906 Yelm Ave E � � CITY OF YELM OFFICIALUSEONLY
� O� THEA�� 105 Yelm Ave. W. FEE $35.00
� Rec By
�q 9j Yelm, WA 98597 . comm oe�.�ePt.
� � � (360) 458-8437 OFFICE BldgDept. �~� f ' �
� (360) 458-4348 FAX Insp.Date
www,ci,yelm.wa.us
Lic. No.
� APPLICATION FOR
YEL HM ToN '� 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 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
� NEW BUSINESS � NAME CHANGE/MAILING ADDRESS CHANGE ONLY
DATE 4/10/13
BUSINESS NAME Dollar Tree# 5261
NATURE OF BUSINESS Variety Retail Store
BUSINESS LOCATION ADDRESS 906 E Yelm Ave, Yelm, WA 98597-9425
MAILING ADDRESS 500 Volvo Pkwy, Attn: Licensing, Chesapeake, VA 23320-1604
ANTICIPATED OPENING DATE 06-13-13
DAYS 8� HOURS OF OPERATION Mon -Sun, 9 am- 9 pm
OWNER(S) Dollar Tree Stores, Inc.
Birthdate
Address 500 Volvo Pkwy, Chesapeake, BA 23320-1604
City State Zip
TELEPHONE �5�-32�-5000
(Business) (Home/Emergency)
CONTRACTOR'S REGISTRATION NO.
(If applicable)
THURSTON CO. HEALTH APPROVAL NO.
STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) (�OoZ ' j�/g - O�S
SignaturelU,��,�9�c�./ %��._, Date* ¢-�S"�3
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Washulgton State Depaifi�nent of Revenue
State Business Records DataUase Detail
TAX REGISTRATION NO: 602148018 ACCOUNT OPENED: OS/41/2001
UBI: 602148018 ACEOUNT CLOSED: OPEN
ENTITY NAME: DOLLAR TREE STORES INC
BUSINE55 NAME: DOLLAR TREE#4564
MAILING ADDRE55: BUSINE55 LOCATION:
ATTN LICEtVSING
500 VOLVO PKWY 11501 NE 76TH 5T#B DY
CHESAPEAKE,YA 23320-1604 YANCOUYER�WA 98662-3938
ENTITY TYPE: CORPORATION RESELLER PERMIT NO: A08 0541 13
PERMIT EFFECTIYE: O1/O1/2010
fVAICS CODE: 452990 PERMIT EXPIRES: 12/31/2013
NAICS DEFINITION: ALL OTHER GENERAL
MERCHANDISE STORES(PT)
FC]R N�N-C�MMERCIAL USE �NLY
05/O1/2013 9:48 AM
http://dor.wa.gov/images/BRDImage.aspx?tra=MDOr/rNylbX/NGtLQxW7R2ZJv5 WZFr... OS/O 1/2013
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10:i }'elni :tve�iu.e ��'est
}�'elni, �i!-� 98.5.97
YELM
WASHINGTON
Date: � � � ���
Property Address: �U 1 �"1i`�_ � � �}q ����`�
---�
Business License Applicant: �� � �(�. 1( � r� ��c�-�j �
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 �`(�, �-^ � ` l�
licable v
Contact Kevin Ray, City 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 fViunicipal
Code requires an appropriately sized grease interceptor to be installed prior to the
STEP tank.
Installation of a Grease Interceptor is required: C� �'�
C Prior to approval ofi your business license
❑ Within days of change of ownership
Q�Not Applicable
Contact Jim Doty, City of Yelm Public Works (360J 458-8419
jimd(i�ci.�elm.wa.us fordetails.