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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 i 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: _ Firm �rC�-�t t`7 / �il'`� 1� 7.�'- '� � D�i Y�.� gy: !, I'i i � 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 � TENDERED: 25.00 CHECK APPLTED: 25.00- CHANGE: �� � 0.00 � . ' 'I i , _ _........._.._. ...... . ; i , � � � � � Ij � � � CITY OF YELM � . � it b TIAL BUlI:DIN(3 PERMIT APPL1CATfON F4Ft � 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 �. 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) i ' ` � Are there any ervironma y, sitive are�s located on the parcel7 ,� If yes, a compfeted environmental h � !f t must acdornpany permit application. , � ... . ��.,,,. BUILDlNG OWNER NAM " � ' � � AI]DF2�SS I� t' �MAII. � CI'CY T ZI 7�L�Ft�I(7N� �.� �, i � � ARChIITECT/EfVGIId��R L#C�NS�# �r���W. ADDRESS I EMAIL Cl7Y T ZIP T�L�PHONE i 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�� �..__.�.�. '� ---- - . PLUMBING CONTFtACT � T��.�PHONE�,_,_,� ADDR�SS i EMAiL _ ___--- 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. i 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..; � � ' I '��.�1. ....3 a... " `��.�'.i I i 4i \ . � '4 _ � . . lOb Yels:Aven�ee tiYese� � i .,��---- ---T.,���_ ( p)q��-8886 � ' �-��. PU Bux.479 � (�0)458-d1ld�1:'A.Y' __ ---------- Yelrn, WA 9NS97 ru �o,r-i•yclrn1�u�i.irx"�� - � .• I I TOOf�j � Z9Z£L5�09C %�3 Zi��TO LOOZ/60/ZO