305 D Creek St G ITY O F YE LM OFFICIAL USE ONLY
��C?� ��J�,�� 105 Yelm Ave. W. FEE $s5.00
Rec By
,�Q '�.,►.� Yelm, WA 98597 comm oe�.�ept.,��
� � (360) 458-8437 OFFICE B�ag�ePt. '
(360) 458-4348 FAX Insp.Date
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Lic.No.
YELM APPLICATION FOR
WASHINGTON BIJSINESS LICENSE 1 " � C
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 Yelrr�
� NEW BUSINESS � NAME CHANGE/MAILING�4DDRESS CHAPlGE ONLY
D�►TE �/3
BUSIPJESS NAME ��FL_.�L ��t�� N��'SL�,��, __
NATURE OF BUSINESS t--���.���-� 'a� In,s�,���c�
Bl1SlP1ESS LOCATION ADDRESS ��X�`��`�1 ChCP I�. ��� 7�r=�{71,(a.i:}- ��r,rl 7
MAILIPIG ADDRESS ,�c U`�> I��P l��L(,�D(')� lX �C �-G C P.��t, LtIA �r��C��,
EMAIL ADDRESS � ,1!1 '_��i'� ��'`l ��.i � Ll S e�(G{�('� (°1�62'(_,-
ANTICIPATED OPENING DATE �/I �I`�
Tr
DAYS � HOURS OF OPERATION �"�(rt C �`X`�1�1 ,m�%�'t-�
OWNER(S)
Address
City State Zip
TELEPHONE ����(�r(°� `��-I� G'�C'��� :7e t�1 L� �
(Business) (Home/Emergency)
CONTRACTOR'S REGIST�2ATION NO.
(If applicable)
THURSTON CO. HEALTH APPROVAL NO.
STATE OF WASHINGTON MASTER BUSINESS LICENSE NO. (UBI)
��"�c�i� � 7�1��-�-
�
Signature �' "' % � � Date � � 0 `
q�� THFp�� City of �eZm
9
4 R!
Public Worhs Department
105 YeLm Aven.ue 6G`est
Yelrrc, WA 98.597
YELM
WASHINGTON
Date: � r� S
Property Address: JdS Ci�!� S� �� G� ���7
�
Business License Applicant: (,(,/')� Y
Dear Applicant: �
Section 13.04.220 YMC requires all commercial buildings and irrigation systems to have
a Reduced Pressure Backfiow Assembly (RPBA) device installed on the water services.
Installation of a Reduced Pressure Backfiow Assembly is required:
❑ Prior to approval of your business license
❑ Within days of change of ownership
�1 Not Appiicable�`�i�
Contact Kevin Ray, City of Yelm Public Works (360J 458-8410
kevinr(a�ci,yelm.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 p(ant and the City requires all appropriate measures to avoid
fatc nilc anri yro�S°S f�^vi i� ci�i2i ii i� iii@ jyji@i7i, S@Cl"10(1 i 3.vu.�9u Yeim iviunicipai
Code requires an appropriately sized grease interceptor to be installed prior to the
STEP tank.
Installation of a Grease Interceptor is required:
� �i ior to approvai of your business license
❑ Within days of change of ownership
� Not Applicable 2��b
Contact Jim Doty, City of Yelm Public Works (360) 458-8411
jimd(�ci.yelm.wa,us for details.