14508 141st Lane SE -� � CITY OF YELM °FF'�'A��SE°"�Y
�O� THF A�� .� 105 Yelm Avenue W. FEE ��j�°p
�z��a,�_ -
�Q 'yr • Yelm WA 98597 c�,�„�„�e� oe�r
�4 � � (360) 458-8437 OFFICE �,�,�o��� _ ��.' �� /3
(360) 458-4348 FAX
� �nsp oate__ _.
� www.ci.yelm.wa.us _ _ �
Lic No _
APPLICATION FOR
YELM gUSINESS LICENSE
WASHINGTON
Upon receipt of the licen�se application and $35 00 payrYient, the City of Yelm will conduct an inspection of
the premises for building and fire code corform�nce Upon approval from the Yelm Building Department
of said premises, the City Clerk�s Office will process the application and mail license to applicant at
address listed below.
piication is hereby made for a Business License for the City of Yelm
NEW BUSIN SS NAME CHANGE/MAILING ADDRESS CHANGE ONLY
DATE ������5�� :�lc�' I ( 7
BUSINESS NAME ���'1Cti���G� S
NATURE OF BUSINESS ��llY �t i ,
BUSINESS LOCATION ADDRESS � � , �`Vl "�� v ' ��G�Y� � "C�Vt��-u
MAILING AUDRESS � �1 �C� '� � �-�I S� �--�\ S 'C- �YY} _ ___
ANTICIPATED OPENING DATE � ��a-���i
DAYS & HOURS OF OPERATION � ��L�-'� :S G�� �.-�--�-�.Jl�,
OWNER(S) ��1 YV�'iLY lf,t�l; ��.k't�1`iG��l �
Birthdate � '� l,� �t��,�
Address ���Jl;� ��l S� l- � Sl.,� �� '1r 'VL' 1� 1��`� /
�� �; ;,;�
City State Zip
TELEPHONE�-��� ���- 1S� � � �`��`
siness) (Home/Emergency)
CONTRACTOR'S REGISTRATION NO.
(If applicable) •
THURSTON CO. HEALTH APPROVAL NO.
STATE OF WASHINGT N, STER BUSINESS LICENSE NO (UBI) G,� � �� 17
„ ��-
r.� � �� , t
' ' - -__ � ���1 �i�
Signature _ Date
CITY OF YELM
BUSINFSS UCENSE APPLICATION
E`+ 5�i;9
Page 1 of 1
���shitlgton S�ate Depai�nent of Re�venue
S�t�te Business Recorcls I)at�laase Det�il
TAX REGISTRpTION N0: 603219854 ACCOUNT OPEMED: 08/O1/2012
UBI: 603219854 ACCOUNT CLOSED: OPEN
ENTITY MAME: PALMISANO AMANDA R
BUSINE55 NAME: AMANDAS
MAILING ADDRE55: BUSINE55 LOCATION:
14508 1415T lN 5E 715 E YELM AYE STE 6
VELM,WA 98597-8590 YELM,WA 98597-8714
ENTITY TYPE: SOLE PROPRIETOR RESELLER PERMIT MO: p26 4743 14
PERMIT EFFECTIYE: 07/19/2012
NAICS CQDE: 812112 PERMIT EXPIRES: 07/i$/2014
NAICS DEFINITION: BEAUTY SALONS
F{]R N�N-��MMER�IAL USE �NLY
03/29/2D13 3:22 PM
http://dor.wa.gov/images/BRDImage.aspx?tra=GiXdUwgixPZwu2+GEtyRojbGpvko 1 TH... 03/29/2013
'��f TNE f,�9� C i ty o f Ye l jn
a m
Pccblic Wor�hs De�artmen.t
105 Yelm Auenue 6�'est
Yelni, WA 98597
YELM
WASHINGTON
D a te ��'��-�1� ��
Property Address (� C� � . �, ��CjYI �.�()��G'
i
— �C���.
��
Business License Applicant ��'Yl.t�,y'�(��, _��(,�'}� jS� �
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
Not Applicable �
Contact Kevin Ray, City of Yelm Public Works (360J 458-8410
kevinr(a�ci.yelm.wa.us for details on device options and inspection
requiremenfs.
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, oi!s 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:
❑ Prior to approvai of your business license
❑ Within days of change of ownership
❑ Not Applicable
Contact Jim Doty, Cify of Yelm Public Works (360) 458-8491
jimd(a�ci.yelm.wa,us for details.