109 Yelm Ave E (5) � C ITY O F YE LM OFFICIAL USE ONLY
� p� THF A�� 105 Yel m Ave W ReE BY35.00
� 9 Yelm WA 98597 Comm Dev.D t.
a � (360� 458-8437 OFFICE Bldg Dept. �"'
�' � � (360) 458-4348 FAX Insp.Date
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�,., www.ci.yelm.wa.us
>:.., Lic.No.
APPLICATION FOR �� � �
YEL HM TON BUSINESS LICENSE % � �
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
EW BUSINESS NAME CHANGEIMAILING ADDRESS CHANGE ONLY
. ,
DATE
BUSINESS NAME
�`_�..Oro��
NATURE OF BUSINESS C � lS� �
BUSINESS LOCATION ADDRESS V �
MAILING ADDRESS ' �
i
ANTICIPATED OPENING DATE �
�
DAYS 8� HOURS OF OPERATION
OWNER(S) �
Birthdate �� �'1 )'��YJ
Address • i"
���-7\ City '��ta�te.
TELEPHONE � C�'—' �,�7 �lJ�� ) —.���"?���, �—
(Business) (Home/Emergency)
CONTRACTOR'S REGISTRATION NO.
(If applicable)
THURSTON CO. HEALTH APPROVAL NO.
f
STATE F SHINGTON MASTER BUSINESS LICENSE NO. (UBI) � �V ���
Signatu e � Date ��"����
CITY OF YELM
BUSINESS LICENSE APPLICATION
10/13
Page 1 of 1
�V'�shin�ton Stat�e Department of Reven�ue
�tate Business Re�cords Database D�et�il
TAX REGISTRATION NO: 602�53029 ACCOUNT OPENED: 12/O1/2004 12:00:00 AM
UBI: 602453029 ACCOUMT CLUSED: OPEN
ENTITY NAME: THOMP50N AMBER C
BU5INE55 NAME: BDH lONS SALON
MAILING ADDRE55: BUSINE55 LOCATION:
PO B07{463 12Q8 YELM AYE
PIIXENNA,WA 98558-0463 YELM,WA 98597-0000
ENTITY TYPE: SQLE PROPRIETOR RESELLER PERMIT MO: N/A
PERMIT EFFECTIYE: N/A
NAICS CODE: 812112 PERMIT E}CPIRES: N%A
NAICS DEFINITION: BEAUTY SALONS
F�R N�N-C�MMERCIAL USE �NLY
04/07 j2014 1:41 PM
http://dor.wa.gov/images/BRDImage.aspx?tra=Wui2fZ8mwmVuv+9iJNw1 zjt9dD7KbTR... 04/07/2014
4 Of THF A.Q,y� C i ty o f Ye l m
4
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a � Public Worhs Departm.ent
105 Yelm Aven�e West
Yelrn, WA 98597
YELM
WASfi1NGTON
Date: _ �— �—'"� �
Property Address: � � � � � ��Q� �� �v�
Business License Applicant: �Y � �
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 approval of your business license
Within days of change of ownership
Not Applicable
Confact Kevin Ray, Cify of Yelm Public Works (360J 458-8490
kevinrta�ci.yelm.wa.us for details on device opfions and inspection
requirements.
Fats, oils, and greases entering the City of Yelm STEP sewer system can adve�sely
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 �equired:
_—�_-P�aor�a-appwual--0T�rour business licer�se _ _ ____ ____ _.
❑ Within days of change of ownership
❑ Not Applicable
Contact Jim Doty, Cify of Yelm Public Works (360J 458-8411
jimd(c�ci.Velm.wa.us for details.