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305 B Creek St SE � � CITY OF YELM OFFICIALUSEONLY �A� T�/�~`'� 6 105 Yeim Ave. W. ReC BY35.00 Q �j� �J Yelm, WA 98597 Comm Dev.Dept. � � � (360) 458-8437 OFFICE Bldg Dept.��� � �.� (360) 458-4348 FAX insp.Date www.ci.yelm.wa.us `� Lic.No. � YELM APPLICATION FOR WASHINGTON BUSINESS LICENSE 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 apptication and mail license to applicant at address listed below. Application is hereby made for a Business License for the City of Yelm C�I NEW BUSINESS C� NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE I � � l� I � I � BUSINESS NAME 1`����� ��� � ���'�� I�� NATURE OF BUSINESS ������ ��0 �� �G � �����i�G�C� � BUSINESS LOCATION ADDRESS �L�� � C�X� � �JT �� �� �� � ������� (� MAILING ADDRESS �� V���� ANTICIPATED OPENING DATE I 2 � U I -� � DAYS 8�HOURS OF OPERATION_ �� ' � "1 U( �'�'' OWNER(S) F�.6��'� VV"I Q G 1� � ���� �i�� �G� S�'L�'l°', Birthdate �� r���� Address � �o�"� �� ����� ��1/x� �� y� ��,'� (,U f�" �� ���� City State Zip TELEPHONE �l-i'�}• `"�`��° 'rF�U�' �J'(,."(j 7G � . (�'�j- 3 (Business) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. ` (If applicable) THURSTON CO. HEALTH APPROVAL NO. "' STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) U�� I�7j ��� signature � ���� ' '� `L"�JLIo�� oate �L - �._ ��� Page 1 of 1 ��'�5hut�ton State DegRt�nent of R�venue Stat� Business Recorcis Database Detail TA}{ REGISTRATION NO: 6Q3173163 ACCOUNT OPENED: O1/O1/2012 UBI: 6d3173163 ACCOUNT CL05ED: �PEN ENTITY NAhiE: XTREME DESIGNS NW LLC BUSINE55 NAME: XTREMEDESIGNS MAILING ADDRE55: BU5INE55 LOCATION: 18510 138TH AVE SE 18510 138TH AYE SE YELM,WA 98597-9342 YELM,WA 98597-9392 ENTITY TYPE: LIMITED LIABILITY RESELLER PERMIT NO: A25 3997 14 PERMIT EFFECTIYE: 02/16/2012 IYAICS CODE: 323113 PERMIT E%PIRES: 02/15/2Q14 NAICS dEFINITION: CDMMERCIAL SCREEN PRINTING(PT� F(�R N�N-C�IMMERGIAL USE (�NLY 12J05J2013 4:06 PM http://dor.wa.gov/images/BRDImage.aspx?tra=Tj91 qlikTyVZFigN4pJ42gRvRzNnSHhB... 12/OS/2013 �°f THFp�9� City o f Yelm a M Public Worhs Department 105 Yelm Auenue West Yelnc, WA 98597 YELM WASHINGTON Date: --��J �� Property Address: �Q � C.•���� ��' , -°- �,� ��.,�� � e Business License Applicant: �/"d " ''1� � � � � ,� Dear Applicant: Section 13.04.220 YMC requires all commercial buiidings and irrigation systems 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 c�ange of ownership � Not Applicable ' ___ ��---- Contact Kevin Ray, City of Yelm Public Works (360) 458-8490 kevinr(a7ci.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 piant and the City requires all appropriate measures to avoid fats, oils and greases from entering the system. Section 13.08.090 Yelm Municipal 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 oT 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.Velm.wa.us for details.