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� a -0c2, o D. <br /> 04 <br /> CLERK <br /> 2930WETMORET SR AVESTE EIA <br /> EVERETT, WA. 98201-4067 <br /> 7 8614 SEP 1 3 Business Tax Division <br /> 2019 2930 Wetmore Ave,STE 1-A <br /> Sale CITY OF EVERETCITY OFEVERETT Everett, 98201 <br /> �y 425-257-8610 <br /> xxxxxxxxxxxx9983 Fax: 425-257-8741 <br /> City Clerk everettwa.gov/businesslicense <br /> VISA Entry Method, Chip General Business License Applicatio'n businesstax@everettwa.gov <br /> Total: $ 317.00 <br /> 09019 12:01:28 u have completed,please mail with a check or visit our office to pay by credit card. <br /> Inv II: 000000002 Appr Code: 130215 ctive July 1,a 2.3%service fee will apply to all debit and credit card payments. <br /> Current license fees are available at everettwa.gov/businesslicense <br /> Apprvd: Online <br /> VISA DEBIT 'RINT OR TYPE—COMPLETE BOTH SIDES OF THE APPLICATION <br /> AID: A0000000031010 •• <br /> " BUSINESS PHONE <br /> TVR: 80 80 00 80 00 <br /> 1SI: 68 00 -?At au../4/6; ac <br /> • <br /> Customer COPY TAME(DBA) WEBSITE <br /> THANK VOW <br /> and Your PaiimenE to the-card ,treet"Number,Street,City,State,Zip) IS THIS YOUR RESIDENCE? <br /> issuer according to their p�e ❑ YES If yes,you must read the Home <br /> Payment terms. e` i i,/'—'�_5 6 W/ fif--Z ' ❑ NO Occupation Regulations. <br /> Customer COPY [ U <br /> Itreet Number,Street,City,State,Zip) ZONE OF PROPERTY • <br /> THANK VOW <br /> J /t'V ?r—Z.52— <br /> (for physical locations inside Everett city limits) <br /> r CI <br /> PRIMARY BUSINESS CONTACT PHONE EMAIL ADDRESS <br /> 1 / 1 <br /> Ufiil 4 ,. no_0 �.7 m'f e S( � B „ <br /> ,s_ixe <br /> PRIMARY TAX CONTACT PHONE EMAIL ADDRESS <br /> ae VV 11�e114/1-F °M7/ u <br /> REASON FOR FILING THIS APPLICATION FOR CHANGE OF OWNERSHIP: <br /> g STARTING BUSINESS IN EVERETT NAME,FIRM NAME,&ADDRESS OF PREVIOUS OWNER <br /> ADD LOCATION TO EXISTING EVERETT LICENSE <br /> [2] ❑ INCORPORATING AN EXISTING BUSINESS <br /> ❑ CHANGE OF OWNERSHIP OF EXISTING BUSINESS <br /> ACCOUNT NUMBER UNDER PREVIOUS OWNER <br /> ❑ CHANGE IN CORPORATE ENTITY <br /> DATE OF FIRST BUSINESS ESTIMATED ANNUAL EVERETT 16-DIGIT UBI NUMBER <br /> ACTIVITY IN EVER THIS REVENUE ( d <br /> [3I ENTITY CyAi� / I6 03 5 7 `J(y/ C/f/y<'' <br /> --7 <br /> NATURE OF BUSINESS(1)(2) [CHECK ALL THAT APPLY] DETAILED DESCRIPTION OF PRINCIPAL BUSINESS ACTIVITY IN <br /> EVERETT(Please be detailed and include a description of products <br /> Retail ❑Manufacturing-Extracting , and I or services) <br /> [4] Service ❑Utility <br /> ❑ Wholesale ❑Gambling Activity <br /> ❑ Printing/ n Charging Admission for <br /> • Publishing Events/Shows FOR PHYSICAL LOCATIONS INSIDE EVERETT CITY LIMITS: <br /> n Non-Profit Walk-in Customers? ❑ YES ❑ NO <br /> • Storage on Site? ❑ YES ❑ NO <br /> Page 1 of 2 <br /> REV. 6/2019 . <br />