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PATE-EN-ROUTE - 03-18-2019 OT Date:Mar 5, 2019 State of Washington Page: 1 Business Licensing Service City Endorsement Information Report Yelm General Business Status Reason: In City Limits:NoEndorsement Status:Pending Location Information Business Structure: Individual UBI Number: 604401699-001-0001 Legal Entity Name: PATE, KASEY LYNN Application ID:501362206 Firm Name: PATE-EN-ROUTE Application Date:Feb 28, 2019 Location Phone:(253) 579-5513 Fees:35.00 Location Fax: Expiration Date: Feb 29, 2020 Email Address:KASEYK67@GMAIL.COM Business Open Date:Mar 16, 2019 Location Address: 18816 RAMPART DR SE YELM WA 98597-9304 Mail Address:18816 RAMPART DR SE YELM WA 98597-9304 Product/Serv Description: social work City Endorsement Information Previous Business License: Number of rental units: Interior/Exterior Modifications: NoGeneral Specialty Contractor #: Square Footage: 0 Gross Income:$38,000.00 Number of full-time employees at this location:0 Number of part-time employees at this location:0 WA State professional/occupational license: Conducting Business From Residence:NoCustomers Visiting Premises?NoPer Week: 0 Business Activities: Hazardous Materials: (253) 579-5513 Emergency Contact 1:KASEY MICHAEL PATE Emergency Contact 2: Alarm Monitoring Service?NoCompany: Contact: Contact Phone: Previous Business Owner?NoName: Firm name: Yelm General Business604401699-001-0001 Date:Mar 5, 2019 State of Washington Page: 2 Business Licensing Service City Endorsement Information Report Phone: Other Location Endorsements Tax RegistrationPending Approval Information Zoning ___________________________________ Fire ___________________________________ Date Date Building ___________________________________ Police ___________________________________ Date Date Finance __________________________________ Planning __________________________________ Date Date Comments: Yelm General Business604401699-001-0001