1201 Yelm Ave E #103 C ITY O F YE LM OFFICIAL USE ONLY
�O� THF p� 105 Yelm Ave. W. FEE $35.00
Rec By
�4 9� Yelm, WA 98597 Comm Dev.Dept.
� �► (360) 458-8437 OFFICE Bldg Dept.
(360) 458-4348 FAX Insp.Date
svww.ci.yelm.wa.us
Lic.No.
YELM APPLICATION FOR ,
WASHINGTON BUSINESS LICENSE ��� ��
Upon receipt of the license application and $35.00 payment,the City of Yelm will conduct an inspection of
the premises for building and fire code conformance. Upon approval from the Yelm Building Department
of said premises,the City Clerk's Office will process the application and mail license to applicant at
address tisted below.
Application is hereby made for a Business License for the City of Yelm
I� NEW BUSINESS � NAME CHANGE/MAILING ADDRESS CHANGE ONLY
DATE �'I[D°" c�i��
BUSINESS NannE L—lr�nP,tp�C��! �IN:` ,�„ j�-�
NATURE OF BUSINESS��� -cJE�'C� ��r���n `I�ck[ J��`I `�CZ�Y
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ANTICIPATED OPENING DATE ' !S ' �� ���`�7�
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DAYS 8�HOURS OF OPERATION O�.CY� `—'
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(If applicable) '��/ � o_
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Page 1 of 1
��shiTi�t.a�. �t�te I��p�i�t.rrl�nt �f R�v�enu�e
���t� Bu�iness Recor�ds I�a���a�e Det�il
TAX REGISTRATIOM NO: (VON-REYEfYUE ACCQUNT OPEfVED: 0$/06�'2[II4
UBI: �03426281 ACCOUNT CLOSED: OPEN
ENTITY NAME:
BUSINE55 NAME:
MAILING ADDRE55: BUSINE55 LOCATION:
1201 E YELM AYE STE#lU3 1201 E YELM AYE STE#103
'fELM,WA 9859�-OOOQ 1FELM�WA 9859�-OQDQ
EMTITY TYPE: LIMITEQ LI14�BILITY RESELLER PERMIT NO: N�`Fi
PERMIT EFFECTIYE: hlfA
NAICS CODE: 999990 PERMITEXPIRES: N/A
NAICS DEFINITIUN: N f A
FC�R NDN-CC]MMER�IAL USE �NLY
Q�f 14/2014 S:OS AM
http://dor.wa.gov/images/BRDImage.aspx?tra=Z4meq5HGx/iV6o60YdvDIw==&rsp= 08/14/2014
��f TN�p'�� �'ity o �elm
�q -�',r �
a �r�n
Public Worhs Department
105 Yelm Avenue West
Yelrn, WA 98597
YELM
WASNINGTOrv
Date: �� �
Property Address: � G��' �'� �/�� — �..//�Q,�
�
Business License Applicant: �,�,,r/'� 2 �' �YLQ/1� �(��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 of change of ownership
o licabie '''
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 enfering the system. Section 13.08.090 Yelm Municipai
Code �equires an appropriately sized grease interceptor to be installed prior to the
STEP tank.
Installation of a Grease Interceptor is required:
. _ C__P-rior to-approval oT your business license - - - - -
❑ Within days of change of ownership
❑ Not Applicable
Contact Jim Doty, Cify of Yelm Public Works (360J 458-8411
jimd(�ci.Velm.wa.us for details.
CITY OF YELM
Clerk—Treasurer's Office
2014 BUSINESS LICENSE
Not Valid Until Fee is Paid
LIMEBERRY YELM LLC
IS HEREBY AUTHORIZED TO OPERATE
LIMEBERRY YELM LLC
17010 85TH AVE CT E
PUYALLUP WA 98375
AT: 1201 YELM AVE E 103
This license must be posted in a conspicuous place at the business location
License Number: 11038
Payment Record — keep this portion for your records
CITY OF YELM
OFFICE OF CLERK TREASURER
105 YELM AVENUE WEST• YELM, WA 98597
LICENSE NUMBER 11038
ACCOUNT N0 TYPE OE LlCENSE
11038 RETAIL
DArE DuE �E�S �'
CITY OF YELM
OFFICE OF CLERK TREASURER
105 YELM AVENUE WEST•YELM, WA 98597
{4CCOUNT NO ' TYPE OF L(CENSE Name Of Business
11038 RETAIL LIMEBERRY YELM LLC
DATE DUE EEETO7AL