15425 Mosman Ave SW (3) C ITY O F YE LM oFFICIAL USE ONLY
��0� ��A� 105 Yelm Ave. W. FEE $35.00
Rec By
4 9j. Yelm, WA 98597 Comm Dev.Dept.
a � (360) 458-8437 OFFICE B�d9�ept. � ' '�':� ='.`%`%
(360) 458-4348 FAX Insp.Date
www.ci.yeim.wa.us
Lic.No.
YELM APPLICATION FOR
WASHINGTON BUSINESS LICENSE ��Og�
Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of
the premises for building and fire code conformance. Upon approval from the Yelm Building Department
of said premises, the City Clerk's Office will process the application and mail license to applicant at
address listed below.
Application is hereby made for a Business License for the City of Yelm
�NEW BUSINESS � NAME CHANGE/MAILING ADDRESS CHANGE ONLY
DATE /o�-�' /�
BUSINESS NAME �Il'�/�ll�+ � 2���ma /26`C�/
NATURE OF BUSINESS��Gt/-c�'� ��2�''
BUSINESS LOCATION ADDRESS��7,5 �0,5/�?2/'7 f�1/G c��
MAILING ADDRESS �D E.Y�Y �5`,Z �0��" r�c� 9��7�
�
EMAIL ADDRESS ��'l7�Yl�t S��?��ehl/!y/2`�v �C�n9ai� C'd/�
ANTICIPATED OPENING DATE �f� l n2D/S
DAYS 8� HOURS OF OPERATION / /�2c,� rPA - f/�D
OWNER(S) /;D , �, ,L,//_ �i'7 � ��f'/«°
Address � �OY �S�a� L�S��iY�i llJr� ��J�17
� City State Zip
TELEPHONE D� D'�4D� � � D� �-�3�
(Busines ) (Home/ mergency)
CONTRACTOR'S REGISTRATION NO.
(If applicable)
THURSTON CO. HEALTH APPROVAL NO.
STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI)1�.3•�5,5•0?��
Signature � /�. Date
Page 1 of 1
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TAX REGI5TRI4TION NO: 603455283 ACCOUNT OPENED: 02/O1 j2015 12:OQ:OQ Ah'1
UBI: 603455283 ACCOUNT CL05ED: OPEN
ENTITY NAME: EMMAS AT TAHOMA YALLEY LLC
BU5IME55 NAME: EMM+45 AT TAHOMA YALLEY
MAILING ADDRE'S5: BU5INE55 LUCATION:
15425 M05MAN 1#YE SW 15425 MDSMAM AYE 5W
YELM,WA 98597-7�15 YELM,WA 98597-7�'15
ENTITY TYPE: LIMITED LIaBILITY RESELLER PERMIT N0: fV/A
PERMIT EFFECTIYE: N�A
NAICS CODE: 722511 PERMIT E%PIRES: N/A
NAICS �EFINITION: FULI-SERYICE RESTAURAIVTS
F(]R NCIN-CDMMERCIAL USE�NLY
12/08/2014 4:U9 PM
/
http://dor.wa.gov/images/BRDImage.aspx?tra=HGrhGTz 1+FqZCTgUHkbM 110Q/kXomc... 12/8/2014
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Public Wor•hs Departrrcent
105 Yelm Avenue West
Yelm, WA 98597
YELM
WASHINGTON
Date: _ 1p�—��� �
Property Address: l , 7 02$�' � �1.GLt2 S(rv f,�� ��i� 7
Business License Applicant: �� � �.2e �Yl ��OYI�
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 days of change of ownership
ot Applicabie <��
��;
Contact Kevin Ray, City of Yelm Public Works (360) 458-8410
kevinr(a�ci.yelm.wa.us for details on device opfions and inspection
requirements.
Fats, oils, and greases entering the City of Yelm STEP sewer system can adversely
affect the operation of the piant and the City requires all appropriate measures to avoid
fat�, ��is ��;� yro�sos f���n-; 2�1�2�iil� ��e ;y;iem. Seciion i 3.�8.�9u Yeim iViunicipai
Code requires an appropriately sized grease interceptor to be installed prior to the
STEP tank.
Instailation of a Grease Interceptor is required:
❑ �rior to approvai oT 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,yelm.wa,us for details.