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20160374 Permit Pkg 11232016City 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(1(17 VFI M AVF F Assessor Parcel No.: Contractor Information: Name: JIFFY LUBE Address: 1002 YELM AVE E YELM WA 98597 Subdivision: Contractor License No.: Expires Permit No.: 20160374 Issue Date: 11/23/2016 (Work must be completed within 180 days) Phone: Owner: Lot: Phone: 0 /00 /0000 Project Information: Project: OTHER SPECIAL EVENT Description of Work: MR WIGGLES BALLON AND A BOARD SIGNS Sq. Ft. per floor: First Heat Type (Electric, Gas, Other): Second Third Garage Basement Fees: Item Contractor Fees SE JIFFY LUBE $ 0.00 TOTAL FEES: $ 0.00 Applicant's Affidavit: I certify that I have read and examined the information contained within the application and know the same to be true a id correct. I also certify that the proposed structure is in conformity with all applicable City of Yelm regul :ionsypc ing tho governing zoning and land subdivision, and in addition, all covenants, easements nd rstrictions of r ord. If applying as a contractor, I further certify that I am currently registered ii the tate of Was ngton. I , Signature Date (• Z Firm OFFICIAL USE ONLY # Sets of Prints: Final Inspection: Date: By: YELM W4SMINGTON City of Yelm SPECIAL EVENT /TEMPORARY USE zSpecial Event Sign Permit Temporary Use Start Date: 11/21/16 End Date: 12/05/16 Applicant: Jiffy lube Owner: Thoms Phillips Address: 1002 yelm ave 98597 Address: Telephone: 3604005823 Telephone: Email: store02812 @jiffylube.com Email: Representative: Mailing Address: Telephone: Email: General location of the project: lot Assessor's Tax Parcel Number: Description of Project: Mr Wiggles ballon guy A- Frames Attach a site plan no larger than 11" X 17" showing the proposed development. MIE`VMr. NOV 2 2 2016 1 BY-- - - - -- -------- - - - - -- Yelm City Hall (360) 458 -3244 105 Yelm Avenue West (360) 458 -4348 FAX Yelm, WA 98597 www.ci.yelmma.us