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�. � �
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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 '`�
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BUSINESS LOCATION ADDRESS _ �11 �1 - � � I Vb*. �°�v'� -
MAILING ADDRESS �� � ������ ��
ANTICIPATED OPENING DATE ��" �C - � �� �-
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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�_
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Signature �� C. �c->�,.� '�i�Z,,r�"' 'i/� Date � � � �� � � --��,_
CITY OF YELM
i BUSINESS LICENSE APPLICATION
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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�
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http://dor.wa.gov/images/BRDImage.aspx?tra=cUj qLSAtKfF 8gn9DbUEToMTF0Up3p2i... 11/30/2012
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' 44.�� TN�p�,y� Ci ty o f Ye lm
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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.