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202 Cullens St NW CITY OF YELM OFFICIALUSEONLY �Of THFA�� � 105 Yeim Ave. W. FEE $35.00 Rec By Q �� Yelm, WA 98597 Comm Dev.Dept. a � � (�60) 458-8437 OFFICE Bldg Dept �� �/ � � (360) 458-4348 FAX Insp.Date � www.ci.velm.wa.us Lic.No. YELM APPLICATION FOR WASHINGTON �� BUSINESS LICENSE Upon receipt of the license application and $35.00 payment,the City of Yelm will conduct an inspection of the premises for building and fire code conformance. Upon approval from the Yelm Building Department of said premises, the City Clerk's Office will process the application and mail license to applicant at address listed beiow. Application is hereby made for a Business License for the City of Yelm I�I NEW BUSINESS � NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE November 21, 2013 BUSINESS NAME Sea Mar Community Health Centers NATURE OF BUSINESS �CC01)Ger�eral Construction Contractor .7.d►` �C-H. �N �''�' � BUSINESS LOCATION ADDRESS � • � � ~ � �T ��. MAILING ADDRESS • � 9$C� �-- ANTICIPATED OPENING DATE DAYS &HOURS OF OPERATION �' � ��� Ig� � � ' �� � � �WNER(S) Corporation Birthdate Address City State Zip TELEPHONE 206-763-5277 (Business) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. CC SEAMACH990P5 (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) 600-537-278 a 11/21/2013 Signature � f -�" Date C!�6'`i� �"� \ Page 1 of 1 �'V'�5�ungtQn St�te Depai�t.ment of Revenue St�te BLISIRE!SS R�CUI�cIs Datal�ase D�tail TAX REGISTRATION NO: 600683884 ACCOUNT OPENED: 12/O1/2U11 UBI: 600537278 ACCOUNT CLUSED: OPEN ENTITY NAME: 5EA MAR CDMMUNITY HEALTH CENTER BUSINE55 NAME: MAILING ADDRE55: BUSINE55 LOCATION: 205B LILLY RD NE STE A 2201 6TH AYE STE 1550 OLYMPIA,Y!A 98506-7401 SEATTLE,WA 98121-1800 EMTITY TYPE: NON PROFIT CORP RESELLER PERMIT NO: N jA PERMIT EFFECTIYE: N/A NAICS CODE: 923130 PERMIT EXPIRES: N/A NAICS DEFINITIOM: ADMINISTRATION OF HUMAfV RESOURCE PROGRAMS{EXCEPT EDUCATION,PUBLIC HEALTH, AND YETERANS'AFFAIRS PROGRAMS) Ft]R NfJM-C�MMER�IAL USE �]NLY 12J03 f 2013 9:53 AM http://dor.wa.gov/imagesBRDImage.aspx?tra=32oe3y6bPRC/kOq 1 Ij dFj e6m8ihs/Bcy&rs... 12/03/2013 q�f TH��,�',�� City o f Yelm a M Public Worhs Departm.ent 105 Yelm Auen,ue West Yelnz, WA 98597 YELM wnsN�NCro'. � Date: �p�-�'J� Property Address: �� ���C'y�� J'� ;,(>�� ��� �C�'��7 Business License Applicant: ��, � �����,�� �����j ,-�. Dear Applicant: Section 13.04.220 YMC requires all commercial buildings and irriga ����� a Reduced Pressure Backflow Assembly (RPBA) device installed or �.--�--�-� ��� �� Instailation of a Reduced Pressure Backflow Assembly is required: `�-P�r�to approvai of your business license ;�A�k -��o� � �� ��Y;� f � � ❑ Within days of change of ownership G�`�" �-�-�" �`°��' � ❑ Not Applicable ,b� �� � ���, ���-�� f� ���'�f Confact Kevin Ray, Cify of Yelm Public Works (360) 458-8490 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 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 Municipal Code requi�es an app�opriately sized grease interceptor to be installed prior to the STEP tank. Installation of a Grease Interceptor is required: -- --�l��-ior-taa�p-reval-of y��f business license _ ___--. _ _____ _ _. __ __ ❑ Within days of change of ownership ❑ Not Applicable Contact Jim Doty, City of Yelm Public Works (360) 458-8411 jimd(a�ci.Velm.wa.us for details.