1304 Yelm Ave E �,�- C I TY O F YE L M OFFICIAL USE ONLY
/ �0� TNFp�� � 105 Yelm Avenue W. FEE $3soo
Rec By
�,4 'yr �.. Yelm WA 98597 com�n oe� o�P� _
4 � U (360) 458-8437 OFFICE �� � �, ?,
B�dg Dept __� �
M (360) 458-4348 FAX
Insp Dafe
C� www.ci.yelm.wa.us
��� No.
Y E L M APPLICATION FOR
WASHINGTON BUSINESS LICENSE
Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of
the premises for building and fire code cor,formance Upon approval from the Yelm Building Department
of said premises, the City Clerk's Office wili process the application and mail license to applicant at
address listed below.
Application is hereby made for a Business License for the City of Yelm
� NEW BUSIN SS C� NAME CHANGE/MAILING ADDRESS CHANGE ONLY
DATE -- �--
BUSINESS NAME _ . �/p� -��r �l �/
, .
NATURE OF BUSINESS Q (�( ���i�1
BUSINESS LOCATION ADDRESS C `"t ���� �
MAILING ADDRES I �CE'Yl �rC{ . d'C C�/� �S b �
ANTIC�PATED OPENING DATE
DAYS & HOURS OF OPERATION _�(,`�"�1�.0�5 � (J—'��--
OWNER(S) �GL,�V�� � �
Birthdate_ ;� '�(P �
Address ����'� ���i� '� � � �6� W � ��S O b
��b ��� 9 �L�� City State Zip
TELEPHONE (()
(Business) (Home/Emergency)
CONTRACTOR'S REGISTRATION NO.
(If applicable)
THURSTON CO. HEALTH APPROVAL NO.
STATE OF WASHIN ON MAS ER BU ESS LICENSE NO. (UBI) �Q� ���� � I �
Signature Date �-� 1 l
CITY OF YELM
BUSINES�LICENSE APPLICATION
Eff 5/OF
Page 1 of 1
�'Vashuigt�nn St�te Depaz�nent vf Revenue
St�te Busine$s R�ecor•cls D�tab�se Detail
TAX REGISTRATION MO: 602469310 ACCOUNT OPENED: 01/01J2010
UBI: b0246931d ACCQUMT CLD5ED: OPEN
ENTIT'Y MAME: RAE RAEYEN
BUSINE55 NAME: RAEVEN FOE HAIR
MAILING ADDRE55: BU5INE55 LOCATION:
35�11 ALLEN RD S iS22 5TH AYE STE 202
ROY,WA 98580-9197 5ElkTTLE�WA 98101-0000
EMTITY T1tPE: SOLE PROPRIETDR RESELLER PERh1IT MO: N/A
PERMITEFFECTIYE: NfA
NAICS CQDE: 812112 PERMIT EXPIRES: M,IA
NAICS DEFINITION: BEAUTY SALONS
F�R N�N-C�MMERCIAL USE �NLY
D3 f 01 j2013 1:�4 PM
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q�� THF A�9� C i ty o f Ye l m
a �,
Public Worhs Departn�en.t
10� Yelm Auen ue {�'est
Yelnz, WA 98�.97
YELM
W4SHINGTON
Date _ �"' �"I �
Property Address � ��� �� � '
,� ����
Business License Applicant: �,1,���,�Y'� ,
�,1��
Dear Appiicant:
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
❑ �thin days of change of ownership
Not Applicable
Contact Kevin Ray, Cify 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, oiis and greases from entering the system. Section 13.08.090 Yelm Municipa�
Code requires an appropriately sized grease interceptor to be instalied 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�Not Applicabl��
Contact Jim Doty, Cify of Yelm Public Works (360J 458-8411
limd(c�ci.yelm,wa.us for details.