1504 Yelm Ave W (2) CITY OF YELM OFFICIALUSEONLY
�p� TH�P�,� 105 Yetm Ave. W, FEE �3�.00
� CommyDev.Dept.
q 9�, Yelm, WA 98597
a � (360) 458-8437 OFFICE Bidg 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 appiication 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 BUSINES / ❑ NAME CHANGElMAILING ADDRESS CHANGE ONLY
DATE J (
BUSINESS NAME �I'�1� � � ��'` �
NATURE OF BUSINESS Y� � n' �1 U �� �� �� �''m��- �C�KS _
BUSINESS LOCATION ADDRESS ��4� � �'�—� ��L ��'S 1: �� �-�'1 ��
Y�SS`t `��
MAILING ADDRESS �S�''S Y}1e
ANTICIPATED OPENING DATE 6 � Z� � y
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DAYS 8� HOURS OF OPERATION 1'n0/11 �Pt Y '��'I�O�G l I S� I � Z ' � �"�
OWNER(S) �SNP�L-� /'s-r.J�,�, J E�ll'v N�C= 'jZ�,�f'��1
Birthdate .S�t� ��� � ����6 �
Address 5 Z� � �� r� G"� � L ��L `� V�� L��L J
C�ty State Z�P
TELEPHONE LI�� `'�� �"�LI 36 C ' ��� � �l� 75 f
(Business) (Home/Emergency) c- 3��.� � � �I � 9�?_`�
CONTRACTOR'S REGISTRATION NO.
(If applicable)
THURSTON CO. HEALTH APPROVAL NO.
STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) l�C� ����.�����
/ /
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Page 1 of 1
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TAX REGISTRATION NO: 601373277 ACCQUNT QPEIYEQ: O6/O1/2014 12:OQ:QO AM
UBI: 601373277 ACCOUNT CLOSED: OPEN
ENTITY NAME: ROMAN DOfVALO C 8c]EANMIE C
BUSIME55 NAME: AARDYARKS
MAILING ADDRE55: BU5INE55 LOCATION:
1504 W YELM AVE 150�4 W YELM AVE
YELM,WA 98597-9450 'fELM,WA 98597-9450
ENTITY TYPE: 50LE PROPRIETOR RESELLER PERMIT N0: N�A
PERMIT EFFECTIYE: N/A
NAICS CODE: 713990 PERMIT E%PIRES: fV�'A
NAICS DEFINITION: ALL OTHER AMUSEMENT AMD
RECREATIONINDU�TRIES
(PT)
FfJF� N�N-C�MMER�CIAL U�E�NLY
05J0?j2014 4:29 PM
http:Udor.wa.gov/images/BRDImage.aspx?tra=fMhmFahpPoThirRD03 ZZocrYIqpj+ter&... OS/07/2014
4�f THF p.Q,y-� Ci ty o f Ye l tn
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a `� Public Worhs Departm,ent
105 Yelm Auercue West
Yelni, WA 98597
YELM
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Date: �j''�� �'
Property Address: � �� � -
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Business License Applicant: �7���(� �� �V��(>�.)'�� 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
,�-fd'ot Applicable ^ ��,
l.�
Contact Kevin Ray, City of Yelm Public Works (360) 458-8410
kevinr(a�ci.�elm.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 �equires an appropriately sized grease interceptor to be installed prior to the
STEP tank.
Installation of a Grease Inte�ceptor is �equired:
—_�_�'-raor-to-a{�p��ual-oT�rour-business licet�se - _ _ __ _ _ __ ______ -
❑ Within days of change of ownership
❑ Not Applicable
Contact Jim Doty, Cify of Yelm Puhlic Works (360) 458-8411
jimd(a�ci.yelm.wa.us for detai/s.