303 1st St South CITY OF YELM OFFICIALUSEONLY
�4� ��J��� 105 Yelm Ave. W. ReCBy35.00
q '9',� Yelm, WA 98597 Comm Dev.Dept.
4 � (360) 458-8437 OFFICE Bldg Dept � ' ` i
(360) 458-4348 FAX Insp.Date
www.ci.velm.wa.us
Lic.No.
YELM APPLICATION FOR
LYASHIIJG"fON BUSINESS LICENSE � �b ��
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 /� " � � /�y
BUSINESS NAME .5/���✓t -��r C�� L 7�IES� � `�'C/'+�I v �!C}�`-' �
NATURE OF BUSINESS -5C r��.c.,� �f!ti�'/.�G, ��-'/rt��/c.�-��L /f��t S , f�i����«'
�
BUSINESS LOCATION ADDRESS .3�� �Sj -5� .��1``!
MAILING ADDRESS �r�i�/ � �EL/h i�v� �'fF y�l.� �N1�/j 2 ��``�r�ti
��Ij97
EMAIL ADDRESS S�1 f�'C SPfCi✓�G�IES � G/�'r/� f L • �"v�
ANTICIPATED OPENING DATE /ot' � �� !`Y
DAYS 8 HOURS OF OPERATION T��s "' S�� � �' /
OWNER(S) -./i/�'► _.5�/.�ir" / Lv�'/ .5�/-�v�
Address/��/ E �i'�//Yi f� 5f'C�fl�c-' �,�?l���� �1�/�-i Cr�� ��.SJ7
City State Zip
TELEPHONE 3��� `f��-�oa� 360 •- .3�n- �sssy�
(Business) (Home/Emergency)
CONTRACTOR'S REGISTRATION NO.
(If applicable)
THURSTON CO. HEALTH APPROVAL NO.
STATE OF WASHINGTON MASTER BUSINESS UCENSE NO. (UBI) 6��� ��/ /�r,/
signature '��: Date rZ- �' //
Page 1 of 1
�'4'ashington St�te Depai�tment_ vf Revenue
�tate Business Recorcls Dat�base Detail
TAX REGISTRATION NO: 602871161 ACCOUMT OPENEQ: 10 f 01 f 2008 12:00:00 AM
UBI: 602871161 ACCOUNT CLOSED: OPEN
ENTITY NAME: SHINE]AMES O&LORI A
BU5INE55 NAME: SHINE SPECIALTIES
MAILING ADDRESS: BU5INE55 LOCATION:
PMB 132
1201 E YELM AYE STE 400 15040 129TH LN SE
YELM,WA 98597-9427 YELM,WA 98597-9238
ENTITY TYPE: SOLE PRQPRIETOR RESELLER PERMIT NO: A15 0788 17
PERMIT EFFECTIYE: O1/01/201�#
NAICS CODE: 5d1850 PERMIT E}{PIRES: 12/31/2017
NAICS DEFINITIOM: OUTDOOR ADYERTISING
F�R N�N-��MMERCIAL USE ONLY
12 f 08 j2014 1:27 PM
http://dor.wa.gov/images/BRDImage.aspx?tra=ylNSdE//b4L 8IHQK+vqGKrdP2UUvbL4... 12/08/2014
4�f THF p'f',y-� Ci ty o f Ye l m
a M
Public Wor�ks Department
105 Yelm Avenue West
Yelm, WA 98597
YELM
WASHINGTOn
Date: /a��C�
Property Address: � Q � �l��- S�, � gj���
�— , , '
Business License Applicant: �//m `}' �!'1Y/ S1-�i�.2
Dear Applicant:
Section 13.04.220 YMC requires ali 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 ys of change of ownership
t Applicable
Contact Kevin Ray, City of Yelm Public Works (360) 458-8410
kevinr(cr�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
� fa±s, oi!s ul�� y^r°c`',S°S fi om e��t2�;ng the system. Section i 3.u8.090 Ye(m i�iunicipaf
Code requires an appropriately sized grease interceptor to be installed prior to the
STEP tank.
Installation of a Grease Interceptor is required:
❑ �rior to approvaf of your business license
❑ Within days of change of ownership
❑ Not Applicable
Contact Jim Doty, City of Yelm Public Works (360) 458-8411
Limd(a�ci.yelm,wa.us for details.