106 Yelm Ae W C I TY O F YE L M OFFICIAL USE ONLY
�of THF A,�� '� 105 Yelm Avenue W. ReC B$3s o0
,`q 'yr Yelm WA 98597 com�n oe� oepc _ _
4 M (360) 458-8437 OFFICE B,d9 oPp,��7J�i/3
� �. (360) 458-4348 FAX ��
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� www.ci.yelm.wa.us
u� No.
r� APPLICATION FOR
YELM BUSINESS LICENSE
WASHINGTON
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�/�� �f.j
� BUSINESS NAME _ S�j�,(�,ZO �lU �r�c��j ,¢,-U,� /�o�y `�o /
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NATURE OF BUSINESS �TTC>O cy� j�jC,�C/�G� �Z► a ro
BUSINESS LOCATION ADDRESS �v � y�I� A{� �•
MAILiNG ADDRESS ��� �/E?� ,p (,,{�
' ANTICIPATED OPENING DATE __ RS �SoO� /�5 �Oo55��3LC
DAYS & HOURS OF OPERATION ��6'�!'t " /b ,p�
O W N E R(S) S �T��"��/ `�LtJ� �iQ/C�C�
I Birthdate 9 �� �5
' Address 3S�a�.S '�fj T`` s4 t/L' S, �� c� ✓lit/,�< y���d
� City State Zip
; TELEPHONE -2s�3 —2�'3� 5 93G
� (Business) (Home/Emergency)
CONTRACTOR'S REGISTRATION NO.
(If applicable)
THURSTON CO. HEALTH APPROVAL NO.
STATE OF WASHINGTON MASTER BUSWESS LICENSE NO. (UBI) _ � �32 �05 �f�y
Signature �`J' Date �� ��
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CITY OF YELM
� BUSINESS UCENSE APPUCATION
Etf 5108
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Page 1 of 1
��shul�ton State D�partment of Revenue
�tate Business Records I�a�a�ase I�etail
TA}C REGISTRATIOIV NO: IVOfV-REYENUE ACCOUNT OPENED: O1/O1J2013
UBI: 6032f�5824 ACCOUNT CLOSED: OPEN
ENTITY NAME: KRIEGER STEVEN W
BU5IME55 NAME: STUDIQ 510 TATTOO AfYD BODY MOD
MAILING ADDRESS: BUSINESS LOCATION:
106 YELM AYE W I06 YfLM RYE W
YELM,WA 98597-0000 YELM,WI�98593-0000
ENTITY TYPE: SOLE PROPRIETOR RESELLER PERMIT NO: N/A
PERMIT EFFECTIYE: N/A
NAICS CODE: 999990 PERMIT EXPIRES: N jA
(VAICS DEFINITION: N/A
FG1R NDN-�tJMMER�IAL USE DNLY
01 J 17 j2013 9:30 AM
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http://dor.wa.gov/images/BRDImage.aspx?tra=NUWejnH8UgiaWvw8uc8tKg==&rsp= 1/17/2013
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'��fTHFp�� City of Yelm
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Public Worhs Departn�erct
705 Yelm Avenue t�'est
Yelnt, WA .98597
YELM
WASHINGTON
/
Date l
', Property Address ��� _ �� . �
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i Business License Applicant r��e� (Jv - /�1�1-��'
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i Dear Applicant:
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�j 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 �
I� ❑ Not Applicabie
,
�.(/�,y�, f---t7-�3
i� Contact Kevin Ray, Cify of Yelm Public Works (360J 458-8410
;
ii kevinr(a�ci.yelm.wa.us for details on device opfions and inspecfion �
� requiremenfs.
i 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
Ifats, oils and gr�ases 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.
�
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Installation of a Grease Interceptor is required:
'
C Prior to approval of your business license
!' ❑ Within days of change of ownership
❑ Not Applicable
Contact Jim Doty, City of Yelm Public Works (360) 458-8411
limd(c�ci.yelm,wa.us for details.
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