305A Creek St NE I �
C I 1 i O F YE L M OFFICIAL USE ONLY
'�''r�p� T�A�� 105 Yelm Ave W FEE $35.00
p 9� Yelm WA 98597 Rec By
Comm Dev.Dept.
� � (360) 458-8437 OFFICE Bldg Dept. �
(360) 458-4348 FAX Insp.Date
www.ci.velm.wa.us
Lic.No.
APPLICATION FOR
YELM BUSINESS LICENSE
WASHINCTON
Upon receipt of the license application and$35.00 payment,the City of Yelm will conduct an inspection of
the premises for building and fire code conformance. Upon approval from the Yelm Building Department
of said premises,the City Clerk's Office will process the application and mail license to applicant at
address listed below.
Application is hereby made for a Business License for the City of Yelm
� NEW BUSINESS � NAME CHANGE/MAILING ADDRESS CHANGE ONLY
DATE �'I � y —� y
BUSINESS NAME l���i S ��c�( �S �c:'�-2 sd �' � .�; � '1 �' �7 C: -
NATURE OF BUSINESS �Gt 5 �:� �' � s - �l G� !" "' �i"� � ,Gj<r ��✓I�d�I"
BUSINESS LOCATION ADDRESS 7 1�-'� �- ��-'�K S �f�- /�/� ��_�tA ��j'j�j'7
MAILING ADDRESS I� • �1-��(�x I �� � � ��--�-�f')'1 lill� �Qi��7
ANTICIPATED OPENING DATE
DAYS$HOURS OF OPERATION ���Yl — �✓ ►�C�C'�./ ��t���'/�'� � ('�'fi , �drn', ��j�
OWNER(S) ,�I (1C.�(J.) �1 � K► �7 S
Birthdate � °� y � �G�� �
Address j tr �� � ��In►Yl � +� C� .s� �� 7 ��%7
-� City State Zip
TELEPHONE ��-�'�I L'I C-'� ��`'� �'- -
( usiness) (Home/Emergency)
CONTRACTOR'S REGISTRATION NO. ( " �
(If applicable)
THURSTON CO. HEALTH APPROVAL NO.
STATE OF WASH TON MASTER B INES LICENSE NO. (UBI) C� l,'� � �� � '�C� c� 7
,
Signature Date
CITY OF YELM
BUSINESS LICENSE APPLICATION
10/13
Page 1 of 1
���shul�t�T� S�t�te I)�g�i�tm�nt Q�I��u�enu�
����e Bu�sin��s l�e��r�s II�►at�����e I�et�il
TA}C REGISTRATION NO: 603194697 ACCOUNT QPENED: 04 f O 1/'2012 12:00:00 Ah1
UBI: �603194697 ACCdUNT CLOSED: OPEN
EMTITY NAfw1E: LEWIS REAL ESTATE�ALES AMD PROPERTY MANAGEME
BUSIMESS NAME: LEWIS REAL ESTATE
MAILIHG AdDRE55: BUSIIVE55 LOCATION:
168�#3 FLUME RD 5E 16843 FLUME RD SE
1fELM�4VA 98597-9626 'fELM,WA 9859F-9626
EMTITY TYPE: CORPORATIQM RESELLER PERMIT N0: N/A
PERMIT EFFECTIYE: N/A
MAICS CODE: 5�1210 PERMIT EXPIRES: M/A
MAICS DEFINITION: OFFICES OF REAL ESTATE
AGENT5 AhID BROKERS
FC�R N�M-��M M ER�IAL USE�?N LY
04/OS/2d14 1:32 PM
http://dor.wa.gov/imagesBRDImage.aspx?tra=OhN/ShzvrL/MxvS GCzAZ8Jj h9TpH3yz3... 04/08/2014
4�F TH�A'Q,y� Ci ty o f Ye l m
a M
Public Worhs Depczrtment
105 Yelm Auenue West
Yelni, WA 98597
YELM
WASHINGTON
Date: �
� �j
Property Address: j�� � S T � ,i��
Business License Applicant: �;��- f-'' , — �(jj,��� �y�,� �r���,�p '�'`
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 Backflow Assembly is required:
❑ Prior to approvai of your business license
❑ ithin days of change of owne�ship
Not Applicable
Contact Kevin Ray, City of Yelm Public Works (360J 458-8490
in 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 �equires an appropriately sized grease interceptor to be installed prior to the
STEP tank.
Installation of a Grease Interceptor is required:
---�--P-raor--ta-a{�prr�val oT your business licetjse - _ _ _ .. __ -.--- , -.- - .. _ __ __-- __ _._ . _ _____ -
❑ Within days of change of ownership
❑ Not Applicable
Contact Jim Doty, City of Yelm Public Works (360J 458-8411
jimd(c�ci.yelm.wa.us for details,