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20160219 Permit Pkg 05162016City of Yelm Community Development Department Building Division Phone: (360) 458 -8407 Fax: (360) 458 -3144 Applicant: Name: JIFFY LUBE Address: 1002 YELM AVE E YELM WA 98597 Property Information: Site Address: 1(102 YELM AVE E Assessor Parcel No.: Contractor Information: Name: JIFFY LUBE Address: 1002 YELM AVE E YELM WA 98597 Contractor License No.: Permit No.: 20160219 Issue Date: 5/16/2016 (Work must be completed within 180 days) Phone: Owner: Subdivision: Lot: Phone: Expires: 0 /00 /0000 Project Information: Project: OTHER SPECIAL EVENT Description of Work: MEMORIAL DAY - SIGNAGE MAY 26 THRU JUNE 8, 2016 Sq. Ft. per floor: First Heat Type (Electric, Gas, Other): Second Third Garage Basement Fees: Item SE Contractor JIFFY LUBE TOTAL FEES: Applicant's idavit: I certify that I ave read and examined the information contained within the application and know the same to be true an correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm regulati ns iDe ng th se governing zoning and land subdivision, and in addition, all covenants, easements a d r stnctions record. If applying as a contractor, I further certify that I am currently registered in ` �1�q ington. Signature /� r /� Date Firm —� ; <1U 'G D Fees $ 0.00 $ 0.00 OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: wok Tf—fe P 4 i XSNINGTON City of Yelm Community Development Department SPECIAL EVENT I 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 City, State and Zip Telephone EMAIL�� City of Yelm Business License Number �' I SITE OWNER Mailing Address City, State and Zip Telephone EMAIL SITE ADDRESS /LOCATION SITE PARCEL NUMBER SUMMARY OF REQUEST p- 6,-Alei aZ lt:jd In '-r J START DATE fV11 02 lv END DATE 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 property as easonably necessary. to process this application. Signed Date ROUTING: SPECIAL EVENT Building Section TEMPORARY U...w..+ +. ......- Tanning Section Building Section 105 Yelm Avenue West r- .•4 ? 1 (360) 458 -3835 Yelm, WA 98597�� �' �Y� (360) 458 -3144 FAX wwwx i.yelm. wa. us ILI