20130343 Permit Pkg 10222013 �o� THEp,� City of Yelm Permit ►vo.: 20130343
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a �� Community Development Department Issue Date: 10/22/2013
(Work must be completed within 180 days)
Building Division
Phone: (360)458-8407
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Fax: (360)458-3144
Applicant:
Name: ROBERT&MARISIN WARREN Phone: 360-458-9895
Address: 14935 PRAIRIE VISTA LP
YELM WA 98597
Property Information:
site Address: 14935 PRAIRIE VISTA LP Owner: ROB WARREN
Assessor Parcel No.: Subdivision: Lot:
Contractor Information:
Name: PRATTS PLUMBING Phone: 360-357-3262
Address: PAMELA PRATT
3301 46TH AVE NE
OLYMPIA WA 98506
Contractor License No.: PRATTPF9900D Expires: 7/29/2010
Project Information:
Project: MECHANICAL
Description of Work: REPLACE WATER HEATER WITH LIKE
Sq. Ft. per floor: First Heat Type(Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item Contractor Fees
MECHANICAL PRATTS PLUMBING $ 29.50
TOTAL FEES: $ 29.50
ApplicanYs Affidavit: OFFICIAL USE ONLY
I certify that t have read and examined the information contained within the application and know the same
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 State of Wash ngton.
� l /g�-�� Date:
Signatur L�_ `G6 ` � Date �� r�--�- 3
Firtn C 1 /'") � t By.
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REC#: 0014218E�M,�0012�2013 3:31 PM
OPER: CO
REF#: 6468
TRAN: 33.0000 BIJILDZ29 50CR�TS
20130343
WARREN, RQBERT&MARISIN
14935 PRAIRIE V��T�OCR
MECH
TENDERED, 29.50 CHECK
APPLIED: 29.50-
CHANGE: � ���
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� RESIC3�NTIqL BUI�DfNt3 PERMiI'APt�LICATION FOitM
PraJect Addr�ss: �r � � Parcel�:�.I_S Q 0����
Su�idivlsibin:�_ l.at#:_ Zaning; _
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New•Eonstruction �Re-Model/Re-Roof I Addltlon Home Ocaupatior� Sign
� Plumbing Mecharna :�� Mobfle(flAanufactured Hpme Pl��ement � Other
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ProJ�ct Desc�iption/Scope af Work��j_ .����}C� I/1� W� � K�;.ti� �//��`�
PrnJect Value; � �
�uiltting Area(sq,f�) 1 g`�loor 2rt°FIOAr__ _ _ Ga�age beck,_„�
�asement ____ Carport Patlo�
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#Bedroan7s„�, #9athrooms_ Heatin � GAS/ THER or;��EC'�RiC(Circie One}
Are there any environnlentally sensitive areas lacated on!he parcei? " / If yes, a
completed environmenta!cheCkllst t'nust accompany permit applf �i. ,-�
BUILDIiVG O �R NAM�; - � ,M,,..� `��
ADDF2� S � c �M {L
C1TY STATE Zlp TEL ONE
ARCHIT�CT/�NGfNE�Ft �.�-- --- k.fCENSE# �.,,,�. _ �,._
AUDF2�SS . ..�_ �MAI�
CiTY ___ STATE ZIP T�L,EPMON�
G�N�RAL CC}NTRACT F� T��EPHON�__�._U:�'=,�'� �_ .�'.� ._
ADDRESS � `> � EMAIL --
Cf7Y 7;u S�'A�FE Z!P FAX � �� T'�
CONTRAC OR` �1C�NSE# ' � XP DAT'�'7 3TY LICENS�#_.C9,-,�2:.�'rf;L'�
PLUMBlNG CONTRAGTOl�_M� ��T��EpHOIV� � � � "
AaDR�SS EMAIL ����
CITY 5TA7� ZIP �/�1X �'�
CONTRACTOR'S LiC�1VSE# �X�'DAT�„_,_CITY Lt��NS�# �
M�CMAIVlCAL CONTRACTO�t� W 7ELEPNON� ^^ �
ADDRESS �MAIR ^-'. __ _
ClTY_.__ STA7� _ZEP FAX
CQNTRACTdR'S LIC�NS�# � _ __�XP DA7��„CITY LIC�NSE#
, __ _ Copy af mitlgatton agreemen#with Yeim Communffy Schools, i�appllcable.
1 h�e+�by corHy that the abovo InforrinatFO�le corrrot and that the Constructlon on,und!ha oeeupancy end!he:isa ot ths
ahave descrtbed proparty wlll be In accordance with the laws,nrles and regute�lion9 otlho Stata otwashington and the
C o elm.
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ant s 31 ure D�te
Own /Contr�ctor I Owner's Agent�/Contractor's Agent (Pleaee circle one.)
Atl permits are izomtrapsfer�ble and wilt explre if work authorized by such permit is reot b�g�t
wlthin 180 days of issuanCe,or if wurk Is auspended or aba�daned for a perlod of 780 days... .
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(,460)458-814�k'AX'
X�I�n,WA 9R587 � «�ruu,.cl.yeb►�:iein,r�e
' OCT � 1 2013
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