GLACIER ROOTS FARM - 04-11-2019
Date:Apr 4, 2019 State of Washington Page: 1
Business Licensing Service
City Endorsement Information Report
Yelm
Status Reason:
In City Limits:NoEndorsement Status:Pending
Location Information
Business Structure: Individual
UBI Number: 604429216-001-0001
Legal Entity Name: LASCIK, CHRISTOPHER EUGENE
Application ID:501387869
Firm Name: GLACIER ROOTS FARM
Application Date:Mar 29, 2019
Location Phone:(360) 960-8283
Fees:35.00
Location Fax:
Expiration Date: Mar 31, 2020
Email Address:GLACIERROOTSFARM@GMAIL.COM
Business Open Date:Jan 9, 2020
Location Address: 9227 KILLION RD SE YELM WA 98597-9704
Mail Address:9227 KILLION RD SE YELM WA 98597-9704
Product/Serv Description: Providing organic free range chicken eggs, organic produce (ie. tomatoes, kale, peppers,
berries, fruits), plant starts, seeds, honey, goat milk
City Endorsement Information
Previous Business License:
Number of rental units:
Interior/Exterior Modifications: General Specialty Contractor #:
Square Footage: 0
Gross Income:$0.00
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:YesCustomers Visiting Premises?NoPer Week: 0
Business Activities:
Hazardous Materials:
(509) 467-4270
Emergency Contact 1:GAIL MARIE LASCIK
Emergency Contact 2: MEGAN ELIZABETH LASCIK(360) 303-7398
Alarm Monitoring Service?NoCompany:
Contact:
Contact Phone:
Previous Business Owner?NoName:
Yelm604429216-001-0001
Date:Apr 4, 2019 State of Washington Page: 2
Business Licensing Service
City Endorsement Information Report
Firm name:
Phone:
Other Location Endorsements
Tax RegistrationPending
Olympia General Business - Non-ResidentActive
Approval Information
Zoning ___________________________________ Fire ___________________________________
Date Date
Building ___________________________________ Police ___________________________________
Date Date
Finance __________________________________ Planning __________________________________
Date Date
Comments:
Yelm604429216-001-0001