14938 100th Ave SE 1 CITY OF YELM OFFICIALUSEONLY
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�4 'y� � Yelm WA 98597 c��„�„ o����— _ �
a � � (360) 458 8437 OFFICE B,d�o��,�l /_�!��
(360) 458-4348 FAX ��,s� o��e_._______
� www.ci.yelm.wa.us
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�' APPLICATION FOR
YEL HM ToN BUSINESS LICENSE
Upon receipt of the license application and $35 00 payment, the City of Yelm wili conduct an inspection of
the premises for building and fire code conformance Upon approval from the Yelm Building Departrr�ent
of said premises, the City Clerk's Office will process the ap�lication and mail license to applicant a�
address listed below.
Application is hereby made for a Business License for the City of Yelm
LrL�! NEW BUSINESS � NAME CHANGE/MAILING ADDRESS CHANGE ONLY
DATE I — r�� - �, �) �j
BUSINESS NAME C•��`�. � � LL-�.-
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� BUSINESS I.00ATION ADDRESS _ + �r� , ��
MAILING ADDRESS ,`7� �D 1 ��`'—�j�/� _ �L'� �Q�I/l' , �/�. ���L� ���J :
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ANTICIPATED OPENING DATE I � � �'j
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DAYS & HOURS OF OPERATION ��� -� ���f ��'� �' �J"id'� y.}f] �,��-�
OWNER(S) �,��1�� �I � ��
Birthdate �' �! � `<<��'�
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City tate Zip
TELEPHONE �� ��..-j�-�—,.11'=�1 �
(Business) (Home/Emergency)
CONTRACTOR'S REGISTRATION NO.
(If applicable)
THURSTON CO. HEALTH APPROVAL NO.
STATE OF WASHINGTON MASTER BUSINESS UCENSE NO (UBI) ��� �Z��j - ��Z
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Sign Date
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CITY OF YE�M
BUSINESS LICENSE APPUCATION
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�'�shingt4n State Depai•tment vf Reverni�
St�te Business Rec+ords Databa:se Det�il
TAX REGI5TRATIQh MO: IVOfV-REYEMUE ACCQUNT OPENED: 01/22/2013
UBI: 603268822 ACCOUNT CLOSED: OPEN
ENTITY NAME: CHECK 6 LLC
BUSIfVE55 NAME:
MAILING ADDRE55: BUSINE55 LOCATIOM:
806 YELM AYE E STE 4 806 YELM AYE E 5TE 4
YELM�WA 98597-0000 YELM�WA 98597-U000
ENTITY TYPE: LIMITED LIABILITY RESELLER PERMIT NO: Nf A
PERMIT EFFECTIYE: N/A
NAICS CODE: 999990 PERMIT E%PIRES: N/A
NAICS DEFINITION: NJA
F�DR �I(]N-C�MMERCIAL USE C�NLY
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http://dor.wa.gov/images/BRDImage.aspx?tra=W5Vv2XzNQnkTVnWSo72YxA==&rsp= O1/22/2013
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Public Worhs Depar,tt�ze�tt
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Yelrri, WA 98597
YELM
WASHINGTOH
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Property Address: �j��v �/�-��9'Y� ���'� � � � C��- � �
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Business License Applicant _ ���/'�(�'� � �(���
Dear Applicant:
Section 13.04.220 YMC requires all commerciai buildings and irrigation systems to have
a Reduced Pressure Backfiow Assembly (RPBA) device instailed on the water services.
Installation of a Reduced Pressure Backfiow Assembly is required
� Prior to approval of your business license
,C�Within �� days of change of ownership � � �vc.J
❑ Not Applicable I �'rt�y `� �] -
/°�-U k �l-•rw 7``�s 6'�^-N--� ��
Contact Kevin Ray, City of Yelm Public Works (360J 458-8410
kevinr(a�ci.�elm.wa.us for details on device options and inspection
requiremenfs,
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 greas�s from entering the system. Section 13.08.090 Yelm 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 approvai of your business license
❑ Within days of change of ownership
C�Jot Applicable
�
Contact Jim Doty, City of Yelm Public Works (360) 458-8419
jimd(c�ci.�elm.wa.us for details.