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i <br /> Business Tax Division <br /> 2930 Wetmore Ave,STE 1-A <br /> r <br /> Everett,WA 96201 <br /> EVERETT <br /> CITY>< OF E V ERM 425-257-6610 <br /> c G Fair 425-257-8741 <br /> everettwa.gov/businesslicense <br /> WASHINGTON <br /> General Business License Application businesstax@everettwa.gov <br /> Once you have completed, lease mail with a check or visit our office to Day by credit card. <br /> Effective July 1.a 2.3%service fee will apply to all debit and credit card payment—s. <br /> Current license fees are available at eve rettwa, ov buslriessllcense <br /> PLEASE PRINT OR TYPE--COMPLETE BOTH SIDES OF THE APPLICATION <br /> LEGA&ENTITY NAME BUSINESS PHONE <br /> ANTHONY FREEZE 425 318 2660 <br /> BUSINESS OR TRADE NAME(DBA) WEBSITE <br /> ANTHONY FREEZE <br /> PHYSICAL ADDRESS (Street Number,Street,City,State,Zip) IS THIS YOUR RESIDENCE? <br /> 0 YES If yes,you must read the Home <br /> 0 NO Occupation Regulations. <br /> MAILINGS ADDRESS (Street Number,Street,City,State,Zip) l� l ZONE OF PROPERTY <br /> [ IA) A (for physical locations inside Everett city limits) <br /> PRIM ARY BUSINESS CONTACT PHONE EMAILADDRESS <br /> Anthony Freeze Tre eZe ° A;e <br /> PRIMARYTAKCONTACT PHONE EMAILADDRESS <br /> REASON FOR FILING THIS APPLICATION FOR CHANGE OF OWNERSHIP: <br /> Id STARTING BUSINESS IN EVERETT NAME,FIRM NAME,&ADDRESS OF PREVIOUS OWNER ' <br /> ❑ ADD LOCATION TO EXISTING EVERETT LICENSE <br /> [2] QINCORPORATING AN EXISTING BUSINESS <br /> CHANGE OF OWNERSHIP OF EXISTING 13USINESS <br /> ❑ ACCOUNT NUMBER UNDER PREVIOUS OWNER <br /> CHANGE IN CORPORATE ENTITY <br /> DATE OF FIRST BUSINESS ESTIMATED ANNUAL EVERETT 16-DIGIT UBI NUMBER <br /> [�] <br /> ACTIVITY <br /> L <br /> IN EVERTTBYTHIS REVENUE <br /> ENTITY <br /> 1 .20 )0 601 471 617 <br /> NATURE OF BUSINESS(1)(2) [CHECK ALLTHAT APPLY] DETAILED DESCRIPTION OF PRINCIPAL BUSINESS ACTIVITY IN <br /> EVERETT(Please be detailed and include a description of products <br /> ❑ Retail ❑Manufacturing-Extracting and/or services) <br /> [4] Q Service ❑Utility <br /> ❑ Wholesale [—]Gambling Activity <br /> ❑ Printing/ ❑Charging Ad mission for for construction and masonry repair Jobs <br /> Publishing Events/Shows FOR PHYSICAL LOCATIONS INSIDE EVERETT CITY LIMITS: <br /> ❑ Non-Profit Walk-in Customers? ❑ YES ❑ NO <br /> Storage on Site? YES Q NO <br /> Page 1 of 2 <br /> REV.6/2019 <br />