsicrt Lmp:_ Plank: Zoning:
I, Near Conci llo Rc+MOOH /RaROOp AMNOn i Home Oaupellon Sign
i Plumbing Council MMlle/Mar�u(��Wretl Home Flacemen IOlber
Parted DescaAp-Ib,N.�SCopulrk: —sal
14C.0 T ✓c0_[ll-
Pmlectwoue� 1 I , ua4
BWMM9 AreeiW. fl) 1 ^Hwr 2oFkli Oarege_ Do
Bearmandi Camort 6 ,, Poo
It Bedamma #Somali Heating: 0 ER or El- iWC(Circle One)
Am there any environmentally sensitive areas owned nor the parcel?
Ryes, a compered emironmenml Uec for must acconpam Pennb ambl em
BUILDING OWNER NAME;
ADDRESS EMAIL r
Cl STATE ZIP TELEPHONE
ARCHITECT/ENGINEER LICENBE#
ADDRESS EMAIL 6s
CIIV STATEZIPTELEPHONE
GENERAL CONTRACTOR TELEPHONE
• ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CfIV LICENSE#
PLUMBING C0N CTOR TELEPHONE
ADDRESS EMAIL
CITY STATEZIPFAX
CONTRACTORS LICENSE # SAP LATE_CRYLICENSE#
MECHANICAL CONTRACTOR ELEPHONE yb ..
ADD SSREsl� it EMAIL ovlt
CffV\ STATE ZIP FAX
CgNTRAGTOR'S LICENSEN EXP GATE CITY LICENSEN
Copy of mltigallon agreement wit YOM Community Schools, If eppirable.
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M ar/ fifs nror/Owrrere Agerrc /ConlavYnre Agem (Please circle one.)
All permits are nonimnsfertble and will expire if work ANM1otlxed by such permit Is rwt begun
within 180 days of issuance, or If walk is suspended or abandoned for a period of 180 days
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