9016 Lealan Crt SE CITY OF YELM ---- -- --
�UF�ICIAL USE ONLY �
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,Q 105 YeI�Y� Avenue W � � ' �� '
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�Q � � '� Yelm WA 985�7 n�:��� ,
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4 M �j (3E�0) 458-8437 OFFICE l, rr,ll� `, �r� s -%- �
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� (360) 458-4348 FAX
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YELM APPLICATION FOR
WASHINCTON BUSINESS LICENSE
Upon receipf of lhe IiCenSe ar�4�l�c�ific�n ,�n�J $35 00 payme,nf, the Cily o( 'felr7i will �x�ndur:l �3n irispectir�n of
fhe pr��rnises for buildinca an�i fire codc�� cr�nforrnancc� Upon approval frorn !he YE�in� B�_�ilriinq U�F�artrn�:nt
o(,>airl pr�.inises. thr, i_;it� Clerk� Offir�:�� ���ill �r��� r,;s fhe aF�plicafiori and rn��3il licE�n;cr to z3����licant �3f
addre�,s li>ted belo�-��
Application is hereby made for a Business License for the City of Yelm
�NEW BUSINESS C� NAME CHANGE/MAILING ADDRESS CHANGE ONLY
DATE �(�� �f-��
� ---
BUSINESS NAME�����y �,�
NATURE OF BUSINESS �r � � ��,� ����
.
BUSINESS LOCATION ADDRESS ��� � �- \��� {��dC_.--�•
_ _ v __-
MAILING ADDRESS �O��p l CJ�`A1(� (��t �T_�_,�� �y� �gCjC.��
ANTICIPATED OPENING DATE
DAYS & HOURS OF OPERATION ��� -��_� �-�
OWNER(S)�a�h �� ��
Birthdate _�����
n
A d d r e s s �C���Q l��l�01'Y� f-�- � �(. �M '�� �g GJ Q`�
City State Zip
TELEPHONE 3�0� 3�°� 3��Z
(Business) (Home/Emergency)
CONTRACTOR'S REGISTRATION NO.
(If applicable)
THURSTON CO. HEALTH APPROVAL NO.
STATE OF WASHINGTON MASTER BUSINESS LICENSE NO (UBI) ___�(�3 a(j5 �(�_�_
Signature � J . \��--�' , Date � ti� 13
T _ �_
CITY OF YEL��1
BUSWE>5 UCENSE APP�ICATI(�N
Efl 5�08
Page 1 of 1
�RS�11Il�,tOI1 �tAte �e�l.li'rI[1�Ilt O���VeIllle
State Business Recards Dat�base Detail
TAX REGISTRATION NO: 6Q3205101 ACCOUNT OPEfVED: OS/O1/2012
UBI: 603205101 ACCOUNT CLOSED: OPEN
ENTITY NAME: CONN DANIELLE M
BUSINE55 NAME:
MAILING ADDRE55: BUSINE55 LOCATION:
204 E YELM AVE 204 E YEtM aYE
YELM,WA 98597-7649 YELFI,WA 98597-7649
EMTITY TYPE: SOLE PROPRIETOR RESELLER PERMIT NO: N/A
PERMIT EFFECTIYE: NJA
NAICS CODE: $12112 PERMIT EXPIRES: N/A
NAICS DEFINIT�ON: BEAUTY SALONS
F�R N(�N-C�MMERCIAL USE �NLY
04/25/2013 10:16 AM
http://dor.wa.gov/images/BRDImage.aspx?tra=zKSL7p2kR2Y04gQcaTLCxHzS gnbKyn... 04/25/2013
�Of THFp�� City o f Yelm
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�r �
a `� Public Wor•hs Depar��tm,ent
105 Yelrn Aue�itce «'est
Yel»i, WA 98597
YELM
WASHINGTON
Date � �il�
Property Address � /�7�"� �� �C�� �l�Zl f/�GL�' ,
� .' Q ' _ .
Business License Applicant: �.Y��U�.-
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.
Instaliation 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 (360) 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, oils and greases from entering the system. Section 13.08.090 Yeim Municipai
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 approvai oT your business license
❑ ithin days of change of ownership
Not Appiicable
Confact Jim Doty, City of Yelm Public Works (360) 458-8411
jimd�ci.yelm.wa.us for defails.
�4�,�f TH�p�Q�� C�i ty o f Ye ltr�
.
� �
a M
f'r��blic� ���'ur�{;.5 I)c����r��tin<�rit
/(l:i Ic'lni :lt�t�nitr� lt�E'.5't
1'�>f�rt, It�".1 �lh':i9i
YELM
WASIIiNCTOr+
Date ��� � �
Property Address � � l � �G�-�-�f-.4�'1 �_- _�� (� "( � ,� /
_ _-— - ---- -__ _ --- ---- ---
Business License Applicant ��-Vl �t� ���__�.���
Dear Applicant:
Section 13.04.220 YMC requires all commercial buildings and irrigation syster��s 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 approvai of your business license
❑ Within days of change of ownership
❑ Not Applicable
Contact Kevin Ray, City of Yelm Public Works (360J 458-8410
kevinr(c�ci.yelm.wa.us for details on device opfions and inspecfion
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 �Viunicipal
Code requires an appropriately sized grease interceptor to be instalied prior to the
STEP tank.
Instaliation of a Grease Interceptor is required:
C Prior to approvai of your business license
❑ Within days of change of ownership
❑ Not Applicable
Contact Jim Doty, City of Yelm Public Works (360) 458-8411
jimd(a�ci.yelm.wa.us for defails.