305 Creek Street CITY OF YELM OFFICIALUSEONLY
��0� T��P,�,,� 105 Yelm Ave. W. FEE $35.00
� 9,r► Yelm, WA 98597 CommyDev.Dept �ZS'l
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4 � (360) 458-8437 OFFICE Bldg Dept. Z °Z� �?
(360) 458-4348 FAX Insp.Date
www.ci.yelm.wa.us
LiC.No.
YELM APPLICATION FOR
WASHiNGTON BUSINESS LICENSE � l � �-3
Upon receipt of the license application and $35.00 payment, the City of Yelm will conduct an inspection of
the nra��ses f�r wai!d;^g ard'�i�e coae conformance. �pon 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 � �-C/ IS
BUSINESS NAME � 1-\VI,C)�rJ �. C��' L=� �
NATURE OF BUSINESS ��Q/✓� �.Q�1�O�PJ1��
BUSINESS LOCATION ADDRESS ��� 1�•�� C�' �� �
MAILING ADDRESS P� ��� l "WJ� �!�'I f,(�,�
EMAIL ADDRESS� ets� G�, Q(/Q�� ,_/ �'_� � ��
ANTICIPATED OPENING DATE ��( I I �
DAYS 8 HOURS OF OPERATION Ov /�"
GWNERf Sj ��� �p�.�/1�.�
Address �"��_ � "`^";1� � �S �,e((/t� tit� �0 J E�
/' City State Zip
TELEPHONE ��1 �� tD� ��
(Business) (Home/Emergency)
CONTRACTOR'S REGISTRATION NO. t V Vl d� �.1�, ���P�
(If p icable)
THURSTON CO. HEALTH APPROVAL NO.
STATE OF WASHINGTON S ER BUSINESS LICENSE NO. (UBI) ��"/3 ��(D"�6�
Signature Date � o�J C
Page 1 of 1
���shi��t�n �t�t.e I��p�rfm�nt �vf Re�enu�e
S��te Rusine�s Rec�rds D��al�as� D�t�il
TAX REGISTRATIOfY MO: 6U3246465 ACCDUNT OPENED: 10/O1 j�012 12:OQ:�O AM
UBI: 6d3246465 ACCOUMT CLdSED: OPE(V
EfMTITY NAME: I KNOW A GUY LLC
BUSINESS NAME:
MAILIMG ADDRE55: BU5INE55 LOCATION:
FO BOX 1463 8840 THU]A AwE SE
FELM,tYA 98597-1453 YELM,WA 98597-9?70
EMTITY TYPE: LIMITED LII4BILITY RESELLER PERMIT NO: A�27 2818 14
PERMIT EFFECTIYE: iz�'i i�zoi�
N�kICS CODE: 238220 PERMIT E%PIItES: 12j1a/2U14
NAICS DEFINITION: PIUMBIf�G,HEATING,aND
AIR-CONDITIDMIMG
CONTRACTDRS(PT)
FC?R N�N-�C�MMER�CIAL U�E �NLY
02/09/2a15 10:40 AM
http://dor.wa.gov/images/BRDImage.aspx?tra=pU23 R42cBjJ1x7zJGe7Ayi 1 iSdQU W�a&rs... 2/9/2015
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9
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4 � Public Works Department
105 Yelrr� Avenue 64'est
Yelm, WA 98597
YELM
WASHINGTON
Date: � ��
Property Address: ��� �'�'� �� �,�(,VLt�-' �
� " �� � --�
Business License App(icant: ( (�'Y1Gl,S LLU�v►�'J —' –L �Ll'l�� �
Dear Applicant:
Section 13_04.220 YMC requires all commercia( buildings and irrigaiion systems to have
a Reduced Pressure Backflow Assembly (RPBA) device instalied on the water services.
Installation of a Reduced Pressure Backflow Assembly is required:
❑ Prior to approva! of your business license
❑ Within days of change of ownership
� Not App(icab
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 aperation of the piant and the City requires all appropriate measures to avoid
f?tc nilc anr�l yro�S�S fiviii ^ciiiciiiiy i+i8 sysie�i�. Seciion I�.ViS.U`�JU Yeim iviunicipai
Code requires an appropriately sized grease interceptor to be instalied prior to the
STEP tank.
Installation of a Grease Interceptor is required:
C Prioi to approvai of your business license
❑ Within days of change of ownership
� Not Applicable �1�
Confact Jim Doty, City of Yelm Public Works (360) 458-8411
limd(a�ci.yelm.wa.us for details.