705 Yelm Ave E, #1 �- C I TY O F Y E L M oFF���A� �SE oN�Y
/ ��� �HE�',Q� :� 105 Yelm Avenue W. F�� �35C7
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�, � � � Yelm WA 98597 c�,�„�„oe� o��,,
� � � (3G0) 458-8437 OFFICE ,Q(, � J�
4 Cri Bid�oE��,� _�f� ��/
c� (360) 458-4348 FAX �,,�, �� ,_
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www.ci.yelm.wa.us
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YELM APPLICATtON FOR
WASH�N�TON BUSINESS LICENSE
Upon receipt of the license application and $35 00 payrnenl, the Ci�y of Yelm wiii conduc( an inspection of �
the premises for building and fire code conforrnance_ Upon approval from the Yelm [3uilding Department
of said pre«iises, tl��e Cify Clerk�s Office will process the application and rnail licen�e �o applicant at
address listed below.
Application is hereby made for a Business License for the City of Yelm
CINEW BUSINESS � NAME CHANGE/MAILING ADDRESS CHANGE ONLY
DATE ,4Vto Z7 l�i
BUSINESS NAME ��F-(� �2�L (�a,�J OF��C.�
NATURE OF BUSINESS LAW F1(�M
BUSINESS LOCATION ADDRESS � 1� ' L�vj � E � � LM WA /�
I MAILING ADDRESS �/�ML
ANTICIPATED OPENING DATE S���M�j�fZ. 3 �j�
DAYS & HOURS OF OPERATION M��t]J�� -��C�Zc�+4,N F����k N Q;pp A,�q � A• c,C, �M
I I
OWNER(S) t)j���FL �,�� �����
Birthdate (�Z I�(o �(c( ?(�
Address ��� Z l� /Jpi/bN CT -�'jG �,� w� 7
� Ci y/' 1 State Zip
TELEPHONE �JC C7� ���0 'P���Co( Ir��p�/ � OO 'IC(7S (c��,��
( usiness) (Home/Emergency)
CONTRACTOR'S REGISTRATION NO. ��
(If applicable)
THURSTON CO. HEALTH APPROVAL NO. jy,�
STATE OF ASHINGT STER B SINESS LICENSE NO. (UBI)�jQJ?��jS�jS(
Signature Date /�1��. Z'7� Zci �j
CITY OF YELM
BUSINESS UCENSE APPLICATION
Efi 5/08
�
Page 1 of 1
���5�un�ton State Depai�tinen� of Rer�enue
State Busu�res� Recor�cl4 Database Det�il
TAX REGISTRATION NO: 6a3085851 ACCOUNT OPENED: O1/41/2011
UBI: 603085851 ACCOUNT CLOSED: dPEN
ENTITY MAME: THE CROWE LAW OFFICE PS
BUSINE55 NAME: THE CRO�E LAW O�FFICE
MAILING ADDRE55: BU5INE55 LOCATION:
9912 DONOYAN CT SE 9912 DONOYAN CT SE
YEtM,�'IA 98597-9684 YELM,WA 9859�-9684
ENTITY TYPE: CORPORATION RESELLER PERMIT NO: N�A
PERMIT EFFECTIYE: N/A
NAICS CODE: 541110 PERMIT E}SPIRES: N/A
NAICS DEFINITION: OFFICES OF LAYIYERS
F�DR N�N-C�MMERGIAL USE C�NLY
09f18f20138:10AM
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YELM
WGSHINCTON
Date: � �
�/� ' � i
Property Address �� � , ��'j
,� ` �
Business License Applicant _� ��CJ - ���--
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.
Instailation of a Reduced Pressure Backfiow Assembiy is required
❑ Prior to approval of your business license
❑ Within days of chang ownership
��(�Not Appiicable
Contact Kevin Ray, City of lm Public Works (360) 458-8490
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 Niunicipal
Code requires an appropriately sized grease interceptor to be installed prior to the
STEP tank.
Installation of a G�ease Interceptor is required:
C Prior to approvai of your business iicense
❑ Within days of change of ownership
❑ Not Applicable
Confacf Jim Doty, City of Yelm Public Works (360J 458-8411
jimd(�a,ci.yelm.wa.us for details.