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20150280 Permit Pkg 08252015City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Permit No.: 20150280 Issue Date: 8/25/2015 (Work must be completed within 180 days) Applicant: Name: OIL EXPRESS SITE 281270 Phone Address: 11308 DAVENPORT ST OMAHA NE 68154 Property Information: Site Address: 1002 YELM AVE E Owner: Assessor Parcel No.: Subdivision: Contractor Information: Name: OIL EXPRESS SITE 281270 Phone: Address: DBA JIFFY LUBE 11308 DAVENPORT ST OMAHA NE 68154 Contractor License No.: Expires: 0 /00 /0000 Project Information: Project: OTHER SPECIAL EVENT Description of Work: FREE BIKE CLINIC AUGUST 30 THRU SEPTEBER 12, 2015 Sq. Ft. per floor: First Heat Type (Electric, Gas, Other): Second Third Garage Basement Fees: Item SE Contractor OIL EXPRESS SITE 281270 / 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 regula ons including those g rning zoning and land subdivision, and in addition, all covenants, eagsements n stric ons o) If a lying as contractor, I further certify that I am currently re istered i the Sta of Date 17-1 L7' Firm 866 - 322 -4547 Lot: Fees $ 0.00 $ 0.00 OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: P by TNF Je a L WASHINGTON ile')o-ZeD City of Yelm Community Development Department SPECIAL EVENT/ TEMPORARY USE APPLICATION Special Event Sign Permit (limited to 14 days, 4 times per calendar year) Temporary Use (property owner permission letter required) (see REVERSE for regulations) NAME OF PROJECT APPLICANT /BUSINESS NAME Mailing Address 262-6 � �� .r. S City, State and Zip c S Telephone 6 5'' '� EMAIL v r learki /'?�e City of Yelm Business License Number SITE OWNER �, - Oi !✓X Mailing Address City, State and Zip Telephone EMAIL SITE ADDRESS /LOCATION 2. v SITE PARCEL NUMBER SUMMARY OF REQUEST START DATE END DATE / :Z I affirm that all answers, statements and information above and submitted with this application are complete and accurate to the best of my knowledge. I also affirm that I am the owner of the subject site or am duly authorized by the owner to act with respect to this application. Further, I grant permission from the owner to any and all employees and representatives of the City of Yelm and other governmental agencies to enter upon and inspect said propertVrea na bly gCessary to o ess this application. r/ / Signed 66G Date AUG 2 4 ZU15 ROUTING.- SPECIAL EVENT Building Section TEMPORARY USE Planning Section Building Section 105 Yelm Avenue West (360) 458 -3835 Yelm, WA 98597 (360) 458 -3144 FAX www.ei.yelm.wa.us e /26/-7 411-5 571,��91 , // ' , /,, , q- 7Z' 6 u>2��5 Q�tdi� 0 u-, "\ �J�p