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r <br />1 <br />EVERETT <br />WASHINGTON <br />CITY OF EVERETT <br />General Business License Application <br />Once you have completed, please mail with a check or visit our office to pay by credit card. <br />Effective July 1, a 2.3% service fee will apply to all debit and credit card payments. <br />Current license fees are available at everettwa.Eov/businesslicense <br />PLEASE PRINT OR TYPE — COMPLETE BOTH SIDES OF THE APPLICATION <br />Business Tax Division <br />2930 Wetmore Ave, STE 1-A <br />Everett, WA 98201 <br />425-257-8610 <br />Fax: 425-257-8741 <br />everettwa.gov/businesslicense <br />businesstax@everettwa.gov <br />LEGAL ENTITY NAME <br />BUSINESS PHONE <br />BUSINESS OR TRADE NAME (DBA) ir <br />WEBSITE <br />- kiC//A4Z.elt�lrpj )I <br />PHYSICAL ADDRESS (Street Number, Street, City, State, Zip) , <br />IS THIS YDUR RESIDENCE? <br />❑ YES If yes, you must read the Home <br />o f I "( <br />02 NO Occupation Regulations. <br />MAILING ADDRESS (Streef Number, Street, City, State, Zip) <br />ZONE OF PROPERTY <br />/) <br />(for physical locations inside Everett city limits) <br />PRIMARY BUSINESS CONTACT <br />PHONE <br />EMAIL ADDRESS <br />13 �a <br />PRIMARY TAX CONTACT <br />PHONE <br />EMAIL ADDRESS <br />Ire �' C 1 Y► ���>° ���� <br />REASON FOR FILING THIS APPLICATION <br />FOR CHANGE OF OWNERSHIP: <br />STARTING BUSINESS IN EVERETT <br />NAME, FIRM NAME, & ADDRESS OF PREVIOUS OWNER <br />❑ ADD LOCATION TO EXISTING EVERETT LICENSE <br />[2] <br />❑ 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 <br />ESTIMATED ANNUAL EVERETT <br />16-DIGIT UBI NUMBER <br />[3] <br />ACTIVITY IN EVERETT BY THIS <br />ENTITY r <br />REVENUE <br />' ) 71 <br />Goo ?JO `—IT <br />NATURE OF BUSINESS (1)(2) [CHECK ALL THAT APPLY] <br />DETAILED DESCRIPTION OF PRINCIPAL BUSINESS ACTIVITY IN <br />EVERETT (Please be detailed and include a description of products <br />❑ Retail ❑Manufacturing -Extracting <br />and / or services) <br />[4] <br />® Service ❑ Utility <br />/ <br />�o��/i �' ���®• /� <br />❑ Wholesale ❑ Gambling Activity <br />❑ Printing/ ❑ Charging Admission for <br />Publishing Events/Shows <br />❑ Non -Profit <br />FOR PHYSICAL LOCATIONS INSIDE EVERETT CITY LIMITS: <br />Walk-in Customers? v�YES ❑ NO <br />Storage on Site? ❑ YES ❑ NO <br />I <br />Page 1 of 2 <br />REV.6/2019 <br />