122 Prairie Park Lane �-� oF THF A � C I TY O F Y E L M �FF���A� �SE aN�Y
�, �, � 105 Yelm Avenue W_ `E� �=z5�;��
Re�av—_
,�4 9r � O Yelm WA 98597 c�,,,,,,, ne� oP=,—
4 � tYj (360) 458-8437 OFFICE
E�id����,��,i ��� ��
�� (360) 458-4348 FAX �
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vwvw.ci.yelm.wa.us
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�,E �� APPLICATION FOR
I'� BUSINESS LICENSE
wASH�NCTaN
Upon receipf o(the license applica(ion and $35 00 paymenl, fhe Cily of Yelm will conducl an inspection of
the premises for bu�lding and fire code confor�n�nce Upon approval frorn the Yelm Buildmg Department
of said premise.s, lhe Ci(y Clerk's Office wiil �rucess lhe a��plicahon arid mail license lo applicanf al
address listed below
Appiication is t�ereby made for a Business License for the City of Yelm
� NEW BUSINE S C� NAME CHANGE/MAILING ADDRESS CHANGE ONLY `
D A T E �- � _ � �.,-�
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BUSINESS NAME l , >
�.� �,�' �� � � i � � L-�� -
rvaTURE oF BuswESS �,1�i ✓I.�E�' �)C.� �t�
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BUSINESS LOCATION ADDRESS I, �,r� v L� L4 l �- �� ��(_— `.��rl '
MAILING ADDRESS ` �` C ' C, � ' � ' � �� '
�-��� � �. �� � �l :� l u11�I� 1.���- � ��
� � �� �-_--
ANTICIPATED OPENING DATE
DAYS & HOURS OF OPERATION ` � -� � -^ � � � �
w ��� � � ��, r�; J-- �- ;��
OWNER(S) �C ��. �,i S'
Birthdate � �,C� �''
l \ ,�
� Address ��� ��Q �,1 ��;(��� �? � C� � � .
City State C Zi
TELEPHONE , `� � �C � � � L (_ ,-
(Business) (Ho �e/ mergency) '
CONTRACTOR'S REGISTRATION NO.
(If applicable) � �_ i � ���
THURSTON CO. HEALTH APPROVAL NO. / ,
I.—
STATE OF W HING ON MASTER BUSINESS LICENSE NO (UBI) j � � � `� �" Z
/
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Signature % ` Date � �, �� '
CITY OF YELM� %�
BUSWESS LICENSE APPLICATION
EH 5�0&
Page 1 of 1
�'V�shu�g�.on State Deg�i�nent of Revenue
S#ate Business Recort�� Datab�se D€tail
TAX REGISTRATIOIVIVO: 602474327 ACCOUMT OPENED: 1Q/01/2005
UBI: 602474327 ACCOUNT CL�SED: OPEN
ENTITY NAME: EAGLEYIEW HILL LLC
BUSINE55 NAME: SALIDA
MAILING ADDRE55: BUSIME55 LOCATIOM:
PO BOX 1227 11515 EAGLEYIEW LN
RAINIER,WA 98576-1227 RAIMIER,WA 98576-0000
ENTITY TYPE: LIMITED LIABIIITY RESELLER PERMIT NO: A20 0602 14
PERMIT EFFECTIYE: 03J29/2010
fVAICS CODE: 445310 PERMIT E7{PIRES: 03/28J2014
NAICS DEFINITION: BEER�WIfVE�AND LIQUUR
STDRES
FfJR N�N-��Mt+►IERCIAL USE UNLY
04 f 17 j2013 2:58 PM
http://dor.wa.gov/images/BRDImage.aspx?tra=CTxh2X6ksx74ac14hwGQpr+WUSstqy/0... 04/17/2013
q�� TNE p�� Ci ty o f Ye l jn
a M
Public Worhs Department
105 Yelm Aveni�e t�t'est
Yelm, WA ,98�97
YELM
. wasMwcron
Date: �-�'��'�
Property Address: ( �� ���'jll.t�'IC' ��✓�� �� `�,
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Business License Applicant: � � `_'IYYIYYIG'Y��� `-- �C��• ��(,�L y�� ��'"'
�
Dear Applicant
Section 13.04.220 YMC requires ail 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 Appiicable . >
✓ `-_� �'.��-
Contact Kevin Ray, City of Yelm Puh�lic Works (360) 458-8410
kevinr(a�ci.�elm.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 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 approva( of your business license
❑ Within days of change of ownership
❑ Not Applicable
Contact Jim Doty, City of Yelm Public Works (360) 458-8419
Lmd(a�ci.�elm wa us for details.