PL-05-0093
City of Yelm
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APR012805
Permit No
PL-05-0093- YL
Community Development DePtr@~:~:,.,eeMee~
Building Division
Phone: (360) 458-8407
Fax: (360) 458-3144
Issue Date 03/25/2005
(Work must be started within 180 days)
Receipt No
35970
Applicant:
Name: Washington Energy Service
Phone.
206.282.4700
Address. 2800 Thorndyke Ave. W
City' Seattle
State. WA Zip 98199
Property Information:
Site Address. 502 103rd Ave. NE
Assessor Parcel No 22730110100
Subdivision. N/A
Lot:
Contractor Information:
Name. Washington Energy Service
Contact:
Phone. 206.282.4700
Address. 2800 Thorndyke Ave. W
Contractor License No: WASHIES9710B
City' Seattle
Expires. 04/02/0592
State: WA Zip. 98199
Business License: 3050.1
Project Informa!i()n.
Project: Marilyn Ziebell
Description of Work: Gas Water Heater
Sq. Ft. per floor' (1st) 0
(2nd) 0
(3rd) 0
Garage 0
Basement 0
Heat Type (Electric, Gas, Other).
Fees:
Item
Item Fee
Base Amt
Unit Fee
Unit Rate
No. Units Unit Desc
Plumbing Permit
TOTAL FEES.
2500
$25.00
20.00
0.00
7 0000
o 0000 Fixture
Applicant's Affadavit:
OFFICIAL USE ONLY
I certify that I 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
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 futher certify that I am currently
registered in the State of Wa . gton.
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Finalln~spec ion:
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