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GENERAL BUSINESS LICENSE APPLICATION <br />File & Payment Date: 9/13/2021 <br />City Selection: <br />Business Location: 20204 SE <br />284th St <br />Cities Applied For: <br />Everett <br />Business Information: <br />Legal Business Name: <br />Doing Business As: <br />Business Address: <br />Primary Nature of Business: <br />Confirmation: NCSWVBHO Payment Confirmation: 25640350756 <br />Bluestone Environmental, LLC. <br />Bluestone Environmental NW <br />20204 SE 284th St, <br />Kent, WA 98042-8614 <br />USA <br />Phone: 253-951-2024 <br />Service <br />Business Activity Description: Environmental Consulting, Contaminated soil, groundwater, and air <br />assessments and remediation. <br />NAICS Code: 541620 <br />U B I : 6045097530010001 <br />Is your organization recognized as a 501(c) (3) non profit organization by the Internal Revenue NO <br />Service? <br />FEIN: 85-2130960 <br />Is your business location in the City Limits of Kent NO <br />For each City you selected, indicate the gross revenue/income you expect to earn in that City Annually, and enter your <br />first date doing business in that City. <br />Expected Gross Revenue/Income First Date of Business in City <br />Everett: $10000.00 09/22/2021 <br />Contact Information: <br />Date Printed: 9/13/2021 9:17:58 AM Page 1 of 3 Date Filed: 9/13/2021 8:10:21 AM <br />