1304 Yelm Ave E - Ashley Raby CITY OF YELM OFFICIAL USE ONLY
�O� T�1�� � 105 Yelm Ave. W. FEE $35.00
Rec By (y
`Q ,� Yelm, WA 98597 Comm Dev.DepC,, !f �
� � j� (360) 458-8437 OFFICE Bldg Dept.
�� (360) 458-4348 FAX Insp.Date
www.ci.yelm.wa.us
Lic.No.
YELM APPLICATION FOR
WASHINCTON 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 wifl 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_ Ol� ,v 1 —I U 1�
BUSINESS NAME � �.r'j��Q,��-(,�,�(j�
NATURE OF BUSINESS �,r�S r��kc �o a v� - �- �u,L�.e
BUSINESS LOCATION ADDRESS I �ULI (; �l .I��j(Q�r �Q,�M� (7JG Ct�SSCt-1
MAILING ADDRESS UCJL{ E Y�IM AV�,�I v�,� I,L)C� �(�SG�
ANTICIPATED OPENING DATE _ (� �('� ` �� `ZC� 1�7
DAYS 8 HOURS OF OPERATION � 1�, Gti�� (?` /JQ,Q,1� , Cl�,�� -�,�
OWNER(S)�S1t��Q_\l �-G�V�
Birthdate � Z.' I� � 1 �(�3�1 ,
Address�ly ��+�'' �'. �':�. �1.� ��2, I(n�.l���)� \�G ��S��IcI
City State Zip
TELEPHONE_�I,�C��LICXJ-ZG�! 7��,��-��1 'l� -I lv � 2Slo�(��1 -C.)���C,
(Business) (Home/Emergency)
CONTRACTOR'S REGISTRATION NO.
(If applicable)
THURSTON CO. HEALTH APPROVAL NO.
STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI)_ ���`� �� �j�t�( �
Signature Date_) " 1(/lV C�V1 �, ���j
Page 1 of 1
�`ashuigton Stat� D�pai�n�nt vf Revenue
�tate �usiness Recvrds Dat�l�ase I�etail
TA}L REGISTRATION NQ: 6Q3285399 ACCOUNT OPEIVED: 04/O1/2Q13
UBI: 603285399 ACCOUMT tL05ED: OPEN
ENTITY MAME: RABY ASHLEY M
BUSIfVE55 NAME: ASHLEY RABY C05METOLOGY
MAILING ADDRE55: BUSINE55 LOCATI�N:
5014 88TH 5T CT SW P30Z 1304 E YELM AYE
LAKEWOQD,WA 98499-d575 YELM�WA 98597-8662
ENTITY TYPE: SOLE PROPRIETOR RESELLER PERMIT MO: NJA
PERMIT EFFECTIYE: N,lA
fVAICS CODE: 812112 PERMIT EXPIRES: N f A
NAICS DEFIMITION: BEAUTY SALONS
F�R N(�N-C�MMERGI�L USE �NLY
04 j04/2013 l l:s i ar�
http://dor.wa.gov/images/BRDImage.aspx?tra=113mRrnG1YMOhwtMaiGzgpKlLEn1CP+... 04/04/2013
q�FTNFp��� City of Yelm
4 Rf
Public Worl�s Departnzent
105 Yelm Aven�ce 6Vest
Yelrn, 6VA ,987,97
YELM
wnsr�rr�cror'
Date: �—/—� �
Property Address: 13L �l" � � ° �, � �.�s� �p�,��,n
�
Business License Applicant: ��1��
Dear Applicant:
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 �
1..� Not Applicabie �
Contacf Kevin Ray, City of Yelm Public Works (360) 458-8490
kevinr(a�ci.�elm.wa.us for details on device options and inspection
requirements.
Fats, oils, and greases entering the City of Yeim STEP sewer system can adversely
affect the operation of the plant and the City requires ail appropriate measures to avoid
fats, oils and greases from entering the system. Section 13.08.090 Yeim Municipa(
Code requires an appropriately sized grease interceptor to be installed prior to the
STEP tank.
Installation of a Grease Interceptor is required:
❑ Prior to approval of your business license
❑ Within days of change of ownership
❑ Not Appiicable
Contact Jim Doty, City of Yelm Public Works (360) 458-8419
limd(c�ci,yelm.wa.us for details.