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EVERGREEN STATE ROOFING, LLC - 01/17/2019 OT Date:Jan 15, 2019 State of Washington Page: 1 Business Licensing Service City Endorsement Information Report Yelm General Business - Non-Resident Status Reason: In City Limits:NoEndorsement Status:Pending Location Information Business Structure: Limited Liability Company UBI Number: 604352774-001-0001 Legal Entity Name: EVERGREEN STATE ROOFING LLC Application ID:501298142 Firm Name: EVERGREEN STATE ROOFING LLC Application Date:Jan 3, 2019 Location Phone:(360) 764-6301 Fees:0.00 Location Fax: Expiration Date: Jan 31, 2020 Email Address:ESRJORDAN@ICLOUD.COM Business Open Date:Jan 3, 2019 Location Address: 30 E KRISTINA LN SHELTON WA 98584-7481 Mail Address:30 E KRISTINA LN SHELTON WA 98584-7481 Product/Serv Description: Roofing products and services. City Endorsement Information Number of employees at this location:0Number of rental units: Previous Business License: General Specialty Contractor #: Square Footage: 0 Interior/Exterior Modifications: Gross Income:$0.00 WA State professional/occupational license: Conducting Business From Residence:Customers Visiting Premises?No Per Week: 0 Business Activities: Hazardous Materials: Emergency Contact 1: Emergency Contact 2: Alarm Monitoring Service?NoCompany: Contact: Contact Phone: Previous Business Owner?NoName: Firm name: Phone: Yelm General Business - Non-Resident604352774-001-0001 Date:Jan 15, 2019 State of Washington Page: 2 Business Licensing Service City Endorsement Information Report Other Location Endorsements Tumwater General Business - Non-ResidentPending Industrial InsuranceActive Unemployment InsuranceActive Olympia General Business - Non-ResidentActive Chehalis General Business - Non-ResidentActive Centralia General Business - Non-ResidentActive Shelton General Business - Non-ResidentActive Lacey General Business - Non-ResidentPending Approval Information Zoning ___________________________________ Fire ___________________________________ Date Date Building ___________________________________ Police ___________________________________ Date Date Finance __________________________________ Planning __________________________________ Date Date Comments: Yelm General Business - Non-Resident604352774-001-0001