1405 Yelm Ave E (4) C ITY O F YE LM OFFICIAL USE ONLY
�O� ��A�� 105 Yelm Ave. W. FEE $35.00
� Rec By �0 �
Q9� Yelm, WA 98597 Comm Dev.Dept. �c3���
� � (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 � l � ��j
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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
� NEW BUSINESS � NAME CHANGE/MAILING ADDRESS CHANGE ONLY
DATE ��� —f'�—�/�
BUSINESS NAME (.��'`[�'�" /`-t ll� �V ---z'1 Cc�°S .��/�'�
NATURE OF BUSINESS _�'.S f?� �9t`�(� .-��%t �,P�
BUSINESS LOCATION ADDRESS I� .�i� ��l r°t�p ��'C� �, ���{�► �� / �-��
MAILING ADDRESS '�-� ��� ' �-���� ��� � �-'�1�� �► �Ir° �� �����
EMAIL ADDRESS �(" + �'t 1'�. ,/�t'/ �� � (� �d�L'��'l�'� r- <d vf']
ANTICIPATED OPENING DATE 1 � "' � " � � �
DAYS � HOURS OF OPERATION � ��-+''1 -" �Or� �� ��y'� � z�c�' rL`'
OWNER(S)—�„�� �(i^ +°� �.�1 r��n �''� l�"�IIF�I�
Address �� �� � � ����� ✓7-U`� �= G�t��I L'j�fl� 1.�,�,�" ���
City State Zip
TELEPHONE �� '- � �� � ��� /' �
( sines (Home/Emergency)
CONTRACTOR'S REGISTRATION NO.
(If applicable)
THURSTON CO. HEALTH APPROVAL NO.
STATE OF WASHINGTON MAST R BUSINESS LICENSE NO. (UBI)��� �� '� �r,��
Signature �� � �`'��`��'�'� Date ��� ��'� — '�=���
Page 1 of 1
�ashin��an St��e I)�ep�rrtme�nt +�f Rev�enue
���te B�sin�ss R�ec�rds I�at�base D+et�il
TAX REGISTRATIOM NQ: 60335$284 ACCOUMT QPENED: i11�`OI,r°2014 I2:OQ:QQ f�M
UBI: 603�5H28� ACCOUNT CLDSED: QREN
Ef�TITY NAME: GELLER AUTQ 5ALE5 INC
BUSINE55 NAME:
MAILING IkQDRE55: BUSIfVE55 LOCATION:
43210 22ND AYE E 122 MF�RSHEII At+ENUE N STE A
EI�TQNYILI.E,W A 9$328-8233 EATQNYILLE,wft 98328-8�33
ENTITY TYRE: CGRPORATIQfV RESELLER PERMIT N0: A�9 9T47 I6
PERMIT EFFECTIVE: O1�''29,�2Q14
NAICS CUDE: 44I120 PERMITEXPIRES: Q1,f28�2Q1fa
NIhItS DEFINITION: USED CAR DEALERS
FC�Ft NI�N-�t�MMER�IAL USE (�NLY
10/30�f 2014 4:04 PM
http://dor.wa.gov/images/BRDImage.aspx?tra=sW3TnoYM8MHHKv70KU+rodKT41 pl... 10/30/2014
q OF TNFp�9� City of �.'elm
,
a M
Public Wor•ks Department
10� Yelm Auencie West
Yelm,, WA 98.597
YELM
WASHINGTON
Date: / Q�.�Q��
Property Address � � �, '
Business License Applicant: ��Q.(� `�— ��� �,���
Dear Applicant:
Section 13.04.220 YMC requires all commerciai 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 days of change of ownership
Not Applicab
�
Contact Ke " Ray, City of Yelm Public Works (364J 458-8410
kevinr(a�ci,yelm,wa us for details on device op�ions and inspection
requirements.
Fats, oiis, and greases entering the City of Yelm STEP sewer system can adve�sely
affect the operation of the plant and the City requires all appropriate measures to avoid
fat�, �;is anr�l yro�S°S fi vi i� �;�te;;;,g t;e ;y;te;�;. Seciion i 3.uu.09u Yeim i�iunicipaf
Code requires an appropriately sized grease interceptor to be installed prior to the
STEP tank.
Installation of a Grease Interceptor is required:
❑ P�ioi to approvai of your business license
❑ Within days of change of ownership
❑ Not Applicabie
Contact Jim Doty, Cify of Yelm Public Works (360) 458-8411
jimd(a�ci,yelm.wa.us for details.