9831 Greenleaf Lp SE CITY OF YE LM OFFICIAL USE QNLY
�" �,� TH���� 105 Yelm Ave. W. Re�BY��O°
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��' °' � 'y., � Yelm, WA 98597 Comm Dev.Dep. SIW�
� : .:' � � {360) �58-8437 OFFICE Bldg Dept.
� (3fi0) 458-4348 FAX insp. Date
,� �,, � wwr�v.ci.yelm.wa.us �`
Lic.No.
f�i; , � �.
"�� ' ������ � � APPLIGATION FOR
YELM BUSINESS LICENSE
WASHINCTON
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 City of Yelm
�NEW BUSINESS � NAME CHANGE/MAILING ADDRESS CHANGE ONLY
DATE `f ' �.� '" I�
BUSINESS NAME L l!TL� .� Y�I�l'�TI�S ! t'I I �D�".i��
NA7URE OF BUSINESS�.�1(�i�l'_t✓� � � ���1i� �l�l� �)�,A`�I��_Iq�
BUSINESS LOCATION ADDRESS ��,.�,I �7 ��I�1.C1�F L�� S�, ����f-
IUTAILING ADDRESS�� � �@�����1���S'c T t����`
ANTiCiPATED OPENiNG DATE � 1' (�1 ' I�
DAYS� HOURS OF OPERATION �1.�..N� �1�}-! �,� L���t.�.iZ (' �(Z�
OWNER(S)^f,^tQ,j�[�_`�(^T�'
Birthdate �L/- � Z-` !��
Address���F_�f��� c.eCa►'��. i �Y"l �t-I' ��;J��
ity State Zip
TELEPHONE��.�(`�)-,i�C�`"G���� S�(�a�•- ��U�?•- �'�t�
(Business) (Home/Emergency)
CONTRACTOR'S REGISTRATION NO.
(!f applicable)
THURSTON CO. HEALTH APPROVAL PJO.
STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI)��o�,_,_,�� �� � ��l
Signature � � Date �' 7i� '��
Page 1 of 1
��s�utigton �tate I�epai-txn�nt of Revernie
State� Business Recorcis D►at�ba5e Det�il
TA}{ REGISTRATION NO: 6Q3334930 ACCOUNT OPENED: 09j01f2013
UBI: 603334930 ACCOUMT tL05ED: OPEN
ENTITY NAME: PUTRA ANETA Z
BUSINE55 NAME: LITTLE SMARTIES CHILDCARE
MAILING ADDRE55: BUSINE55 LOCATION:
9$31 GREENLEAF LOOP 5E 9831 GREEMLEAF LOOP SE
YELM,WA 98597-8818 YELM,WA 98597-8818
ENTITY TYPE: SOLE PRUPRIETOR RESELLER PERMIT NO: N/A
PERMIT EFFECTIVE: Nf A
NAICS CODE: 624d10 PERMIT EXPIRES: fV/A
NAICS dEFIhIITION: CHILD DAY CARE SERVICES
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F�R N�N-C(]MMERCIAL U5E �NLY
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