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20130294 Permit Pkg 08192013 City of Yelm Permit No.: 20130294 � Community Development Department Issue Date: 8/19/2013 (Work must be completed within 180 days) Building Division Phone:(360)458-8407 Fax: (360)458-3144 Applicant: Name: JONATHAN FRITZ Phone: 509-431-1662 Address: 10024 COCHRANE AVE SE YELM WA 98597 Property Information: site Address: 10024 COCHRANE AVE SE 24 Owner: JONATHAN FRITZ Assessor Parcel No.: 56510002400 Subdivision: JOHNS MEADOWS Lot: 24 Contractor Information: Name: BRENNAN HEATING Phone: Address: 4601 S 134TH PL SEATTLE WA 98168 Contractor License No.: BRENNHA971R4 Expires: 12/29/2013 Project Information: Project: MECHANICAL Description of Work: INSTALLATION OF 3 TON AC UNIT Sq. Ft. per floor: First Heat Type(Electric,Gas, Other): Second Third Garage Basement Fees: Item Contractor Fees MECHANICAL BRENNAN HEATING $ 29.50 TOTAL FEES: S 29.50 Applicant's 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 Yelm regulations including those governing zoning and land subdivision,and in addition,all covenants, #��Prints: easements and restridions of record. If applying as a contrador,I further certify that I am currently registered in the State of Washington. Final lnspection: Si nature �(1�� .�,�;�� ,,�J Date — , � - �f3 Date: F;�, �� Z� �J � ��I f-�e;�►;nl C •�- r� � By: Cit� of Yel� (36 } 45B-8402 REC#; 00136698 8/19j2013 11:16 AM OPER: CO TERM: 001 REF#: 24979 TRAN: 33.000� BUILDING PERMITS 20130294 29.50CR FRITZ, JONATHpN 10024 COCHRANE AUE SE 24 MECH 29,50CR TENDEREp; 29.00 CHECK 0.50 CASH APPLIED: 29.50- CHANGE: Q.00 a�i ��I CITY OF YELM RESIDENTIAL BUILDING PER IT APPL�C�TION FORM Project Address:LQ4�� C o�h ra n�-- arce�#: 15(e.�'i ► (�pba�I.pp Subdivision: Lot#: Plan#: Zoning: ❑ New Construction! ❑ Re-Model/Re-Roof!Addition ❑ Home Occupation Sign ❑ Plumbing �Ilechanical 0 obile/Manufactured Home PI ment ❑ Other Project Descri�n/Scope of Work: � (� � Project Value: �o(� Building Area(sq,ft) 1"Floor 2"d Floor Garage Deck Basement Carport Patio #Bedrooms_ i�Bathrooms_ Heating•GA OTHER or ELECTRIC(Circle One) Are there any environmentally sensitive areas located on the parcel? /f yes,a completed environmental checklist must accompany permit application. SUIIDINC�:OV11N . ..NlE; • ADDRES A�� C�n' STATE�_ZIp TELEPHONE AI��iHifi�4�'/ENG115i�ER LICENSE# ADDRESS EMA1L C1T1' STATE ZIP TELEPHONE G�NEt2�L��GO�i�`!?�(C�'�7�t TELEPHONE ADDRESS EMAIL C�N STATE ZIP FqX CONTRACTOR'S LICENSE# EXP DATE_CITY LICENSE# I?LUMBING'�ON1'�tR�TQR TELEPHONE ADDF2ESS EMAIL CITY STATE ZIP FAX CONTRACTOR'S LICENSE# EXP DATE_CITY LICENSE# MECEff11�1 L�CQIi�7"F�ACTC3 L P ONE � ADD SS EMAI m C�n' STAT ZIP FAX b • • � ' CONTRACTOR'S IICENSE# XP DAT TY LICENSE# Copy of mitigation agreement with Yelm Community Schools, if applicable. 1 hereby eeKtfy that the above infortnatlon Is eorrect and that the constructlon on,and the occupaecy and the use of the above descrlbsd property will bs in acco►dance wlth the laws,niles and rogulsUons of the gtate of Washington and the C o Yelm. � ` � L a ' Date er/ ontractor Owner's Agent!Contractor's Agent(Please circle one.) All permits are non-transferable and will expire!f work authorized by such permit is not begun wkhin 180 days of Issuance,or if work is suspended or abandoned for a period of 180 days 105 Yelm Auenue West (360)458-3835 Yelm,WA 98597 (860)458- FAX www.ci,yelrn.ma.ue �„__„__TT!_--- ��`,�1'';�-� -�;� r� AUG 14 2013 ��-�2- �z� .