1506 Yelm Ave W (2) II� C ITY O F YE L M OFFICIAL USE ONLY
G-Q� ����� 105 Yelm Ave. W. FEE $35.00
�� '"�� Yelm, WA 98597 Rec By
Comm Dev.Dept.
4 �► (360) 458-8437 OFFICE Bldg Dept /��J�/�
(360) 458-4348 FAX Insp.Date
www.ci.yelm.wa.us
Lic.Na
YELM APPLICATION FOR
,����,�,�TOff BUSINESS LICENSE � � � ��
Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of
the premises for buiiding 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 I-v�`7- ��C�f S
BUSINESS NAME ��- C-c,�fi-�-I�Pr+�✓�
NA�URE OF BUSIPJESS �S�v�u v`t�
BUSINESS LOCATION ADDRESS � S C�C� (� �E=� � �?�v�Q_ y�I F�� �'��
MAILING ADDRESS �-G - �3��C `����t�f �GI�2�t w�
EMAIL ADDRESS C SC�t ���� ���G ��� Gi��� � G o �'1
ANTICIPATED OPENING DATE o� � - aL 1 �
DAYS 8� HOURS OF OPERATION 7 c�c.c �5 -" � �G"'
(� �JC'C.�-, - �O ,2�
C
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OWNER(S) �t�d lL -�C1 vtFl�'�-�/ �1 fl�rz,��vt�. tn,t.� ��'
Address 1� �v� 1 S ��`�' lc.�� S�— �E'_.�+� l,�J�t �T���_T
City State Zip
TELEPHONE ;�> j 7� - 1 CF t S
(Business) aS3-7a0_l6/S� (Home/Emergency)
CONTRACTOR'S REGISTRATION NO.
(If applicable)
THURSTON C0. HEALTH APPROVAL NO.
STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI) �C�� y 7�,`; � �
/
f� �� ; �
Signature � � � ���������� Date � - �� -�/ .�
, , � �
Page 1 of 1
��shin��c�n �t�te l�+�p�trtm�nt of Re�enu�
S��t�e Business Re��rd� D���b�se Detail
TASC REGI�TRATIDM NO: 6034705$7 ACCOUMT OPENEQ: OZ/O1J�C015 1Z:00:00 AM
UBI: 603470587 ACCOUMT CLQSEQ: OPEN
ENTITY NAME: SUMNER CATHERIME
BUSINE55 MAME: THE CATTLEMAM
MAILING AdDRE55: BUSINESS LOCaTION:
RU BOX 284� 1506 W YELM AVE
YELM�WA 9�597-2844 YELM,WA 98597�-9450
ENTITY TYRE: SCMLE RROPRIETOR RESELLER PERMIT MO: M/A
PERMIT EFFECTIVE: (V/A
NAICS tODE: 7�22511 PERMIT EXPIRES: Nj'A
NAICS DEFINITIUN: FULL-SEFtYICE RESTAUR/#NTS
F(�R N�N-��MMiER�IAL USE �NLY
Ui,{28f�015 3:59 PM
http://dor.wa.gov/images/BRDImage.aspx?tra=i9c4oEWpJe/ta30JYeFVSO4wdtfakgyu&rsp= 1/28/2015
Lori Mossman
From: Kevin Ray
Sent: Wednesday, January 28, 2015 4:31 PM
To: Lori Mossman
Subject: RE: RPBA'S
Yes the RPBA is in at 1506 yelm ave W,the backflow Does need to be tested.
Berry electronics has the backflow installed.
Kevin Ray
Public Works Field Supervisor
360-458-8406
901 Rhoton Rd SE
Yelm WA 98597
_ _. _.... _ .� .. _.. .. . _. .__
From: Lori Mossman
Sent: Wednesday, January 28, 2015 4:01 PM
To: Kevin Ray
Subject: RPBA'S
Is there a RPBA located at 609 Yelm Ave W. (Berry Electronics)?
Is there a RPBA located at 1506 Yelm Ave W. (formerly the Bunkhouse)? Do they need their grease trap cleaned????
Anything you can think of?They want to open The Cattleman Restaurant on Monday.
Thank Kevin!
1
� �OF T H,�p'�� Ci ty o f Ye Zm
�q 9r
a �
Public i�Vorks Departm�rct
10� Yelm. Auenue 6�Vest
Yelm, WA 98597
YELM
WASHINGTON
Date: l—a9-�s�
Property Address: ��p � GtJ, ��.
Business License Applicant: � n,�
Dear Applicant:
Section 13.04.220 YMC requires ail 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 ownershi�.
❑ Not Appiicable :�"
�. �
� Confact Kevin Ray, City of Yelm Public Works (360) 458-8410
kevinr(a�ci,�elm.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 plant and the City requires ail appropriate measures to avoid
fatc nilg anr� yro��°S fi^vi i i ^c��i^c�ii�y ii ic SySi@i i i. S@CiiOfl i 3.�u.uyu Yeim nnunicipai
Code �equires an appropriately sized grease interceptor to be instalied prior to the
STEP tank.
Installation of a Grease (nterceptor is required:
� �r�o� to approvai or' your business (icense
� W�f��n days of change of ownership
❑ Not Appiicable
Contact Jim Doty, City of Yelm Public Wvrks (360) 458-8411
limd(c�ci.ye/m.wa.us for details.
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