16733 103rd Ave SE r �
CITY OF YELM OFFICIALUSEONLY
�4� TNFA�� 105 Yelm Ave. W. FEE $35.00
Rec By
,,4 9i Yelm, 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 ���Z�
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 wili process the application and mail license to applicant ai
address listed below.
Application is hereby made for a Business License for the City of Yelm
� NEW BUSINESS C� NAME CHANGE/MAILING ADDRESS CHANGE ONLY
DATE_3"I �"Iy
BUSINESS NAME ��'('(�A M t� ' l� �a ��t�n,�(V�Pvt��Qf��c
NATURE OF BUSINESS�,.pp�r�hp p��� YV�p��; � Q �a,L t��,p�� ��� ��II
BUSINESS LOCATION ADDRESS /���3 %(����___� 1l,gLy�,���,�} ��SQ7
MAILING ADDRESS�h►b�C IUPt,�:� . 1�c`�. E y� /�e (u ndr, ! (�P(� qa�Q�
ANTICIPATED OPENING DATE 3+�S ��y
DAYS 8 HOURS OF OPERATION��j�(�S Id��m � 1.Q yv�
OWNER{S) Tr�1��[S��n rY,rt�u n��c�r 1� or� ��.� ,. ,�
Birthdate�p� `��p,�
Address��,F_ �I7�1 �VG ���,� �� ���1
TELEPHON��� �S�C'���5 /�Q��,�(�t"o�9�,4.I Zip
(Bus�ness) (Home/Emergency)
CONTRACTOR'S REGISTRATION NO.
(If applicable)
THURSTON CO. HEALTH APPROVAL NO.
STATE OF WASHINGTON MASTER BUSiNESS LICENSE NO. (UBI)��� C, •3 -�'9�' C�C�C«
_ .r
__ _ �
Signature �f `—� Date `��G1/�'
NCCS Organization Profile-Thurston County Council on the Aging Inc(910821977) Page 1 of 1
� National Center for Chardable Siatistics
�
• C�OSE;Wi11Cj0�4' .
Thurston County Council on the Aging Inc
Olympia, WA 98501
❑= IRS provided data
O= User submitted data
• o��e���;�w�
• Programs
• Form 990 Filin�s
• Ofticials
• [;vei�ts
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Organization Overview
Organization Details
EIN: 910821977
Secondary Name: Thurston Mason Senior News--Go<>�lr.
Location:❑ 12th Ave E Ste 200
Olympia,WA 98501 ❑Report�ddress Chan�e
County: Thurston CounTy
Ruling Date: 1968 ��praximate year when founded)
IRS Type: 501(c)(3)-Public charity:Religious,educational,charitable,scientific,and literary organizations...
Legal basis for public charity
or private foundation status I S-Organization with a substantial portion of support from a governmental unit or the general public
(FNDNCD):
NTEE:❑ P81 -Senior Centers
Most recently completed 12/2011
fiscai year(TAXPER)
Total Revenue $166,775
Total Assets: $56,448
Organization Mission Statement and Purpose
Senior citizens newspaper
c.2003
,__. _._____._._---...---._..._
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required.
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Home Paee�NCCS Tools�Feedback�Lo�in
file:///C:/CJsers/Karen/Downloads/NCCS%200rganization%20Profile%20-%20'Thurston%20County%20Council%20on%20... 3/14/2014
Page 1 of 1
���F���ltixi�t�r� �ttite I����;�r.�Ill�Ilf Il�'RP���Y��i�
����te B�l�u�+��:� R.r��c�i•��� D:�t�����+e I�et��il
TI#X REGISTRATION NO: NON-REYENUE ACCDUNT OPENED: 12/19f'1958
UBI: 6D1138296 ACCdUNT CLOSED: O�Ef�
ENTITY NAME:
BUSIfYE55 NAME:
MAILING ADDRESS: BUSINESS LQCATION:
Sa3�TH AYE 1W 5D3�iTH AYE 1W
OLYMPIA,WA 98501-100�J QLYMPIA,WA 98501-1009
ENTITY TYPE: AS�OCIATION RESELLER PERMIT N0: NI�1
PERMIT EFFECTIVE: N/�4
N1kIC5 CUDE: 999990 PERMIT E}tPIRES: fVjA
MAICS DEFINITION: N?A
F�R N�M-CC}h+1MER�I,AL USE t�NLY
03f 14;f201�3 1:57 PM
http://dor.wa.gov/images/BRDImage.aspx?tra=lUdgxTJUs8vWwmkbzJKMOg==&rsp= 03/14/2014
'4F•�f TH�p'Q,y� City of Yelm
a �
Public Worhs Department
105 Yelm Auenue West
Yelni, WA 98597
YELM
WASHINGTON
Date: ?""�� '��
I/� � �
Property Address: f(.[1��� ��� - --• �'y� �,;� ����7,
— , _ ,�
• /�r � .„ - . _- __ r,
Business License Applicant: 1�,1, S' (,,� �
„ --
Dear Applicant: � s �
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
Contact Kevin Ray, City of Yelm Public Works (360J 458-8410
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
STFP tank.
Installation of a Grease Interceptor is required:
C Prior to approval oT your business license - --- - - - -- - - - - - - --
❑ Within days of change of ownership
❑ Not Applicable
Contact Jim Doty, City of Yelm Public Works (360J 458-8411
jimd(�ci.yelm.�va,us for details,
� . S
Lori Mossman
From: Karen Bennett
Sent: Tuesday, March 25, 2014 11:07 AM
To: Lori Mossman
Subject: MEB Ltr
Attachments: MEB.pdf
Per Grant I am forwarding you this letter. Do you ivant it hard copy too??? I did p��int you out one
if�ou want it. Smile!!!
Karen T. Bennett
City of Yelm
l05 Yelm Aue W
Yelnt, WA 98597
�36�)458-383
,�
��� 4���� '
� �
�*�L�
,����,.w�,9�
1
��,�� Ty�p� �'ity of Yelm
4 �
� � Community �evelopment Depdrtment
105 Yel.m Ac.�enue West
Ye,lm, WA 98597
YELM
WA3SMINGTQN
March 25, 2Q14
Dennis Mahar
TCCOA Medical Equipment Bank
1'!2 East 4t"Avenue
Olympia, WA 98501
Dennis:
The City of Yelm has received a business license for the TCCOA Medical Equipment
Bank to operate out of the Yelm Prairie Christian Center at 501 103`d Avenue NE in
Yelm.
The Yelm Prairie Christian Center is cu�rently in violatian of City land use and building
codes, County health codes, and Washington State electrical codes. Further expansion
of the Christian Center through operation of the Medical Equipment Bank from the
facility without compliance with #hese regulations would also be in violation.
If you have any questions regarding the status of the Christian Center's ongoing
violations or loca#ions in Yelm for the Equipment Bank that would not be a violation,
please contact the Community Development Department.
Sincerely,
ran# Be , rector
m ity Development Department
c. Brent Dille, City Attorney
Loren Combs, Attorney for Yelm Prairie Christian Center
(360)458-3835
(360)458-31�4 FAX
u+ww.ci.yelni.wa.us
��� THEA�A,9�` City of YeZm
� e
Community Development Department
105 Yelm Auenue West
Yelm, WA 98597
YELM
WASHINGTON
April 9, 2014
TCCOA
112 East 4th Avenue
Olympia, WA 98501
Re: Medical Equipment Bank at 16733 103�d Avenue SE, Yelm, WA
To whom it may concern:
The City of Yelm has received your business license application to operate a medical equipment
bank at the building located at 16733 103�d Avenue SE.
The site is the location of the American Legion, and the use of their building and storage
building for the distribution of inedical equipment is approved.
Please note that Yelm Development regulations state that storage of inerchandise and
equipment must be within an enclosed building and storage in or on a public right-of-way is
prohibited. Any expansion that is not exempt from adopted building codes will require a Site
Plan Review approval pursuant to Section 17.84.010.
If you have any questions, please do not hesitate to contact me.
Sincerely,
���,,n.c �?�,'t--
Tami Merriman, Associate Planner
Community Development Department
(360)458-3835
(360)458-3144 FAX
www.ci.yelm.wa.us