20130273 Permit Pkg 07192013 4�0�TH�P� City of Yelm Permit►vo.: 20130273
7
� � Community Development Department Issue Date: 7/19/2013
(Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
L
".`"'"`_°" Fax: (360)458-3144
Applicant:
Name: PRATTS PLUMBING Phone: 360-357-3262
Address: 3301 46TH AVE NE
OLYMPIA WA 98506
Property Information:
Site,4ddress: 16227 PRAIRIE CRK LP SE Owner: JOSEPH TOWNSEND
Assessor Parcel No.: Subdivision: Lot:
Contractor Information:
Name: PRATTS PLUMBING Phone:
Address: PAMELA PRATT
3301 46TH AVE NE
OLYMPIA WA 98506
Contractor License No.: Expires: 0/00/0000
Project Information:
Project: PLUMBING
Description of Work: REPLACE WATER HEATER
Sq. Ft. per floor: First Heat Type(Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor
Fees
PLUMBING PRATTS PLUMBING $ 27.00
TOTAL FEES: S 27.00
ApplicanYs Affidavit:
I certify that I have read and examined the information contained within the application and know the same OFFICIAL USE ONLY
to 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 th tate of Was ' n.
Signature Date ! Date:
Firm f , �,yY1-�j' BY:
Cit� of Y�lm
(36 ) 458-84U2
REC#; t�0133809 7/19/2U13 11:22 AM
OPER: CQ TERM: QO1
REF#: 6370
TRAN: ;i3.U000 6UILUING PERMITS
20130273 27,OOCR
pRATTS PLUM6TNG
16227 PRAIRIE CRK LP SE
PL 27,OOCR
TENUEf2ED: 27.00 CFIECK
APPLIED: 27.G0-
CHANG�: � � 0.00
�i����
GITY OF YELM
, ' RESIDENTIAL BUlLDING PERMIT APPLICATION FORIUI
ProJect Address: o �Parcel#: t������ ��
Su�divisib'n: Lot#: Zoning;
_ New�Eonstruction Re-Mode{!Re-Roof/Addition Home Occupation Sign
, .
PLumbing Mechanical Mobile/Manufactured Home Placement Other
Project Descriptian/Scope of Work: "��1���� �ti����"�C w�� ��K� � �l IV��
Project Value: �
Building Area(sq.ft} 1 St Floor 2"d Floor Garage Deck
Basement Carport Patio
#Bedrooms� #Bathrooms_, Heating: GAS/OTHER or��,�ECTRiC (Circle One}
Are there any environmentally sensitive areas located an the parcel? If yes, a
completed environmental checklist must accampany permit application. ,
BUI�DING OWNER NAME:
ADDRES EMAfL
CITY STATE ZIP TELEPHONE
ARCHITECT/ENGINEER LICENSE#
AQDRESS EMAIL
CiTY STAI"E ZIP TELEPHONE
GENERAL CON7RACTOR TELEPH4NE b�� ����_�
ADDRESS�L?��-�to`�`� ' ,��--� EMAIL
CITY �L�{y i� STATE� Z!P ��j�FAX
CONTRAC OR' LICENSE# � XP DA7E'� � ITY LICENSE# �,� —�b"��tlG�
PLUMBING CONTRACTOR TELEPHONE
ADDRESS EMA1L
C}TY STATE ZIP FAX
CONTRACTOR'S LICENSE# EXP DATE CITY LI�ENSE#
MECHANICAL CONTRACTOR TELEPNONE
ADDRESS EMAIL
CITY STATE . ZIP FAX
CONTRACTUR'S LICENSE# EXP DATE CiTY LICENSE#
__.____ Copy of mitigation agreement with Yeim Community Schoois, if applicable.
1 hereby certify that the above infbXination is correct and that the constructian on,and the occupancy and the use of the
above described property will be in accordance wlth the iaws,rules and regulations of the Siate of Washington and the
Cky o elm.
'` , �-y��, ��1 � __� � t� �3
licant's Sig ure Date
Owner Contractor!Owne�'s Agent l Contractor's Agent (Please circle one.)
All permits are non-transferabte and witl expire if work authorized by such permit is not begun
wlthin 980 days of issuance, or if work is suspended or abandoned for a period of 180 days. : -
, ,.
,,
105 Yelm Auenue ii'est ry � � �~(360)458-3835 � � �
PO Rox�?79 (360)458-3144 FAX
Yel�n,WA 98597 u�zow.ci.yelrn.-zua.us