16518 Yelm Ave E (3) IIIIII CITY OF YELM OFFICIAL USE ONLY
�O� T�A 105 Yelm Ave. W. FEE $35.00
Rec By
q Yelm, WA 98597 Comm Dev.Dept.
4 (360) 458-8437 OFFICE Bldg Dept.
(360) 458-4348 FAX Insp.Date
www.ci.yelm.v►ra.us ,
Lic.Na �
YELM APPLICATION FOR
WASHINGTON BUSINESS LICENSE //a 3
�
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
�-MEW BUSINESS � NAME CHANGE/MAILING ADDRESS CHANGE ONLY
DATE ��o�S'��7
BUSINESS NAME ���r����z�t �����Sr,f
NATURE OF BUSINESS ���-/� �C�1`-�-P� �'���
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BUSINESS LOCATION ADDRESS �� S�ld' V-C !l/l�l `��-�
MAILING ADDRESS Z z- 7 ��% ���`7 ��;� �i S 2 `�y S��
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EMAIL ADDRESS Iv1 ri ��i�/�1 �� ���L • C ��,rv�
ANTICIPATED OPENING DATE �' � -!`l— t�`' 7 - ��
DAYS 8� HOURS OF OPERATION / �'� - � S� �i �> � - �� � �'Y
OWNER(S) ' .�� s l'-c t-� ( l
Address -ZZ 7 �� ��c�� 4/c;c,� �/�Se ��//�'t (�'� ���� �
r �
TELEPHONE � � �° C,�(��— �l��� City �,��� State Zip
(Business) (Home/Emergency)
CONTRACTOR'S REGISTRATION NO.
(If applicable)
THURSTON CO. HEALTH APPROVAL NO.
STATE OF WASH GT ASTER BUSINESS LICENSE NO. (UBI) :�U� 5�d ��SS �
Signature Date � L j� /
Page 1 of 1
'���hul�t�n S�t��� I�►�p�i�tm�nt v�`l�.e��enu�
�t�te Bu�in�ss l�ecc�r�ls I����ba��e I�et�il
TAX REGISTRATION MO: 602570955 ACCQUNT OPENED: 01 f 2Q�20Q6 12:OQ:QO AMt
UBI: 602570955 ACCOUNT CLOSED: d1�20f200612:dD:0UAM
EMTITY NAME: SYYAN MICHAELANGELa
BUSINE55 NAME: MICHAELANGELO SYYAN
MAILING ADDRE55: BUSINE55 LOCATIUN:
1240 SMITH ST SE 1240 SMITH ST SE
QLYMPIA�WA 985a1-2731 ULYMPIt#�WA 98501-2731
ENTITY TYPE: SQLE PROPRIETOR RESELLER PERh1IT NO: N,�A
PERMIT EFFECTIYE: NfR
NAICS CUDE: 238210 PEf�MIT EXPIRES: N/A
NAItS DEFINITION: ELECTt�ICAL CONTRACTOR�
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FC�R N�N-��MMER�IAL USEC�NLY
U7/28 f 2014 8:35 AM
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4�� TH,�p�A.�� �'ity o f YeZm
a �
Public Works Department
105 Yelm Auenue West
Yelm, WA 98597
YELM
WASH�NGTON
Date: �
Property Address: ��1 0 . �
Business License Appiicant: ( - ��a ��
%�
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 busines icense
❑ ithin days of n f nership
o�Applicable
Contact Kevin Ray, City of Yelm Public Works (360J 458-8410
kevinr(a�ci.velm.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
STEP tank.
Installation of a Grease Interceptor is required:
_______�_P_cior--ta-approvaf of your business license - -
�Within � days of change of ownership
CI Not Applicable ���i
Contact Jim Doty, City of Yelm Public Works (360J 458-8411
jimd(a�ci.yelm.wa,us for defails,