20170298 Permit Pkg 08282017City 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: 1f1f17 vm M AVF F
Assessor Parcel No.:
Contractor Information:
Name: JIFFY LUBE
Address:
1002 YELM AVE E
YELM WA 98597
Contractor License No.:
Subdivision:
Permit No.: 201 70298
Issue Date: 8/28/2017
(Work must be completed within 180 days)
Phone:
Owner:
Phone:
Expires: 0 /00 /0000
Project Information:
Project: OTHER SPECIAL EVENT
Description of Work: FREE BIKE REPAIR CLINIC. SEPT 2 THRU 16, 2017
Sq. Ft. per floor: First Heat Type (Electric, Gas, Other):
Second
Third
Garage
Basement
Fees:
Item
SE
Contractor
JIFFY LUBE
TOTAL FEES:
Applicant's Affidavit:
I certify that lahave read and examined the information contained within the application and know the same
to be true and cor�ect. I also certify that the proposed structure is in conformity with all applicable City of
Yelm regulations In ing ?ason,.. verning zoning and land subdivision, and in addition, all covenants,
easements nd r tri ti . If applying as con ctor, I further certify that I am currently
registered in the to
//]
Signature (� Da /tie D
Firm 1 �c,/`�. VY hlA /f,(l Y/
Lot:
Fees
$ 0.00
$ 0.00
OFFICIAL USE ONLY
# Sets of Prints:
Final Inspection:
Date:
By:
ZI City of Yelm
Community Development Department
SPECIAL EVENT/ TEMPORARY USE
APPLICATION
ELM
WASHINGTON
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 G
Mailing Address
City, State and Zip >
Telephone -6C% EMAIL ,,1/i
City of Yelm Business License Number
SITE OWNER Q
Mailing Address
City, State and Zip
Telephone EMAIL
SITE ADDRESS/LOCATION �1
SITE PARCEL NUMBER
SUMMARY OF REQUEST
START DATE Z END DATE 4� /
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 ra ona X cessa rocess this application.
Signed Date
ROUTING: SPECIAL EVENT
TEMPORARY USE
105 Yelm Avenue West
Yelm, WA 98597
0 c�
Building Section 0i7
Planning Section Buildi ection
(360) 458- '388 &-------------------
(360) 458 -3144 FAX
www.ci.yelm.wa.us
r
Aug. 22, 2017
Bob Maddux, representing the Bike Repair Ministry of McKenna Community Church, has
permission to conduct a free bike repair clinic here at Yelm Jiffy Lube 1002 Yelm Ave E. on Saturday
Sept. 16, 2017. Promotion for the event will begin two weeks prior. Inclusive dates of the event are
Sept. 2 through Sept. 16.
Applicant:
OIL EXPRESS SITE 281270
DBA JIFFY LUBE
11308 DAVENPORT ST
OMAHA NE 68154