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211 West Yelm Ave � � CITY OF YELM OFFICIALUSEONLY �O� TNFp�� 105 Yelm Avenue W. FEE $35.00 Rec By `Q 'yr � Yelm WA 98597 Comm Dev Dept. � � j�, (360) 458-8437 OFFICE B,dg oepr. ,'���� i� `���% `�-�-�� � (360) 458-4348 FAX Insp-Date �,, www.ci.yelm.wa.us ,� Lic. No. YELM � APPLICATION FOR WASHINGTON BUSINESS LICENSE ,,�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 r�, NEW BUSINESS � NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE 1 � "�� � C`' .� �C�. � � � BUSINESS NAME !�1 W � � �.�'Y� �' 1� :�:+ �>:'L NATURE OF BUSINESS �'I t!4ti�1 C� �" �6i C rl t r:��\ � � �l.( � ; (-'i�� �� '� =i (r fl��+'i"�;��1 '`� T � " BUSINESS LOCATION ADDRESS _ �11 �1 - � � I Vb*. �°�v'� - MAILING ADDRESS �� � ������ �� ANTICIPATED OPENING DATE ��" �C - � �� �- c�vh ceV►'► DAYS � HOURS OF OPERATION _ i�� ' S�%-`� , �C� �' �P"� S��V�. I� - `=� J���� OWNER(S) �l�� C� i''� GL ���"�(1 SL ► 1 Birthdate �� --2,..Z -� � Address ��:G.C�� t �� � �irv'� ;;j C.\, ,�_�1 7 �"' Cit State Zip T E L E P H O N E l�t�vti-I �l��til't � �-{ 1 '��.;('i � � �;�1 - 7 �� S I (Business) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. �'1 ��A, (If applicable) THURSTON CO. HEALTH APPROVAL NO. �� � STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) �p�� � � �-� '-�_d.,,�!t�_ .� ����-�, ' Signature �� C. �c->�,.� '�i�Z,,r�"' 'i/� Date � � � �� � � --��,_ CITY OF YELM i BUSINESS LICENSE APPLICATION � EH ,5/OS � J Page 1 of 1 �'VaS�uilgton State Depai�nent of Revenue 5tat� Business Recorcls Datab�se D�et�il TAX REGISTRATION NO: 603249944 ACCOUNT OPEMED: 11j01/2012 UBI: 603249944 ACCOUNT CLOSED: OPEN EMTITY MAME: HANSON YICTORIA BUSINESS NAME: AYA&EMME MAILING ADDRE55: BU5IME55 LOCATIUN: 503 COATES RD SE 211 W YELM AVE YELM�WA 98597-9264 YELM,L"JA 98597-8652 ENTITY TYPE: SOLE PROPRIETOR RESELLER PERMIT NO: A27 0920 14 PERMIT EFFECTIYE: i l J01/2012 NAICS CODE: 453220 PERMIT EXPIRES: lOf 31/�014 NAICS DEFINITION: GIFT,NOVELTY,AND 50UYENIR STORES I F�R N�M-C�MMER�IAL USE �NLY i i fso�zoiz ia:a�nr� I http://dor.wa.gov/images/BRDImage.aspx?tra=cUj qLSAtKfF 8gn9DbUEToMTF0Up3p2i... 11/30/2012 _ _ ' 44.�� TN�p�,y� Ci ty o f Ye lm ♦ a � Picblic t�Vor�hs Departmen.t 10.5 Yelm Auen.ue �ti'est Yelnc, WA ,985.97 YELM WASHINGTON Date �� �� /v� Property Address: �l� ` J� � - Business License Applicant: i��t�- ����� Dear Applicant: Section 13.04.220 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: ❑ Prior to approval of your business license ❑ Within days of change of ownership Not A �cabie ��� Contact Kevin Ray, City of Yelm Public Works (360J 458-8410 kevinr(a�ci.yelm.wa.us 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 plant and the City requires all appropriate measures to avoid fats, oils ar,d greases from entering the system. Section 13.08.090 Yeim Municipal Code requires an appropriate�y sized grease interceptor to be installed prior to the STEP tank. Installation of a Grease Interceptor is required: C Prior to approvai of your business license ❑ Within days of change of ownership [H�Not Applicable �� � Contact Jim Doty, City of Yelm Public Works (360) 458-8411 limd(a�ci.yelm.wa.us for details.