204 E Yelm Ave C I TY O F Y E L M �F�'ICIAL USE ONLY
��� THEp�� 105 Yeim Ave. W Re�ey3s o0
,,q�' 9r � Yeim, WA 98597 Comm Dev Dept._
4 � :�``' (360) 458-8437 OFFICE Blcig Degt�-- 1 � �
� (360) 458-4348 FAX Insp Date f
�� www.ci.yelm.wa.us
Lic. No.
�j APPLICATION FOR
YELM BUSINESS LICENSE
WASHINGTOlV
Upar� receipi of the licerrse app)ica#ion and $35.00 payment, the City of Yelrn wi11 conduc2 an inspec3ion of
tl�e premises for building and fire code conformance Upon approval from ihe Yelrn B�.�ilding Dspartrnent
of said premises, ihe City Clerk's �Jffice will process the applicaiion and mail license to applicant ai
address listed beiow.
Application is hereby made fior a Busir�ess License for the C��+ of Yelm
� N�VN BU�lt�ESS ❑ �IAME CHANGE/MAIL.ING ADDRESS CHAN�E ONLY
D�4�'E �,,T������
Bus��v�ss r�a�n� �C��M. Le.�'n`� -"f� P��s � 1 '
tv�a�u�� o� B�usirv�ss Yr(��,GRn�t� �
BUSaN�SS LOCA3'!ON ADDRESS e�
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MAfLINU A�DRESS 1 J�c�S��C t o�l�`�' �U� � ���� �'� �r�� �f�S�t`T
A�1Ti�C1�'A�TED O�ENI�IG D.A�'E ��9 j-�,�`�,-"I'Ytf"' �1 ���,��
D�1YS # HOURS OF Oi'�R�#°fIO�V !��"VV - � �,�j 'C�' �'�� ��� ��: - I� :CJ C?f
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sin s { ome/EmeryencY3
CONTRACTOR'S R�GlSTRATlO�V NO.
(1f applicabfe)
THURSTON CQ. HEAI.TH APPROVAL NO. _...--_�.----_.�—�_- - ---_---
ST�TE QF WASHINGTON MASTER BUS)NESS LICENS� NO {U�i)(�����!�Z._._,.._���—
Signature ° Date ��___._
Page 1 of 1
�'V�shulgton State Depai�nettt of Revenue
,
�tate Busine�s Records Database Detail
TAX REGISTRATIOfV M0: 603288892 ACCOUNT UPENED: 06/O1/2013
UBI: 603288892 ACCOUNT CLDSED: OPEN
ENTITY NAME: YLT lLC
BUSINE55 NAME: YELM LEARNING TREE LLC
MAILING ADDRE55: BUSINE55 LOCATIOM:
15826 la4TH AYE SE 461 15T ST 5
YELM,WA 98597-9567 YELM�WA 98597-0000
ENTITY TYPE: LIMITED LIABILITY RESELLER PERMIT N0: N/A
PERMIT EFFECTIYE: Mf A
NAICS C�DDE: 624410 PERMIT EXPIRES: NJA
NAIC� DEFINITIOM: CHILD DAY CARE SERYICES
{PT)
F�DR N�CJN-C�JMMERCIAL USE �DNLY
07f22/201�3:07 PM
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YELM
W4SliINGTON
Date '��f�
Property Address _ �� _ __ �� �•
t��r-e i��e � �-
Business License Applicant __ _____��, y�� '�PrY'
� ---
Dear Applicant
Section 13.04.220 YMC requires all cor��rnercial buildings and irrigation syste���s 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 Applicable
Contact Kevin Ray, City of Yelm Public Works (360) 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 ail appropriate r7�easures to avoid
fats, oils and greases from entering the system. Section 13.08.090 Yelm N'iunicipal
Code requires an appropriately sized grease interceptor to be installed prior to the
STEP tank.
Installation of a Grease Interceptor is required:
C Prior to approvai of your business license
❑ Within days of change of ownership
❑ Not Applicable
Contact Jim Doty, City of Yelm Public Works (360) 458-8419
jimd(c�ci.yelm.wa.us for details.