15416 SR Hwy 507 CITY OF YELM OFFICIALUSEONLY
'�'r p� THFA�� 105 Yelm Ave W ReEg$35.00
4� 9� ', Yel►11 WA 98597 Comm Dev.Dept.
a � (360� 458-8437 OFFICE Bldg Dept.
(360� 458-4348 FAX Insp.Date
� �_ ���� www.ci.yelm.wa.us
Lic.No.
LM p`PPLICATION FOR ��S/ ,
�EWASHINGTON BUSINESS LICENSE �
Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of
the premises ior building and fire code conformance. Upon approval from the Yelm Building Department
of said premises, the City Clerk's Uffice will process the application and mail license to applicant at
ad�ress listed belew. --��
Application is hereby made for a Business License for the City of Yelm
� NEW BUSINESS L� NAME CHANGEIMAILING ADDRESS CHANGE ONLY
DATE � ��� � ��
BUSINESS NAME � r`�%
NATURE OF BUSINESS 1 1�r�� `� h� �
BUSINESS LOCATION ADDRESS 1S`T I�n �� ��L V ��� � 'C�� `
MAILING ADDRESS �(n��7i�-. �' m1�� C� ,��M l'�"��'
ANTICIPATED OPENING DATE �I�1 �I,`-►
DAYS & HOURS OF OPERATION I� ���Q - �/� (�d
OWNER(Sj �
Birthdate ln���,✓�
Ad ci r�ss
4 (��t 3 �a, 1�c�l m► �� �-E- - ,/��� m �1.c��- �� `� "� �
City State Z�p
�� TEf_EpHONE�{� � �I �� -,L� ��1�'� �� �- � _
(Business) (Home/Emergency)
CONTFtACTOR'S REGISTRATION NO.
(If applicable)
THURSTON CO. HEALTH APPROVAL NO. _ --
STATE OF WASHINGTON MASTER BUSINESS LICENSE NO UBI}�J� v J ��
Signature
? Date ��—�//� �1-�
�
CITY OF YELM
BUSINESS LICENSE APPLICATION
10/13
Page 1 of 1
���►�hu����r� �t�t� I��ep��i�t.ment +vf�.���enu�e
���t+� �usine�s� R��c►rds I��#���se I��tail
TAX REGISTRATION NO: 601725'�37 A�CCOUhIT QPENED: 0��°Q1 j�014 12:OQ:QQ Ah1
UBI: 6Q17259�7 ACCOUNT CLOSED: OPEN
ENTITY NAME: AGUSTQ MARY M
BU5INE55 NAME: M'f STORE
MAILING ADDRE55: BU5INE55 LOCATION:
16432 KALMIIA CT SE iS41fi�SR HWY 5Q7
1fELM,WA 4859�-9737 1FELM,WA 4$597'-OOOQ
ENTITY TYPE: SGLE PROPRIETOR RESELLER PERMIT NO: N�A
PERMIT EFFECTIYE: N�A
NAICS CODE: 453310 PERMIT EXPIRES: N f A
NAICS DEFINITIUM: USED MERCHAfMDISE STQRES
F�R NpN-��F+IMER�IAL USE�NLY
03/17/2014 10:04 AM
http://dor.wa.gov/images/BRDImage.aspx?tra=RfX8aZoyK/XV 15fxm2AXEJ3qv4dr9sn... 03/17/2014
_
q�f THF�,�9� City of Yelm
a �M
Public Worhs Department
105 Yelm Avenue West
Yelm, WA 98597
YELM
WASNINGTON
_ �J-�� � �
Date: �
Property Address: �
- r� �S � �� �.,�,�}-�
.
Business License Applicant: ��,.i� �� �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.
Installation of a Reduced Pressure Bacl�flow Assembly is required:
❑ Prior to approval of your business license
❑ Within days of change of ownership �--�'�'
t Applicable r� 1 � ��
��t. 6r� C�� �y (���-�- L-��
�
Contact Kevin Ray, City of Yelm Public Works (360J 458-8 �0
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 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 Intercepxor is required:
C Prior to appr�val oT your business license - - - - -
❑ Within days of change of ownership
❑ Not Applicable
Contact Jir� l�oty, City of Yelm Public Works ("360J 458-8411
Lmd ci.yelm.w�,us fo,r details,