701 Prairie Park Lane, Ste A � �� C ITY O F YE L M OFFICIAL USE ONLY
�4f THEA�� 105 Yelm Ave W FEE $35.00
Rec By
4 'yi Yelm WA 98597 Comm Dev.De t.
a � (360� 458-8437 OFFICE Bldg Dept. �/1��
(360) 458-4348 FAX Insp.Date
www.ci.yelm.wa.us
Lic.No.
YELM APPLICATION FOR �
WASH�N�TON 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 below.
Application is hereby made for a Business License for the City of Yelm
� NEW BUSINESS � NAME CHANGE/MAILING ADDRESS GHANGE ONLY
DATE �; I -,;Z�� - � �
-�_ C' 1
BUSINESS NAME � V;(` �_�� 's���°,�1 ?i �.�'���'�'`�
NATURE OF BUSINESS �' �; � � i� '�'� �� CC;����'` �S `��-tl)��� �C' �
BUSINESS LOCATION ADDRESS ����! � � � "�� � C �"� �' }� �
� i i�i �i� ��C' ��l � � �(�-C ��,i�i � �' �1
MAILING ADDRESS ��(�'1 J_,X '-!-',�� j��. , , ;�: � � �f- �'
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J JL•� � .� �•
ANTICIPATED OPENING DATE
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DAYS 8 HOURS OF OPERATION i�����: 'l,(c�� - i ,�- ,(���'��� C'�_�� U. CE����`�'(� ��i;�°��.?�,J�i�� �
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OWNER(S) K��, �i� -1(�S; J I6�v�r� �: � , �,,�_ �_ -- �
Birthdate �� -j`=� sCi �'�
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Address 4'L: �`r� 11�>b �C,�`���\ ��., fi1 'I�C� � � �
�-� City State Zip
TELEPHONE 3���, ��.�-�j 1 j ��1 '�
(Business) (Home/Emergency)
CONTRACTOR'S REGISTRATION NO.
(If applicable)
THURSTON CO. HEALTH APPROVAL NO.
STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) ��Q �� ` �� _/O
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Signature �' � Date �"�
:� !'- i�
CITY OF YELM
BUSINESS IICENSE APPLICATION
10/13
I
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Lookup business information ��crzoseaaca�,es3�its
File 8 pay#axes
If"Non-revenue"appears after Tau Registration Number,the account is not registered with the Department of Revenue.However,it
Doing business may be registered with other agencies in the state.
Business types
Register my business �'V�sttington Sts�te Dcpat•tment of Revenue
My account State Business Records Database Dets�il
n�a�ts
TAX REGISTRATIOfY NO: 60329909$ ACCOUNT OPENED: I2/01 j2013 12:[I0:00 AM
Find taxes 3 ratas UBI: 603299096 AC[OUNT CL05ED: OPEN
ENTITY NAME: FSF DEYELOPMENT LLC
BUSINESS NAME:
tNorkshaps&aducation
MAILING ADDRE55: BUSINE55 LOCATION:
Get a#orm flr pubEicatian P4 6031 d�i 701 PRAIRIE FARK Lti SE STE A
RAIMIHt,WA 9857b-0406 YELM,WA 98597-0000
Firzd a[aw c}r r�31e
ENTITY TYPE: LIMITED LIABIL7TY RESELLER PERMIT NO: A29 d897 15
PERMIT EFFECTIYE: I1/21/2013
. IYAICS CODE: 2�330 PERMIT EXPIRES: 11 j20{20t5
NAICS DEFINITIUN:RDW2INGCtMITRAC70R5
�:�,E.
F�R N�N-CaMMERCIAL USE ONLY
01/27/2014 11:10 AM
If you are unable to find the reseller permit you are looking for,try searching
by tax registration/UBI number.
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http://dor.wa.gov/content/doingbusiness/registermybusiness/brd/Default.aspx O l/27/2014
��f TH,�A'P� Ci t o Ye l m
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Public YVorhs Department
105 Yelm Auenue West
Yelnt, WA 98597
YELM
W45HINGTON
Date: i j r}.'� `
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Property Address: �� � � �� 1�'I� �� �r-�� ��-t�C �-- V � '�,r�j��--
✓ ���
Business License Applicant: 'Y}� ��U,�j��
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.
Instaliation of a Reduced Pressu�e Backflow Assembly is required:
❑ Prior to approval of your business license
❑ Within da of change of ownership
Not licable
Contact Kevin Ray, �City of Yelm Public Works (364) 458-8410
kevinr(a�ci,yelm.vva.us for details on device options and inspection
requiremenfs.
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 ente�ing the system. Sectior� 13.08_090 Yelm Municipal
Code requires an appropriately sized grease intercepfior to be installPd prior to the
STEP tac�k.
Iristaflation of� Grease Interceptor is required:
C Prior to a�proval oT your business license - - -
❑ Within days of change of ownership
� Not Applicable
Contact.lim Doty, City of Yelm Pub�ic Vt�'��ks (36�) 45�-84 a 1
'�m�ci•Velrr�.vv�.us �e�r�cfetails.