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213 Yelm Ave W (2) CITY OF YELM OFFICIAL USE ONLY �G-O� T�J�� 105 Yelm Ave. W. FEE $35.00 Ov � CommyDev.De t. 9 Yelm, WA 98597 P � � (360) 458-8437 OFFICE aidg oept:E l ��' ���-:''� (360) 458-4348 FAX Insp.Date www.ci.yelm.wa.us Lic.No. APPLICATION FOR YEL HM TON BUSINESS LICENSE ' 1 �"�� Upon receipt of the license application and $35.00 payment, the City of Yelm wili 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 NEW B SINESS � NAME CHANGE/MAILING ADDRESS CHANGE ONLY DATE L C_: c�" � d�J � BusiNESS NannE �e�B��:T"S ���� S�L I ��i� ����� �C� NATURE OF BUSINESS �� " v.'J-`>�� � C— � BUSINESS LOCATION ADDRESS ��� �= � N�_/: ����� `�'���1 w - MAILING ADDRESS I ' 'tC�� �Y2l U �1 �C�d�J S�'� � - `7 �/�'1 . �'-Y ��.5 �� 7 EMAIL ADDRESS A rCt Y'LCl�I 1��I�C K--�S � U1�'] (�� ��l.(-1 ANTICIPATED OPENING DATE �C7'U r� . �-� I LI DAYS 8� HOURS OF OPERATION �7 " � ��1�1� ��'�4 �vJ'�I��,;���Q OWNER(S) /�� «�<��I �r� � ��S Address � d(,� .�`�C'-t (n�1c1 �� . �C ��:.���n \,U/-� _ �,j� \ / / City State Zip TELEPHONE � �CU� 1 7�I — 7�U� (Busine ) (Home/Emergency) CONTRACTOR'S REGISTRATION NO. (If applicable) THURSTON CO. HEALTH APPROVAL NO. STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) LS��i�� ` �`�� ��d Signature /�—� � �� Date �� � � Page 1 of 1 �'Vashui�tan State Department_ of Revenue State B�usiness Recards D�t�base L?etail TAX REGISTRATION NO: MON-REYENUE ACCOUNT OPENED: 1OJ01/2014 UBI: �6Q3443370 ACCQUNT CLOSED: OPEN ENTITY NAME: BUSINESS NAh1E: MAILING ADDRESS: BUSINE55 LOCATIQN: 1Q406 BRIGHTON ST 5E 10406 BRIGHTON 5T SE YELM,WA 98597-0000 YELM�WA 98597-0000 ENTITY TYPE: LIMITED LIABILITY RESELLER PERMIT NO: N/A PERMIT EFFECTIYE: N/A NAICS CODE: 999990 PERMIT EXPIRES: N f A NAICS DEFIfYITIOM: NjA FOR NfJN-C�MIMERCIAL USE �NLY 1Oj27j2014 1:46 PM http://dor.wa.gov/images/BRDImage.aspx?tra=Dh4D63nM7U/9AFA4FhbEZQ==&rsp= 10/27/2014 0� TNF A • � �.�� Ci ty o f Ye lm a M Public Works Department 105 Yelm Auenue West Yelm, WA 98:i 97 YELM WASHINGTON Date: ���4�� � �S�la�-t.�e..r�rii I � , �t(,e Property Address: � � � /�/ w, � �.... ���'f Business License Applicant: . ��(� 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: ����y `� �� �� ❑ Prior to approval of your business license �(/c�:�, � �l�1J�-. ❑ Within days of change of ownership ❑ Not Applicable Contact Kevin Ray, City of Yelm Public Works (360J 458-8490 kevinr(a�ci.yelm.wa.us for details on device options and inspection requirements. Fats, oils, and greases entering the City of Yelm STEP sewer system can adversely i affect the operation of the plant and the City requires all appropriate measures to avoid fa±s, oi!s �C�� y�°�S�S fi o�m 2ilici i(1� the system. Section i 3.08.090 Yelm i�iunicipa( Code requires an appropriately sized grease interceptor to be installed prior to the STEP tank. Installation of a Grease Interceptor is required: C Prior to approvai oi your business iicense ❑ Within days of change of ownership ❑ Not Applicable Contact Jim Doty, City of Yelm Public Works (360) 458-8411 jimd(a�ci.�elm.wa.us for details.