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14938 100th Ave SE ��F THF A C I TY O F YE L M OFFICIA�USE ONLY �, �� 105 Yelm Avenue W. FEE ��s o0 � 9� Yelm WA 98597 Re�By— � Comm Dev D�pt _ ..� 4 � . (360) 458-8437 OFFICE � (360) 458-4348 FAX 8�� Insp Dafe__�_ www.ci.yelm wa us Lic No . YELM APPLICATION FOR WASHINGTON BUSINESS LICENSE Upon receipt of the license application and $35 00 payment, the City of Yelm wiil conduct an inspection of the premises for building and fire code corformance Upon approval from the Yelm Building Department of said premises, the City Clerk's Office wili process the application and mail license to applicant at address listed below. � Appiication is hereby made for a Business License for the City of Yelm NEW BUSINESS C� NAME CHANG E/MAILING ADDRESS CHANGE ONLY DATE I " �'-- �l'� A _ � �� L� BUSINESS NAME JYi`"��. � L�/��_ LL�,�, NATURE OF BUSINESS , �� R ��...L�� i�=� BUSINESS LOCATION ADDRESS '��- � � �� -- � �� ,:. , �✓! �/� �� MA�LING AD�RcSS ��.� �.�- J�'.�c�,��1 ANTICIPATED OPENING DATE ��"Ty DAYS & HOURS OF OPERATION � �� J � b�cf�='C^ ��,,;� "jZ> �,� � �H�� OWNER(S) w � _ Birthdate ��1�� Address � �� 1 �� 1_ ��vl rti': ��.� ��- TELEPHONE ��tY State Z�p �i�,� � - (Busi ess) (H me/Emergency) CONTRACTOR'S REGISTRATION NO. �� THURSTON CO. HEALTH APPROVAL NO appl'cable) � / r STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) - � � . �' �'� — �_.�� 'rs.. Signature - . �� l�� Date � � CITY OF YELM BUSINESS LICENSE APPUCATION Efi Sl�t; Page 1 of 1 �'��s�tuigt�n St�te Dep�i�nent of Revenue St��' BilS1Il�SS RPCDI•c�s Uat�base Det�il TAX REGISTRATIQIY N0: NON-REYENUE ACCOUNT QPENED: O1/03 f 2013 U�i' 6D32b4224 ACCOUNT CLQSED: OPEN ENTITY NAME: MI55 LADYBUG LLC BU5IME55 NAME: MAILING ADDRESS: BUSIfVE55 LOCATION: 14938 100TH AY SE 14938 100TH AY SE YELM�WA 98597-0000 YELM,WA 98597-0000 ENTITY TYPE: LIMITED LIABILITY RESELLER PERMIT NO: M/A PERMIT EFFECTIYE: N/A NAIC5 CODE: 99gggp PERMIT EXPIRES: N/A MAICS DEFINITION: NjA F�� IV-��MMER�IAL USE�NLY O1f08f20134:1DPM http://dor.wa.gov/imagesBRDImage.aspx?tra=VLaW75oRwCBEN4q3qLTN7/Q==&rsp= 1/8/2013 `��;,:�� `�::� ..��' CITY OF YELM "`w''`�� ' OFFICIAL USE ONLY J`� \�''�'` 105 YELM AVE W :.:,, ,,::. ;; ; ......: ... Fee ;..- ::. :-�'. - .:� :: -�. � Yelm WA 98597 Date Received - ; By '� (360) 458-3244 Application No. :-=' , ---------------- , .' ''`'.`'"------------------- APPLICATION FOR .�.::�: :�:�::.;� Home Occupation Permit Fee(s): $50.00 application fee, + $35.00 business license fee upon approval and receipt of said license. APPLICANT SITE ADDRESS l .,. ._-- MAILING ADDRESS �� ' � City, State and Zip ,� �.r �` �` k � � `. TELEPHONE °. � (Busmess) Residence) NATURE OF BUSINESS �,�,,,,� , ��L_s �, WASFiINGTON STATE BUSINESS LICENSE O. - � � Attach a detai!ec! description(one�r two pages}of the nronosed Home (�ccuoation; including� �) Activities involved, b) Materials and equipment used, and �) Methods of operations. In addition, please respond to the following questions: (Attach additional pages if required.) �- How many persons will be involved or employed in the conduct of the proposed Home Occupation: Members of the immediate famil�/? Others? � TOTAL NUMBER _� 2• What type of product will be produced, serviced or repaired in the conduct of your proposed Home Occupation� 3. Describ�:any alterations to the premises that might be required to facilitate your proposed Home Occupation. �� CITY OF YELM,Home Occupation Permit Application (Effective 03/01/04)-ds\c:lofficeiplandept.cclappslhomeocc.app PAGE 1 4 Describe what rooms will be used in the conduct of the proposed Home Occupation and how these rooms will be used. t� _ � _ - � 5� Describe the mechanical and/or electrical equipment that will be necessary to the conduct of your proposed Home Occupation. 6� Describe how, where and what amounts of material, supplies/equipment related to your roposed Home Occupation will be displaye or stored. ��y� -�,�°��z''� - -- .�. W , . 7. ��;�co er�` �iou�� " --- .,_„_ ain a product or utilize a service connected with the proposed Home Occupation? Yes � No . If yes, please explain in detail. - '� 6 8� Are any signs contemplated for the proposed Home Occupation? Yes � No . If yes, please describe type, size and location. 9� If trucks or other equipment will be used in your proposed Home Occupation, where will they 1��: parked or stc;e�? 10. Will the proposed Home Occupation involve the use of commercial vehicles for delivery of materials to or from the premises? �Yes No . If yes, please explain. �t'-'� - _ �v "�. �� Is your proposed Home Occupation consistent with all conditions, covenants, and/or restrictions applicable to your property? �Yes No. I have read and understand the Yelm Home Occupation Ordinance and the Yelm Zoning Ordinances; and believe, to the best of my knowledge, that my proposed Home Occupation would not violate any portion of said ocdinances. My application fee of$50.00 is delivered herewith. I understand that in addition to this application fee, a $35.00 City of Yelm Business License fee wil! be payable upon approval and receipt of said license which is issued for a calendar year and renewable at$25.00 per year. ; -`` @. ApplicanYs Sig ature ,-� ` Date � - Property Owner's Sig a re . Date - �,.�, CITY OF YELM,Home Occupation Permit Application (Effective 03/01/04)-dslc:lofficelplandept.cclappslhomeocc.app PAGE 2 ' 4`v�F THFA'Q� Ci ty o f Ye l tn a � Public Wor�hs Departr�zent 10.7 Yel�ra Aue�a�ce �6�st Yelnc, «A 98�97 � YELM WASHINGTON Date � -'� �� Property Address: 1 L�� / (J(� � T/Y� S� �j�yl ��. % �� l Business License Applicant _��t,1,� �• � � 7�Y 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 �1Vot Applicable (��„ Contact Kevin Ray, City of Yelm Public Works (360J 458-84�0 kevinr(a�ci.�elm wa us for details on device opfions 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 and greases from entering the system. Section 13.08.090 Yeim Municipal Code requires an appropriately sized grease interceptor to be installed prior to the STEP tank. installation of a Grease Interceptor is required: C Prior to approval ofi your business license ❑ Within days of change of ownership �. Not Applicable ,.�,�-/ v�� Contact Jim Doty, City of Yelm Public Works (360) 458-8411 Lmd(a�ci,yelm.wa us for defails.