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CITY <br /> NPS Form 10-550(Rev.11/2016) OMB Control No.1024-0268 <br /> National Park Service Expiration Date: 11/15/2019 <br /> ,00.HT OR lh <br /> 4 n0, J F NATIONAL <br /> COMMERCIAL USE AUTHORIZATION APPLICATION SEAV CE <br /> $ North Cascades National Park Complex . <br /> 810 State Route 20 <br /> %ON 3.�s"9 Sedro Woolley,WA 98284 <br /> Tammra Sterling,CUA Coordinator <br /> Phone Number: 360/854-7213 <br /> Some parks have additional requirements for businesses that offer services to visitors relating to the safety and welfare of the visitors and <br /> protection of the resources. These requirements may include applicable operating licenses,certificates showing proof of training,operating plans, <br /> emergency response plans,group size limitations,etc. <br /> 1. Service(s)for which you are applying: Hiking, backpacking and walking <br /> 2. Will you be providing this service in more than one park? Yes® No❑ If"Yes",list all parks and services provided. <br /> MRNP, hiking, Snowshoeing <br /> 3. Applicant's Legal Business Name: [Include any additional names(DBA)under which you will operate.] <br /> City of Everett Parks and Community Services <br /> 4. Authorized Agents: (Name and title of owner,and any onsite person authorized to manage the operation or service.) <br /> Euan Robertson <br /> 5. Mailing Addresses <br /> PRIMARY CONTACT INFORMATION(Dates to contact you at this address,if seasonal. <br /> Address: 802 E Mukilteo Blvd <br /> City,State,Zip: Everett, WA98203 <br /> Email: erobertson@everettwa.gov Website: everettwa.gov <br /> Day Phone: 425.257.8396 Evening Phone: Fax: <br /> ALTERNATE CONTACT INFORMATION(Dates to contact you at this address,if seasonal. <br /> If same as"Primary Contact Information,check here❑and go to question 6. <br /> Address: <br /> City,State,Zip: <br /> Email: <br /> Website: <br /> Day Phone: Evening Phone: Fax: <br /> 6. What is your Business Type? (Please check one below) <br /> ❑ Sole Proprietor <br /> ❑ Partnership(Print the names of each partner. If there are more than two partners,please attach a complete list of their names.) <br /> Name: <br /> Name: <br /> ❑ Limited Liability Company: (State: Entity Number: <br /> ❑ Corporation: (State: Entity Number: <br /> 0( Non-Profit(Please attach a copy of your IRS Ruling or Determination Letter) <br /> 7. State Business License Number: 313000656 Expiration Date: <br /> 8. Employer Identification Number(EIN): 91 6001248 <br />