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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 • Report An Error/Feedback 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 ,__. _._____._._---...---._..._ � Ctose This Window � � If you are part of this organization or are an authorized NCCS Community Research Parmer,you can edit its information.NCCS account required. Already registered?Login here.Not yet a registered user?Click here. 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