10501 NE Creek St, Ste #5 CITY OF YELM OFFICIALUSEONLY
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�Of �A�� 105 Yeim Ave. W. FEE $35.00
4 � � Yelm Rec By
� WA 98597 Comm Dev.De t.
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�, (360) 458-4348 FAX Insp.Date
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�. Lic.No.
YELM � '4PPLICATION FOR
WASMINCTON � 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 Ci of
Yelm
tY
� NEW BUSINESS
I�,NAME CHANGE/MAILING ADDRESS CHANGE ONLY
DA7E � � � � �j
BUSINESS NAME � C� {�
NAT
URE OF BUSINESS � � � i�
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BUSINESS LOCATION ADDRESS__�C� �% � �i� ��..r'rP�k ���-� �� ' �'� �
MAILING ADDRESS 1 -
ANTICIPATED OPENING DATE '�J C.(�1 L I L� I�
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DAYS 8 HOURS OF OPERATION�. — � �� -� ��',c.'}- �-�
OWNER(S) ' ' �i�.,L "�'
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Birthdate t r ' �'
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Address � � � Z. ' � � � l� �� � � ��C7�.
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TELEPHONE ��'��, L�C.�U ��f����� ��C)� . ��� �l C� -�i ��.
(Business) (Home/Emergency)
CONTRACTOR'S REGISTRATION NO.
(If applicable)
THURSTON CO. HEALTH APPROVAL NO.
STATE OF WASHINGTON MASTER BUSINESS UCENSE NO. (UBI) ��� �j�� ��;�
Signature Wi.� �(,�/y'�'� Date � , I� ���
ra�c i ui i
��r'ashu�gton State Departlnent vf�.evernie
���t� B�151I1QSS RE',COI�ds Dataliase De�tail
TAX f�EGISTRATION NO: 602673288 ACCUUNT OPENED: 01/01�2009
UBI: 602673288 ACCOUNT CLOSED: OPEN
EfMTITY NAME: YOUNT YICKI]
BUSIME55 NAME: HAIRINC
MAILING ADDRE�5: BU5INE55 LOCATION:
15126 CARTER LP SE 15425 SR 507 SE
YELM,WA 98597-8574 YELM,WA 98597-8583
ENTITY TYPE: SOLE PROPRIETOR RESELLER PERMIT M0: Al2 6474 13
PERMIT EFFECTIVE: 01f01/201Q
MAICS CODE: 812112 PERMIT EXPIRES: 12/31f2013
NAICS DEFINITION: BEAUTY SALONS
FUR N�N-�UMMER�I,�L USE �t�LY
07j15f2013 9:52 AM
http://dor.wa.gov/images/BRDImage.aspx?tra=d0/h81JLj T6j+za55uawnZqo V 6nVbMTr... 07/15/2013
��f THF p�� Ci ty o f Ye l m
9
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Public Wor�ks Department
105 Yelm Auenue West
Yelm, WA .98597
YELM
WASHINGTON
i7
Date: i/-1�(3
Property Address: � 0�0 � �1C- (�/�Q �� ,S't-. JC,�c�-�„ �S �-/C�Lr�1, ��,'�4- �'I� �J 17
Business License Applicant: V �(;,�Li �� t,�y��-
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 da rs of change of ownership
licabl �
Contact Ray, City of Yelm Public Works (360J 458-8410
kevinr(a�ci.yelm.wa.us for details on device opfions 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 Intercepto� is required:
❑ Prior to approvaf ofi 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 details.
,