715 East Yelm Ave �� CITY OF YELM OFFICIALUSEONLY
`-0� ��p�� 105 Yelm Ave W FEE $35.00
Rec By
4� � Yelm WA 98597 Comm Dev.De t.
� � (360) 458-8437 OFFICE BldgDept. �,��y
(360) 458-4348 FAK Insp.Date
www.ci.yelm.wa.us
Lic.No.
APPLICATION FOR ��,� �
��'M BUSINESS LICENSE ���� � �
WASHINGTON t
\
Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of
the premises for building and fire code conformance. Upon approval from the Yelm Building Department
of said premises, the City Clerk's Office will process the application and mail license to applicant at
address listed below.
Application is hereby made for a Business License for the City of Yelm
� NEW BUSINESS � NAME CHANGE/MAILING ADDRESS CHANGE ONLY
DATE � � � I!�
BUSINESS NAME i �b�r�� T� X ��+"��`c�
NA7URE OF BUSINESS tkfiE>m� ��1X �"�p�ru-f`�`en.
BUSINESS LOCATION ADDRESS �71 S EGt S�' ��2�r,� !a't,^�, , ��e�M�� CI$.597
MAILING ADDRESS a 1��?1 �v^o�t�i ��cl ���G�ct y, �� q g�o�D
ANTICIPATED OPENING DATE f I � ( �4-
DAYS 8�HOURS OF OPERATION
OWNER(S) ��Ir'�Qe� �.P�i�` L�-C� o��u �-�6A��j �x �tvY�ct�� �?u�� �rD+.,�,ti
Birthdate j a t�"��S S
Address �l�o / /�foo'f�c�i �oc� GJBo�GJ�. f,J�- ���a�
�
TELEPHONE �aS S�� q 1�F3 C�� .�p( - 3�% l ag�f CC��� �p
(Business) (Home/Emergency)
CONTRACTOR'S REGISTRATION NO.
(If applicable)
THURSTON CO. HEALTH APPROVAL NO.
STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) �7doZ ��OD � 7C�
Signature Date � /9 ���
CITY OF YELM
BUSINESS LICENSE APPLICATION
�ons
Page 1 of 1
W�ts�tirt�ton �t�te D�p�trtm�nt �f Revenue
�t�te Busin�ss Rec�ard� D���b�se I)et�il
TAX REGISTRATION MO: 602660070 ACCUUMT OPEfVED: 12/Q1/2UQ6 12:00:00 AM
UBI: 602660070 ACCUUNT CL05ED: OPEN
ENTITY NAME: A�ERDEEN MEDIA LLC
BUSINE55 NaME: LIBERTY TAX SERYICE
MAILIMG ADDRE55: BUSINE55 LCICATION:
21801 MOOTKA RD 25451 104TH AVE 5E STE 104
WOODWAY�WA 98020-4155 KENT,Wf198030-6407
EfYTITY TYPE: LIMITED LI+4BILiTY RESELLER PERMIT N0: N/A
PERMIT EFFECTIVE: M/A
N#ICS CQDE: 541213 PERh1IT E}SPIRES: N��#
MAItS DEFINITIUN: TAX PREPARATIUN SERYiCES
F(�Ft N�hl-�(]MMERCIAL USE (�NLY
01 j 15 f 2014 12:53 RM
http://dor.wa.gov/images/BRDImage.aspx?tra=oG/Z2wKj tCmummY6s/J6Dd6BcPbfEYf... 01/15/2014
q�f TN�A'�,�� City of Yelm
4 R1
Public Worhs DepartrrLent
105 Yelm Avenc�e West
Yelrri, WA 98597
YELM
WASHINGTON
Date: � S
IProperty Address: � �,5� �f��
,�---
Business License Applicant: �Q/f�(j���
Dear Applicant:
I
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-
❑ Prior to approval of your business license
0 Within days of change of ownership
�C�lot Applicable
/
Confact Kevin Ray, City of Yelm Public Works (360) 458-8410
kevinr(a�ci.yelm.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 requires an appropriately sized grease interceptor to be installed prior to the
STEP tank.
Installation of a Grease Interceptor is required:
C Prior to approval of your business iicense - --- - - - -
❑ Within days of change of ownership
❑ Not Applicable
Contact Jim Doty, Cify of Yelm Public Works (360J 458-8411
jimd(�a,ci.yelm.wa.us fordetails,