20120344 Permit Pkg 12282012 wo��'�p� Clty Of Yelm Permit No.: 20120344
4 �
,� Community Development Department Issue Date: 12/28/2012
4 (Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
,' "•`","°'°" Fax: (360)458-3144
1:
Applicant:
II'' Name: LORI MCMANUS Phone: 360-339-4082
'� Address: 15625 PARKVIEW DR SE
YELM WA 98597
Property Information:
'+ Site Address: 15625 PARKVIEW DR SE Owner. LORI MCMANUS
,�,
Assessor Parcel No.: 67290001400 Subdivision: PARKVIEW Lot: 14
Contractor Information:
�', Name: PRATTS PLUMBING Phone:
�' Address: PAMELA PRATT
� 3301 46TH AVE NE
OLYMPIA WA 98506
�' Contractor License No.: Expires: 0/00/0000
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Project Information:
Project: PLUMBING
Description of Work: GAS HOT WATER CHANGE OUT
Sq. Ft. per floor: First Heat Type(Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
PLUMBING LORI MCMANUS $ 25.00
TOTAL FEES: $ 25.00
ApplicanYs Affidavit: OFFICIAL USE ONLY
I certify that I have read and examined the information contained within the application and know the same
ito be true and correct. I also certify that the proposed structure is in conformity with all applicable City of #Sets of Prints:
, 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 further certify that I am currently Final Inspection:
registered in t State of Was,; ton.
� Signature �� � Date ��t ��� � �-- Date:
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Firm �rC�-�t t`7 / �il'`� 1� 7.�'- '� � D�i Y�.� gy:
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City of Y�lm
(360) 458-E3402
�tEC#: 001144:35 12/28/2012 3:5� PM
OPER: CO TERM: 001
REF#: 6209
TkAN: 33.OU00 BUILDING PERMITS
20120344 25.00CR
MCMANUS, LORI
15625 PARKVIES� DR SE
i �� 25.00CR
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TENDERED: 25.00 CHECK
APPLTED: 25.00-
CHANGE: �� � 0.00
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� � CITY OF YELM �
. � it b TIAL BUlI:DIN(3 PERMIT APPL1CATfON F4Ft
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PraJect Address: vf�iJ � Parcei#; �� � 1 �bD
Su�idivisio'n: I Lot#;� �oning; �i
, . . , :
.:. Nev,rEonstruction � � e-Madel/Re-Raof/Addltlon Home C�ccupation Sign
::'�lumbing . Mec i� I ' ��� Mobffe/Manufactured Mome I'IaEemeht � Qther
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ProJect DescriptionlScop � � o k: ���c.� I��-� ���� w����K� �; ��.����
Prdject Value; � ' � i
guilding Area(sq.�t) 16 ! d 2"tl Floor Garage �,_,_, "�eck
I e t__ _ .._ ; Carport Fatlo ;!
#8edrooms„�,,.,, g tt� ms_ i Heating; GAS/OTH�R or��.ECT' IC (Circle Ona)
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Are there any ervironma y, sitive are�s located on the parcel7 ,� If yes, a
compfeted environmental h � !f t must acdornpany permit application. ,
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BUILDlNG OWNER NAM " � ' � �
AI]DF2�SS I� t' �MAII. �
CI'CY T ZI 7�L�Ft�I(7N� �.� �,
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ARChIITECT/EfVGIId��R L#C�NS�# �r���W.
ADDRESS I EMAIL
Cl7Y T ZIP T�L�PHONE
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Cy�NERAL CONTFiAC"f �'�M ^—�' T�L�pHON� > � �__��
ADDRESS ! �MAII�
CITY �tx� 1' �IP FAX
CQN7hAC OR' LICEN #� XP bAT�"7 iTY L.1C�NSE�d � ' 'rf��
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PLUMBING CONTFtACT � T��.�PHONE�,_,_,�
ADDR�SS i EMAiL
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CIl1' S T �IP FAX
CONTRACTOR'S l.10EN # EXP DATE CI"i"`f LI�ENS� '
MECHANICAL CON7RA � T�i��PHONE
ADpR�SS I EMAIL �
CITY S T . ZfP FAX_________.
CONTRACT�R'S LICEN #� � EXP DATE CiTY f.lCENSE�'
Copy of miNg�tt I gF ment with Yeim ComrtZUnity Schaals, if applfcab!`.�
1 Nereby certlfy tha!the abovs r on is cornat and that tha conetructlon on,artd the oaa d nCy and me usa of th•
�� ahova dascrlbed prop6rty w11F n ordanae w{th the lawe,ru[es and regulallona of thg BtabB'cf MVaohinglan and ths
elm.
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Y�ti '� �l -� ��1 ; �"�r�
�e�g s�� �,►� � � ; nete �
Owner Contractor/Ow e � ent�!Contractor's Agent (Piease clrcle on�.y')
All permit$are non�traq e I I and will explre If work suthorixed by such pe�It fs not begur
wlthln 18D days o�fssua I ,� r 1f work Is suspended or abandoned for a pe�i,�d of 180 days..; �
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lOb Yels:Aven�ee tiYese� � i .,��---- ---T.,���_ ( p)q��-8886 � ' �-��.
PU Bux.479 �
(�0)458-d1ld�1:'A.Y' __ ----------
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