806 Yelm Ave E, Unit 2 C I TY O F Y E L M OFFICIAL USE ONLY—
�OF THFA,Q� 105 l�'eim Avenue W �tE ��s o0
faec ey_
� 'y� Yelm WA 98597 Cornm Dev o�p� -- -_
� (360) 458-8437 OFFICE 6,�,��,��, �'�'__1��z�1,�
4 M � (360} 458-4348 FAX
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.� www.ci.yelm.wa.us
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YELM �� APPLICATION FOR
WASHINGTON BUSINESS LICENSE
Upon receipt of the �icense application and $35 00 payrr�ent, the City of Yelm will conducl an inspection of
the premises for building and f�re code cor.formance Upon approval from the Yel�7� Bu�lding Department
of said premises, the City Cle,rk�s Office will process the appl�ca(ion and mail Ii�Pnse to applicanf at �
address listed beiow
Application is hereby made for a Business License for the City of Yelm
�NEW BUSINESS C� NAME CNANGEIMAtLING ADDRESS CHANGE ONLY
DATE ���'-,� (���
r� � � •
BUSINESS NAME � � � �
NATURE OF BUSINESS �(?��-�-(";f`� ��-�` ,� � � '
i r���.
BUSlNESS LOCATION ADDRESS _ � �'?�y� �� �p��`� �p � ��� � �� � ����
� —r—r� �'12'
MAILING ADDRESS s�,q ��YY\��,�(��`� ���^r'� ,���}-
ANTICIPATED OPENING DATE �(J �� ���j ��
DAYS & HOURS OF OPERATION �� �- ���� %�j'}!� — '� �
OWNER�S) lTC" L3�,V� �� r l�L���►" 1 � '
L ���__-_
Birthdate �� 9—� �����_
Address�L� � ,�(�l�C��� � l��ll'Yll���-- GlJ/� 7�.5 � �
City � State / Z�p
TELEPHONE�,�� ���(�} ��� �j `�i�(�� (��`C.�r`'s'
(Business) (Home(Emergency)
CONTRACTOR'S REGISTRATION NO.
(If applicable)
THURSTON CO. HEALTH APPROVAL NO.
STATE OF WAS TON MASTER BUSI S LICENSE NO. (UBI) `
Signature Date Q ° -�� ���
CITY OF YEIM
BUSINESS LICENSE APPLICATION i
Efi S108 i
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Page 1 of 1
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TAX REGISTRATION M�: MON-REYENUE ACCOUMT OPENED: 10%30f2013
UBI: 60�337073 ACCOUNT CLOSED: OPEN
EMTITY NAME:
BUSINESS NAME:
MAILING ADDRE55: BUSINE�S LOCATION:
806 YELM AVE.E 805 YELM 14VE.E
UMIT� UNIT 2
YELM11,�J�A 98597-DU00 YELM,�/A 9859i-D000
ENTITY TYPE: SOLE RRDPRIETOR RESELLER PERMIT MO: NjA
PERMIT EFFECTIYE: N f A
NAICS tdDE: 999990 PERMIT EXPIRES: N;�A
NAICS DEFIMITIUt�: M,rA ,
FfJR NC,1N-CC�MMERCIAL USE�NLY
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Yelrrt, WA 9R.�9i
YELM
wasr�ir+cror,
Date: �!�"�� _
�
Property Address: , � � � � � ��-�'" �Z- ��S ���`
Business License Applicant: _ � �'1- �- > �� �-�1�-.�GL-.-
Dear Applicant:
Section 13.04.220 YMC requires aii commercial buiidings and irrigation systems to have
a Reduced Pressure Backflow Assembly (RPBA) device installed on the water services.
Installation of a Reduced Pressure Backfiow Assembly is required
❑ Prior to approvai of your business license
❑ Within _ days of e of_.Qwnership
��--�pplicabie � ��'
�
Contact Kevin Ray, of Yelm Public Works (360) 458-8410
kevinr(a�ci,yelm.wa.us for defails 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 measures to avoid
fats, oils and greases from entering the system. Section i3.08.090 Ye(m i�lunicipai
Code requires an appropriately sized grease interceptor to be installed prior to the
STEP tank.
Installation of a Grease Interceptor is required:
G Prior to approvai of your business license
❑ Within days of change of ownership
❑ Not Applicable
Confact Jim Doty, City of Yelm Public Works (360) 458-8411
jimd(a�ci.yelm.wa.us for details.