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Renton Business License Application - Out-of-City

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Renton Business License Application - Out-of-City Powered By Docstoc
					                                                                                                      APPLICATION FOR CITY OF RENTON BUSINESS LICENSE  
                                                                                                       FILL OUT THIS FORM COMPLETELY 
                                                                                                      (INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED) 
                                                                                                                              
                                               OUT OF CITY BUSINESS LICENSE APPLICATION 
                                   This license does not allow the licensee to operate a physical location within the City limits of Renton.  

         GENERAL BUSINESS LICENSE Required:   Every business enterprise, including those with a temporary or portable sales location, shall 
         obtain, from the Fiscal Services Division, a general business license for the current calendar year.  The license shall be nontransferable.  A 
         business enterprise with a permanent location outside the City, but conducting work in the city of Renton is required to obtain a City of 
         Renton license.  Reference Renton Municipal Code Title 5 Chapter 5. 

Business Name & Physical Location:                                                                     WA State UBI#:                                                            
                                                                                                       Contractors, plumbers, electricians, etc. please complete 
                                                                                                       State Contractor’s Lic. No.                                               
                                                                                                       Address where work to be performed                                        
Business Telephone #:                                                                                                                                                            
                                                                                                        
Mailing Address  (Please check if same as above)   
                                                                                                       Have you previously had a Renton Business License?                        
                                                                                         
                                                                                                       Is your business door‐to‐door solicitation/peddler?                       
                                                                                                                    (if  so, please stop and complete a Peddler Permit Form) 
Legal Owner(s), of the Business, Name and Address:                                                     Are you a non‐profit entity? _____ If so, please provide Form 501(c)(3) 
                                                                                                       Date Business is expected to perform work in Renton: ______ 
                                                                                                       DESCRIBE IN DETAIL WORK TO BE PERFORMED IN RENTON: 
                                                                                                                                                                             
Owner’s Telephone #:                                                                                                                                                         
Emergency Name & Telephone Number (other than owner)                                                                                                                         
1.                                                                                       
                                                                                                        
                                                                            Business License Fees
                                                                                                  
                                          Estimate hours worked  for 1 full year from date business is expected to open: 
                                       (this includes all hours worked by owners, family, employees whether paid or unpaid) 
                                                                                                  
                                                  Estimated Total Hours Worked:____________________  
                                                                                
                       If hours are over 1,920 complete Section 1 below.  If hours are under 1,920 pay the amount in Section 2 below. 
 
                                                        Section 1                                                                                       Section 2
                                Over 1,920 hours:  Calculate business license fee as follows                                                       1,920 hours or Less 
                                                                                                                                                  Minimum License Fee 
    a.       Multiply estimated hours worked   ________________  x .034   =   $_________________ 
                                                                                                                                                   $65.00 (license fee) 
    b.       Plus Base License Fee of:                                                                           $____________45.00                 $45.00 (base fee) 
  Total  Business License Fee Due:  Add Line a + Line b:                                $_________________                                                    
                                                                                                                                                  TOTAL DUE:   $110.00 
         I hereby swear or affirm that the statements and information furnished by me on this application are, to my knowledge,
         accurate, true and complete. I acknowledge that these statements and information are public records that may be available for
         public inspection pursuant to RCW 42-56, the Public records act, and that any inaccurate, false, or incomplete statement may
         be a crime under the RCW and/or RMC, punishable under RCW 9.92 and/or RMC 1-3-1. 
          
SIGNATURE:_________________________________________________________________________________________  
Print Name:                                                           Date:                             
Email address:                                  ___________________   Phone:                            
 
Return Completed Application with  City of Renton License Division    Phone: 425‐430‐6851
payment to:                        1055 South Grady Way               Fax:      425‐430‐6983 
                                   Renton, WA  98057                  Email:   licensing@rentonwa.gov 
    FOR OFFICE USE ONLY                                                                                                                     
                                          AMOUNT PAID                      HOW PAID                          DATE                      NAICS #                 APPLICATION #
 
Out of City 12/12    

				
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