1405 Yelm Ave E (2) IIII I��� � "°'"° C I TY O F YE L M �FFICIAL USE ONLY
�0� THF p�,�; 105 Ye l m Ave W FEE $35.00
Rec By
,4 9,� ' Yelm WA 98597 Comm Dev.De t
� � (360) 458-8437 OFFICE Bldg Dept - ,� !�
(360) 458-4348 FAX Insp.Date
���' 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
L'� NEW BUSINESS I� NAME CHANGE/MAILING ADDRESS CHANGE ONLY
DATE �%_-^'-;��;;-;
BUSINESS NAME ���' �� � �r,./� �1 n•�
� f/ � � 4
NATURE OF BUSINESS �e`�a, r �� Cc, 1�=,�,9�, ��=;���G�Sc�xf�� ,�i;`�;�,�c�,u��
BUSINESS LOCATION ADDRESS 1 G�OS Y�l�' ��a �� ;�;�°� =%�- %��1 ii'
MAILINGADDRESS_ ����� l"��nrf,n ��y� � (�l�l,v�f,,<, ��� i.�<; ,T;.
�
ANTICIPATED OPENING DATE f��j � ��r �
;
DAYS 8� HOURS OF OPERATION ��n � J�n �S- %���°^
OWNER(S) ��'�,T� Gi/h�c��f' �" I VSo� J!� �Ie:�/ .
Birthdate /0/�,S /8y/
Address �'�,�5 ���a;�"./��'l ��-,�1� �lc(i�'�iUt �/�`"' /�'>D�
_ �, � � City ` State Zip
TELEPHONE ��Z�-��5 ,��; ���
(Business) (Home/Emergency)
CONTRACTOR'S REGISTRATION NO.
(If applicable)
THURSTON CO. HEALTH APPROVAL NO.
STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) �G'S�3�/C� 7S�
— �,
Signature - Date �J
% � `���/
CITY OF YELM
BUSINESS LICENSE APPLICATION
10/13
Page 1 of 1
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���t� �u�irr�ss Rec+�r�� I������s� Ll���il
TAX REGISTRATIQN fM0: I�ON-RE�ENUE ACCOiUNT UREI4EQ: 04�24/'2014
�1Bi: �60��96751 ACCdUNT CLOSED: OPEtV
EMTITY MAME:
BUSINESS hIAME:
htAILIMG ADDRE55: BUSINESS LQC�4TION:
3Q2S MARTIN W'P�Y E 3025 MARTIM W aY E
OL'fMPIA�1'!A 985Q6-QOQO OLYMPIA,W�#98S06-Q000
ENTITY TYPE: CURPOf�ATIUN RESELLER PERMIT MO: M/A
PERMIT EFFECTIYE: N,��1
NAICS CODE: �99'�+390 PEFkMIT EXPIRES: N/r4
hIAICS DEFIMITI�DN: M f A
FC�R Nt�h!-��MMER�IAL USE�NLI'
04 j25 j201 d 2:50 PM
http://dor.wa.gov/images/BRDImage.aspx?tra=HpCcLAF/VvW8jYmkPL253A==&rsp= 04/25/2014
4°f rNF p�y-� C i ty o f Ye l m
a �s
Public Worhs Department
105 Yelm Aven�e West
Yelm, WA 98597
YELM
WASHINGTON
Date: �"`���
Property Address: +
T�'..� ^ �� � .
Business License Applicant: �rG� , ' ' � ` `�- � °� � 4�,��,
Dear Applicant:
li�. �� ' `�, .lt`-�.;., '�
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 require,Fd,.,.�
❑ Prior to approval of your business license �a,s.��°� -'l�
�� Within days of change of ownership�'./
�=--�-P�Fot�pplicable % �
A _
,
,.�
Confact Kevin Ray, City of Yelm Public Works (360) 458-8410
kevinr�a�ci.�elm.wa.us for details on device options 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
fafs, 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�aor--t-0-app�o�ai-0i�rour-business licer�se --. .._ . _ - _- -- - --- _ _ __ _.- _- - _._ _ .. _ —
❑ Within days of change of ownership
❑ Not Applicable
Contact Jim Doty, City of Yelm Public Works (360J 458-8411
limd(c�ci.Velm.wa,us for details,