20040217
City of Yelm
Community Development Department
Building Division
Phone. (360) 458-8407
Fax: (360) 458-3144
Permit No
PL-04-0217-YL
Issue Date 01/03/2005
(Work must be started within 180 days)
Receipt No
34359
Applicant:
Name Easthaven Villa
Phone'
402-1609
Address 311 Cullen St.
City' Yelm
State: WA Zip 98597
Property Information
Site Address 311 Cullens
Assessor Parcel No 21724140502
Subdivision. N/A
Lot: N/A
Contractor Information
Name
Contact:
Phone.
Address
City'
State
Zip'
Contractor License No
Expires
Business License
Proj~ctlnformation.
Project: Easthaven Laundry Room Upgrade
Description of Work: Remodel Laundry Room & Kitchen
Update permit for floor sink
Sq. Ft. per floor' (1st) 0
(2nd) 0
(3rd) 0
Garage 0
Basement 0
Heat Type (Electric, Gas, Other) OTHER
Fees
Item Item Fee Base Amt Unit Fee Unit Rate No Units Unit Desc
---------------_...---------... -------------
Plumbing Permit 700 2000 000 7 0000 o 0000 Fixture
TOTAL FEES $7.00
Applicant's Affadavit:
OFFICIAL USE ONLY.
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Tln...;"~l CITY OF
~"-) YELM
7 ~ POBox 479
';; 1 Yelm. WA 98597
~ 360-458-8403
RECEIPT No 34359
:WEO
****SEVEN DOLLARS & 00 CENTS
RECEIVED FROM
ASTHAVEN VILLA
11 CULLENS RD
ELM. WA 98597
58-2800
DATE REC NO
01/03/05 34359
AMOUNT
7.00 CHECK
REF NO
2178
MISCELLANEOUS RECEIPT
DIANA
ERMIT FOR FLOOR SINK