9138 Burnett Rd SE C ITY O F YE L M OFFICIAL USE ONLY
�O� �HFA�,� � 105 Yelm Ave. W. FEE $35.00
Rec By
,Q � � � Yelm, WA 98597 Comm Dev.De t.
4 � � (360) 458-8437 OFFICE Bldg Dep
� (360) 458-4348 FAX Insp.Date
� www.ci.velm.wa.us
Lic.No.
YELM kJ APPLICATION FOR
WASHINGTON BUSINESS LICENSE
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.
Appiication is hereby made for a Business License for ghe Ciry of Yeim
� NEW BUSINESS � NAME CHANGE/MAILING ADDRESS CHANGE ONLY
DATE FP I7 YVl_r�1 YLL I � ZO I�
BUSINESS NAME �I�G1..1 ►�l e S�I�GIGI P � L LC
NATURE OF BUSINESS ��� —���([,.Iq�2 �(Z(�� `►��
BUSINESS LOCATION ADDRESS f�(:%� p1,A,1�Y�,�'�}" � . S�� 1����/) 1,/U fl
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MAILING ADDRESS I(Q� �1X�1 �P..���i � SI�l1}f' ZDD, �(,�1� W�- O(Q��jQ?�
ANTICIPATED OPENING DATE I C_T��"1
DAYS 8 HOURS OF OPERATION Y���'� - �r i � v�,�1- p;M, > ti,�- �j r;t,�,,,�_ �--�w�
OWNER(S) ��l v��Y� ,i.� �":C�� AQ o., 1�,('
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Birthdate N�
Address���.p� S Il�"�"ln ��/P SE �Vti"fC 2� L u �1/V�} �/� n?j
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TELEPHONE �� — q43 — ��22, !�� �Q yvt� �� Li
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(Business) (Home/Emergency)
CONTRACTOR'S REGISTRATION NO.
(If applicable)
THURSTON CO. HEALTH APPROVAL NO.
STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI)_(,Q D3Z�-t-DGI �D QL_
Signature ` Date ���%3
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�'F'�shuigton State Depai�nent of Revenue
St�te Business Records D�tabase D►etail
TAX REGISTRATION NO: 60324Q968 ACCOUNT OPENED: 10/01/2012
UBI: 603240968 ACCOUNT CL05ED: OPEN
ENTITY MAME: PRAIRIE STORAGE LLC
BUSINE55 MAME:
MAILIMG ADDRE55: BUSINE55 LOCATIOM:
4160 6TH aYE SE STE 200 4160 6TH AYE SE STE 200
LACEY�WA 98503-1039 LACEY,WA 98503-1039
ENTITY TYPE: LIMITED LIABILITY RESELLER PERMIT ND: A27 1871 14
PERMIT EFFECTIYE: 11/26/2012
NAICS CODE: 531130 PERMIT EXPIRES: 11/25/2014
MAICS DEFINITION: LE550R5 OF MIIVIWAREHOU5E5 '
AND SELF-STORAGE UMITS
FUR N�N-C�DMMER�IAL USE UNLY
oz/i i/zois a:za Pr�
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Pu,blic Works Departn�ent
105 Yelm Avenue West
Yelnt, WA ,98597
YELM
WASHINGTON
Date �- Cj"�
°roperty Address: � ��� ��7L�r� �-�C. �X:�
Business License Appiicant: �Yj�(,1� � �{"p�( (�,�]
Dear Applicant:
Section 13.04.220 YMC requires all commerciai 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
��Pde�-Applicabie �� �
Contact Kevin Ray, City of Yelm Public Works (360J 458-8410
kevinr(a�ci.�elm.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 Yelm Municipal
Code requires an appropriatefy 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
I�Not Appficable
�
Contact Jim Doty, City of Yelm Public Works (360) 458-8411
limd(a�ci,yelm.wa.us for details,