109 Yelm Ave E (6) 111� CITY OF YELM OFFICIAL USE ONLY
��O'� T��P�� 105 Yelm Ave. W. FEE $35.00
Rec By
4 9�, Yelm, WA 98597 Comm Dev.De t.
� �� (360) 458-8437 OFFICE Bldg Dep �/ %
(360) 458-4348 FAX Insp.Date
www.ci.yelm.wa.us
Lic.No.
APPLICATION FOR
YEL HM TON BUSINESS LICENSE �1� l�
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
IJ NEW BUSINESS � NAME CHANGE/MAILING ADDRESS CHANGE ONLY
DATE ��`'� t�� �L��I
BUSINESS NAME
1�� ��� �.j�-� o�le� `J�,n C_�l}.��.
NATURE OF BUSINESS �5�v�'�-� �-�G71
,- �,r, � �G>
BUSINESS LOCATION ADDRESS �O�I ��,�'�� ���- � ��-���� "` ��J ��
� MAILING ADDRESS ZZZG� C;��� �� �� SL ��`0'� ���� ���c��
EMAIL ADDRESS �������-I�S�'�-�� �Z`•�'����� -C��"�
ANTICIPATED OPENING DATE ��"'`•'
DAYS 8� HOURS OF OPERATION I���� t''r��G �q�r��
OWNER(S) �Q.SC�Q.� 1\C��5�2(^
Address
�r � City State Zip
TELEPHONE -�v�'�S I`�-����
(Business) (Home/Emergency)
CONTRACTOR'S REGISTRATION NO.
(If applicable)
THURSTON CO. HEALTH APPROVAL NO.
STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) ���J �� ���
��,1� 'C i�t. ,
; I �
Signature ' ° ! � Date 'JJly ��' 2�`�
.
Page 1 of 1
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TAX RE�GISTRATIDN NO: G0�317599 ACCQUNT QPENED: 07�`O1J'�OZ3 12:OQ:40 AM
UBI: 60331�'599 ACCaUNT tLDSED: UPEN
ENTITY NAME: h1CCU5KER P�t5G4LE N
BUSINE55 NAh1E: BELLE YUE LASHES!#ND SKINC�kIxE
MAILING ADDRE55: BU5INE55 LOCATIQN:
22205 ELB�DW LAKE RD SE 22205 ELBOW L�tKE RQ SE
1FELM�WAt 98597-9346 'fELM�WA 98597-93�6
ENTITY TYPE: SULE PROPRIETOR RESELLER PERMIT N0: N�`A
PERMIT EFFECTIYE: N�A
NAICS CUDE: 8121f� PERMIT EXPIRES: N/tk
NAICS DEFIMITI�DN: BEAUTY SAL�NS
F�R N(�IV-��t41MEF��IAL U�EC�NLY
07�18/2U14 30:27 AM
http://dor.wa.gov/imagesBRDImage.aspx?tra=AmOhw6Ry9uBAhQNLx7JxEUVDGJScf... 07/18/2014
4�� �N�p�Q,y� City o f YeZm
a �s
Public t�Vorks Department
10.� Yelrn Avenue West
Yelnt, WA 98597
YELM
W4SH�NGTON
Date: ����`�"
Property Address: � d� � — �P�'l. �CJh.(/ej�d-
Business License Applicant: � S � �o i ' ► :LhS(�o_,✓
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 ch ge of ownership
Not Applicable _ �.
�
� Contact Kevin Ray, City of Yelm Public Works (360J 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 piant and the City requires ail 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:
._____�_P_r'tor-ta--approvaf-oT your business license -
CJ Within days of change of ownership
❑ Not Applicable
Contact Jim Doty, City of Yelm Public Works (360J 458-8411
jimd(u�ci.yelm.wa.us for details.