311 Yelm Ave W �o ���
CITY OF YELM OFFICIAL USE ONLY
�Q� r�p 'f Q5 Yetm Ave. W. Re�8�.�
4 � Yelm, WA 98597 Comm Dev.Dept.
� � (360) 458-8437 OFFICE Bldg Dept.
(360) 458-4348 FAX Insp.Date
www.ci.velm.wa.us
Lic.No.
YELM APPLICATION FOR
WASHINGTON BUSINESS LICENSE
lJ�na receipt of the ticense application and$35_00 payment, the Gity of Yelm u`rill 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
C� NEW BUSINESS � NAME CHANGE/MAILING ADDRESS CHANGE ONLY
DATE � �'�(�- /�f
BUSINESS NAME ��F� �(�C�G�'I��� �� � D�� ��v�1 Se/L/ ���%S��ct/1f
NATURE OF BUSINESS C�I ��S7�'i�Gdv� Co(i.'7 S� �. �I �1
BUSINESS LOCATION ADDRESS 3�� Y� l m ��l�e ��C,e C'��e x p��,�e 1
MAILING ADDRESS PO r(Jb�c L O $� /`c�.�✓1,'�/� �J/rQ q�,5�7�
ANTICIPATED OPENING DATE C�-fJ�r P/I'f`
DAYS&HOURS OF OPERATION €�� /�IP�bj�•�1-/Y� P.��
OWNER(Sj _ !_t Cn�'K � (JGl��Gt./�G� l / C�°f ` �,�
Birthdate �-6`6� 7`Z$-��
A�ress �02 I/o/ES�C�, �/' /�� �ox�o8 ��t-���•�e!' Gi/�4 9857�
TELEPHONE 3�� yy�°o3y� C�,36l.� �/y�-�z 5?�--s- Z�P
(Business) (Home/Emergency)
GONTRACTOR'S l2EGISTRATION NO.
(If applicable)
THURSTON CO. HEALTH APPROVAL NO.
STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) t�OZ•`"J' .Z(>-�c�S
Signature �- Date_� -�0���
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B�U�I 8ESS LICENSE APPLICATION w e � a
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Page 1 of 1
��shui�t�a� �t�t�e I)ep���trrtent of Rev�rtu+e
S�.ate Bu�iness Re�corc�s D�tat�ase I�et�il
TAX REGISTRI4TION fV0: 602526655 i4CCOUNT QPENED: 08 f O1 f 2005 12:00:00 AM
UBI: 602526655 AC[OUNT CLOSED: OPEN
ENTITY NAME: LIFE COACHING LLC
BUSINES� NAME:
MAIIING ADDRE55: BUSINE55 LOCATION:
PO BOX 208 502 YOLESKY CT E
RAINIER�WA 9$576-0208 RAINIER�WA 98576-0000
ENTITY TYPE: LIMITED LIABILITY RESELLER PERMIT Na: N/A
PERMIT EFFECTIYE: N/A
NAICS CODE: 611710 PERMITEXPIRES: IYjA
MAICS DEFINITION: EDUCATIONAL SUPPQRT
SERYICES(PT}
F(�R N�N-�C�MMERCIAL USE�hILY
02/13J2d14�:08 PM
http://dor.wa.gov/images/BRDImage.aspx?tra=gKLI7+5TjyNFBzh50+j/DBU7ojbskWV... 02/13/2014
4°� TH�'°�� �'i ty o f Ye l m
� �
a �
Public GYorks Department
105 Yelm Aven.�e West
Yelnti, WA 98597
YELM
WASHINGTON
Oate: p�- )� �
Property Address: ,�l � 'J�'� � � —� �,� �1��
(
Business License Applicant: rY�,���. °� �° ,i 1.���{/11„�.. � 1 Je '
��
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 Reduced Pressure Backflow Assembly (RPBA) is required:
Within ��
days of receipt of this letter �e/c.c�� ✓�-v c�
Not applicabte
Contact Kevin Ray, �City of Yelm Public Works 360 45 - � �� �s���
( ) 8 8410
kevinr(a�ci.�elm wa us for details 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 from entering the system. Section 13.08.090 Yelm Municipal
Code requires an appropriately sized grease ir�ferceptor to be installed prior to the
CTFP +ank
Installation of a Grease Interceptor is required submit detailed plans of kitchen plumbing
fixtures, location of grease interceptors and required air gap. Plans approved by Thurston
County Health Department are acceptable
Within days of receipt of this letter instalf grease interceptor
Not applicable
Contacf Jim Doty, City of Yelra� Public NJc�r.ks �35�) 458-8411
"imd ci, elm.wa.us for defails,