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TAMMY GABOURY-CSICSILA - 04-16-2019 Date:Apr 16, 2019 State of Washington Page: 1 Business Licensing Service City Endorsement Information Report Yelm General Business Status Reason: In City Limits:YesEndorsement Status:Pending Location Information Business Structure: Individual UBI Number: 604268049-001-0001 Legal Entity Name: GABOURY CSICSILA, TAMMY LYNN Application ID:501404412 Firm Name: TAMMY GABOURY-CSICSILA Application Date:Apr 10, 2019 Location Phone:(951) 501-9565 Fees:35.00 Location Fax: Expiration Date: Apr 30, 2020 Email Address:CSIGIDGET@GMAIL.COM Business Open Date:Oct 1, 2017 Location Address: 503 1ST ST S STE 3 YELM WA 98597-7634 Mail Address:12516 PLESS RD SE RAINIER WA 98576-9530 Product/Serv Description: COSMETOLOGY City Endorsement Information Previous Business License: Number of rental units: Interior/Exterior Modifications: NoGeneral Specialty Contractor #: Square Footage: 20 Gross Income:$20,000.00 Number of full-time employees at this location:0 Number of part-time employees at this location:0 105575 WA State professional/occupational license:cosmetology Conducting Business From Residence:NoCustomers Visiting Premises?NoPer Week: 0 Business Activities:Retail/Wholesale Sales Hazardous Materials: Smoke Detect/Fire Sprklr Flam/Haz/Tox Material Amt: 1 (951) 501-9565 Emergency Contact 1:TAMMY CSICSILA Emergency Contact 2: CHARMAINE MELTON(951) 501-9564 Alarm Monitoring Service?NoCompany: Contact: Contact Phone: Previous Business Owner?NoName: Firm name: Yelm General Business604268049-001-0001 Date:Apr 16, 2019 State of Washington Page: 2 Business Licensing Service City Endorsement Information Report Phone: Other Location Endorsements Approval Information Zoning ___________________________________ Fire ___________________________________ Date Date Building ___________________________________ Police ___________________________________ Date Date Finance __________________________________ Planning __________________________________ Date Date Comments: Yelm General Business604268049-001-0001