City of Longview
Application for
REAL ESTATE RENTAL LICENSE
Administrative Services Department
P.O. Box 128 Longview, WA. 98632
(360) 577-3308
LICENSE TYPE
FEE
NO. OF UNITS
LICENSE FEE
REAL ESTATE RENTAL
PROPERTY OWNER'S NAME
$1.00
X
=
HOME PHONE
PROPERTY OWNER'S ADDRESS
CITY, STATE, ZIP CODE
MANAGEMENT FIRM OR BUSINESS NAME, IF APPLICABLE
MAILING ADDRESS
CITY, STATE, ZIP CODE
DAYTIME PHONE
LOCATION OF RENTAL UNITS (IF NECESSARY, PLEASE ATTACH LIST)
DATE
TITLE
SIGNATURE
License fees are due on January 31st of each year. Please indicate any changes on this applicationform and return with payment to the above address.
FOR OFFICE USE ONLY
Date Paid Amount Paid Receipt No. Comments
License/Stickers Mailed