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2017 Business Licenses M-ZCITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.d.yelmma.us APPLICATION FOR BUSINESS LICENSE I I OFFICIAL USE ONLY I I FEE $35.00 Rec By ID 00! 17 Comm Dev. Dept. Bldg Dept. _ Insp. Date \ Lic. No. 6 , Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm NEW BUSINESS ❑ NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE BUSINESS NAME L 14L L d co„(i NATURE OF BUSINESSC BUSINESS LOCATION ADDRESS �C i YV1Loc MAILING ADDRESS L— [�_� � EMAIL ADDRESS L 112 C V^Y\61 ti , ANTICIPATED OPENING DATE C7C� DAYS & HOURS OF OPERATION "bb \ OWNER(S),�y� Address Ua�GL \J � LL�1_ i rn f Jt l �S5 �7 City State Zip TELEPHONE 3 (---)156 _ ( usiness) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. (If applicable) THURSTON CO. HEALTH APPROVAL NO. I STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) �� •�� ®� Signature_ r \11 C,,� Date -,(A/ r► 0i ! 1.1 POLICE •ORE - II DW L 1'c,.r=meryrh�__ —S:ur Pi.ori?Y Date: Business Name: Type or print legibly Name: Position/Title: C C7r ., \. 4-1L <4" Address: (Include directional and suite # if applicable. Ex: 1234 Main St SE #4,Olympia) 17L'ij 0'Ine (n 5E `a`ft�t• `f�597 Business Phone: (a53) a, , - U 5 of If this business has moved, please list previous address: Below is for After Hours Emergency call -out Information Please list ONLY those with access to the premise. Please include area codes. First Name Last Name Primary Phone Secondary Phone 1 2. 4. Building Owner & Phone #, if different: Alarm Company(s): Company Phone Type (Burg/Fire/Etc) Provide information you wish emergency personnel to have to reach you or find your business, such as: gate codes, directions if difficult to find, Knox box locations, etc. (Please note, we cannot accept hidden key info or gate codes for private residences!) Instructions: Bring the completed form to your local Public Safety Agency, or phone your local Law Enforcement office to have a representative pick up the completed form. Do NOT mail flax to TCOMM. Below For Office Use Only Verified by: (Public Safety ID/name or badge - required) MAR 2 0 2017 CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.ci.yelm.wa.us APPLICATION FOR BUSINESS LICENSE FEE $35.00 Rec By Comm Dei. Dept 3 ' `� Bldg Dept. Insp. Date Lic. No. Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm NEW BUSINESS D NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE 3Z/ G// % BUSINESS NAME NATURE OF BUSINESS / -77W(- #q 77��'SS BUSINESS LOCATION ADDRESS 1_1Z ��, YC L/71 G✓� Gni 7 MAILING ADDRESS 3 35o W. 5 7��1 �'/ �� fox rox cl-IIMO w�� q`. EMAIL ADDRESS x'1!9 ;� /„�� 60,,-0 ANTICIPATED OPENING DATE DAYS & HOURS OF OPERATION M - F /0 ` 7, Sit /0` 1;/ SUh/ OWNER(S) *yw/�✓� SUSl9/1 � M14 r'- Address 3 /,� fo/t 7-01tcl14AO k,p?- f5 3 TELEPHONE 3 45�'D -710 3 5-C City Stato Zip (Business) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) ra 0 Z Signature 20!:�2Date (91z z&-3 -3// -?/ /7 6, 7 7 CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www dyelm.wa.us JAN 8 0 2017 Y OF IAL USE ONLY FEE $35.00 Rec By t Comm Dev. D"PX111. I� Bldg Dept. Insp. Date Lic. No. YELM APPLICATION FOR WASHINGTON BUSINESS LICENSE o f (�5-q Upon receipt of the license application and $35.00 payment, the City of Yelm will con/duct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm D NEW BUSINESS NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE 01-23-17 BUSINESS NAME M c B r i d e L i g h t i n g S p e c i a l t i e s NATURE OF BUSINESS L i g h t i n g c o n s u l t a u t BUSINESS LOCATION ADDRESS 10910 Morris Road S.E. Yelm, WA 98597 MAILING ADDRESS SAME EMAIL ADDRESS mcbridelightingspecialties@outlook.com ANTICIPATED OPENING DATE December 17th 2016 DAYS & HOURS OF OPERATION Monday - Friday 8:00am - 5:00pm OWNER(S) Greg McBride I Cara Fox Address 10910 Morris Road S.E. Yelm, WA. 98597 TELEPHONE 360-970-2502 City 253-576-3813 (Business) CONTRACTOR'S REGISTRATION NO. (If applicable) THURSTON CO. HEALTH APPROVAL NO- State Zip (Home/Emergency) STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) 604-068-639 Signatur6-, Date 01/22/17 05-15-'17 13,19 FROM- McDonough & Sans INC 425-432-3155 T-456 P0001/0001 F-145 CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.ci.velm.wa.us APPLICATION FOR BUSINESS LICENSE FEE $35.00 CommRoe Ely Dev. Dep Bldg Dept, Insp. Date Lie. No. .� Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at ustea oelow. Application is hereby made for a Business License for the City of Yelm PNEW BUSINESS LJ NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE 5' BUSINESS NAME dl%s�Jr NATURE OF BUSINESS [ BUSINESS. LOCATION ADDRESS —7? j 1^-eo ` MAILING ADDRESS % �'� 4L17 I �W EMAIL ADDRESS G ANTICIPATED OPENING DATE DAYS & HOURS OF OPERATION OWNER(S) Address _ - ? y LA0 _ -pInLems & !(--, WA W657 TELEPHONE 4 7— D 2� t6 57 (Business) CONTRACTOR'S REGISTRATION NO. C— bo M � (If appficahle) THURSTON CO. HEALTH APPROVAL N0, STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) 520 -71 Signature df Date L] CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www dvelm.wa.us APPLICATION FOR BUSINESS LICENSE OFFICIAL USE ONLY FEE $35.00 Rec By Comm Dev. Dept. Bldg Dept. Insp. Date Lic. No. Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm NEW BUSINESS ❑ NAME CHANGE/MAILING ADDRESS CHANGE ONLY BUSINESS NAME PAC NATURE OF BUSINESS.' CIiC BUSINESS LOCATION ADDRESS Z1 Ke(II(fQ b MAILING ADDRESSEo.� t�j(� ['1 1L �i Y iia EMAIL ADDRESS 5 I • �-OC , ANTICIPATED OPENING DATE DAYS & HOURS OF OPERATION OWNER(S) i OJ (y, e Address WA q Q5- 1 City State r�t! Z!p TELEPHONE b LI1 7' 2--5-,5 G1G T (Business) (Home/Emergency) i CONTRACTOR'S REGISTRATION NO. C �C'} N �>'f 2Ll (If applicable) THURSTON CO. HEALTH APPROVAL NO STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) 520 Signature W P Date �? I RWAYE$H1FlCiTQiVV CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.d.velm.wa.us A , Wj� 041- I OFFICIAL USE ONLY I I FEE $35.00 Rec By Comm ❑ev. Depi. i� .. (7 Bldg Dept. Insp. Date Lic. No. APPLICATION FOR BUSINESS LICENSE �! Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm NEW BUSINESS D NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE /- BUSINESS NAME Tl7Ci.,M L.&C— NATURE OF BUSINESS,��'f �, ]��_._ Z.4^- BUSINESS LOCATION ADDRESSeZ MAILING ADDRESS EMAIL ADDRESS f f�=Gf�ay�� ► 5:22M ANTICIPATED OPENING DATE l 2-01r7 DAYS & HOURS OF OPERATION ::ZQm F/11 OWNERS) ,!5 }7 / Address 5YG% / l .h 5 A-g-� ,Ok . 7,,A4�1 _1 / 2 - city ity — e Zip TELEPHONED— ness) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. 10Cj4--1)1� (If applicable) THURSTON CO. HEALTH APPROVAL NO. /,. STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) 0 XkS— Date Guy- v� f0)/(, Oct 04 17, 03:18p Middling Construction CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX ww%,v.gi. e(m.wa.us APPLICATION FOR BUSINESS LICENSE 2532867771 p.1 LOFFICIAL USE ONLY FEE $35.00 Rea sY1111 Cam" Dev. Depl, /7 Bldg Dept. Insp. Oattt`,aaa1, J0. No. " Upon receipt of the license application and $35.00 payment, the City Of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address fisted below Plication is hereby made for a Business License for the City of Yelm NEW BUS JIS NAME CHANGElMAILING ADDRESS CHANGE ONLY DATE BUSINESS NAME ,1 y I L.L.C. NATURE OF BUSINESS BUSINESS LOCATION ADDRESS MAILING ADDRESS � vt j�� Jt V-- EMAILADDRESS"s ,1:�, ,�-1�. • Lam: vs ANTICIPATED OPENING DATE �, r DAYS & HOURS OF OPERATION OWNER(S) a r j n A A! . Address TELEPHONE�� y T�i+ �� j CitY 'J State Zip (Business)(HomelEmergency) CONTRACTOR'S REGISTRATION NO. i4. (lf THURSTON CO. HEALTH APPROVAL NO. applicable) STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) Signalur[e�� Date. '60/i7 2� PMSHfNCTON CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www dyelm.wa.us APPLICATION FOR BUSINESS LICENSE OFFICIAL USE ONLY FEE $35.00 Rec By n�� Comm Dev. D Bldg Dept. Insp. Date Lic. No. L PA Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm NEW SUPINE ❑ NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE Ar D BUSINESS NAME ; �/a VC S (� NATURE OF BUSINESS /-"IC <. t�er , u BUSINESS LOCATION ADDRESS J 7� MAILING ADDRESS .5CC the EMAIL ADDRESS ANTICIPATED OPENING DATE Le 1"Ce GW-e"`c . (-0te-t DAYS & HOURS OF OPERATION ryr '- ,C� OWNER(S) Address rw r P& 4c /ow -�, �-'� 4,t l /Jl TELEPHONE' 7 City l State Zip - (Business) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. I' l FL i ��6-7 (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) . Signature�Date A/C�W/ 3 r FA 944 POLICE . eiae .'EFOKAL ,our — Our T'r.r�vii y Type or print legibly Date:r/� (!J? Name: j v` / (P Position/Title: Business Name: C.06, -c Address: (Include directional and suite # if applicable. Ex: 1234 Main St SE #4,Olympia) r pp Business Phone: (3(60 ) 61,?( - 6/y6 If this business has moved, please list previous address: Below is for After Hours Emergency call -out Information Please list ONLY those with access to the premise. Please include area codes. First Name Last Name Building Owner & Phone #, if different: Primary Phone Secondary Phone Alarm Company(s): Company Phone Type (Burg/Fire/Etc) Provide information you wish emergency personnel to have to reach you or find your business, such as: gate codes, directions if difficult to find, Knox box locations, etc. (Please note, we cannot accept hidden key info or gate codes for private residences!) Instructions: Bring the completed form to your local Public Safety Agency, or phone your local Law Enforcement office to have a representative pick up the completed form. Do NOT `nait1fax to TCOMM. Verified by: Below For Office Use Only (Public Safety ID/name or badge - required) CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.d.yelm.wa.us APPLICATION FOR BUSINESS LICENSE I OFFICIAL USE ONLY I FEE $35.00 Rec By Comm D,i. Dep-' Bldg Dept. Insp Date Lic. No Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. n Application is hereby made for a Business License for the City of Yelm NEW BUSINESS DATESjo�I BUSINESS NAME N\ d (n ❑ NAME CHANGE/MAILING ADDRESS CHANGE ONLY NATURE OF BUSINESS IVVAV V-ZA1Vt BUSINESS LOCATION ADDRESS ;Ica] fte tiWJQ MAILING ADDRESS kt h'. ]�CAZ- ��II N � � s `� ( tial EMAIL ADDRESS "]2-2 i i l C)++ @ 1M Y -`-t &I - C sv�••- ANTICIPATED OPENING DATE 5 DAYS & HOURS OF OPERATION OWNER(S) Pz n cif adl,� Address 6 (u' City State Zip TELEPHONE_, 5�� 3La(� '3LL51 3- 91+A- 412.3 (Business) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTON MASTEJ, BUSINESS LICENSE NO. (UBI) U ff MiHINC:TpN CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.ci.Velm.wa.us APPLICATION FOR BUSINESS LICENSE 114mq IoFFICIAL USE ONLY FEE $35.00 Rec By Comm 6"- D,^— Bldg e .Bldg Dept. Insp. Date Lic. No. Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm PNEW BUSINESS DATE 2^2 y- /!Z BUSINESS NAME NATURE OF BUSINESS ❑ NAME CHANGE/MAILING ADDRESS CHANGE ONLY �c BUSINESS LOCATION ADDRESS �5� ���f�lU}y S1. c 1�1P�7j�L��'a✓ MAILING ADDRESS oo�,gj, /fir d 321 �0SA, 5; i -Vy EMAIL ADDRESS ANTICIPATED OPENING DATE 11991d DAYS & HOURS OF OPEERATION` OWNER(S) /4/ '15 Address✓ / City State Zip TELEPHONE(_ 6 ) `/v��`�[a�� ��,1e . _ CONTRACTOR'S REGISTRATION NO. _ f ,�• - �_ (If applicable) / THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) Signature Date ;2 -� -fyoov 1. CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www d elm.wa.us APPLICATION FOR FEE $35.00 Rec By l Comm Dev. Dep �3 1 Bldg Dept. Insp. Date Lic. No. YELM WASHINGTONBUSINESS LICENSE / Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm ❑ NEW BUSINESS ❑ NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE D f BUSINESS NAME.�LA- 6ZZI Lz /V NATURE OF BUSINESS ev; BUSINESS LOCATION ADDRESS 2�24r` MAILING ADDRESS .`Pd"Af e_ - EMAIL ADDRESS e t --hi C e ANTICIPATED OPENING DATE DAYS & HOURS OF OPERATION OWNER(S) Add �d2� , _�c�.,r'� � lr� ��g. 51Gt'i7tg, Wi• 5& ►► I— _ , . 1. _, City State Zip TELEPHONE �6 ?S S t -I - (Business) (Home/Em- ergency) CONTRACTOR'S REGISTRATION NO. (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) _-l�-�S�3�PS Signature 0-k,f- 0 twVt- Date I/d 5%ao YELM WASFSINGT�H CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www dvelm.wa.us APPLICATION FOR BUSINESS LICENSE I I OFFICIAL USE ONLY I I FEE $35.00 Rec By Comm Dev. Dep , Bldg Dept. Insp. Date Lic. No. Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm ElNEW BUSINESS NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE May 30, 2017 BUSINESS NAME Northridge Contractors NATURE OF BUSINESS General Contractor BUSINESS LOCATION ADDRESS P.O. Box 39512 Lakewood, WA 98496 MAILING ADDRESS P.O. Box 39512 Lakewood, WA 98496 EMAIL ADDRESS ken@northridgecontractors.com ANTICIPATED OPENING DATE _ DAYS & HOURS OF OPERATION OWNER(S) Ken Ritter Address P.O. Box 39512 Lakewood, WA 98496 TELEPHONE 206-858-8383 City State Zip cell: 253-221-2828 (Business) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. NORTHCL865C7 (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) 603 134 225 Signature Date 39- ao � 4 as aO I I CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.dyelm.wa.us APPLICATION FOR BUSINESS LICENSE FEE $35M Rec By Comm Dev. Dept E ' '� Bldg Dept. Insp. Date Lie. No. Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm ❑ NEW BUSINESS ❑ NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE of -tel• aol'4 BUSINESS NAME iJW'wl 'siav Cke'l.t l, ca., I -L "C . WaAe./ -N-2aa1Vr NATURE OF BUSINESS C Vy-VVI I -C a-ic C'[: BUSINESS LOCATION ADDRESS 15�bC7 SYw I uC�l O- - SV -W,, -c0 o v o1 R . cl i ►-f o MAILING ADDRESS J' a-ry12- GLS Cc GZ,i,�Q� EMAIL ADDRESS Pr -P Coy" ANTICIPATED OPENING DATE B 4-,: dk "- -C Q .,- 91. DAYS & HOURS OF OPERATION rI '30 OWNER(S) c&- 1%.n Cl,) - �reS� �e.vF v cv+• 54zoo T �.Pt� St ori cid Qd Address 5 ,, t ooceL 9 1 40 City State Zip TELEPHONE rJd3-(�ZS - 3-770 0V) C411 # 5v3--5aq- $ 3b 1 (Business) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. PA (If applicable) THURSTON CO. HEALTH APPROVAL NO. PA STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) Signature CLC 4S D P cL zo,� ism . Date 1001. 111-98 CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.d.yelm.wa.us APPLICATION FOR BUSINESS LICENSE I IOFFICIAL USE ONLY�1 FEE $35.00 Rec By �+ Comm Dev. Dep o q Bldg Dept. Insp. Date Lic. No. i ' SS J Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm HEW BU INES DATE 7 �� BUSINESS NAME NATURE OF BUSINESS BUSINESS LOCATION ADDRESS MAILING ADDRESS EMAIL ADDRESS ANTICIPATED OF NAME CHANGE/MAILING ADDRESS CHANGE ONLY n DAYS & HOURS OF OPERATION OWNER(S) A Address' . TELEPHONE L ,Yi1 }-� 3 - CP E 1 City / U x.� G . $ �� �l Cpl Zip (Business) (Hom CONTRACTOR'S REGISTRATION NO. I.-) P-2�� (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) 00 CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www dyelm.wa.us APPLICATION FOR BUSINESS LICENSE FEE $35.00 Rec By r� Comm Dei. Dep - j Bldg Dept. Insp. Date l Lic. No. 1 Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm 0 NEW BUSINESS ❑ NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE BUSINESS NAME J NATURE OF BUSINESS.210 ' ! BUSINESS LOCATION ADDRESS MAILING ADDREI EMAIL ADDRESS ANTICIPATED OF DAYS & HOURS OF OPERATION r /0�-- - OWNER(S) Vow Address City State Zip TELEPHONE L�©r % z (Business) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. e' (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI)c �--;P!/ a2r : —�) , xS',: f - Signature"'��� ' '_` ��- Date CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.ci_velm.wa.us APPLICATION FOR BUSINESS LICENSE FEE $35.00 Rec By , Comm Dev. Dept. !7 Bldg Dept. Insp. Dale Lic. No. Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm ❑ NEW BUSINESS ❑ NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE 6/12/2017 BUSINESS NAME Pacific Testing & Inspection, Inc. NATURE OF BUSINESS Materials testing and special inspections. BUSINESS LOCATION ADDRESS 2417 Harrison Avenue Centralia WA 98531 MAILING ADDRESS 2417 Harrison Avenue. Centralia, WA 98531 EMAIL ADDRESS mollyf@ptillc.net ANTICIPATED OPENING DATE DAYS & HOURS IOF OPERATION Monday through Friday, 8 am to 5 pm OWNERS) _ Tim Barney, President; Mark Irwin. Vice President Address 2417 Harrison A TELEPHONE 360 736-3922 (Business) CONTRACTOR'S REGISTRATION NO. e, Centralia, WA 9.8531 City State (If applicable) THURSTON CO. HEALTH APPROVAL NO. (Home/Emergency) STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) 602-707-422 Date 6/12/2017 Zip CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.d.velm.wa.us APPLICATION FOR BUSINESS LICENSE I OFFICIAL USE ONLY + FEE $35.00 Rec By Comm Dei. Dept. 7 7 Bldg Dept. Insp. Date Lic. No. Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm NEW BUSINESS NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE BUSINESS NAME NATURE OF BUSINESS BUSINESS LOCATION ADDRESS MAILING i EMAIL AD ANTICIPATED OPENING DATE DAYS & HOURS OF OPERATION OWNER(S)l l Addre TELEPHONE (Business) ](Home/Emergency) J� CONTRACTOR'S REGISTRATION NO. C C C' (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) I. ~ Date / i. n CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.ci.yelm.wa.us APPLICATION FOR BUSINESS LICENSE rTOFFICIAL USE ONLY I i FEE $35.00 Rec By 3 qComm De,. Dpt a JBIQ Dept. Insp. Dat Lic. No. Upon receipt of the license application and $x35,00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at Application is hereby made for a Business License for the City of Yelm ErNEW BUSINESS ❑ NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE BUSINESS NAME kOt 0A i ��` /- At�l�w NATURE OF BUSINESS A (�l Ngkkk, tf s k BUSINESS LOCATION ADDRESS r MAILING ADDRESS EMAIL ADORES ��~ � �'�+4 �l.'E � i!� L' '-0 ANTICIPATED OPENING DATE DAYS & HOURS OF OPERATION OWNERJS) Address city State Zip TELEPHONE (Business) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. (Vi (If applicable) THURSTON CO. HEALTH APPROVAL NO. ll i STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) '� k� c?`t ,q Utv r. SignatureDate CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.d.velm.wa.us APPLICATION FOR BUSINESS LICENSE (OFFICIAL USE ONLY FEE $35.00 Rec By Comm Dev. Dep 17 Bldg Dept. Insp. Date Lic. No. IILIra, Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm NEW BUSINESS NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE I - I;' 201.7 BUSINESS NAME NATURE OF BUSINESS \JC0W0,.tS 2 Ut Mev�t IPUt� l� BUSINESS LOCATION ADDRESS &OI Mc+tjon 4e 10-7 F;1 Lal(( n." C MAILING ADDRESS 9b OX ODOR I r�do��"b f- DV- (l- 600ko4�,- I OL EMAIL ADDRESS 7�1w 1� e Ct�1ctiC1C icy( C oiv� ANTICIPATED OPENING DATE DAYS & HOURS OF OPERATION OWNER(S) 0 r eS 4 -n-t Address 1 Zoo 2d (0l l ( n 0 8 Z) SZg TELEPHONE 91'%n "2 F2 I gS, City State Zip (Business) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) LPO I S(o'-i q ( I Signatur 4 JAY W. DAHL, CPA, POWER OF ATTORNEY Date//vo ��S?5 CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www cl,yelrn.wa us APPLICATION FOR BUSINESS LICENSE ONLY SIN 30 By m (lav 4epl . -' .�� caul -1:p Dale :I;.W- Upon receipt of the license application and S35 -DO payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address ITsted below Application is hereby made for a Business License for the City of Yelm DNEW BUSINESS NAME CHANGEIMAILING ADDRESS CHANGE ONLY DATE September 25,2017 BUSINESS NAME PDF LLC dba Smartstyle NATURE OF BUSINESS Hair Salon BUSINESS LOCATION ADDRESS 17100 State Route 507 SE, YELM, INA 98597 (inside Walmart) MAILING ADDRESS 4125 W. Mercer 0iay. Mercer Island. WA 98040 EMAIL ADDRESS Craiq@FisherHoldings.com ANTICIPATED OPENING DATE October 4, 2017 DAYS & HOURS OF OPERATION Monday - Saturday 9:00 AM - 7:00 Ph1, Sunday 10:00 AM - 5:00 PM OWNER(S) Craig Fisher Address 4125 W- Mercer Way, Mercer Island, WA 98040 City State Zip TELEPHONE :2:h;.a_ _ ,-, :, 499-C^Il:, (Business) CONTRACTOR'S REGISTRATION NO. NIA (If applicable) THURSTON CO. HEALTH APPROVAL NO. NA (Home. -Emergency) STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBIj 604-129-374 CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www dyelm.wa.us Lic F�e��3s.uv I I OFFICIAL USE ONLY I I FEE $35.00 Rec By Comm Dev. Dept/ 7 Bldg Dept. Insp. Date Lic. No. APPLICATION FOR BUSINESS LICENSE >/ Upon receipt of the license application and $35.00 payment, the City of Yelm will con uct aneft n q the premises for building and fire code conformance. Upon approval from the Yelm B ilding,�aftrfie of said premises, the City Clerk's Office will process the application and mail license t applicant at address listed below. $Y Application is hereby made for a Business License for the City of Yelm 11 NEW BUSINESS ❑ NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE 10/08/16 BUSINESS NAME Peo leRead , Inc. NATURE OF BUSINESS Temporary Staffing Company BUSINESS LOCATION ADDRESS 7914 Martin Way E # 9 MAILING ADDRESS P.O. Box 2910, Tacoma, WA 98401 EMAIL ADDRESS businesslicense@trueblue.com ANTICIPATED OPENING DATE 10/08/16 DAYS & HOURS OF OPERATION M- F 6:00am - 5:301)m, Sat and Sun as needed OWNER(S) PeopleReady, Inc. Address 1015 A Street, Tacoma, WA 98402 City State Zip TELEPHONE __253-_6_80-8_355 360-584-5459 (Business) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) 601-898-135 Signature _ uc- Date +'1 I /I CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.ciselm.wa.us APPLICATION FOR BUSINESS LICENSE I I OFFICIAL USE ONLY I I FEE $35.00 Rec By ,r Comm Dev. Dept. qI /! Bldg Dept. Insp. Dat Lic. No. Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm NEW j3U§INESS ❑ NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE 0 I7 BUSINESS NAME pr<V-W 509 tT7) OG NATURE OF BUSINESS -P00-t06 �Q,p 6-'y I CS BUSINESS LOCATION ADDRESS s4 2-Z �tt-W , 0%.4 q$S%q MAILING ADDRESS EMAIL ADDRESS ANTICIPATED OPENING DATE n 4o le /ah 00 - caowl DAYS & HOURS OF OPERATION '6 pM TD G PM rVloW --r%1 OWNER(S) T"-CI�f}/, 6(3N Q-0 Address 1-5-49-S Mlt-A Or- s , /^/tz M , W,+ 9SSI 7 •2-0q-,977 6 03 City State Zip TELEPHONE7 3aO - 9'6-0—/2-2-� (Business) '6o—/Z2,�--(Business) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) 6a'6 (0 13-6 3 1 , �1��j Signature Date 1,� Site Plan Review Committee ` 105 Yelm Avenue West Yelm, WA 98597 YELM w.•.• nriaz ur. Perry Bonito Photography Home Occupation Permit # 20170161 Findings of Fact, Conclusions of Law, and Decision FINDINGS OF FACT 1, Perry Bonito resides at the property at 15425 Kayla Street SE, Yelm, WA 98597, also known as Lot 47, Plat of Cherry Meadows, and identified by Assessor's Tax Parcel Number 41610004700. 2. The property is identified by the Unified Development Code, Title 18 YMC, as being within the Moderate Density Residential (R-6) zoning district. 3. The ministerial site plan review process is to ensure that projects are consistent with applicable development, construction and design standards of the Unified Development Code [Title 18, YMC]. Ministerial permits do not require public notice. 4. Perry Bonito proposes to operate photography services from his home. 5. Chapter 18.65 YMC provides requirements and standards for home occupations. These include: • The home occupation shall not occupy more than 25 percent of the total floor area of the residence, or exceed 500 square feet if in an accessory building. • Traffic generated by the home occupation shall not exceed 3 commercial vehicles per week, and all parking of customers' vehicles shall be off-street. • Storage of merchandise, material or equipment must be entirely within the residence or accessory building. • Home occupation signs shall be wall mounted, and shall not exceed four square feet in area. The sign cannot be internally illuminated, but may be indirectly illuminated. 6. Section 13.08.080 YMC prohibits solid or viscous substances in quantities capable of causing obstruction to the proper operation of the sewage works. 7. The City implements a cross -connection and backflow control program pursuant to Title 43 RCW and Chapter 248-54 WAC. [Section 13.04.220 YMC] A backflow prevention assembly is required to protect Yelm's water system from cross -connections from all new development. [Section 13.04.220 (D)]. CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX WWW.ci.yelm.Wa.uS APPLICATION FOR BUSINESS LICENSE I lorFICIAL USE ONLY I I FEE $35.00 Rec By Comm Dev. Dept / Bldg Dept. Insp. Date Lic. No. i i' Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm 'k4 BUSI,NESS 1:1NAME CHANGE/MAILING ADDRESS CHANGE ONLY ATEA l� BUSINESS NAME VAMl I— Siil-Vl UVl _ NATURE OF BUSINESS 001- o'- �T BUSINESS LOCATION ADDRESS � iz S. Caw LTE j P-57, MAILING ADDRESS �ANAr- EMAIL ADDRESS V /tA X. W[ �_PA.,Q P(M,Q{i(I.SUI��� •{ C ANTICIPATED OPENING DATE N 01 f DAYS & HOURS OF OPERATION N / OWNER(S) 13 T Address LU (l" 1 1N_ (.�l.rY>lllFl\ i IAV lJ�U1N1 1 ( wit/ o TELEPHONE 2,!O'1.4 S45 -1 C5 City State Zip (Business)rr (Home/Emergency) CONTRACTOR'S REGISTRATION NO. LTJ -15 I- IIq (If applicaole) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) Signature ._ _ _ -., - Date 111-1 [ q- CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www dyelm.wa.us APPLICATION FOR BUSINESS LICENSE I I OFFICIAL USE ONLY I I FEE $35.00 Rec By Comm Dev. Dept. Bldg Dept. Insp. Date { Lic. No. \ Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Apppati n is hereby made for a Business License for the City of Yelm a,,E BUST ASS LI NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE BUSINESS NAME NATURE OF BUSINESS_ to2r!IA(Sr BUSINESS LOCATION ADDRESS ?AN LAotj;�� -4-' MAILING ADDRESS :j]kUftA WA -9 '7 1q' EMAIL ADDRESS ANTICIPATED OPENING DATE DAYS & HOURS OF OPERATION U/ � 1Y D�[ A4- OWNER(S) LV,&V B�W AT - Address 11 �Qj q TELEPHONE r�� CitY,%,,,,� ��ate��� Zip (Business) \, (Home/Emergency) CONTRACTOR'S REGISTRATION NO.Bgdaw--13 (If applicable) THURSTON CO. HEALTH APPROVAL NO.77 STATE OF WA�' INGTON MASTER BUSINESS LICENSE NO. (UBI) 1002 D C]12,, Signature J Date CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.d.yelm.wa.us APPLICATION FOR BUSINESS LICENSE [OFFICIAL USE ONLY I FEE $35.00 Rec By 5 J Comm Dev. Dep . i Bldg Dept. Insp. Date Lic. No. I,S M Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm ® NEW B SIN SS ❑ NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE BUSINESS NAMEti`\ NATURE OF BUSINESS BUSINESS LOCATION ADDRESS O J 6� Aw. `-Idm U A R MAILING ADDRESS �J�q( (ttS S� (-Ulm WA S '1 EMAIL ADDRESS r� I ANTICIPATED OPENING DATEa LA t rr DAYS & HOURS OF OPERATION M— r % —C OWNER(S) Q Address `"l Ave, 5 � 1� � �� q `� � l ' 1 City State Zip TELEPHONE _�]U1 "� ' a� �] - �jtp ( !�So— "5 (Business) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) 604 - V D f q 6' Signature �s� Date J � f `I TCOMM PREMISE INFORMATION FORM Type or print legibly !11 VOUCF. • HRE • .MEMAL Your Emeigerrtro —Our �rioiity/ 1 �� N a m e : �� Date. l l LLL iii a� III Position/Title: d w gyp. - Business Name: Address: (Include directional and suite # if applicable. Ex: 1234 Main St SE #4,Olympia) 10�5 Rw M Y" WA qR�(4-7 Business Phone: (�W) q 5 6 - (��Sq If this business has moved, please list previous address: Below is for After Hours Emergency call -out Information Please list ONLY those with access to the premise. Please include area codes. First Name Last Name Primary Phone Secondary Phone 1. a i�a r -u 6q- 3b a w-s(s� 2. eQ.d6(2r6 4 - ss - s1 �(o 4. Building Owner & Phone #, if different: Alarm Company(s): Company Y) 1 A-, Phone Type (Burg/Fire/Etc) Provide information you wish emergency personnel to have to reach you or find your business, such as: gate codes, directions if difficult to find, Knox box locations, etc. (Please note, we cannot accept hidden key info or gate codes for private residences!) Instructions: Bring the completed form to your local Public Safety Agency, or phone your local Law Enforcement office to have a representative pick up the completed form. Do NOT maillfax to TCOMM. __Below For Office Use Only Verified by: (Public Safety ID/name or badge - required) PV_1 p6i ji 'Em _*14% M Date:—%\ r Property Address: 1 V� Business License Applicant_ Dear Applicant: City of Yelm Public Works Department Physical Address: Mailing Address Yelm, WA 98597 (360) 458-8406 Fax: (360) 458-8417 Web: wwwA.yelm.wa.us *�q . W- 6��Sq-) Section 13.04.220 Yelm Municipal Code (YMC) requires all commercial buildings and irrigation systems to have a Reduced Pressure Backflow Assembly (RPBA) device installed on the water services. Installation of a Reduced Pressure Backflow Assembly is required: 0 Prior to approval of your business license Within days of change of ownership 0 Not Applicable Contact Tim Rarick, City of Yelm Public Works at (360) 458-8410, timr@ci.veirn.wa.us or Cell #360-507-2263 during the hours of 8am-5pm, Monday -Friday for details on device options and inspection requirements. Fats, oils, and greases entering the City of Yelm STEP sewer system can adversely affect the operation of the Water Reclamation Facility and the City requires all appropriate measures to avoid fats, oils and greases from enter the system. Section 13.08.090 Yelm Municipal Code (YMC) requires an appropriately sized grease interceptor prior to the STEP tank. Installation of a Crease Interceptor is required: Q Prior to approval of your business license Q Within days of change of ownership Q Not Applicable Contact Randy Hatch, City of Yelm Public Works (360) 458-8411,randvi�@ci,s�el, �,,vva.us or Cell #360-791-9828 for details. 2017 -Aug -24 09:31 AM Core Old Mill 801-733-9601 From: Torose Robison Fax: {801) 884-8937 Ta: Few! (801) 733-8901 zM7 OTY OF YELM 105 Yelm Ave. W, Yelm, WA 98597 (380) 458-8437 OFFICE (360) 458-4348 FAX iAww Ci,Yelm wa url APPLICATION FOR BUSINESS LICENSE Page 3 of 3 0812313017 8:18 PM Y Form $35.00 Rno 6y. :_ 1 Damm Oar, RnpT Lij1 Wig Depr, Insp. pate`` Uo, No,. \\77T -- Upon receipt of the llcenaa applloatloi7 and 535.00 payment, the City of Yisim will conduct an Inspection of the premises for building and fire coda Conformance. Upon approval from the Yelm Building Department of said prom1ses, the City Clerk's Office voli process the application and mail 11cense to applicant at eddress listed below. Application is hereby made for a Business License for the City of Yelm EINEW BUSINESS 13 NAME CHANGE/MAII ING AODMESS C144NGE ONLY PATS07/a5/i7 BU31NESS NAME PRISM CLINIC NATURE OF BUSINESS ,holist:ia madicine clinic 13USINESSLOCATION ADORESS.-_301 E Yelm, Yela,wATA__9_8 MAILING ADDRESS .301 E Yelm, Yalm, WA. 98597 EMAIL ADDRESS 1 i3.f � ' r_�1.tii,�r3� 7 n�,TQ Qonj -.... ANTICIPATED OPENING RATE July 5 2017 DAYS & HOURS OF OPISRATION D7 ]"i— • 8:00-5 OWNER(5) Leon S. PaalOs N.D. Address 2411 84117 city State zip TELEPHONE 360-400-5200 209-201-33A5— (2usinesti) (Home/Emergenoy) CON'TRACTOR'S REGISTRATION NO. (If sppl€cable) THURSTON CO, HEALTH APPROVAL NO. STATEOFWASHINQT <M 1 R 51NESS LICENSE NO. (UBI) 6041-134-4844 P"Signature Date . 3/3 2U Aug -24 09:31 AM Core Old Milt 801-733-9601 Nrram: Taraea Rahlecn Fax: (Rai) 354.6127 Ta; Fax; (801)733.6501 CITY OF YELL 105 Yelm Ave, W. Yelm, WA 98597 (360) 458.8437 OFFICE (160,) 458-4348 FAX WWW.CLy 1M.LWa.US APPLICATION FOR BUSINESS LICEN$E Page 2 of 3 09122J7017 3:19 PM FEE 336.00 Rao �y Canim Qay. ep Bldg Dept, LIc. No. Upon recaipt of the license appllcaticn and $35,00 payment, the City of Yelm will conduot an inspection of the premises for building and fire code conformance, Upon approval from the Yelm Building Department of said premises, the City Clarks Office wIII process the application and mail license to applicant at address listed below. Application Is hereby made for a Business License for the City of Yelm NEW BUSINESS � NAME CHANGEIMAILING ADDRESS CHANGE ONLY DATE 07/05/17 BUSINESS NAME PRISM FOUNDATION NATURE; OF BUSINESS charitable guir ores BUSINESS LOCATION A13DRESS 301 E Yelm, Xelm, PIA} 98597 MAILING ADDRESS 301 B .ye2m . Y,21m . WA q8592 EMAILADDRESS info@theuwallnes5.com ANTICIPATED OPENING DATE JuIY 5, 2017 DAYS & HOURS OF OPERATION . Mon,-fti; 8:00-5, 0,0 OWNERS) Leon E. Palt�as� M.D. Address 2,411 v.. Walker Lari City State zip TELEPHONE 860-400-5"900 .._.... 209„x.201 —s�,,3..45 TELEPHONE. (Home/Emergency) CONTRACTOR'S REGISTRATION NO. THURSTON CO. HEALTH STATE OF WASHINGTON IDAVER)61-lS1NESS LICENSE NO. (USI) Signature,. _L.1 /II - _ Date - fJ 1 2/3 INTERNAL REVENUE ICE P. O. BOX 2508 r• CINC--T_NNATI, OH 45201 t Date: AUG 182014 THE LONNIE AND SHANNON PAULOS FOUNDATION FOR ATHLETE SAFETY AND ADVANCED PERFORMANCE C/O GREGORY C. ZAUGG, ESQ. 2180 S. 1300 E #600 SALT LAKE CITY, UT 84106 Dear Applicant: ,,PARTMENT OF THE TREASURY Employer Identification Number: 47-6315420 DLN: 17053189369024 Contact Person: CUSTOMER SERVICE ID# 31954 Contact Telephone Number: (877) 829-5500 Accounting Period Ending: December 31 Effective Date of Exemption: February 10, 2014 Addendum Applies: No We are pleased to inform you that upon review of your application for tax exempt status we have determined that you are exempt from Federal income tax under section 501(c)(3) of the Internal Revenue Code. Contributions to you are deductible under section 170 of the Code. You are also qualified to receive tax deductible bequests, devises, transfers or gifts under section 2055, 2106 or 2522 of the Code. Because this letter could help resolve any questions regarding your exempt status, you should keep it in your permanent records. Organizations exempt under section 501(c)(3) of the Code are further classified as either public charities or private foundations. We determined that you are a private foundation within the meaning of section 509(a) of the Code. You are required to file Form 990 -PF annually. For important information about your responsibilities as a tax-exempt organization, go to www.irs.gov/charities. Enter 114221 -PF" in the search bar to view Publication 4221 -PF, Compliance Guide for 501(c)(3) Private Foundations, which describes your recordkeeping, reporting, and disclosure requirements. We have sent a copy of this letter to your representative as indicated in your power of attorney. Sincerely, 7a o—m- - - �_ /?.9 � � Director, Exempt Organizations Letter 1076 CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.ci.velm.wa.us APPLICATION FOR BUSINESS LICENSE FEE $35.00 Rem Comm dei. Dept.�2J//l Bldg Dept. Insp. Date Lic. No. Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. _,,,Application is hereby made for a Business License for the City of Yelm NEW BUSINESS NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATEX17 BUSINESS NAME f9r-o "`!� lfj bmhi?AIrl! j LiC. NATURE OF BUSINESS��� _ BUSINESS LOCATION ADDRESS MAILING ADDRESS 1- " EMAIL ADDRESS f2rM A IY 2-Z-7 C rl-lC l , v" ANTICIPATED OPENING DATE 9ZIdl DAYS & HOURS OF OPERATION - r F 7."30 - 5:a0 OWNER(S) ;5c6Qr i Address 8Z i1 r Sty. 19S City State Zip TELEPHONE -340 39 7 1H 12: - (Business) n (Home/Emergency) CONTRACTOR'S REGISTRATION NO. PROA1A (If applicable) THURSTON CO. HEALTH APPROVAL NO. /,,-, STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) 03 58 6HH 7 Signature �_ Date CITY OF YELL 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.Ci.yelm.wa.us APPLICATION FOR BUSINESS LICENSE I OFFICIAL USE ONLY I I FEE $35.00 Rec By Comm Dev. Dept f % Bldg Dept. Insp. Date Lic. No. Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm ® NEW BUSINESS ❑ NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE �P 017 BUSINESS NAME efb LY c�y I LA m J ff II NATURE OF BUSINESS 0tLJ c�,r>A Qiv\.a�f I o.vl a s-eNSC-e BUSINESS LOCATION ADDRESS 6�-()005- U f i AUt CT L SC �� W ,t W/� I MAILING ADDRESS Sc rm as Lnf-c,-�'urn c� �A EMAIL ADDRESS G rW A — CtirZC 33 ANTICIPATED OPENING DATE ( a -o i DAYS & HOURS OF OPERATION Myr- Ff �r OU cam, rv\� 3',30 Ir ►� OWNER(S) �J-+1�2� C� @r,;+ Address C00S- Gy AV -e- J/f S0(&r\cLw.ka. g-387 TELEPHONE aS-3) State Zip usiness) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. C C 04 Q�� (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) 0 t4-011 " 67 3 Signature1'(,JA�ojDate ,,20 CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.ci.yelm.wa.us APPLICATION FOR BUSINESS LICENSE [R17CEIVE�6 2017 , FEE $35.40 Rec By ♦�♦ Camm Dei. Dep/. u� `G I% Bldg Dept Insp. Date Lic. No. Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm " NEW BUSINESS ❑ NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE (o - 2A - 2.,ql - _ BUSINESS NAME S `k L e4yi s-, C . NATURE OF BUSINESS V-0 Pk -S O7NSTf2-u (---n0 0 BUSINESS LOCATION ADDRESS 9'651 MAILING ADDRESS t k L EMAIL ADDRESS SZ&CYI S� C-- ANTICIPATED OPENING DATE KJ I A DAYS & HOURS OF OPERATION Mu OWNER(S) _ �QfN�1 �ifrc�s 5�11(ilt-c; Address W(-� 2 to City State Zip TELEPHONE o - L4 5C � (O (Business) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. Sal 9 CNb /Yl (If applicable THURSTON CO. HEALTH APPROVAL NO. I37 A STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) Signature _ Date Ma CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.ci.yelm.wa.us APPLICATION FOR BUSINESS LICENSE oFFtCtAL USE ONLY FEE $36.00 Rec By Comm Dev. Rep 11 t Bldg Dept. Insp. Date Lic. No. 1 Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm ❑ NEW BUSINESS ❑ NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE BUSINESS NAME' NATURE OF BUSINESS [ �r"1 i I( BUSINESS LOCATION ADDRESS MAILING ADDRESS _.f�a )mjf EMAIL ADDRESS a/��y �czC�a?hG [`�'—ej aUI SII IG ��nl�Yl ANTICIPATED OPENING DATE ��II DAYS & HOURS OF OPERATION V� J "1 , ;3O OWNER(S) _ '(a t 1 — It1 a 0---Uj11qaf—U XF09I� �,, /I o �'reerrrc 17S�t Address —Ulri. " t,— 4 L I,I f ICOP TELEPHONE o��J✓ ' `�I (� - ;'I �P city r� � State,. (7 Ip (Business) I(Home/Emergency) CONTRACTOR'S REGISTRATION NO. (If applicable) THURSTON CO. HEALTH APPROVAL NO. r' STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) L Signature Date CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.d.yelm.wa.us APPLICATION FOR BUSINESS LICENSE FEE $35.00 Rec By Comm Dev. Dep4: Bldg Dept Insp. Date Lic. No. I W A6 Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm NEW BUSINESS ❑ AME ANGEIMAI ING ADDRESS CHANGE ONLY DATE Q-41—.261-7 BUSINESS NAME Q T- SPS} NATURE OF BUSINESS IVO;/ e BUSINESS LOCATION ADDRESS ,�U06, 5 LJY,12 h.P <,4aZe qlW Ye/07 LU kq 9LIY7 MAILING ADDRESS _141P4, E *In Sc,. X102 Ye &I.Q L-4fi ''k S -P i EMAIL ADDRESS ,'HeA ANTICIPATED OPENING DATE t -/-K-.)--0/-? DAYS & HOURS OF OPERATION OF �� •U'%YI Sd trC f Gl �L - %p1�'I OWNER(S) f -Vu t46 k-4 1�7 Address, 30 (0 33 �����W�1 W4,., IA% 06'z 3 City / State Zip TELEPHONE 3'� 3 ^ �, Sy. (Business) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. (If applicable) THURSTON CO. HEALTH APPROVAL NO, STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) �• C� ��1� l ]_�_ Signature -A4114 114 � Date kL'rC�6i��� 4'C.P "W&AA TCOMM PREMISE INFORMATION FORM !11 ' POLICE • FIRE • MEDICAL Your @mergenry — Our PrAwity Date: Business Name: &T Type or print legibly Name: Position/Title: Address: (Include directional and suite # if applicable. Ex: 1234 Main St SE #4,Olympia) ILI06 E YtIs?�2 flu sr,,'le t3/o.2, Ye Imo'] Lv 1951, 1 7 Business Phone: c00 22-0 � If this business has moved, please list previous address: Below is for After Hours Emergency call -out Information Please list ONLY those with access to the premise. Please include area codes. First Name Last Name Primary Phone Secondary Phone 1. 'fix 41 V2✓L33 2. .19 Building Owner & Phone #, if different: Alarm Company(s): Company Phone Type (Burg/Fire/Etc) Provide information you wish emergency personnel to have to reach you or find your business, such as: gate codes, directions if difficult to find, Knox box locations, etc. (Please note, we cannot accept hidden key info or gate codes for private residences!) Instructions: Bring the completed form to your local Public Safety Agency, or phone your local Law Enforcement office to have a representative pick up the completed form. Do NOT maiVfax to TCOMM. Below For Office Use Only Verified by: (Public Safety ID/name or badge - required) CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.d.yelm.wa.us APPLICATION FOR BUSINESS LICENSE [OFFICIAL USE ONLY I FEE $35.00 By Dev. De Rem Commm Bldg Dept. Date Lic. Lic. No. Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm ❑ NEW BUSINESS FPNAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE '3112-11-1 BUSINESS NAME -0" r W Milli Yl? M-6LC* G NATURE OF BUSINESS ( 4Q 1 irD Q t GtC7 hU BUSINESS LOCATION ADDRESS �5P> I Sf St S J r Wim! 6t9'9'7-7 MAILING ADDRESS N R01 W5 -U. P - V i tX i tQ14 � 8'S 1 tP EMAIL ADDRESS fir✓@ Yai �` C (' i I' Y1r1 ANTICIPATED OPENING DATE bV M4'I .i 5 fV 1^1 DAYS & HOURS OF OPERATION I OWNER(S) 12C. MM K' Address N �0 6 I N N. SE A I Yvi w A I� 1 City State Zip TELEPHONE �� p� " .151 2- (Business) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI)UC)4- I()S- Signature Date C7 112- j 11 CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.d. ey Im.wa_us APPLICATION FOR BUSINESS LICENSE FEE $35.00 Rec By Comm Dev. Dept [ % Bldg Dept. Insp. Date Lic. No. Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm 0 NEW USI ESS ❑ NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE BUSINESS NAME NATURE OF BUSINESS 170V' BUSINESS LOCATION ADDRESS MAILING ADDRESS EMAIL ADDRESS l� olp t<z '� Vj� 5q ANTICIPATED OPENING DATk ® �) fn0n (:I,weCA DAYS & HOURS OF OPERATION �� TI,Ic�S, I iUYS, �rt —LD, �U�i ��'y 17 _ I r /` _ S Q+ OWNER(S) Address TELEPHONE '�)U U (Business) CONTRACTOR'S REGISTRATION NO. CityStat ua - `aIu (Home/Emergency) (If applicable) THURSTON CO. HEALTH APPROVAL NO. - 1L- STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) Date i Type or print legibly !11 POUCE + • MeYmur&��nxy — cue P,uorr!y ®ate: g �)% Name:`Ok jlc�l &0o Position/Title: Business Name: Address: (Include directional and suite # if applicable. Ex: 1234 Main St SE #4,01ympia) 1��+ E) 4ste A I Business Phone: (3tp Q Z I H l LA S 9 If this business has moved, please list previous address: Below is for After Hours Emergency call -out Information Please list ONLY those with access to the premise. Please include area codes. First Name Last Name Primary Phone Secondary Phone 1. CDC 9 Building Owner & Phone #, if different:4a� d y Alarm Company(s): Company Phone Type (Burg/Fire/Etc) Provide information you wish emergency personnel to have to reach you or find your business, such as: gate codes, directions if difficult to find, Knox box locations, etc. (Please note, we cannot accept hidden key info or gate codes for private residences!) Instructions: Bring the completed form to your local Public Safety Agency, or phone your local Law Enforcement office to have a representative pick up the completed form. Do NOT mail/fax to TCOMM. Below For Office Use Only Verified by: (Public Safety ID/name or badge - required) CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.ci.yelm.wa.us APPLICATION FOR BUSINESS LICENSE OFFICIAL USE ONLY I I FEE $35.00 Rec By Comm Dev. Ile ai 13� Bldg Dept dYl,- Insp Date RM►n 043 Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm ❑ NEW USINESS ❑ NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE / Z 6 BUSINESS NAME .1 �J �L�A� NATURE OF BUSINESS BUSINESS LOCATION ADDRESS2� MAILING ADDRESS l z 3196 EMAIL ADDRESS ANTICIPATED OPENING DATE DAYS & HOURS OFF ERATION OWNER(S)�- Address Z7.5,() r/: (} 4 Cy � C State Zip TELEPHONE X10 - I,?/ X (3 �� l (Business) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. (If applicable) THURSTON CO. HEALTH APPROVAL NO. 4 STATE OFF " S' INGTON MASTER BUSINESS LICENSE NO. (UBI) ` Sig a thAA/k,, Date aCIUV E' JAN 2 BY: ......... - .._._. FEB 21 2017 CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.ci.velm.wa.us APPLICATION FOR BUSINESS LICENSE I I OFFICIAL USE ONLY I j FEE $35.00 Rec By V071 CommDev.Dey . 7 Bldg Dept Insp. Date Lic. No. Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm ■ NEW BUSINESS NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE 2/16/17 BUSINESS NAME Roads Paving Washington, LLC. NATURE OF BUSINESS Asphalt Paving Contrator BUSINESS LOCATION ADDRESS 415 W Valley Highway S Pacific, WA. 98047 MAILING ADDRESS 12514 SE 270TH ST. Kent, WA. 98047 EMAIL ADDRESS info@voadspavingwa.com ANTICIPATED OPENING DATE DAYS & HOURS OF OPERATION Monday - Friday 9:00 AM - 5:00 PM Saturday by appointment only OWNER(S) Norman Boulanger Address 12514 SE 270TH ST. Kent WA. 98030 City State Zip TELEPHONE 253-630-5589 206-396-8339 (Business) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. ROADSPW883M6 (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) 603-046-149 Signature �'� Date 2/16/17 CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.cl.yelm.wa.us APPLICATION FOR BUSINESS LICENSE FEE $35.00 Rec By Comm Del. Dep z t % Bldg Dept. Insp. Date Lic. No. 1 Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm NEW BU/SINE$S ❑ NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE '�' ' /'? I 0 BUSINESS NAME 6x) 4&-"K NATURE OF BUSINESS ��— BUSINESS LOCATION ADDRESS/6! �� a �Z-Al 4 —0- MAILING ADDRESS44�46 8`5 1Go /151 EMAIL ADDRESS 0064/ V4 S ANTICIPATED OPENING DATE DAYS & HOURS OF OPERAT OWNER(S) b/t✓ Address /4'0. �y ® City State Zip p TELEPHONE I6> 6,7--/! Q p 116D(52 2 SG per/ L (Business) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI)����� Signature Date 05/01/2017 12:01 2535122312 SEATAC PAGE 01101 05/01/2917 [SON 13:00 7Ax •- Xov Tift A CITY OF YELM 105 YeIM AVe. W. YeImp WA 98597 (364) 458-8437 OFFICE (360) 4584348 FAX Www.ciyelm,wa.us APPLICATION FOR BUSINESS LICENSE t7FFICIAL USE ONLY FEE $33.44 Rec By 7r� Comm ;e 01 ml 1 sid9 Dept. Insp. Date /� Lic, No. � S V Upon receipt of the license application and $38.00 payment, the City of Yelm will conduct an Inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at aocress Application is hereby made for a Business License for the City of Yelm NEW BU IN 55 Allfl>* CHAN(3FidAiLING ADDRESS CHANGE ONLY DATE T I I I &>1 r lS� i�11o�h o , C . BUSINESS NAME �.. �.�. 'L* NATURE OF BUSINESS BUSINESS LOCATION ADDRESS Q Cd 0, _Kx S MAILING ADDRESS t.1 ':.: ",� 1s� t�15 Q tl EMAIL ADDRESS - V ANTICIPATED OPENING DATE DAYS & HOURS OF OPERATION . QA � vA qua �4 fit/! ` T OWNER(S) C:L 9 ft�Lvv-- P-4e?mA-,j Address A TELEPHONE _Q (Business) --1z 1.0 state CONTRACTOR'S REGISTRATION NO .. --.• Of applicable) THURSTON CO, HEALTH APPROVAL NO. STATE OF WASHINGTOty,fVlAv� ER B SINESS LICENSE NO, (U 131) &0 Z Y%143 71 Signature CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.d.yelm.wa.us APPLICATION FOR BUSINESS LICENSE FEE Rec Byy-t Comm Dev. pt Bldg Dept. Insp. Date Lic. No. �=- Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm 1771 NEW BSI ESS ❑ NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE �*'� r ,, rr BUSINESS NAME �S nyj-sk l�L� NATURE OF BUSINESS I-eA � BUSINESS LOCATION ADDRESS Kf, q e kvd, k.* MAILING ADDRESS 6105 VA v`t t'ey� �C.i �,�•1P� �''1 � EMAIL ADDRESS as rv\ t Ca4 • p ANTICIPATED OPENING DATE 4 - ; —I DAYS & HOURS OF OPERATION OWNER(S) r Address5D5- City State Zip TELEPHONE 31�a ��n " I IloZ' 359 -S'ICi3 (Business) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. (If applicable) t �1 THURSTON CO. HEALTH APPROVAL NO. 11 i6 Y-? STATE OF WAS/KPIGTON MASTER BUSINESS LICENSE NO. (UBI) irt?� -D "` QT7 Signature Date Y///, Qate: Property Address: _ Business License Applicant. Dear Applicant: Of Yelm Public Works Department Physical Address: 901 Rhoton Road SE Mailing Address: 105 Yelm Ave West Yelm, WA 98597 (360) 458-8406 Fax: (360) 458-8417 Web: wwNjv.ci.velrn.wa.us Section 13.04.220 Yelm Municipal Code (YMC) requires all commercial buildings 'and irrigation systems to have a Reduced Pressure Backflow Assembly (RPBA) device installed on theivater services. 71aliation of a Reduced Pressure Backflow Assembly is required: Prior,to approval of your business license Within 30 days of change of ownership 0 Not Applicable Contact Tim Rarick, City of Yelm Public Works at (360) 458-8410, timr@ci.yelm.wa.us or Cell #360-507-2263 during the hours of 8am-5pm, Monday -Friday for details on device options and inspection requirements. Fats, oils, and greases entering the City of Yelm STEP sewer system can adversely affect the operation of the Water Reclamation Facility and the City requires all appropriate measures to avoid fats, oils and greases from enter the system. Section 13.08.090 Yelm Municipal Code (YMC) requires an appropriately sized grease interceptor prior to the STEP tank. Installation of a Crease Interceptor is required: 0 Prior to approval of your business license 0 Within days of change of ownership 0 Not Applicable Contact Randy Hatch, City of Yelm Public Works (360) 458-8411, randyh@ci.yelm.wa.us or Cell #360-791-9828 for details. CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.ci. elmma.us APPLICATION FOR BUSINESS LICENSE I OFFICIAL USE ONLY I I FEE $35.00 f Rec By Comm Dev. Dept.,- y ? zt, 1 -7 Bldg Dept. Insp. Date Lic- No. Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. lication is hereby made for a Business License for the City of Yelm 6NEW BUSINESS ❑ NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE 9 -lg- 1 BUSINESS NAME fiD Iec-+V-i G L L G NATURE OF BUSINESS 'F— GAUL BUSINESS LOCATION ADDRESS 2�>c�,-1` s`r vvE F\ -V -L* R MAILING ADDRESS a �X '3(S% RT ct 8 Z,2 3 EMAIL ADDRESS ANTICIPATED OPENING DATE 01 - 1':Z - 1-1 DAYS & HOURS OF OPERATION 't - S m - F OWNER(S) Address D' '?i 31SC6 �& ted'$ 22'3 City State Zip TELEPHONE (,o 3 -7`{ 4 g �jn 32j -Y 2 - (Business) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. C,,o L -I c-%--* 47% 42DZ (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) (953 S5C6 --7c)-3 �-C4Signature Date - 1,01 01_ Iq-1-1 2z3 CITY OF YEL,IA 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www dyelm.wa.us APPLICATION FOR BUSINESS LICENSE OFFICIAL USE ONLY 1 I FEE $35.00 Rec By Comm De,. Dept. /1 / / Bldg Dept. Insp. Date Lic. No. f 1 i S �p 4 Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. j Application is hereby made for a Business License for the City of Yelm IJ NEW BUSINESS ® NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE 9/12/217 BUSINESS NAME Solterra Global LLC NATURE OF BUSINESS Designs, sells, and installs solar energy systems BUSINESS LOCATION ADDRESS 2910 1st Ave S #201, Seattle WA 98134 MAILING ADDRESS Same as above EMAIL ADDRESS solaradmin@solterra.com ANTICIPATED OPENING DATE DAYS & HOURS OF OPERATION OWNER(S) Brian Heather, President and Owner Address 2121 6th Ave, Seattle WA 98121 City State Zip TELEPHONE (800)865-9005 (206) 617-3350 (Business) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. SOLTEGL831 BZ (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) 604 041 594 Signature f 1LA&l'I fff/l CI[jZL L b----1 Date 9/13/2017 CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www dyelm.wa.us APPLICATION FOR BUSINESS LICENSE I I OFFICIAL USE ONLY FEE $35.00 Rec By Comm Dev. Dep R 3 j7 Bldg Dep 17 Insp. Date i Lic. No. 1 Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm LJ NEW BUSINESS ❑ NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE]1__� BUSINESS NAME �� CIBC' , q--�(�L� �l S o a - NATURE � NATURE OF BUSINESS 1 BUSINESS LOCATION ADDRESS q Bu_t n � ji MAILING ADDRESS f EMAIL ADDRESS ANTICIPATED OPENING DATE 3 b l DAYS & HOURS OF OPERATION - I f1 p A� ` OWNER(S) Address 4 t 44 City � Stsat3e � Zip TELEPHONE , &D C� (Business) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) � f Signature Date L ,5' / n 0 Date: Property Address: Business License Applicant. Dear Applicant: of Yelm Public Works Department Physical Address: 901 Rhoton Road SE Mailing Address: 105 Yelm Ave West Yelm, WA 98597 (360) 458-8406 Fax: (360) 458-8417 Web: www.ci.yejm _wa.us Section 13.04.220 Yelm Municipal Code (YMC) requires all commercial buildings and irrigation systems to have a Reduced Pressure Backflow Assembly (RPBA) device installed on the water services. Installation of a Reduced Pressure Backflow Assembly is required: 0 Prior to approval of your business license 0 Within days of change of ownership of Applicable ap Contact Tim Rarick, City of Yelm Public Works at (360) 458-8410, t1mr@ci.Ve1m.wa.us or Cell #360-507-2263 during the hours of 8am-5pm, Monday -Friday for details on device options and inspection requirements. Fats, oils, and greases entering the City of Yelm STEP sewer system can adversely affect the operation of the Water Reclamation Facility and the City requires all appropriate measures to avoid fats, oils and greases from enter the system. Section 13.08.090 Yelm Municipal Code (YMC) requires an appropriately sized grease interceptor prior to the STEP tank. Installation of a Grease Interceptor is required: 0 Prior to approval of your business license 0 Within days of change of ownership Not Applicable r Q c Contact Randy Hatch, City of Yelm Public Works (360) 458-8411,randVh@ci-YelM.wa.us or Cell #360-791-9828 for details. CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.dyelm,wa.us APPLICATION FOR BUSINESS LICENSE I—FowFECIAL USE ONLY I I FEE $35.00 Rec By Comm Dev. Oe Bldg Dept. 3182 17 Insp. Date Lic. No. Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at nrtrtrocc listort helnw Application is hereby made for a Business -License for the City of Yelm D NEW BUSINESS ❑ NAME CHANGEWAILING ADDRESS CHANGE ONLY DATE 02/28/17 BUSINESS NAME Sprint Spectrum LP NATURE OF BUSINESS utility BUSINESS LOCATION ADDRESS no location on your city MAILING ADDRESS 6200 Sprint Parkway, KSOPHF020-2BTTx Overland Park KS 66251 EMAIL ADDRESS„ telecomtax[a)sprint.com ANTICIPATED OPENING DATE no location in your cit DAYS & HOURS OF OPERATION n/a OWNER(S) Sprint Spectrum Holding CO, LP & MinorCO, LLC Address 6200 Sprint Parkway, Overland Park Kansas 66251 City State Zip TELEPHONE 913.315.5770 (Business) CONTRACTOR'S REGISTRATION NO. n/a (If applicable) THURSTON CO. HEALTH APPROVAL NO. n/a (Home/Emergency) STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) 601-705-965 Signature Date CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www d.yelm wa us APPLICATION FOR BUSINESS LICENSE OFFICIAL USE ONLY I I FEE $35.00 Rec By Comm &w. Dept. K f 3 Bldg Dept. Insp. Oat Lic. No. Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm ❑ NEW BUSINESS ❑ NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE 02/28/2017 BUSINESS NAME Sprint Spectrum Equipment Co, LP NATURE OF BUSINESS cell sites BUSINESS LOCATION ADDRESS 11247 Morris Road SE. Yelm. WA MAILING ADDRESS 6200 Sprint Parkway, KOSPHF0202-2BTTX, Overland Park KS 66251 EMAIL ADDRESS telecomtax@sprint.com ANTICIPATED OPENING DATE March 11, 2016 DAYS & HOURS OF OPERATION 24hour-7days a week OWNER(S) Sprint Spectrum, LP & MinorCO, LLC Address 6200 Sprint Parkway Overland Park Kansas 66251 City State Zip TELEPHONE 913.315.5770 800-357-7641 (Business) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. not available (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) 601-720-090 Signature Date RYEMSHFNGT6N CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www dvelm.wa.us APPLICATION FOR BUSINESS LICENSE I IOFFICIAL USE ONLY I I FEE $35.00 Rec By Comm Dei. DeptV Yl/I Bldg Dept. Insp. Date Lic. No. IIVC5s Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm ❑ NEW BUSINESS ❑ NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE BUSINESS NAME re NATURE OF BUSINESS r. c 7L" BUSINESS LOCATION ADDRESS "VO y I �9 iw l Y 7q. �� I,�,., . A 9 5t rT MAILING ADDRESS 2//) EMAIL ADDR ANTICIPATED OPENING DATE , DAYS & HOURS OF OPERATION OWNER(S) j' a c 1Y Address TELEPHONE. Ciiy State Zip (Business) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) Signature Date __ �7E 2(-')% Date: _ k Tae4bNMI City of Yelm a M Public Works Department Physical Address: 901 Rhoton Road SE Mailing Address: 105 Yelm Ave West Yelm, WA 98597 (360) 458-8406 Fax: (360) 458-8417 Web: W;mw.ci, eim.wa.us Property Address: _�'1 t'I —�? -S . l 1� ^ Business License Applicant. _ (� Dear Applicant: Section 13.04.220 Yelm Municipal Code (YMC) requires all commercial buildings and irrigation systems to have a Reduced Pressure Backflow Assembly (RPBA) device installed on the water services. Installation of a Reduced Pressure Backflow Assembly is required: 0 Prior to approval of your business license Within 30 days of change of ownershi 0 Not Applicable Contact Tim Rarick, City of Yefm Public Works at (360) 458-8410, dmr crr CL elm.wa.us or Cell #360-507-2263 during the hours of 8am-5pm, Monday -Friday for details on device options and inspection requirements. Fats, oils, and greases entering the City of Yelm STEP sewer system can adversely affect the operation of the Water Reclamation Facility and the City requires all appropriate measures to avoid fats, oils and greases from enter the system. Section 13.08.090 Yelm Municipal Code (YMC) requires an appropriately sized grease interceptor prior to the STEP tank. Installation of a Grease Interceptor is required: 0 Prior to approval of your business license 0 Within days of change of ownership 0 Not Applicable Contact Randy Hatch, City of Yelm Public Works (360) 458-8411 rand h ci.yelm.wa.us or Cell #360-791-9828 for details. � - YELM WASHINGTON CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.ci.yelm.wa.us APPLICATION FOR BUSINESS LICENSE FEE $35.00 Rec By Comm Dev. Dept. Bldg Dept. Insp. Date Lic. No. Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm NEW BUSINESS ❑ NAME CHANGEWAILING ADDRESS CHANGE ONLY DATE 31 a 0 l l �- BUSINESS NAME I L1 ���''`�v�e 6&!cAt, NATURE OF BUSINESS u3s 4fjPAci1-n 1 , BUSINESS LOCATION ADDRESS MAILING ADDRESS /9608 Ke -r110'-1 4 .r Vc j v i /L A%i- 00S- l �- EMAIL ADDRESS Qhh )e' 10, -Set r U-, 6? ti0J V0 • 60t-11 ANTICIPATED OPENING DATE DAYS & HOURS OF OPERATION OWNER(S) Address /1-160F tle r -y ,-) 6,1 (It /1111 11)4- _ 9 & M City State Zip TELEPHONE S3-- 30) - 9.29 360- ys-�?- YC6.9 (Business) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. h /Q (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) 609 /0l q3d- 7G� Signature Da,�- 0(- —jV-1,jV1 Date 3/a 0// REL WASMING7bN CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.ci.yelm.wa.us APPLICATION FOR BUSINESS LICENSE FEE $35.00 Rec By�n Comm Dev. Dept I Bldg Dept- Insp. Date Lic. No. S Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to (cant at aaaress Ilstea Delow. Application is hereby made for a Business License for the City of Yelm NEW BUSINESS ❑ NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE 05/29/2017 BUSINESS NAME TEN AND TWO INC. (dba 911 DRIVING SCHOOL of YELM-McKENNA NATURE OF BUSINESS Driver Training, classroom Instruction, and License Testing - we are movina our existing branch location from McKenna into the Citv of Yelm BUSINESS LOCATION ADDRESS 106 Plaza Drive, Suite C, Yelrn, WA ((a --)Tiny Soles location) MAILING ADDRESS 730 Sleater-Kinney Rd. SE, Suite D, Lacey, WA 989503 EMAIL ADDRESS lacey917drivingschool(a7comcast.net ANTICIPATED OPENING DATE 6/1/2017 DAYS & HOURS OF OPERATION-- _Hours will vary depending on class schedule OWNER(S) Scott & Sonya Wheeler (TEN AND TWO INC) - Q s fT.-1Irf=– ,X 1TT-I:TIcy=f W3 Mlle�T.TA►�Tii►�11�:F:tr.��k TELEPHONE (360) 412-0911 (business) (360) 888-9515 (emergency) CONTRACTOR'S REGISTRATION NO. rV /A (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTMASTER BUSINESS LICENSE NO. (UBI) 602-551-917 `(EIN) 20-4107243 Signatures mkt `�r— _ Date /��%��/"7 '1F' -'rap v. L--oCATl4l4 ej) /,74Z 7 Ed i CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.ci.yelm.wa.us APPLICATION FOR BUSINESS LICENSE I ]OFFICIAL USE ONLY FEE $35.00 Rec By Comm Dev. Dept. ] Bldg Dept. Insp. Date Lic. No. Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm © NEW BUSINESS ❑ NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE BUSINESS NAME LeSoc J,e-dci. Ie -y} LL C" NATURE OF BUSINESS G% 1i Ve C (ciSSes am C; vC LJI-v 50c k VIIA-C- BUSINESS LOCATION ADDRESS MAILING ADDRESS 164-1, cT q4 7( 96,V96 EMAIL ADDRESS '7kesockm�,1�l��s� grti.� I, C o 1 -- ANTICIPATED OPENING DATE JkKt ZU/ DAYS & HOURS OF OPERATION OWNER(S) Address _ �+ �� a/ �71.� `�� [C� .. God. City State Zip TELEPHONE 6 p- Z d- _ 76 3L 6 -a 70 -:J) y q (Business) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) �,OV—oo 1- 6 6 -2- Signature Date CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.ci. elm.wa.us APPLICATION FOR BUSINESS LICENSE I I OFFICIAL USE ONLY I I FEE $35.00 CorRec m ��! I Carom Dev. Dep Bldg Dept. Insp. Date i Lic. No. i Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm EINEW BUSINESS ❑ NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE 10/1/2017 BUSINESS NAME Tibbitts Construction NATURE OF BUSINESS Plumbing Contractor BUSINESS LOCATION ADDRESS 39111 35th Ave. E. Roy, WA. 98580 MAILING ADDRESS P.O. Box 45637 Tacoma, WA. 98448 EMAIL ADDRESS tibbittsconstruction@gmail.com ANTICIPATED OPENING DATE 10/08/2017 DAYS & HOURS OF OPERATION monday-friday 7am-6pm OWNER(S) Earle Tibbitts and Alysha Banks Address 39111 35th Ave. E. Roy WA. 98580 City State Zip TELEPHONE 360-400-0059 253-517-0589 (Business) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. TIBBIC*847PD (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) 604045009 EZ=W'!WAMaI�LM11W" AFlCIlr& CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.d.velm.wa.us APPLICATION FOR BUSINESS LICENSE I I OFFICIAL USE ONLY I I FEE $35.00 Rec By Comm Dev. De Dept. Z4" Bldg Dept Insp. Date Lic. No. Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm El NEW BUSINESS ❑ NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE �(U�, 7�E 2 BUSINESS NAME T -Mobile Leasing, LLC NATURE OF BUSINESS To enter into consumer leases and other similar arrangements for wireless equipment and accessories BUSINESS LOCATION ADDRESS 1202 East Yelm Ave, suite D, Yelm, WA 98597 MAILING ADDRESS 251 Little Falls Drive, Wilmington, DE 19808 EMAIL ADDRESS tmcompliance@cscglobal.com ANTICIPATED OPENING DATE 10/20/2017 DAYS & HOURS OF OPERATION OWNER(S) see Attached Address 12920 SE 38th St, Bellevue, WA 98006 City State Zip TELEPHONE 302-636-8910 877-586-6762 (Business) (Home/Emergent) CONTRACTOR'S REGISTRATION NO. �x (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) 603545560 b Signature Date ll 27= U( 1651 !oN`I - 140 N CITY OF YIELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.d.velm.wa.us APPLICATION FOR BUSINESS LICENSE FEE $35.00 Rec By Comm Dev�t Bldg Dept. Insp. Date Lic. No. Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm ❑ NEW BUSINESS ❑ NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE —10 176 1 �'G l BUSINESS NAME T -Mobile Financial, LLC NATURE OF BUSINESS To enter into retail installment sales agreements and other similar arrangements for wireless equipment and accessories BUSINESS LOCATION ADDRESS 1202 East Yelm Ave, Suite D, Yelm, WA 98597 MAILING ADDRESS 251 Little Falls Drive, Wilmington, DE 19808 EMAIL ADDRESS tmcompliance@cscglobal.com ANTICIPATED OPENING DATE 10/20/2017 DAYS & HOURS OF OPERATION OWNER(S) See Attached Address 12920 SE 38th St, Bellevue, WA 98006 City State Zip TELEPHONE 302-636-8910 877-586-6762 (Business) (Hom ]Emergency)r\ --I — - 60 CONTRACTOR'S REGISTRATION NO. (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) 603428447 Signature Date Md" -mss CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.ci.yelmma.us APPLICATION FOR BUSINESS LICENSE OFFICIAL USE ONLY FEE $Dev .00 Rec By Comm 11�$,'c7 . De Bldg Dept. Insp. Date Lic. No. 1 86 Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm El NEW BUSINESS D NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE _ IG/2yl Zdl� BUSINESS NAME T -Mobile West, LLC NATURE OF BUSINESS Retail sales of wireless phones and accessories BUSINESS LOCATION ADDRESS 1202 East Yelm Ave, Suite D, Yelm, WA 98597 MAILING ADDRESS 251 Little Falls Drive, Wilmington, DE 19808 EMAIL ADDRESS tmcompliance@cscglobal.com ANTICIPATED OPENING DATE 10/20/2017 DAYS & HOURS OF OPERATION OWNER(S) see Attached Address 12920 SE 38th St, Bellevue, WA 98006 City State TELEPHONE 302-636-8910 877-586-6762 (Business)(, C`H melFpergency) CONTRACTOR'S REGISTRATION NO. (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) 602567475 Signature Date Zip 851(aT( - --sb CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.dyelmma.us APPLICATION FOR BUSINESS LICENSE I IOFFICIAL USE ONLY 1 FEE $35.00 Ree By Comm Dev. E Bldg Dept. Insp. Date Lic. No. I I `4] 17 Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm 10 NEW BUSINESS ❑ NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE 7-27-2017 BUSINESS NAME TOP OF THE LINE ELECTRIC INC. NATURE OF BUSINESS ELECTRICAL CONTRACTOR BUSINESS LOCATION ADDRESS 3610 SCENIC DR. S.E. AUBURN WA. 98092 MAILING ADDRESS 3610 SCENIC DR. S.E. AUBURN WA. 98092 EMAIL ADDRESS MARK@TOPOFTHELINEELECTRIC.COM ANTICIPATED OPENING DATE 7-28-17 DAYS & HOURS OF OPERATION SERVICING CUSTOMERS M -S 7-10 OWNER(S) MARK ATCHLEY Address 3610 SCENIC DR. S.E AUBURN WA 98092 TELEPHONE 206-771-2123 City State Zip (Business) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. TOPLI*L8440A (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) 604-002-648 Signature Date 7-27-2017 CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.dyelm.wa.us APPLICATION FOR BUSINESS LICENSE FEE $35.00 Rec By� Comm Dev. Dep—t. 1 &LIM Bldg Dept. Insp. Date Lic. No. t\<1 -111A S Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm ❑ NEW BUSINESS ❑ NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE 6/24/17 BUSINESS NAME Total Brand Management, LLC NATURE OF BUSINESS signage and lighting BUSINESS LOCATION ADDRESS 22500 SE 64th PI, Ste 230 Issaquah, WA 98027 MAILING ADDRESS 22500 SE 64th PI, Ste 230 Issaquah, WA 98027 EMAIL ADDRESS Jimr@totalbrandmgmt.com ANTICIPATED OPENING DATE out of town contractor DAYS & HOURS OF OPERATION OWNER(S) Jim Risher Address 22500 SE 64th PI, Ste 230 Issaquah TELEPHONE 425 766-2556 (Business) CONTRACTOR'S REGISTRATION NO. City (If applicable) THURSTON CO. HEALTH APPROVAL NO. WA 98027 State Zip (Home/Emergency) STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) 604-022-428 Signature r�119�`5. Date 6/24/17 CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX APPLICATION FOR BUSINESS LICENSE OFFICIAL USE ONLY FEE $35.00 Rec By Comm Dev. Dept. Bldg Dept. Insp. Date Lic. No. Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm ❑ NEW BUSINESS ❑ NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE 6/24/17 BUSINESS NAME Total Brand Management, LLC NATURE OF BUSINESS signage and lighting BUSINESS LOCATION ADDRESS 22500 SE 64th PI, Ste 230 Issaquah, WA 98027 MAILING ADDRESS 22500 SE 64th PI, Ste 230 Issaquah, WA 98027 EMAIL ADDRESS Jimr@totalbrandmgmt.com ANTICIPATED OPENING DATE out of town contractor DAYS & HOURS OF OPERATION OWNER(S) Jim Risher Address 22500 SE 64th PI, Ste 230 Issaquah WA 98027 TELEPHONE 425 766-2556 City State Zip (Business) CONTRACTOR'S REGISTRATION NO. (If applicable) THURSTON CO. HEALTH APPROVAL NO. (Home/Emergency) STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) 604-022-428 Signature $�� Date 6/24/17 CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www dyelm.wa.us APPLICATION FOR BUSINESS LICENSE j OFFICIAL USE ONLY FEE $35.00 Rec By!-- jQ Comm De,. Dep It /7 Bldg Dept. Insp. Date Lic. No. jSE � Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm ] L.LJ NEW BUSINESS ❑ NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE 10I II ��}} }} BUSINESS NAME I L_CWC - IG's LL NATURE OF BUSINESS V BUSINESS LOCATION ADDRESSLf?Df, Cj1�4- L1CAr- Lnf�7 NUM iii q MAILING ADDRESS bbx a� -)Ll 0`I w\r. 7,`P (.kA cR-`Jt),� EMAIL ADDRESS �Q[ f -A LCA kAal1awr\coyrf 6 Lk �yv\ ; G• . C'nn ANTICIPATED OPENING DATE DAYS & HOURS OF OPERATION hL_�,J - Q,6 a - C t OWNERS) Lwyvcz" Ad rasa '�f - 1 / City State Zip TELEPHONE ,(ii) - G2 2� i� 2)b-� - 14151 - 33l (Business) ^ (Home/Emergency) CONTRACTOR'S REGISTRATION NO. T �4LLC_ S (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) 60-2-)9-7& (o'�>2 Signatu `'� Date E-) L I ` CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.d.velm.wa.us APPLICATION FOR BUSINESS LICENSE FEB 2 $ Z017 ONLY FEE $35.00 Rec By Comm Dev. i] pt, Bldg Dept. �� Insp. Date Lic. No. 1 1 Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm NEW B SINESS NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE <Q Id -312 Q BUSINESS NAMEI r�4= l�; tc1, 1sc,= 3 M kin A C, 0— zn NATURE OF BUSINESS BUSINESS LOCATION ADDRESS 1N? lZ'g / MAILING ADDRESS _5"i 0 s 1//A� 1 EMAIL ADDRESS w� _ - c� r /'i / 4X zle, . Z" v� ANTICIPATED OPENING DATE r3P/2-8t 1 �- DAYS & HOURS OF OPERATION iV F 8"-' 'f" OWNER(S) / -1 rGK W i c4 do- i j 3 2 �z,e,6L / Ver j 14 y Address 18/31 f ''1-e- Z "-1 XLA•) ZiA 9'1'5 -) 9 City State Zip TELEPHONE 3L, �v � (Business) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. L 93 (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTON MA. P"USINESS LICENSE NO. (UBI) �OD�r yr -3 l Signature Date _ a��,� 4 /7- RYEM ASHINGTON CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.dyelm.wa.us APPLICATION FOR BUSINESS LICENSE I (OFFICIAL USE ONLY I I FEE $35.00 Rec By Comm Dev. Dept + Bldg Dept. Insp. Date Lic. No. Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm NEW BUSINESS L7 NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE w," / - 20/7 BUSINESS NAME If I NATURE OF BUSINESS F�C�QC2 .fiS-t�u a2r BUSINESS LOCATION ADDRESS MAILING ADDRESS P. 2all EMAIL ADDRESS ANTICIPATED OPENING DATE DAYS & HOURS OF OPERATION M -IfE OWNER(S) n Address 1 _ � 1� f� i4w— le1A��� r' h�" City ' State Zip TELEPHONE J WD �r20la 4 D ykc)- jo q a .32-3- (Business) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. TP-.yC-h F L, 9 3 a D U (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) _ (Po q -1v& �� RYEMSMTO N CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.ci.yelm.wa.us APPLICATION FOR BUSINESS LICENSE l MAR dFFI 1 USE ONLY FEE $7Dev. Rec By S Comm ep Bldg Dept. Insp. Date Lic. No. Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm l"J NEW BU INESS ❑ NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE 1 BUSINESS NAME `�"�fl "1f V, Al tian , L-41, NATURE OF BUSINESS 2 SL7 U ti( BUSINESS LOCATION ADDRESS O l Lo 36-Y''SN • S MAILING ADDRESS Qd P- �03(j .� r QI LAM EMAIL ADC ANTICIPAT DAYS & HC OWNER(S) Add TELEPHONE d�li ` .jS--) `3 (Business) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHPIGTON MASTER BUSINESS LICENSE NO. (UBI) (&;�)-10 - 0-1-1 Signature/,/ llf _ !L/f.G�f �� Date -?)119 60 l -Pte-6 RWAYML�hzGTON CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.d.yelm.wa.us APPLICATION FOR BUSINESS LICENSE IC S NLY FEE . o By Comm De,. Dep IC r7 Bldg Dept. Insp. Date. Lic. No. Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby mkfNAME de for a Business License for the City of Yelm ❑ NEW BUSINESS CHANGE/MAILING ADDRESS CHANGE ONLY DATE rt BUSINESS NAME—T— rep r% LX, NATURE OF BUSINESS BUSINESS LOCATION ADDRESS L4 MAILING ADDRESS 1-1 EMAIL ADDRESS G? -4 I — ANTICIPATED OPENING DATE DAYS & HOURS OF OPERATION OWNER(S) � L Address TELEPHONE City State Zip (Business) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) Co -dl 42� Cd'S 15 Signatu Date _ --1 - E� CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.ci.ve1m.waA1S APPLICATION FOR BUSINESS LICENSE [ [OFFICIAL USE ONLY --H FEE $35.00 Rec By Comm Dev. Dept 4 / Bldg Dept. Insp. Date 4 G Lic. No. Y V Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm NEW BUSINESS ❑ NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE May 19, 2017 BUSINESS NAME 2M Company, Inc NATURE OF BUSINESS wholesale distribution of irrigation products BUSINESS LOCATION ADDRESS 7741 Arab Drive SE, unit A, Olympia, WA 98501 MAILING ADDRESS PO Box 80770, Billings, MT 59108-0770 EMAIL ADDRESS gheckel@2mco. com ANTICIPATED OPENING DATE Immediately DAYS $ HOURS OF OPERATION N/A - No Physical Location OWNER(S) Franklin Electric Address 9255 Coverdale Road TELEPHONE 360-915-7748 (Business) CONTRACTOR'S REGISTRATION NO Fort Wayne IN 46809 City State Zip 360-870-6733 (If applicable) THURSTON CO. HEALTH APPROVAL NO. (Home/Emergency) STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) 602 459 870 Signature Z"716. Date May 19, 2017 OF, WYE: WASHINGTON CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.d.velm.wa.us APPLICATION FOR BUSINESS LICENSE FEE $35.00 Rec By Comm Dev. Dep {� (i7 Bldg Dept. Insp. Date j[ Lic. No. V Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm `I NEW BU5 NESS ❑ NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE s 1 q cao t BUSINESS NAME C0oc-['CN-<- cQ'I <� N U\- , n c . NATURE OF BUSINESS COnGCeAe 1�1JC7C-� C�� G% BUSINESS LOCATION ADDRESS 9q 1S lct'6 X& E T&- o/y1u.'qbg4S MAILING ADDRESS WlaS 1'a0 -%L RWY E _ *11e, L4.A q( a4, EMAIL ADDRESS_��J 1 l(—%(( ��1Cc_ COCY+reAt . CQ( ANTICIPATED S� DATE J�1�� 4 5-}, 01D�� DAYS & HOURS OF OPERATION ("OR �}- 5 (ice ]c � r 0e,.- c OWNER(S) nt . W � Address&LW& P-ALLi;,L +4LJI E L4 -A R gyaq City State Zi TELEPHONE 5153-50-+` 5933 5153 - 1[o5- ,?q 3 1 (2 (Business) 1 (Home/Emergency) I CONTRACTOR'S REGISTRATION NO. � EEG GI q { 6114V—S _ (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) W01 133 511 Signature Date CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.d.yelm.wa.us APPLICATION FOR BUSINESS LICENSE OFFICIAL USE ONLY I FEE $35.00 Rec By Comm Dev. Dep Bldg Dept. Insp. Datfe. Lic. No. 1 Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm ® NEW B SIN SS NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE 3I 1'7 / ( r BUSINESS NAME I �Ii.L{� KOCC1C7AQ I L (*()n S NATURE OF BUSINESS _&L Q �aC` VkL BUSINESS LOCATION ADDRESS >�(�d_LC.t'^ i] . J QLGj�'h/�IC�._ GILD 9, MAILING ADDRESS50-nu— (-S a-bul—c EMAIL ADDRESS G . r0&-/- , OzTn ANTICIPATED OPENING DATE DAYS & HOURS OF OPERATION 6461v._ FP -1 j'.,ODAm '" q �o/71 OWNER(S) /'!�/�-i°L 4 .kp`U�rlo— pr -es Address Sa-j%--e C(S &ba4l`C, City Stale Zip TELEPHONE J&Q - '?/,S / 1 '7 0 p r) - n (Business) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. L//J a906r%% (If applicable) THURSTON CO. HEALTH APPROVAL NO. A) y/A` STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) Signature - . J P L.- Date 61 L ELM WASHINGTON CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.ci.yelm.wa.us APPLICATION FOR BUSINESS LICENSE I I OFFICIAL USE ONLY I I FEE $35.00 Rec By Comm Den. Dep 11 Bldg Dept. Insp. Date 4l Lic. No. 1 Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm ElNEW BUSINESS CI NAME CHANGEWMAILING ADDRESS CHANGE ONLY DATE 41 1q1 !)n 1`1 % I BUSINESS NAME NATURE OF BUSINESS BUSINESS LOCATION ADDRESS \21) mbpIrn 1j aLQq� MAILING ADDRESS r� . D.bm 8L66 0- t Q-,:�n yx7z _ 54G EMAILADDRESS ANTICIPATED OPENING DATE DAYS & HOURS OF OPERATION. � [ z & nc P OWNER(S) - Address ``�� �� City State � Zip TELEPHONE 0��� (Business) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI)Q�I� Signature Date J. 2017 CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.ci.yelm.wa.us APPLICATION FOR BUSINESS LICENSE ONLY FEE 5.00 Rec By Comm Dev. Dep 7 Bldg Dept. Insp. Dat -�= Lic. No. Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm ® NEW BUSINESS ❑ NAME CHANGEJMAILING ADDRESS CHANGE ONLY DATE L-4, )- i �I1.Of 1- l BUSINESS NAME V � NATURE OF BUSINESS -Dri trucit o r\ 0 �'A re? rn 0ACl %tier BUSINESS LOCATION ADDRESS yt C-� 7 co+ - WA `X YLIS MAILING ADDRESS C E � enc W '1 *5 EMAIL ADDRESS, coo, ANTICIPATED OPENING DATE N DAYS & HOURS OF OPERATION Af OWNER(S) C 6 5 0.A - awe �p v�cS Address 19-909 0-4 hvt- C+ -E 1 kaiv cc WA TELEPHONE X53-569-( %�S rt City aS stateZip 3�3z / (Business) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. VA LLEC*9o3 CCC (If applicabl ) THURSTON CO. HEALTH APPROVAL NO. &7k STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) 03 Qd 1-71 Signature Date 8'- a -.20 /% CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.d.yelm.wa.us APPLICATION FOR BUSINESS LICENSE I I OFFICIAL USE ONLY�� FEE $35.00 Rec By d Comm Dev. Dept. Bldg Dept. Insp. Date C Lic. No. `] Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. r Application is hereby made for a Business License for the City of Yelm NEW BUSINESS DATE_ A_2-101 ( 1 BUSINESS NAME DNAME CHANGE/MAILING ADDRESS CHANGE ONLY NATURE OF BUSINESS rj _I _. BUSINESS LOCATION ADDRESS a, MAILING ADDRESS N\ tl ` ii J EMAIL ADDRESS_ t L f ANTICIPATED OPENING DATE N DAYS & HOURS OF OPERATION �A OWNER(S)-h 1 Address 0 �:) i TELEPHONE (Business) CONTRACTOR'S REGISTRATION NO. C- 1`jn I- e/Emergency) (If applicable) THURSTON CO. HEALTH APPROVAL NO. /r � STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) b P - Zip Date j zI c l In r! — CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www dyelm.wa.us APPLICATION FOR BUSINESS LICENSE I I OFFICIAL USE ONLY I FEE $35.00 Rec By Comm Dev. Dept. - Bldg Dept. Insp. Datej Lic. No. 1 Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm 4NEWBUSINESS ❑ NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE BUSINESS NAME / " 1 11 c L NATURE OF BUSINESS C BUSINESS LOCATION ADDRESS MAILING ADDRESS . � rte? �J. 1 t.L 4 EMAIL ADDRESS ANTICIPATED OPENING DATE DAYS & HOURS OF OPERATION OWNER(S) j LE" t,I � C I )� 6" A 0 Address 3 , _ City State Zip TELEPHONE (Business) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) OL Signature ��� Date CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www dyelm.wa.us APPLICATION FOR BUSINESS LICENSE OFFICIAL USE ONLY H FEE $35.00 Rec By r Comm Dev. De f 1 Bldg Dept. Insp. Date Lic. No. Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm ❑ NEW BUSINESS ❑ NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE `3 / /S 1'7 BUSINESS NAME ,n&f ill]�� !►� L= i�1v(T / IV L NATURE OF BUSINESS C6Aj7v/+C4--0 BUSINESS LOCATION ADDRESS 12Goo SE -Re-9T .{r-,2 gRA4--'yj! rf. q MAILING ADDRESS 17.811 SE {39 S�-, x.305. EMAIL ADDRESS /M% 1N -PH. Lo,%A ANTICIPATED OPENING DATE Gll 1511 DAYS & HOURS OF OPERATION OWNER(S)DrVS"1r1 Address 243 SC 140 sT ' gatulf UA 479604 - city State Zip TELEPHONE 'y2 S Del o 2-669 - 3S>7- 0126, (Business) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. VVA GN (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) (002-&91 1?2-_ Signature f-�U,\ _ Date q CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.ci.velm.wa.us APPLICATION FOR BUSINESS LICENSE TI OFFICIAL USE ONLY FEE $35.00 Rec By Comm Dei. Dept. Bldg Dept. Insp. Date Lic. No. ll qqt Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm ffNEW B SIN SS ❑ NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE R BUSINESS NAME S LU LLC NATURE OF BUSINESS i C e. BUSINESS LOCATION ADDRESS BUYIwtt Pet 5E S+G MAILING ADDRESS -0 . � TeISA Ly,S�� L��[w> �Q EMAIL ADDRESS L,)C�+ll jn I l S 1(-2- � Q win t I cc) 3�11 ANTICIPATED OPENING DATE_�J Z> ! DAYS & HOURS OF OPERATION ' - OWNER(S) lirzQ V0 -C ,/4-VUC k49 Address 12v-rA Lo S C e I k G '36yc) 3-00'-'40 0 �?I I city O state - k 3 � zip TELEPHONE (Business) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) �C OLIO "' 3q-7 `2 Signature Date City of Ye l m Public Works Department Physical Address: 901 Rhoton Road SE Mailing Address: 105 Yelm Ave West YELM Yelm, WA 98597 WASH 1140TON (360) 458-8406 Fax: (360) 458-8417 1-7 Web: www.ci.velmma.us V Date: V Property Address:— l i# P fC y __ Business License Applicant..=a��,�' Dear Applicant: Section 13.04.220 Yelm Municipal Code (YMC) requires all commercial buildings and irrigation systems to have a Reduced Pressure Backflow Assembly (RPBA) device installed on the water services. Installation of a Reduced Pressure Backflow Assembly is required: 0 Prior to approval of your business license r 0 Within 3(") days of change of ownership ���O !0 Not Applicable ...::: Contact Tim Rarick, City of Yelm Public Works at (360) 458-8410, timrCwci.ye1rn,+wa.us or Cell #360-507-2263 during the hours of 8am-Spm, Monday -Friday for details on device options and inspection requirements. Fats, oils, and greases entering the City of Yelm STEP sewer system can adversely affect the operation of the Water Reclamation Facility and the City requires all appropriate measures to avoid fats, oils and greases from enter the system. Section 13.08.090 Yelm Municipal Code (YMC) requires an appropriately sized grease interceptor prior to the STEP tank. Installation of a Crease Interceptor is required: 0 Prior to approval of your business license 0 Within days of change of ownership 0 Not Applicable Contact Randy Hatch, City of Yelm Public Works (360) 458-8411, rardyh@cLyeim.wa.us or Cell #360-791-9828 for details. CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.ci.velm.wa.us APPLICATION FOR BUSINESS LICENSE FEE $35M Rem By ld Comm Dev. De17 Bldg Dept. 3 i7 Insp. Date Lie. No. Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of sold premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm 0 NEW BUSINESS D NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE 2-8-2017 BUSINESS NAME Western Washington Coca-Cola Bottling LLC NATURE OF BUSINESS Wholesale distribution of soft drink beverages and vending of such beverages. BUSINESS LOCATION ADDRESS 2115 116TH STREET S TACOMA, WA 98444 MAILING ADDRESS 12634 South 265 West Draper, UT 84020 EMAIL ADDRESS Gstandre@swirecc.com ANTICIPATED OPENING DATE 2-25-2017 DAYS & HOURS OF OPERATION Monday -Saturday, 8-5 OWNER(S) _ Swire Pacific Holdings Inc dba Swire Coca-Cola, USA Address 12634 South 265 West TELEPHONE 801-816-5300 (Business) CONTRACTOR'S REGISTRATION NO. NSA Draper UT 84020 City State Zip 801-816-5362 (If applicable) THURSTON CO. HEALTH APPROVAL NO.. N/A (Home/Emergency) STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) 604-078-558 2-8-2017 Signature Date 604-078-558 2-8-2017 CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.ci.yelm.wa.us APPLICATION FOR BUSINESS LICENSE I OFFICIAL USE ONLY FEE $35.00 RBS By (d Comm Dei. Dep 13 1 � Bldg Dept. Insp. Date Lic. No. Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm NEW BUSINESS ❑ NAME CHANGEIMAILING ADDRESS CHANGE ONLY DATE 6/8/2017 BUSINESS NAME WHPacific, Inc. NATURE OF BUSINESS Consulting Civil Engineering BUSINESS LOCATION ADDRESS 12100 NE 195th Street, Suite 300, Bothell, WA 98011 MAILING ADDRESS 12100 NE 195th Street, Suite 300, Bothell, WA 98011 EMAIL ADDRESS Sam Richard: sric1';atd@whPacific.c:on1 ANTICIPATED OPENING DATE established firm doing business w/ City of Yelm DAYS & HOURS OF OPERATION R_00am to 5700p n. IVlonday through Friday -OWNER(S) Operations Manager: J.M. Ted Everage Address 12100 NE 195th Street, Suite 300, Bothell, WA 98011 City State Zip TELEPHONE 425-951-4887 (Business) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. N/A (If applicable) THURSTON CO. HEALTH APPROVAL NO. N/A STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) 602587396 r� � 7sv Signature 1� ` Cf1 Date FEB 15 2017 CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.ci.yelm.wa.us APPLICATION FOR BUSINESS LICENSE OFFICIAL USE ONLY I FEE $35M Rea Comm M Dei. Clap 171 Bldg Dept. Insp. Date Lic. No. Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm ® NEW B SITS NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE � 1� � BUSINESS NAME WriClWt_ T���1 !ii('.�, ��-- i1%r I NATURE OF BUSINESS BUSINESS LOCATION ADDRESS ( 3L MAILING ADDRESS SGL EMAIL ADDRESS V �G �I rYi(Ji),[ . C U✓� ANTICIPATED OPENING DATE DAYS & HOURS OF OPERATION OWNER(S) aU-11n Address4 JD� ��%I of o.,I_L U/A C1W--% Cz r City State Zip TELEPHONE[- (Business) n 11 (Home/Emergency) CONTRACTOR'S REGISTRATION NO. (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) 1IL03-1��- 3�5 Signature Date L CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www dyelm.wa.us APPLICATION FOR BUSINESS LICENSE 1 OFFICIAL USE ONLY FEE $35.00 Ree By Comm Dev, De"'t17 Bldg Dept Insp. Date Lic. No. Is 0 Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm ❑ NEW BUSINESS NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE _4/ Z.Z Z -P/ 7 BUSINESS NAME�//','I a NATURE OF BUSINESS BUSINESS LOCATION ADDRESS _7_D s� c� i�� Int , (,J,tJ, 7,3197 MAILING ADDRESS P 6. Li2 ) EMAIL ADDRESS /.:;-G 14ZA SX 9 ga P4 ANTICIPATED OPENING DATE DAYS & HOURS OF OPERATION jV7- 4J 7=W — S)ej-> OWNER(S) t�7�li�cJ 6. L,Gs4 Address 32.7 ",�"u tti?�per S+ clic, w.a LJA / City State Zip TELEPHONE �3C�C�) `/S�- 7G�yS (Business) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) Signature Cry' Date �� Z r Type or print legibly 1.1 POLE • ! iqf • Mf DKAL Yae•r :n!er�s;rc+.� — Sari ?verity Nate: //Z/zz>i-7 Name: Position/Title: Business Name: dM Sati.+Gt Address: (Include directional and suite # if applicable. Ex: 1234 Main St SE #4,Olympia) Business Phone: (30 ) ySg-7G,ys' If this business has moved, please list previous address: Below is for After Hours Emergency call -out Information Please list ONLY those with access to the premise. Please include area codes. First Name Last Name Primary Phone Secondary Phone 1. (360) 2. �3Z't 0 Building Owner & Phone #, if different: Alarm Company(s): Company Phone Type (Burg/Fire/Etc) Provide information you wish emergency personnel to have to reach you or find your business, such as: gate codes, directions if difficult to find, Knox box locations, etc. (Please note, we cannot accept hidden key info or gate codes for private residences!) Instructions: Bring the completed form to your local Public Safety Agency, or phone your local Law Enforcement office to have a representative pick up the completed form. Do NOT mail flax to TCOMM. Below For Office Use Only Verified by: _ (Public Safety ID/name or badge - required) of rHF44 W IN m, ffin-W 11RE►' ro, =- Business License Applicant. Dear Applicant: City of Yelm Public Works Department Physical Address: 901 Rhoton Road SE Mailing Address: 105 Yelm Ave West Yelm, WA 98597 (360) 458-8406 Fax: (360) 458-8417 Web: www.cci.yelm.wa.us Section 13.04.220 Yelm Municipal Code (YMC) requires all commercial buildings and irrigation systems to have a Reduced Pressure Backflow Assembly (RPBA) device installed on the water services. Installation of a Reduced Pressure Back11 'ow Assembly is required: 0 Prior to approval of your business license 0 Within da s of change of ownership .Not Applicab Contact Tim Rarick, City of Yelm Public Works at (360) 458-8410, tirrtr@ci.yeim.wa.us or Cell #360-507-2263 during the hours of 8am-5pm, Monday -Friday for details on device options and inspection requirements. Fats, oils, and greases entering the City of Yelm STEP sewer system can adversely affect the operation of the Water Reclamation Facility and the City requires all appropriate measures to avoid fats, oils and greases from enter the system. Section 13.08.090 Yelm Municipal Code (YMC) requires an appropriately sized grease interceptor prior to the STEP tank. Installation of a Grease Interceptor is required: 0 Prior to approval of your business license 0 Within days of change of ownership ty Not Applicable Contact Randy Hatch, City of Yelm Public Works (360) 458-8411, randyh@ci.yelm .wa.us or Cell #360-791-9828 for details. CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.ci.yelm.wa.us APPLICATION FOR BUSINESS LICENSE JUL 3 12017 OFFICIALZFsE-a LY FEE $35.00 Rec By Comm Dev. Dep -9- 17 Bldg Dept. Insp. Date Lic. No. Upon receipt of the license application. and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm E] NEW BUSINESS NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE 7/27/2017 BUSINESS NAME Yelm Vet PLLC NATURE OF BUSINESS Veterinary Hospital BUSINESS LOCATION ADDRESS 1120 W Yelm Ave. Yelm, WA 98597 MAILING ADDRESS 1133 14th Ave. Suite 200 Longview, WA 98632 EMAIL ADDRESS Slsbk@Salzsiederlaw.com ANTICIPATED OPENING DATE Amended name with secretary of State on 01/20/2017. Effective 7/1/17 for Tax Pur DAYS & HOURS OF OPERATION M -F 7:OOAM-8:00 PM, Sat 8:OOAM-5:OOPM,Sun 10:OOAM-5:OOPM OWNER(S) Karl Salzsieder Address 1133 14th Ave suite200 Longview, WA 98632 TELEPHONE 360-577-8115 or 360-458-7707 City State Zip (Business) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. /1 IPV �� I � ' j s Signature Date CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.d.velm.wa.us APPLICATION FOR BUSINESS LICENSE OFFICIAL USE ONLY I FEE $35.00 Rec By Comm Dev. Dept Bldg Dept. Insp. Date Lic. No. Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Cleric's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm NE JUSIII D NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE az-9 BUSINESS NAME JtS LL-)OM L �a.0 Y1h& StQ � r-�C- NATURE OF BUSINESS J1�{YVL� v BUSINESS LOCATION ADDRESS 1(4,6 Lorand ROL W -h y�l1t 11 t11A a A -e( , Uv MAILING ADDRESS Th i YELM WASHINGTON CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.d.velm.wa.us APPLICATION FOR BUSINESS LICENSE FEE $35.00 Rec By Comm Dev. Dept. Bldg Dept. Insp. Date. Lic. No. Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm NEWUSI ESS EINAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE { bit O Ih--? BUSINESS NAME 30knSon Cor mlS Fri i �+�r d-� NATURE OF BUSINESS ('tire I'-)mffhoorl. �"eeS BUSINESS LOCATION ADDRESS6rJaO Ia"h RVe 54 100 A qk i o MAILING ADDRESS PO I�p7C �Q!n BLCQ Ba4pni EMAIL ADDRESS YIU0CL G)Sa(1`c1j'--AP4W11y)Mll eevn. ANTICIPATED OPENING DATE DAYS & HOURS OF OPERATIONAL OWNER(S) e i��C1( 1 Pd ��C.l& fit" ,Qrs Address City State Zip TELEPHONE (1%1) �-�o �aa� 14;00 - -qw6 - 464A (Business) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. �n�NS CF 5 31`7 (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) (000- Signature 100 Signature Date IA/to%ri CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www dyelm.wa.us APPLICATION FOR BUSINESS LICENSE FEE $35.00 Rec By Comm Dev. Dept Bldg Dept. Insp. Date Lic. No. Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm mi ❑ NEW BUSINESS NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE.- 10/26O/'1_ BUSINESS NAME rt' � L.S [— L C NATURE OF BUSINESS l0/7 BUSINESS LOCATIONADDRESS �f ❑ U 6�- MAILING ADDRESS ! D� _I_-67111 /�e EMAIL ADDRESS kl S. lU PA /0aj.1SZ U 1l>~ zC- c ANTICIPATED OPENING DATE DAYS & HOURS OF OPERATION /14 'S.Lt 50 r V44 OWNER(S) -7-rykl!1 T✓rayL V4 Address TELEPHONE (960) City State Zip ��' 2zp 1-/ 02 �,3' 3 5 3 -Ga Sy -� (Home/Emergency) CONTRACTOR'S REGISTRATION NO. (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) Signature Date It/ -2 (/�41 Awv�� ��'Community Development 105 Yelm Avenue West � Yelm, WA 98597 August 16, 2017 Michael & Kristi Krause 15645 92nd Way SE Yelm, WA 98597 Re: Home Occupation at 15645 92nd Way, SE Dear Property Owner: It has come to the attention of the City that one or more home occupations are occurring at the home located at the address above. It appears that there is a state licensed trucking company, UBI 601331077, as well as woodworking or furniture building. The City of Yelm encourages home occupations, however must protect residential areas from potential adverse impacts of home occupation activities. A home occupation in the City requires a City of Yelm Business License, and a Home Occupation permit approval. A City business license is $35.00, with a $25.00 annual renewal fee. The Home Occupation permit is $125.00 and stays with the property until such time as the business closes, or has been inactive for 18 months or more. I have included a copy of the home occupation standards, and an application for both licenses. Please feel free to give me a call with any questions, or if you need assistance with either of the forms. I can be reached at tamim@yelmwa.gov, or (360) 458-8496. Sincerely, Tami Merriman, Associate Planner Community Development Department As We� 360.458.3835 36. 458.3144 FAX www.d.yelm.w¢.us THE MCCULLOUGH GROUT' ATTORNEYS AT LAW KEN GARFF BUILDING, SUITE 800 405 SOUTH MAIN STREET {� ► SALT LAKE CITY, UTAH 84111 S�` r TELEPHONE (801) 530-7359 -- FAX (801) 364-9127 L. S. McCullough, II August 25, 2017 City of Yelm Business License Application Attn: Becky 105 Yelm Ave. W. Yelm, Washington 98597 Re: Business License Applications Dear Becky: TO CONTACT WRITER DIRECTLY (801)530-7359 Ism@tmglaw.com Enclosed for processing, please find two business applications for the City of Yelm. One, under the name of "PRISM Foundation" under the foundation The Lonnie and Shannon Paulos Foundation for Athlete Safety and Advanced Performance" and which does not have a State UBI number and since the Foundation a trust, it is not registered with the State. We have attached a copy of the Internal Revenue Service's approval letter; however, if you require additional information concerning the Foundation, please let me know. The second application is under the name of "PRISM Clinic" and its UBI number is: 604-134- 484. Both entities will operate out of the same address, which address is: 301 E Yelm, Yelm, WA. Last, we have enclosed two checks each in the amount of $35.00 for the application fees. Please let us know if you need additional information to process these applications. Sincerely, Jesa CUL OUP . Rvbisc - Executive Legal Assistant to L. S. McCullough, II June 20, 2017 South Hill RV Sales LL Tatum Inc 12414 Meridian E Puyallup, WA 98373 Community Development 105 Yelm Avenue West Yelm, WA 98597 Re: Business License Application 1405 Yelm Ave E, Yelm, WA 98597 To Whom it May Concern: The City of Yelm received a business license application from South Hill RV Sales for RV Sales at the address above. The property is zoned C-1 Commercial. RV sales and service is not allowed in the C-1 zone. The business license may not be approved for this location. In the City of Yelm, sales and servicing of automobiles, boats, recreational vehicles, modular homes and farm equipment is allowed in the C-2 Heavy Commercial and C-3 Large Lot Commercial districts. (attached) If you have any questions, please feel free to contact me at (360) 458-8496, or tamim@yelmwa.gov. Sincerely, Tami Merriman, Associate Planner Community Development Department copy: D&B Retail Development LLC 360.458.3835 36. 458.3144 FAX www.d.yelm.wa.us CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.d.yelm.wa.us APPLICATION FOR BUSINESS LICENSE I OFFICIAL USE ONLY FEE $35.00 Rec By Comm Dev. Dept. Bldg Dept. Insp. Date Lic. No, Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm IDNEW B ISINESS ❑ NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE q I ) - I BUSINESS NAME SO LIZ +1 V ((JJ rr ru � NATURE OF BUSINESS 9V 5/, 4 S �ab(� 'fl'GaVz '{!' � �Ys " BUSINESS LOCATION ADDRESSm- vv►'� 7f MAILING ADDRESS I Z I lel U. i lC-Al j 0 _V37U EMAIL ADDRESS 10 't"7) S D pip k 0"'n ANTICIPATED OPENING DATE DAYS & HOURS OF OPERATION ��"� Siam- m Suri OWNER(S) LL -1-4+0,,n 1 h L. b Sa-?,& 1) ev � �,. (z s Address �2- j f Lj IY Y'i A, ,L,7 C 16- "qS'37-3 City tate 41P TELEPHONE ItL (Business) (Home/Emergency) r;yrm CONTRACTOR'S REGISTRATION NO. i-1 I I A (If applicable) THURSTON CO. HEALTH APPROVAL NO. I �i STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) Signatures Date Johnson Controls Security Solutions LLC Attn: Licensing Dept. P.O. Box 3042 Boca Raton, FL 33431 Tel +1 561-226-8222 www.JohnsonControls.com August 29, 2017 City of Yelm Clerk - Treasurer's Office 105 Yelm Avenue Yelm, WA 98597- cEP _ 5 2011 RE: Company Name Change from Tyco Integrated Security LLC License #: 16-10015 To Whom It May Concern, Johnson 410 Controls Please be advised that Tyco Integrated Security LLC under FEIN # 58-1814102 recently changed its name to Johnson Controls Security Solutions LLC. We have maintained our existing Federal Identification # 58-1814102. In addition, our LLC corporate status also remains the same. At this time, we have enclosed the necessary documents to transition our company licenses to reflect the change in company name. We kindly request to keep our existing license numbers currently on file with your office. Our mailing address should remain the same: Johnson Controls Security Solutions LLC Attn: Licensing Dept. P.O. Box 3042 Boca Raton, FL 33431 If you have any questions or require any additional information please contact our Licensing Compliance Administrator, Nichole Fisher at contesafisher@tyco.com or at 561-226-8210. Sincerely, 04ic%.ole ei6 et Nichole Fisher Licensing Compliance Administrator CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www dyelm.wa.us APPLICATION FOR BUSINESS LICENSE IOFFICiAL USE ONLY I I FEE $35.00 Rec By Comm Dev. Dept. _ Bldg Dept. Insp. Date Lie. No. Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm �X f STi dJ � ❑ NEW `BUSINESS S ❑ NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE X113 )7 BUSINESS NAME 17 C NATURE OF BUSINESS BUSINESS LOCATION ADDRESS MAILING ADDRESS l963 I?) EMAIL ADDRESS Co 6)0,-)0, C1-3 n-) ANTICIPATED OPENING DATE A I iL I? (� DAYS & HOURS OF OPERATION OWNER(S) ':J�_�f I� S1-4iip-p< Address r City State Zip TELEPHONE c I I '45r7q `-26Le-304-1 DS'2.. (Business) (Home/Emergency) Ce- I I w CONTRACTOR'S REGISTRATION NO. jq-IN1 NA ot 63 k-�- (If applicable) THURSTON CO. HEALTH APPROVAL NO. N STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) Signature Date ZI ,-3 11-7 CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.ci.yelm.wa.us APPLICATION FOR BUSINESS LICENSE OFFICIAL USE ONLY FEE $35.00 Rec By Comm Dev. Dept. Bldg Dept. Insp. Date Lic. No. —H1 E,: Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm ❑ NEW BUSINE 5 AME CHANGE/MAILING ADDRESS CHANGE ONLY DATE BUSINESS NAME. WI�7ET 6�- Velma � NATURE OF BUSINESS e*,�)"T*Ae 7Z3?e— BUSINESS LOCATION ADDRESS_ /!�-% — /✓765M A ,-' ffVEr s€ MAILING ADDRESS i �� � 3C `L ,tet V.� EMAIL ADDRESS b I L CCJ)1/] f3 o -P,42-5 /,) ANTICIPATED OPENING DATE DAYS & HOURS OF OPERATION �1 OWNER(S) AA� Address City State Zip TELEPHONE 3 (, O 9 t.D -/ 2 6 r (o�y yS-� (Business) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. % C 0 32 IKVV (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHI TON BAST,,VA BUSINESS LICENSE NO. (UBI) (iQy Signature \ Date PYLM WASMINGTDN CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.Ci.yelm.wa.us APPLICATION FOR BUSINESS LICENSE I OFFICIAL USE ONLY 1 FEE $2600 Rec By Comm Dev. Dept. Bldg Dept. Insp. Date Lic. No. Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm ❑ NEW USINES$ NAME CHANGEIMAILING ADDRESS CHANGE ONLY DATE Z 1 1 LLC BUSINESS NAME D-itCylp - i►�c��"U NATURE OF BUSINESS i�� BUSINESS LOCATION ADDRESS r MAILING ADDRESS _ D c4 EMAIL ADDRESS N44uvei C ANTICIPATED OPENING DATE 1-1-1-7 DAYS & HOURS OF OPERATION - &kVYL4 OWNER(S) ll Address � C�' c WA '" %6-5 ity State Zip TELEPHONE Ab -4(111' Aa) (Business) (Home/Emergency) N f CONTRACTOR'S REGISTRATION NO. (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) I� 'Ila Signatur Date CITY OF YELM 105 Yelm Ave. W. Yelm, WA 98597 (360) 458-8437 OFFICE (360) 458-4348 FAX www.d.yelm.wa.us APPLICATION FOR BUSINESS LICENSE 111L 31 2011 OFFICIAL USE ONLY FEE 535.Oa�� Rec By Comm Dev. Dept. Bldg Dept. Insp. Date Lic. No. Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm E] NEW BUSINESS ID NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE 7/27/2017 BUSINESS NAME Vet Biz Practices LLC (Name was Vet Biz Practices PLLC) NATURE OF BUSINESS Veterinary Hospital BUSINESS LOCATION ADDRESS 1120 W Yelm Ave. Yelm, WA 98597 MAILING ADDRESS 1133 14th Ave. Suite 200 Longview, WA 98632 EMAIL ADDRESS Slsbk@Salzsiederlaw.com ANTICIPATED OPENING DATE Amended name with Secretary of State on 01/20/2017. Effective 7/1/17 for Tax DAYS & HOURS OF OPERATION M -F 7:OOAM-8:00 PM, Sat 8:OOAM-5:OOPM,Sun 10:OOAM-5:OOPM OWNER(S) Karl Salzsieder, Rex Salzsieder, Lyn Mitchell, Claire Griffin, Emily French Address 1133 14th Ave suite200 Longview, WA 98632 TELEPHONE 360-577-8115 or 360-458-7707 City State Zip (Business) CONTRACTOR'S REGISTRATION NO. (If applicable) THURSTON CO. HEALTH APPROVAL NO. (Home/Emergency) STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) 604-078-223 Signature Date