109 Yelm Ave E (4) ���
• C ITY O F YE LM OFFICIAL USE ONLY
� O� THFp,A�' 105 Yelm Ave W FEE $35.00
G. Rec By
�q`' 9r ' Ye1171 WA 98597 Comm Dev.Dept
4 � (360� 458-8437 OFFICE Bldg Dept
(360� 458-4348 FAX Insp.Date
www.ci.yelm.wa.us
Lic.No.
-- APPLICATION FOR
YELM BUSINESS LICENSE
WASHINGTON
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 o� �� /
BUSINESS NAME ( r
NATURE OF BUSINESS `��( I Y) ��°
BUSINESS LOCATION ADDRESS � ����'
MAILING ADDRESS 1. �� � �a- � � �
ANTICIPATED OPENING DATE �, I, , �1I�
DAYS 8� HOURS OF OPERATION ��'� `f �('� � �i? l��t�7 S�
OWNER(S) L� �
Birthdate ��
Address 1 0� �Z� .� � <PU ��
/',,�, �/ ity State Zip
TELEPHONE�4�J(J l�;��5�9 ��(� GlG'l� ��d
(Business) ome/Emergency)
CONTRACTOR'S REGISTRATION NO. `�
(If applicable)
THURSTON CO. HEALTH APPROVAL NO. �
STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) D� �.3�i �l oZ _
Signature �- � � I Date
CITY OF YELM
BUSINESS LICENSE APPLICATION
10/13
Page 1 of 1
W�shiti�tafl �t�te I��p��ti�txni�nt�f l�.evenue
S��ate Busines� R�e�ords I�a�abase I)et�il
TA7C REGISTRATION NO: 602736212 ACCOUNT OPENED: 07�01/200712:00:00 AM
UBI: 602736212 ACCOUNT CLOSED: OPEN
ENTITY NAME: 52IGETH-BRDNSTEIN PETRA 5
BUSINESS NAME: NATURALLY
MAILING ADDRE55: BU5INE55 LOCaTION:
PO BOX 1724 109 E YELM AYE
YELM,�'�lA 98597-1724 YELM,WA 98547-
ENTITY TYPE: 50LE PROPRIETOR RESELLER PERMIT NO: A13 3634 17
PERMIT EFFECTIYE: O1f01/2014
NAICS CODE: 454390 PERMITEXPIRES: 12j31/2017
NAICS dEFINITIOhV: OTHER DIRECT SELLING
ESTABLISHMENTS(PT}
F(�R NC]N-�OMMERCIAL USE�NLY
02�14/2014 3:31 PM
http://dor.wa.gov/imagesBRDImage.aspx?tra=zTv8j OKe99fZjvS33 Q2wj GgmTGBHGaq... 02/14/2014
4�f TN�p'Q.y� C i ty o f Ye l m
4 ��rf
Public Worhs Department
105 Yelm Auenue West
Yelm, WA 98597
YELM
M/4SHINCTON
Date: � '�j�''�� . ��t�-C..G�'1 � �
� ,
Ca i0�c�L�
Property Address: � �, � �—
Business License Applicant: ��� r �- �• sl�i C�<'`� �-'���'� i 1�1
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
❑ pplicable �
Contact Kevin Ray, City of Yelm Public Works (360) 458-8410
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 requires an appropriately sized grease interceptor to be installed prior to the
STEP tank.
Installation of a Grease Intercepto� is required:
------_�--P�ior-to approval-of your businesslicense- - -- --- - - -- - - - ---- - ----- --_____--_._------
❑ Wi#hin days of change of ownership
❑ Not Applicable
Contact Jim Doty, Cify of Yelm Public Works (360J 458-84�1
jimd(a�ci.Velm.wa.us for details,