20170273 Permit Pkg 08012017City of Yelm
Community Development Department
Building Division
Phone: (360) 458 -8407
Fax: (360) 458 -3144
Applicant:
Name: RICHARD & HAZE GREGG
Address: 16220 CURRY CT SE
YELM WA 98597
Property Information:
Site Address: 1F77f1 f_I IRRY (_T CF
Assessor Parcel No.:
Contractor Information:
Name: FAST WATER HEATER
Address:
11715 NORTH CREEK PARKWAY S.
BOTHELL WA 98011
Contractor License No.: FASTWWH948BC
Subdivision:
Expires
Permit No.: 20170273
Issue Date: 8/01/2017
(Work must be completed within 180 days)
Phone: 360 - 400 -1996
Owner:
Lot:
Phone: 425 - 814 -3124
1/04/2021
Project Information:
Project: MECHANICAL
Description of Work: REMOVE AND REPLACE ELECTRIC WATER HEATER
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
MECHANICAL
Contractor
FAST WATER HEATER
TOTAL FEES:
Applicant's Affidavit:
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 regulatio g those governing zoning and land subdivision, and in addition, all covenants,
easement an strictio of record. If applying as a contractor, I further certify that I am currently
registered in t e of ashington.
Signature Date
Firm �-
Fees
$ 29.50
$ 29.50
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
of Yelp
C 244 I
lb�l
l 458-3
RECt: 00276749
8/01/2017 2:10 PM
OpEF.: Co TERM:
001
REFt,, 3361
PAID BY:
TRAM: 33,0000
BUILDING 5(CRI,3
20170273
2
GREGG,
RICHARD � HIZE
16220 CURRY CT 29.5(CR
MECH
iE.NDERED'. 29.50 (HECK
APPLIED: 29.50 -
CHANGE : ---�o .00
CITY OF YELM F" um b
RESIDENTIAL BUILDING PERMIT APPLICATION FORM
SIV U 0� bq2?Wbq3DD Project Address: a cel #: �
Subdivision:
Lot #: Plan #: Zoning:
1�?O/ 7p2,73
C New Construction fJ Re -Model / Re -Roof / Addition ❑ Home Occupation Sign
Plumbing C: Mechanical ❑ Mobile / Manufactured Home Placement J Other " I n
4
Project Description /Scope of Work: ge. MD� /r-t i2I U. 1de0 -r) C (/ 0H& � 6(_4fly
Project Value: $ 1 L4 GO
Building Area (sq. ft) 1St Floor 2nd Floor 3rd Floor Garage -2 car 3 car,
Covered Patio Covered Porch Patio Deck
# Bedrooms_ # Bathrooms_ Heating: GAS /OTHER ELECTRIC (Circle One)
Are there any environmentally sensitive areas located on the parcel? �J 0
If yes, a completed environmental checklist must accompany permit application.
E#
ADDRESS AIL
CITY STATE ZIP TELEPH
ADDRESS EMAIL
CITY TE ZIP
C R'S LICENSE # EXP DATE NSE #
ADDRESSI I b LJ Gfte S-A G - 10 t9 EMAIL K-K E 4,r-016 St wr 1 mil',
CITY It STATE VA--21P 19DI I FAX
CONTRACTOR'S LICENSE #fASTWW H9W8RG EXP DATE CITY LICENSE # I J0— 1 OZ3 (o
TELEPHONE
ADDRESS L
CITY STATE Z FAX
CTOR'S LICENSE # EXP DA CENSE #
Copy of mitigation agreement with Yelm Community Schools, if applicable.
1 hereby certify that the above information is correct and that the construction on, and the occupancy and the use of the
above described property will be in accordance with the laws, rules and regulations of the State of Washington and the
City of Yelm.
Vt�A _ � I?- a15 - /--
Applicant's Signature Date
Owner / Contractor / Owner's Agent / Contractor's Agent (Please circle one.)
All permits are non - transferable and will expire if work authorized by su
within 180 days of issuance, or if work is suspended or abandoned fora NnooMHd17 1� 1
�.a 1l
8 Y- �M- �N -M���
105 Yelm Avenue West (360) 458 -3835
Yelm, WA 98597 (360) 458 -3144 FAX
www.ci.yelm.wa.us