20130290 Permit Pkg 08062013 o� City of Yelm Permit ►vo.: 20130290
� Commu�ity Development Department Issue Date: 8/06/2013
� (Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
"'" Fax: (360)458-3144
Applicant:
Name: SABRINA BRAMHALL Phone: 253-241-0069
Address: 312 MOSMAN AVE SW
YELM WA 98597
Property Information:
Site Address: 312 MOSMAN AVE SW Owner: SABRINA BRAMHALL
Assessor Parcel No.: 21724411400 Subdivision: Lot:
Contractor Information:
Name: WESCO Phone: 206-378-2033
Address:
2800 THORNDYKE AVENUE WEST
SEATTLE WA 98199
Contractor License No.: WASHIES97106000 Expires: 9/28/2011
Project Information:
Project: MECHANICAL
Description of Work: REPLACE 50 GALLON GAS WATER HEATER
Sq. Ft. pe�floor: First Heat Type(Electric,Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
MECHANICAL WESCO $ 29.50
TOTAL FEES: S 29.50
Applicant's Affidavit: OFFICIAL USE ONLY
I certify that I have read and examined the information contained within the application and know the same
to be true a d correct.I also certify that the proposed structure is in conformity with all applicable City of #Sets of Prints:
Yelm regul tions inclu " those governing zoning and land subdivision,and in addition,all covenants,
easements and e ndion of record. If pplying as a contractor,I further certify that I am currently Final Inspection:
registered i th St t of ashin o
Signature Date � Date:
Firtn By'
�a���o
CITY OF YELM
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
Project Address: 312 MOSMAN AVE SW Parcel#: 63520004800
Subdivision: Lot#: Zoning;
New Construction r( Re-Model/Re-Roof/Addition ' Home Occupation Sign
Plumbing �Mechanical Mobile/Manufactured Home Placement Other
Project�escription/scope otwork: REPLACE 50 GAL GAS WATER HEATER
Project Value: �950
Building Area (sq. ft) 1St Floor 2"d Floor Garage Deck
Basement Carport Patio
#Bedrooms_ #Bathrooms_ Heatinc,,�✓ AS/OTHER or ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? If yes, a
completed environmental checklist must accompany permit application.
BUILDING OWNER NAME: sABRiNA�Bw�MHA��
ADDRESS 312 MOSMAN AVE SW EMAIL
CITY YELM STATE WA ZIP 9859� TELEPHONE 253-888-5457
ARCHITECT/ENGINEER LICENSE#
ADDRESS EMAIL
CITY STATE ZIP TELEPHONE
GENERA�CONTRACTOR WESCO TELEPHONE 800-398-4663
ADDRESS 3909 196th St SW EMAIL
CITY LYNNWOOD STATE wa ZIP ssoss F,qX
CONTRACTOR'S LICENSE# WASHIES97106 EXP DATE9/�s CITY LICENSE# 30501
PLUMBING CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE#
MECHANICAL CONTRACTOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE# EXP DATE CITY LICENSE#
Copy of ' igation agreement with Yelm Community Schools, if applicable.
I hereby certi tha he bove information is correct and that the construction on,and the occupancy and the use of the
above descri d p pe y will be in accordance with the laws,rules and regulations of the State of Washington and the
City of Yelm.
� ��- � 3� � �3
Applica s Signature Date
Owner/Contractor/Owner's Agent/Co tractor's Agent (Please circle one.)
All permits are non-transferable and wili expire if work authorized by such permit is not begun
within 180 days of issuance, or if work is suspended or abandoned for a period of 180 days
105 Yelm Avenue West (360)458-3835
PO Box 479 (360)458-3144 FAX
Yelm, WA 98597 www.ci.yelm.wa.us
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July 30, 2013
City of Yelm
Attn: Gary Carlson
105 Yelm Avenue W
PO Box 479
Yelm, WA 98597
Gary:
Please process attached mechanical permit. We act as permit expeditors for our clients
and as such would ask that you do not mail the permits to the address on the
application. Instead, please mail them to the address below:
Northwest Permit Inc.
1345 Gulf Road
Point Roberts, WA 98281
Please see attached check for payment of the permit fees.
Please be informed that we, Northwest Permit Inc. have taken over the permitting
services for Washington Energy Services. Please update your contact information with
the above contact address.
If you h e an questions please contact me at 360.945.2787 or Sheila@nwpermit.com
any T n
Shei a onty
Northwest Permit Inc.
Cit� of Y�1�
(3fi ) 458-8402
REC#; 00135081 8/06/2013 11;11 AM
OPER: CO TERM: 001
REF#; 91.61
TRAN: 33.0000 BUILDING PERMITS
20130290 29.50CR
BRAMHALL, SABRINA
312 MOSMAN AVE SW
MECH 29,50CR
TENDERED: 29.50 CHECK
APPLIED: 29.50-
CHANGE: 0.00