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Everett Business License Application

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Everett Business License Application Powered By Docstoc
					BUSINESS LICENSE
A City of Everett business license is a requirement in order for you to engage in
business within the city limits of Everett. If you live in the City of Everett and are
engaging in business within the City of Everett or your business is located
outside the Everett city limits and are engaging in business within the City of
Everett then you will need to complete a City of Everett business license
application and submit it to the City Clerk's Office, 2930 Wetmore Avenue,
Everett, W A, 98201. If you live within the Everett city limits and are conducting
business out of your residence then you will also need to complete and include
the Home Occupation Permit form when you submit your business license
application.
Business Tax Division
2930 Wetmore Avenue                                  CITY OF EVERETT
Everett, WA 98201                BUSINESS TAX NUMBER APPLICATION
(425) 257-8610
                                          (Business License)

          FILE APPLICATION AND $10.00 FEE WITH BUSINESS TAX DIVISION, CITY HALL
 1   BUSINESS NAME                                                                                                BUSINESS PHONE

     BUSINESS LOCATION (Street Number, City. State. Apt., Suite)                                                  ZIP CODE

     MAILING ADDRESS (Street Number, City, State. Apt., Suite)       EMAIL ADDRESS                                ZIP CODE

 2   REASON FOR FILING THIS APPLICATION:              NAME, FIRM NAME & ADDRESS OF PREVIOUS                       ACCT. NUMBER
       Incorporating Existing  Change of ownership of OWNER
       Business                Existing Business
       Starting New Business   Change in Corp. Entity
 3   DATE OF FIRST BUSINESS ACTIVITY             MONTH/ DAY YEAR           FEIN (Fed. Emp. ID No.)                UBI (WA State Dept. of
     IN EVERETT BY THIS ENTITY:                                                                                   Revenue)


 4   NATURE OF              Retail             Manufacturing       IF CONSTRUCTION, SPECIFY TYPE:   Residential        Highway
     BUSINESS:              Wholesale          Service                Commercial    Speculative
                                                                      OTHER, PLEASE SPECIFY:

     DESCRIBE IN DETAIL PRINCIPAL PRODUCT OR SERVICE RENDERED IN EVERETT


                     OWNER'S LAST NAME FIRST MIDDLE                                       BIRTHDATE


 5                   SPOUSE FIRST MIDDLE                                                  BIRTHDATE
       INDIVIDUAL
 C
 H
                     OPERATED BY HUSBAND AND WIFE?                   YES      NO
 E
 C
 K
                     FIRST PARTNER'S LAST NAME FIRST MIDDLE                               BIRTHDATE
 &

 C                   SECOND PARTNER'S LAST NAME FIRST MIDDLE                              BIRTHDATE
 O
 M   PARTNERSHIP
 P                   THIRD PARTNER'S LAST NAME FIRST MIDDLE                               BIRTHDATE
 L
 E
 T                   FULL LEGAL NAME OF CORPORATION
 E

 O
                     NAMES OF CORPORATE OFFICERS HOME ADDRESS                              CITY, STATE            PHONE
 N
                     Pres.
 E
                                                 HOME ADDRESS                              CITY, STATE            PHONE
     CORPORATION V. Pres.
                                                           HOME ADDRESS                    CITY, STATE            PHONE
                     Secretary
                                                           HOME ADDRESS                    CITY, STATE            PHONE
                     Treasurer
     The undersigned certifies that the above Information is complete, true and accurate to the
     best of his knowledge. Further, the undersigned certifies ' that he/she understands that a
     business tax number (business license) Is issued for the express purpose of taxation and
     shall not be construed as a license or permit to operate business in violation of any City of
     Everett ordinance, rule or regulation. It Is the undersigned's- sole responsibility to ensure
 6   compliance with all applicable City ordinances, rules and regulations prior to conducting
     business In the City of Everett.
     APPLICATION SIGNATURE                              TITLE                                       DATE SIGNED

                                                         HOME ADDRESS                                             HOME PHONE

 7                                      LICENSE ISSUED LOCATION CODE               SIC NUMBER              B & O ACCOUNT NUMBER
     TR                                 SH

*(ATTACH LIST FOR ADDITIONAL PARTNERS)

				
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posted:11/16/2012
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