407 103rd Ave NE C ITY O F YE L M OFFICIAL USE ONLY
��0� THF A�� 105 Yelm Avenue W. FEE $3s°°
,y Rec ey
�Q � � '� Yelm WA 98597 com�n oe� �e �_�.
a � � (360) 458-8437 OFFICE B,��o��� ____ � ����
� (360) 458-4348 FAX ,�,Sp �a��__
' ' www.ci.yelm.wa.us
��� Llc No _----- ----
APPLICATION FOR
YEL HM ToN BUSINESS LICENSE
Upon receipt of the license applfcation and $35 00 payment, the City of Yelm will conduct an inspection of
the premises for buildiny and fire code conforrnance 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
I11J1 NEW BUSINESS � NAME CHANGE/MAILING ADDRESS CHANGE ONLY
DATE l�
BUSINESS NAME ' r/ � � � � �
NATURE OF BUSINESS
BUSINESS LOCATION ADDRESS � �� / /V J � ��
MAIUNG ADDRESS ;o�..('o
ANTICIPATED OPENING DATE �--�� — ���
DAYS & HOURS OF OPERATION 1�`/�L!'.v l '_ �,�� �j�,�/r�
�-r
OWNER(S) V '� J��
- �� �����%�?1��, ��1�� �r?� 2�'r'"
Birt ate
�7--��-��
• Address ����` / ��f�,��,�-�/„�,, - � a ..� �`
,/ City nSt�� ���Zip
TELEPHONE` / L� �J� 2Z �� ��pC.� �
(Bu iness) (Home/Emergency)
CONTRACTOR'S REGISTRATION NO.
(If applicable)
THURSTON CO. HEALTH APPROVAL NO.
STATE OF SHINGTON MASTER BUSINF_SS UCENSE NO. (UBI) ����7
Signa re Date D
ClTY OF YELM
BUS�NESS LICENSE APPUCATION �
EH 5108
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�'V�shui�tvn State I�ep�i�nent �fR.�venue
State Bu�uiess Recar•d� Database Detail
TAX REGISTRATION NO: 603277334 ACCOUNT OPENED: U5,�01/2013
UBI: 60327�7334 ACCOUNT CLOSED: OPEN
EMTITY NAME: LEAPS& BOUNDS CHILD CARE AND EARLY LEARIVING
BUSINESS NAME: LEAPS 8c BOUrIDS CHILD CARE&EARLY LEARfVING IN
MAILING ADDRE55: BU5INE55 LOCATION:
PO BOX 423 407 103RD AVE SE
MCKENNA,WA 98558-0423 YELM,WA 98597-0000
ENTITY TYPE: CORPORATION RESELLER PERMIT MO: N/A
PERMIT EFFECTIYE: N/A
NAICS CUDE: 524410 PERMITEXPIRES: M/A
NAICS DEFINITION: CHILD DAY CARE SERYICES
(PT)
F�R N�N-�(]MMERCiAL USE �NLY
10f03J2013 10:50 AM
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�OFTNEp�� City of Yelm
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a, �M
Publ�c Wor•ks Depar�tn�ent
105 Yelm Aue�r.ue 6t'est.
Yelrrz, WA 98.597 �
YELM
wASHir�croH
Date: �V !��
Pro ert Address: d �"�� N�
p Y ! �'V 1 i�
/� �� �/� .—/-- /�� / '
Business License Applicant /`jI'L�l�'(LI.LL � �./-e�7"'r e�"��C.tLtl�l�'
Dear Applicant:
Section 13.04.220 YMC requir �y'����G and irrigation systems to have
a Reduced Pressure Backflow �stalled on the water services.
CC�-- lU�3
Installation of a Reduced Pres: equired:
�-�riar to approval of youi � ��-1 S �.����—� �''S5G'`"
�C7 Within �� day ��-�(w� —
❑ Not Applicable ✓
Contact Kevin Ray, Cify of Yelm Public Works (360) 458-8410
kevinr(a�ci.yelm.wa.us for details on device options and inspecfion
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 Nunicipal
Code requires an appropriately sized grease interceptor to be installed prior to the
STEP tank.
Installation of a Grease Interceptor is requi�ed:
C Prior to approval of your business license
❑ Within days of change of ownership
❑ Not Applicable
Contact Jim Doty, City of Yelm Public Works (360) 458-8419
jimd(a�ci.yelm.wa,us for details.
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