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1304 Yelm Ave E - Sammy's CI�'Y 4F YELM OFFICIALUSEONLY ^ �� TH�p�� 105 Yelm Avee W. =EE ��5.�0 t� �J Kec By ,y 9� � Yelm, WA 98597 Comm Dev.Dept._ a m � (360) 458�8437 OFFICE Bldg Dept � [ (36Q) 458-4348 FAX lnsp.Date www.ci.yelm.wa.us Lic.No. YELM � APPLICATION FOR WASHINGTON BUSINESS LICENSE Upon receipt ofi the license application ar�d$35.00 payment, the City ofi Yelm will conduct an inspection of the premises fior building and .Fire co�ie conformance. Upon approval from the Yelm Building Department �f said premises, ths City Clerk's Ofifiics vyill process the application and mai! I+cense to applicant at address listed belaw. Application is hereby made for a Business License for the City of Yelrn � iV�'Vtl BUSIMESS C� NAME CHANGE/MAIL.ING ADDR�SS CHANGE OI�LY �Ai`E— �t� �' 1� r �O �� BUSiNESS NAI1llE � ` " , .._ I I! � j S �u �C�n � �J�C77C-�' N�ITURE O�' BUSINE�S �'�'-��-}'(L. S BUSINESSLOCATIONADDRESS ��T !�%IV►1 I ��. � , `l�,°�p''l Wc� /�-� / ,� t � MAILINf ADDRESS � v20 6 j�j � �,�7 �- �� t C��3.... ANTi�IPAT�D OPENl�JG DATE _ �p �- �---_.�,_._.__ ��-�v� DAYS � HOi1RS O� OPER�7°1fJN S r1 ,�tiT i.t.�c' � �;,, �'7'�GP �a � � 1�:�-`�D O1NN�R{S) Ct+2 t�, �`'1,a.� h c, ( B�r#hda#e _ J-" � q �— � 1 � _� Acldress o? �(��a 3 � '�'` LT � S �i.r� � w�t (1,��t / J � TELEPHONE ��'D �' �j �C� '` �p��j U City Stat � �Zip ^. (Business) �L�'(3 �C''��U ' (l/�`�J a (Mome/Emergency) CONTRACTOR'S REGISTRATlON NO. (If appficable) THURSTON CO. HEAI�TH APPROVAL NO. STATE O� WASHINGTON MASTER BUSINESS LIGENSE NO. (UBi)�� I� �.lov Signature Date �'��'�,L�l �_ ra�ci �ii �'��s��uigton State Depai�n�nt of R�venue ��tE` Bl15IIleSS R�CO��cis D�t�ba�e l�et�il TAX REGISTRATIQN NQ: 603312260 ACCQUMT DPEMED: 06�01/2013 UBI: 603312260 A�CCOUNT CLOSED: aPEN EMTITY MAME: MARSHALL SAMANTHA G BU5INE55 NAME: SAMMYS SUGARING&ESTHETICS MAILING ADDRE55: BUSINE55 L4CATION: 24�06 3$TH AYENUE CT E 1304 E YELM AYE SPANAWAY,WA 98387-7018 YELM,WA 98597-8662 EMTITY TYPE: SOIE PROPRIETOR RESELLER PERMIT MO: N/A PERMIT EFFECTIYE: NJA NAICS CODE: 81Z112 PERMIT EXPIRES: NJA NAICS DEFINITION: BEAUTY SALOMS F�QR N(��I-�CfJMIMERCIAL USE �NLY 07 f 18/2013 8:39 AM I http://dor.wa.gov/imagesBRDImage.aspx?tra=xK/EXbMcHwm8iiQvEuJkVUjAS3gyEC... 07/18/2013