15418 State Hwy 507 , �
CITY OF YELM OFFICIALUS O LY
�O� TN�A�~`'� 105 Yelm Ave. W. FEE $35.00
q 'y� Yelm, WA 98597 Rec By —
Comm Dev.De t.
�4C' +•� (360) 458-8437 OFFICE Bidg Depi. �' /
p`' � (360) 458-4348 FAX
Insp.Date
www.ci.yelm.wa.us
Lic.No.
YELM APPLICATION FOR
WASHINGTON BUSINESS LiCENSE
Upon receipt of the iicense application and $35.00 payment, the Gity of Yelm will conduct an inspection of
#he premises for building and fire code conformance. Upon approval from the Yelm Building Department
of said premises, the City Clerk's Office wil! process the application and mail license to applicant at
address listed below.
Application is hereby made for a Business License for the City of Yelrr�
NEW BUSINESS � NAME CHANGE/MAILING ADDRESS CHANGE ONLY
ATE �3/1 l�
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MAILING ADDRESS
A�JTiCIPATED OPE(yING DATE �(°i�' �.J� �?�
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CONTRACTOR'S REGlSTRATlON NO.
(if applicable)
THURSTON CO. HEALTH APPROVAL NO.
STATE OF WASMINGTON MASTER BUSINESS UCENSE NO. (UBI) C/�� 5�-� � 7G~—
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Signature i�iG�/-��� Date
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Fike&pay taxes
If"Non-revenue"appears after Tax 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 Wasltin�tan�tate I�epartment af Revenue
My account St�tC BUSIIICSS RCCOFtIS D�t��T�SC DP,tRII
Audits
TAX REGISTRATION NO: lV011-REMENUE ACCOUNT OPENED: O1/03('2013
Find taxes&rates UBI: 603363270 A[CDUNT CLOSED: OPEN.
EfV7ITY NAME:
BUSINESS fVAME:
Warkshops&2duca4ion
MAILING ADDRE55: BU5INE55 LOCATION:
Get a form or pubEicatian 15120 JOHNSON CREEK RD 15120]OHNSON CREEK RD
RAINIER,WA 98576-0000 RAINIER�WA 98576-0000
Find a law ar r��le ENTITY TYPE: LINIITED LIABILITY RESELLER PERMIT N0: fV/A
PERMIT EFFECiIVE: NfA
NAICS CODE: 999990 PERMITEXPIRES: N/A
,X. NAICS DEFINITION:NJA
F�R N�N-COMMERGIAL USE ONLY
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4�f TH�p.�� Ci ty o f Ye l m
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Public Worhs Department
105 Yelm Auenue West
Yelm, WA 98597
YELM
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Date: (� �
Property Address: �-(�� � -�- � —
Business License Applicant: (,�/� ��(�� �L�
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.
Instailation of a Reduced Pressure Backflow Assembly is required:
❑ Prior to approval of your business license
❑ Within days of change of ownership
plicable �a ¢- � �, ,�j �� � �
Confact Kevin Ray, �City of Yelm Public Works (360) 458-8410
kevinr(a�ci.yelm.wa.us for defails on device options and inspecfion
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 fram 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:
- --------� -Prior#o approval-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.yelm.wa.us fordetails.