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Lic No.
YELM ApPLICATION �qR
WABHINGTON BUSIN�SS LICGNS(„
Upon rece�pt of the license application and S35.OQ payr�ncnl, (hc Cily nf YE;Im will conducl an inspeclion of
Ihe premisvs for builciing and Fire code conformance. Upon approv3l Irom Ihe Y�im 8uildr'n� Oeparime��l
of said premises, the Ci(y Clerk's Office will process the applicalion artid m�il iir.r���se�o appl�car71 a( �
atldrPSS lisled below.
Application is hereby made fvr a 8usiness �.icense for tl�e City of Yelm
�I NCW 6U51NESS � NAM� CHANGEIMAILING ApDRESS CHAN
bATE GE ONLY
BU5IN�SS NAME � � / �
�r�.�
NATURE OF k�USINCSS_ �j-y'(/(,,(�„^
BUSlNESS LOCATION ADDRESS �J �Q� � ,(",� %��
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MAfLING ADOR�SS D %a �� i
AIV7'fCIPAT�Q OPEIVING OATE �' ,� `
UAYS $� HOUkS pF pPERATION ��,
, � �-'�a�-
OWNER(S) � A.[� �/�f� � 1 .
r C�/� �/ �t 7
Bifthdate � � � p� �a ��/�f 3� �l� �
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TEI.EPHONE �� � Zlp
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c6usiness)' ' ~ ..�� '
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(t-Iome/Cmergency)
CONTRACTOR'S R�GtStRATION NO.
THURSTON C0. I-tEALTH APPROVAL Np�p�f icable
STA1'E OF WASHINGTON MASTER BUSINESS LICENSE NO. (U01j^ � �j �S� �`j��
Signature '� /� V, ..
----��, _ Oate� / �S� /3
CITY OF YEI,M �
B1151NESS t,ICENSE Af'P��CqTIOiV
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Page 1 of 1
��'ashington State I�epai�nent of Revernie
St�te Business Recards DatabRSe Detail
TAX REGISTRATION MO: NON-REYENUE ACCOUNT OPENED: il/14J2013
UBI: 6d3350136 ACCUUNT CLUSED: OPEN
ENTITY NAME:
BUSIfVE55 fVAME:
MAILING ADDRESS: BUSINE55 LOCATIDN:
310 RAILROAD STREET NW 310 RAILROAD STREET NW
YELM�WA 9$597-0000 YELM�WA 9$597-0000
ENTITY TYPE: tIMITED LIABILITY RESELLER PERMIT NO: N/A
PERMIT EFFECTIYE: N/A
NAICS CUDE: 993990 PERMIT E}{PIRES: NjA
NAICS dEFINITION: N/A
F�R N�N-�UMMER�IAL USE �NLY
11 f 19�2013 8:17 AM
http://dor.wa.gov/images/BRDImage.aspx?tra jPKDBfHwqxFxeDEYAJPhLw==&rsp= 11/19/2013
��FTNF�,�� CLt o Yelm
�4 9r y f
a M
Public Worhs Department
105 Yelm Auenue West
Yelm, WA 98597
YELM
W4SHINGTON
Date: � �
Property Address: U �1 �
Business License Applicant: � '`� � • `
� Y'1�'
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.
Installation of a Reduced Pressure Backflow Assembly is required:
ior to approval of your business license
;�Within � days of change of ownership ����� ��c_Ss� :z� � � (��v
�9 c(c
❑ NotApplicable h7S.,SF►^^��� �� � c-��L� �.- � �� �
�,�.z.�c=(�- -t-o i� .z ��.s�'�r�'
Confact Kevin Ray, Cify of Yelm Public Works (360) 458-8410
kevinr(a�ci.�elm.wa.us for details on device options and inspection
requirements.
Fats, oils, and greases entering the City of Yelm STEP sewer system can adve�sely
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 Municipal
Code �equires an appropriately sized grease interceptor to be installed prior to the
STEP tank.
Installation of a Grease Interceptor is required:
/��
--- __—�- P-raoc_ta�p{�rauaa-o�you�-b��ir�ess-�ieen�e-- -- --- - - - -- �'f _���� � _.
❑ Within days of change of ownership
❑ Not Applicable � . : .. ; ,. , ,,
Contact Jim Doty, City of Yelm Public Works (360) 458-8411
jimd(o�ci.yelm.wa.us for defails,