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