609 Yelm Ave W (2) CITY OF YELM OFFICIALUSEONLY
� � THE FEE $35.00
p ,, A�,� 105 YeI m Ave W Rec By
, �4�' 9� ' Ye1111 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.
YELM APPLICATION FOR �,
WASHINGTON 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
� NEW BUSINESS � � NAME CHANGE/MAILING ADDRESS CHANGE ONLY
DATE �Y Z� I `'I�
BUSINESS NAME �'�'�, CL�� � 1�i �1 � �
NATURE OF BUSINESS ��` r �'h L�
BUSINESS LOCATION ADDRESS ��G� �-�I M� f I V� � ' Gi�.� %'�� T7 Z'
MAILING ADDRESS ����� `'I"-1��� �k N � � I ����`�` �i'1 �r��� .
ANTICIPATED OPENING DATE � ��� l� �
DAYS 8� HOURS OF OPERATION ��u� � �'`� � � �3U J � i� ��
OWNER(S) �b�`� �iK 1' ���s�
Birthdate � -l'�'- ��
Address �� �}'" ��1��` �� �
City �r State Zip
TELEPHONE ��'����- w � �1�'��
(Business) (Home/Emergency)
CONTRACTOR'S REGISTRATION NO.
(If applicable)
THURSTrJN CO. HEALTH APPROVAL NO.
STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) �,.O��O� x��1 J �
Signature�_�'�--c� Date �-f�� Z� � T
CITY OF YELM
BUSINESS LICENSE APPLICATION
10/13
Page 1 of 1
���hi���an �t�t�e I��p►�i�trri�ent of I�e��nue
���t� Bu�in�s� l���c�rds I���abase I)+�t�il
TA% REGISTI�ATIOM MQ: 602826188 ACCOUNT OPENED: i l/01/2010 12:OQ:00 AM
UBI: 602826188 ACCOUNT CL05Ed: OPEN
ENTITY MAME: GARRISON KYOMG
BUSINE55 NAN1E: KYUNG GARRISUN
MAILING ADDRE55: BU5INE55 LOCATION:
$932 49TH CT NE 10141 HIGHWAY 12 SW
OLIFMPIA�V'JA 98516-9229 ROCHESTER,WA 9�579-8621
ENTITY TYPE: 50LE PROPRIETOR RESELLER PERMIT ND: N f A
PERMIT EFFECTIYE: N/At
NAICS CODE: 812112 PERMIT EXPIRES: fV/A
MAICS DEFINITI�UN: BEAUTY SALONS
F�Ft N�N-��MMER�IAL USE �]NLY
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4�f TNF p'Q,y-� Ci ty o f Ye lm
4 �RS
Public Worhs Department
105 Yelm Avenue West
Yelnt, WA 98597
YELM
WASHINGTON
Date: � �'� �
Property Address: � � , `�Z
,
Business License Appiicant C ' � S� y�.
Dear Applicant:
Section 13.04.220 YMC requires ali commercial buildings and irrigation systems to have
a Reduced Pressure Backflow Assembiy (RPBA) device instailed on the water services.
Installation of a Reduced Pressure Backflow Assembly is required:
Prior to approval of your business license
Within _�j� days of change of ownership �t��c.�� :�rYys�:z� �°�`�c��"°�'
❑ Not Applicable �`S�_�,�(..,
Confact Kevin Ray, City of Yelm Public Works (360J 458-8410
kevinr(�ci,�elm.wa.us for detai/s on device opfions 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 interceptor to be installed prior to the
STEP tank.
Installation of a Grease Interceptor is required:
Q_P-raor--to-appr-0val--0�-your business licetjse - _ . . . .... - -- - .. ._ ____- - _ _
❑ Within days of change of ownership
❑ Not Applicable
Contact Jim Doty, Cify of Yelm Public Works (360J 458-8411
limd(a�ci.yelm.wa,us for details,