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PNW ICE KREAMERY - 04-24-2019 Date:Apr 24, 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: Individual UBI Number: 604439914-001-0001 Legal Entity Name: SHELTON, SHAWNA MARIE Application ID:501390764 Firm Name: PNW ICE KREAMERY Application Date:Apr 15, 2019 Location Phone:(360) 459-6658 3605Fees:0.00 Location Fax: Expiration Date: Apr 30, 2020 Email Address:SHAWNASHELTON@GMAIL.COM Business Open Date:May 3, 2019 Location Address: 1021 E BENSON LOOP RD SHELTON WA 98584-9508 Mail Address:1021 E BENSON LOOP RD SHELTON WA 98584-9508 Product/Serv Description: produce and sell ice cream business City Endorsement Information Previous Business License: Number of rental units: Interior/Exterior Modifications: General Specialty Contractor #: Square Footage: 0 Gross Income:$500.00 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:Customers Visiting Premises?NoPer 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: Yelm General Business - Non-Resident604439914-001-0001 Date:Apr 24, 2019 State of Washington Page: 2 Business Licensing Service City Endorsement Information Report Phone: Other Location Endorsements Gig Harbor General Business - Non-ResidentPending Port Orchard General Business - Non-ResidentPending Port Townsend General Business - Non-ResidentActive Olympia General Business - Non-ResidentActive Tumwater General Business - Non-ResidentActive Poulsbo General Business - Non-ResidentActive Shelton General BusinessActive Chehalis General Business - Non-ResidentActive Approval Information Zoning ___________________________________ Fire ___________________________________ Date Date Building ___________________________________ Police ___________________________________ Date Date Finance __________________________________ Planning __________________________________ Date Date Comments: Yelm General Business - Non-Resident604439914-001-0001