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108 3rd St SE
� CITY OF YELM OFFICIALUSEONLY �O� THFA�� � 105 Yelm Ave. W. ReC By35.00 ,S1 Yelm, WA 98597 Comm Dev. ept. � � � (360) 458-8437 OFFICE Bidg Dept. � /� � (360) 458-4348 FAX Insp.Date . _.��_ �-� �..1�.. �_.�.,�. �_ ,..� ' Lic.No. .; �'.; � � APPLICATION FOR `�` ' YELM ` ; � WASMlNCTON BUSINESS LICENSE � � � ;:��,,; � ; �"1e � � ' E Upon receipt of the license application and$35.00 payment,the City of Yelm�njill c4nduct an inspection of � �-�-�`+ the premises for building and fire code conformance. Upon approval from th •�Y�Im Building Department_________.. of said premises,the City Clerk's Office will process the application and mail�ense�"o app�icant at address listed below. Application is hereby made for a Business License for the City of Yelm � �NEW BUSINESS � NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE ._._1i,iv 1� ���,�Zt%I?j ` ' � BUSINESS NAME � `� ��1 1� � ��`� t NATURE OF BUSINESS ���' l.�Y�:%C�(���`'1 BUSINESS LOCATION ADDRESS I�� ��r�i �� �C ,��..ItLi ,��l0.� "'t1')�.J""17 MAILING ADDRESS��Z:? '�� �1� ��= ,Y�-=I�ll'1. VV C�-o "''UG)C� � ANTICIPATED OPENING DATE `�...1��l`i I � , �O I?j ` ►�°t,tr C-����- �'��. /� �� , DAYS 8 HOURS OF OPERATION l�'t'�1 - ���.�� �' `� � �tl'l OWNER(S) ����$�Y��-1 �- ��-�.<<')'S Birthdate ��� ��i ����?� � Address � � � �r� ��� �� 'f�-�r'Y'1 �(.ks �`��1� City State Zip TELEPHONE �Q��- �QC�'� "�'ZZ-Z ��- -5�7- '�.,'���,1 (Business) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) l�D�;X)r�'�-D� � Signatur � v Date � ( C ����J Page 1 of 1 �'��ashul�ton State Dega��tment of Revenue �►tate Business Records Dat�uase Det�il TAX REGISTRATION NU: 603302403 ACCOUNT OPENEQ: 07}O1/2013 g4i�__m I IRi� ��_,,_.--°-__ �It��A?dll� �N.AS�/�[[f111NT fl flSFfl• f7PFN ��.� ,,�. .�___-�.._._� s�t._ ENTITY NAME: BURNS SHERRY S BUSINE55 NAME: K 9 KLIPS MAILING ADDRE55: BU5INE55 LOCATION: 108 3RD 5T SE 108 3RD 5T SE YELM�WA 98597-7702 YELM,WA 98597-7702 ENTITY TYPE: SOLE PROPRIETOR RESELLER PERMIT NO: M/A PERMIT EFFECTIYE: N,IA NAICS CDDE: 812910 PERMIT EXPIRES: fV�A NAICS DEFIMITIQN: PET CARE(EXCEPT YETERINARY)SERYICES FUR N�N-GtIMMERCIAL USE �NLY 06f 18/2013 2:57 PM http://dor.wa.gov/images/BRDImage.aspx?tra=IQd+1zTVgcKWANEhHPV sH Wislhsj cU... 06/18/2013 _._.__ _ _ _ , , r__�.__ �r�� 1 1 � :_.�.�.T��.�.�__,.�,e_.. 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',' C� c� � i,1 '�i � �w U p � � s� 'i L'� °� �" � d r... i.,� j �.7 c tL C�'� _ i �� `-1 1 �?' 4 � �1 �� : -� : � � �:,` ' �� �, �_ - � ; ..mi � � — � , �,, J . , � ! W � w - ; � �;'� � !� �'- � � , �" � � .�'l - i � ; � w ! U. m c � � � FJ= i � � i � � � s ��, tl, ��• 1 � � lil y1} >> � � � y } � UJ L�� ��� i � ' � � � 1 "'L' �a �,�,U __ ¢, . LL� t;~ ' U � � _+r-�_� z w ,` S�t • � a � F- U� � F.°e � ; � u� • ' �� j �� Q • _ � ` wc � � ��? � - } F-- � � � ti"I i.�� a a L, � C� � ���-� �.'Y. tf'• , - � 1 ji � � :� °' ;l � �'�q '� fJ? 6:.1 t� s p • �� � � _S J- _ ..� �`, � l i I .� jy = �' � _ i �'-� � �l �.^' � v�Y- V.6 �; • � � t-d �J. " s . �,r .� T � ,� 1 ir, G � —s � > �� �- � i-- � � �� .,, ;,:� � z n ,v � � _t J� f.,' q :,, t 1 '�'"t �= �" . t �' '� �'j � � �� _. ~ ,-i 7- ��.s7 � ��"; .'- '-� i,.i � ; ,-� 4 � , � � °` .-� �;� , , , . � ,�,, � �� � „ ,;; - ___, ..____--� - ,-� , __ ,-,; ;.,�_._ ___ . {�'J _,�.-��.�r++vv.�.�..-� .....•^�w«'"°„`..��..�.r - , .. . «-..�+w^^.'^...-,.ree.++'-^' .. ` q4.0� TNF Q�',y� C i ty o f Ye l jn a M Public t�'or•hs Depar��t�nerit 105 Yelrri Auen�ce 6S'esC Yelnz, «'.q 98597 ---�_ ,,_ ___- —_ _ �.___��_T,_r_..�- ---- — __ _ __ _ _ _ -- _ -- - wnsHin�croH Date �� $—1 � Property Address � � U ��V� ��'"'� SE;. � �,(,��`" f . � — — Business License Appiicant: _ �V ,tE' �'Vt-� �Ll�`'�� _� Dear Applicant Section 13.04.220 YMC requires all commercial buildings and irrigation systems to have a Reduced Pressure Backftow Assembly (RPBA) device installed on the water services. Instailation of a Reduced Pressure Backflow Assembly is required� ❑ Prior,�o approval of your business license ❑ Wi in days of change of ownership C,� ot Applicable ��. � Contact Kevin Ray, City of Yelm Public Works (360J 458-8410 kevinr(a�ci.yelm.wa.us for defails on device options and inspecfion 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 all appropriate measures to avoid fats, oils and greases from entering the system. Section 13.08.090 Yelm �/'iunicipai 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 �ot Applicable c�°���� Contact Jim Doty, City of Yelm Public Works (360) 458-8411 Lmdna ci.yelm.wa.us for details.