109 Yelm Ave E (7) CITY t�� YE�M OFFICIALUSEONLY
�4� T�P,�,� 105 Yelm Ave. W. FEE $35.00
Rec By
Q �r Yelm, WA 98597 Comm Dev.Dept.
4 �� (360) 458-8437 OFFICE Bidg Dept.� .•�/ ��
(360) 458-4348 FAX Insp.Date
wv�w.�i.yeirn.wa.�s
Lic.No.
Y'ELM APPLICATION FOR
LVASHINGTON BIJSINESS LICENSE ��� CGI
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 rraade for a Business License for the City of Yelm
� NE BlJ NESS �/� � NAME CHANGE/MAILING ADDRESS CHANGE ONLY
DATE ��� C 7` `
�l1SINESS NAME �/V����i l� � i�, � ��(QN
NATl9RE OF BUSINESS � � �, � �� S� N�kv�
BUSINESS LOCATION ADDRESS � l' �- �� �
MAILING ADDRESS ,7����� ��� � C �� S �-�� ����"
EMAIL ADDRESS � �'` `
ANTICIPATED OPENING DATE .�VL�'1/� -
DAVS 8 HOURS OF OPERATION �.� D W�� - � ���"� �
OWNER(S) � �-4 �---�� C-- - C �—
Address �S� ��j� � (� � �'�-(/ �' � �' ! i
� �r City Stat'e(L. Zip
TELEPHONE ��C;C.�% `'(��— �(�Z�� ���f _ ��� �
(Business) (Home/Emergency)
CONTRACTOR'S REGISTRATION NO.
(If applicable)
THURSTON CO. HEALTH APPROVAL NO.
STATE OF WASH GTON MASTER BUSINESS LICENSE NO. (UBI) y�D�b l�� U U
� T
, �
/�� f
� �� 1
Signature Date `
Page 1 of 1
��shul��a�n �t��� D�p�rtrr�ent +nf I�.e�ren�e
���t� Busin�ss Re�car�ds TI�.�ab�se L��t�il
T�kX REGISTRATIOM NO: 6U�015688 ACCOUMT QPENED: D�f01�`2010 12.UO:QO ANt
UBI: 603015688 ACCOUNT CL05ED: OPEfM
EMTITY NAME: MCCUSKER h1AitYSE
BUSINE55 NAME: MAR'f5E Ni#IR DESIGN
MAILIMG ADQRE5�5: BU5INE55 LOCATIUN:
222U5 ELB�DW L�4KE RD SE 2Q8 MINMESOTik ST N
FELM,WA 98597-93d6 RAIfVIER�WA 98576-O�QQO
EMTITY TYPE: SQLE PROPttIETUft RESELLER PERMIT NO: M�'A
PERMIIT EFFECTIYE: MfR
MAICS CODE: 812I 12 PERMIT EXPIRES: h1�A
NAItS aEFINITION: BEAUTY SAL.OMS
F(]R NCJM-��}MMER�IAL U�E UNLY
o��is�2aia io:�s ar�
http://dor.wa.gov/images/BRDImage.aspx?tra=OKOJq+E 1 EEyxAK7yOrkMIMvsyOVn/Y... 07/18/2014
��F THE p'�,y-� Ci ty o f Ye l m
a �
Public Worhs Depdrtment
10.7 Yelm Auen�e West
Yel�rz, WA 98�97
YELM
WASHINGTON
�ate: ��`"��-��
Property Address: �/.� E - S�(�� N��/Qa./,�
Business License Applicant: �Q-►�l/�� � C'�C(�
Dear Applicant:
Section 13.04.220 YMC requires ali commerciai buildings and irrigation systems to have
a Reduced Pressure Backflow Assembly (RPBA) device installed on the water services.
Installation of a Reduced P�essure Backflow Assembly is required:
❑ Prior to approval of your business license
❑ Within d s of chan e of ownership
Not Applicabie
�_
Contact Kevin ` ay, Cit Yelm Public Works (360) 458-8410
kevinr(a�ci.yelm.wa.us aletails 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, oiis 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_rioc-ta -approva( oi your business license
❑ Within days of change of ownership
❑ Not Applicable
Contact Jim Doty, Cit}r of Yelm Public Works (360J 458-8419
jimd(c�ci,yelm.wa,us for details.