20150267 Permit Pkg 07302015Applicant:
City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Permit No.: 20150267
Issue Date: 7130/2015
(Work must be completed within 180 days)
Name: BRIAN & MELISSA MITCHELL Phone
Address: 14971 101 ST WAY SE
YELM WA 98597
Property Information:
703 - 980 -2743
Site Address: 14971 101ST WAY SE Owner: BRIAN MITCHELL
Assessor Parcel No.: 81780003000 Subdivision: VINTAGE GREEN Lot: 30
Contractor Information:
Name: FURNACE DOCTORS Phone:
Address:
PO BOX 59717
RENTON WA 98058
Contractor License No.: FURNAD1931QL Expires: 11/13/2015
Project Information:
Project: MECHANICAL
Description of Work: INSTALLING AC TO EXSISTING SYSTEM
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
MECHANICAL
Contractor
FURNACE DOCTORS
TOTAL FEES:
Applicant's Affidavit:_. -- --
I certify that I have read and examine the information c d within the application and know the same
to be true and correct. I also certify at the propo structur is in conformity with all applicable City of
Yelm re tions including those verning zo g and Ian subdivision, and in addition, all covenants,
easeme sand restrictions of r d. If app ing as a c ractor, I further certify that I am currently
regis ed in the St ton c�-- �
Signature Date�y��� or
Firm
Fees
$ 29.50
$ 29.50
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
City of lei,
(36) 458 -3244
REC #: 00202410 7/30/2015 1:05 PM
OPER: CO TERM: 001
REF #: 24766
PAID BY:
TRAN: 33.0000 BUILDING PERMITS
20150267 29.50CR
MITCHELL, BRIAN & MELISSA
14971 101ST WAY SE
MECH 29.50CR
TENDERED: 29.50 CHECK
APPLIED: 29.50 -
CHANGE: 0.00
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ARCHITECTIENGINEER
LICENSE #
jADDRESS EMAIL
I CITY STATE ZIP TELEPHONE
GENERAL C6-NT- R-A---C-TOR TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # EXP DATE CITY LICENSE #
PLUMBING CONTRACTOR,-.--- TELEPHONE
ADDRESS EMAIL
CITY STATE ZIP FAX
CONTRACTOR'S LICENSE # E5�PDATE CITY LICENSE #
All permits are non-transferable and will expire if work authorized by such permit is not
Within-180 dava of issuance_ or if work in susuended or abandoned for a neriod of 180 d
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