715 Yelm Ave E. III�IIIIIIIII■ CITY OF YELM OFFICIALUSEONLY
�O� T�A�, 105 Yelm Ave. W. FEE $35.00
Q "�� Yelm, WA 98597 CommyDev.Dept.
� � (360) 458-8437 OFFICE Bldg Dept.
(360) 458-4348 FAX Insp.Date
www.ci.yelm.wa.us
Lic.No.
YELM APPLICATION FOR
WASHINGTON BUSINESS LICENSE �1�3�
Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of
the premises for building and fire code conformance. Upon approval from the Yelm Building Department
of said premises, the City Clerk's Office will process the application and mail license to applicant at
address listed below.
Ap lication is hereby made for a Business License for the City of Yelm
NEW BUSINESS �J NAME CHANGE/MAILING ADDRESS CHANGE ONLY
DATE �—�— �
BUSINESS NAME L�UIn� (/��(,� /yl���_ ��l0,�/I�����
NATURE OF BUSINESS �6LSS'($.��0 0���-,(�-Z
�� �4/l�D. C �p ���a� Q
BUSINESS LOCATION ADDRESS �lS— UID,
MAILING ADDRESS �� L�D g _ `���yl�l (.t�� `LU V `Z ?
EMAIL ADDRESS ___�M.Gl I���/��(�/'Yf
ANTICIPATED OPENING DATE � ��`�D`�
DAYS 8� HOURS OF OPERATION �Y�. — � q �-' �
OWNER(S) �8-rj yYl • l�LY1G�7�'
Address f� I;, /`�C(1"l_ ��Lf'Y` �/1�� L O J L C
TELEPHONE
�3 �(Q lzC3� C�� 3�Zd �-15S�el�S� ? Z�p
(Business) (Home/Emergency)
CONTRACTOR'S REGISTRATION NO.
(If applicable)
THURSTON CO. HEALTH APPROVAL NO.
STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) �O.�O �7��
Signature . Date ,$�����`7'
Page 1 of 1
����tuz�ta� S�t�t� II��p�ti�tment o��e��nu�e
���t� �u�in�ss R���i•c�s I)�t�base I�ret�il
TAX REGISTRATIOM NO: 603077720 ACCOUMT OPENED: 01/O1�fZ011 1ZOQAi1 At`"[
UBI: 60307772�D ACCOUNT CL05ED: QPEM
EfMTITY NAME: LIYING►YELL MA55AGE THERAPY INC
BUSINESS NAME:
MAILIMG ADDRE55: BU5INE55 LOCATION:
PO BOX 1409 13U4 E YEIM AkE STE A-109
YELM�WA 98597-1�L09 YELM,WA 98597-866�
ENTITY TYPE: CQRPORATIaN RESELLER PERMIT NO: N,�A
PERMIT EFFECTIYE: N/A
NAICS CQDE: 812199 PERMITEXPIRES: NfA
NAICS DEFINITION: DTHER PERSONAL CARE
SERYICES
F�R N�N-��MMER�IAL U�E (�NLY
os/oa]zoia�:o�ar�
http://dor.wa.gov/images/BRDImage.aspx?tra=lg 1 DJLifNzfyVkRJ8ao5izZX5266zX9Q&... 08/04/2014
4�F TH�p�P,y� C i ty o f Ye l m
4 R1
Public Worhs Depacrtment
105 Yelm Auenue West
Yelrrc, WA 98597
YELM
WASHtNGTOH
Date: ����
Property Address: ��S ��
Business License Appiicant: rl �Qjj� ' (�` C�� y��SQ,
r� ���,
Dear Applicant: _-�hp/��y
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 approvai of your business license
ithin days of c o ownersi�'
; o plicable
�`
Contacf Kevin Ray, City of Yelm Public Works (360) 458-8410
kevinr(�ci.�elm.wa.us for details on device options and inspection
requirements.
Fats, oiis, and greases entering the City of Yelm STEP sewer system can adverse(y
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 p�ior to the
STEP tank.
Installation of a Grease Interceptor is �equired:
- C- _P_rior to approvai oT your business license - - - - -
❑ Within days of change of ownership
❑ Not Applicable
Contact Jim Doty, City of Yelm Public Works (360) 458-8419
Lmd(a�ci.yelm.wa,us for details,