801 N Pacific Rd SE (2) f ��
- �l/�1-l_ i?t��i.��/l,
■1� ��� CITY C)F YELM OFFICIAL USE ONLY
'�t,11'� TH"�A,�, 105 Yelm Ave. W. Rec gy35.00 3
,�� Yelm, WA 98597 Comm Dev.Dept. �
a (360) 45$-8437 OFFICE Bidg Dept.
(360) 458-4348 FAX Insp.Date
www.ci.velm.wa.us Lic.No.
�E�M APPLICATION FOR � I�
WA7SH1►iCi70N BUSINESS LICENSE � G�j
Upon receipt of#he license application and $35.00 payment,the City of Yelm will conduct an inspection of
the premises for buiiding and fire code canformance. Upon approval from the Yelm Building Department
of said premises,the City Clerk's Office will process the application and mail license to applicant at
address listed belaw.
Application is hereby made fc�r a Business License for the City of Yelm
� NEW BUSINESS ❑ NAME CHANGE/MAILING ADDRESS CHANGE ONLY
DATE c��,2_OII.'� _
BUSINESS NAME PeV1S �i2 J���-J�- �'��S 1�-4 C�, , � � �._
NATURE OF BUSINESS ��"�t� f�''�Gl.� c��`�V��Ge OY'\ �E'_�S�' CTL�d1'�r'�r'y5' AYUP�'✓�
01 U • a c.i�'c Rd.- S E e. l m w t� `�'��
BUSINESS LOCATION ADDRESS � 1 � � �
MAILINGADDRESS„_,_� �• QC�X (�ZJ,T�c7al�it'7G , Pf� t�/�4�°'/3�l
EMAIL ADORESS t��S� ��S`� I� � �$�' � ���S/�� . ��m
ANTICIPATED OPENING DATE ``��c� � �Z�d �
DAYS&HOURS OF OPERATION
OWNER(S) P��-- G p} ��`��
Address �(o �J /�o+�`Rc�-t'��`C�t�t'� �G� . �Q!�C�+'�'1� �'� !q�0�
City State ��p
TELEPHONE Ca ��- ��•S'�o D �'� /1I �f�
{Business) (Home/Emergency)
CON7RACT4R'S REGISTRATIUN NO.
(If applicable)
THURSTON CO. HEALTH APPROVAL NO.
STATE C7F WASHINGTON MAST�R BUSINESS LICENSE NO. (UEi!) �p 1" 1�*�° ���
Signature ��'"`'�'�'�"°� pate �I�D 1 JJ�
Page 1 of 1
��shi��,ton �t���e I��p�i�tment c��R.ev�enue
���t.e B�tsine�s l��ec�i-�s I��#��b�se I�e#,�il
TA}C REGISTRATION MO: 6011Q3725 ACCOUNT QPEfVEQ p 08f01/'19�$ 12:OQ:OQ Ah"1
UBI: 601103725 ACCOUNT CLOSED: OPEN
ENTITY NAME: PENSKE TRUCI�LEASING CO LP
BUSINE55 NAME:
MAILING ADDRE55: BUSINE55 LUCATION:
TAX DEPT
PO BQX 1321 12840 4�TH AYE S
RE�#DIhIG,RA 19603-1321 TUKWILA,WA 98168-3302
ENTITY TYPE: PARTNERSHIP RESELLER PERMIT NO: AU3 0127 17
• PERMIT EFFECTIVE: Olr Q1 f2U14
MAICS CODE: 53�120 PERMIT ESCPIRES: 12/31 j 2017
NAICS DEFIMITIUN: TRUCK,UTILITY TRAILER,
ANa RY(RECREATIONAL
VEHICLE)RENTAL AND
LEASING
F(�R NCIN-CUMMERCIAL USE �NLY
03/20�2015 2:42 PM
http://dor.wa.gov/images/BRDImage.aspx?tra=XIQ6nF0uZf2 sRj RZmzs76+YJh4BiCcov&... 3/20/2015