9144 Burnett Road (3) CITY OF YELM OFFICIALUSEONLY
�O� TH�A�� (� 105 Yelm Ave. W. FEE $35.00
p 9r Yelm, WA 98597 Re�By J
Comm Dev.Dept.
� � � (360) 458-8437 OFFICE Bidg Dept.� '_ 7 � � '�
� (360) 458-4348 FAX Insp.Date
(� www.ci.yelm.wa.us �
Lic.No. ��
� APPLICATION FOR �
YELM ^ f .. � �
WASHINGTON BUSINESS LICENSE .��I��'� (/L��,�
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
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Busi ess) ome/Emergency)
CONTRACTOR'S REGISTRATION NO.
(If applicable)
THURSTON CO. HEALTH APPROVAL NO.
STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) �F?�-�- ���-�°-.�" ���
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CITY OF YELM
BUSINESS LICENSE APPLICATION
Eff.5/08
Page 1 of 1
WaShulgtan �tate Dep�t�nent af R�ev�nue
St��B Bi1S1I1�SS R��CUi�cis Data��se Det�il
TAX REGISTRATIOfM NO: 602965288 ACCOUNT DPENED: 11/01,�2009
UBI: 602965288 ACCOUMT CLDSED: UPEN
ENTITY NAME: HEV4IITT AMY l
BUSINE55 NAME: A QUALITY MA55AGE
MAIIING ADDRE55: BUSINE55 LOCATIOIV:
PO BOX 1076 204 E YELM AYE
YELM�WA 98597-1076 YELM�'WA 98597-7649
ENTITY TYPE: SOLE PROPRIETOR RESELLER PERMIT NU: A22 7170 13
PERMIT EFFECTIYE: 02/04/2011
NAICS CODE: 621399 PERMIT EXPIRES: 02J03/2013
NAICS DEFINITIDN: OFFICES OF ALL OTHER
MISCELLANEOUS HEALTH
PRACTITIONERS
F�R NUM-�DMMER�IAL USE �NLY
02 f 21/2013 3:53 PM
http://dor.wa.gov/images/BRDImage.aspx?tra=mgWBwtOM8cJHhtnszzJtWZqoV 6nVbM... OZ/21/2013
��f TNE p�A,y� C i ty o f Ye l m
a m
Public Worizs Department
105 Yelna Avenue «'est
Yelrn, WA ,98597
YELM
WASHINGTOn
Date p'�? �
Property Address: ���� �l,�Y�/�le � ��
Business License Applicant: 7�rn
Dear Applicant:
Section 13.04.220 YMC requires ali 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
❑ ithin days of change of ownership
Not Applicable
Contact Kevin Ray, Cify of Yelm Public Works (360) 458-8410
kevinr(a�ci.yelm.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 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 approva( of your business iicense
❑ Within days of change of ownership
CC�Not Applicable���
Contact Jim Doty, City of Yelm Public Works (360) 458-8411
jimd(a�ci.yelm.wa.us for details.