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CITY OF EVERETT <br /> JAN Q4 <br /> APPLICATION FOR TEMPORARY BUSINESS LICENSE_ <br /> ITY TWRETT <br /> Please return application to Clerk's Office, Business Tax Division CiiiN <br /> 2930 Wetmore,Suite 1-A, Everett,WA 98201 <br /> PH: (425)257-8610 FAX: (425)257-8741 EMAIL: businesstax@everettwa.gov <br /> EVENT NAME: "We 16-ii EVENT DATE(S): /1/4-47 <br /> EVENT LOCATION: 1-i3/7 c <br /> You must answer"Yes" to both questions to qualify for a temporary business license. <br /> 1. Will you be operating in Everett on a temporary one-time basis of no _EaYes No <br /> more than three (3) consecutive days? <br /> 2. Do you estimate gross receipts earned from this event to be under$5,000? 12 Yes No <br /> IJ' fav/D /? sT� c w •S-4 — -‘tf3 -cl/;Y <br /> PRINCIPAL/OWNER NAME Title Phone <br /> BUSINESS NAME/DBA 0?W'4 sr-e) 4_4_< <br /> BUSINESS ADDRESS - . ze-7- '-_ C-4? f� �J <br /> MAILING ADDRESS /00 cam7 Zs`s Z e-)-e c j Al z <br /> EMAIL ADDRESS 5— '.7 6 0w' r /"c'x° `'c',71 <br /> DESCRIBE BUSINESS /elf 5/E/-e LIGi <br /> I understand that this is a temporary one-time business license. If I return to conduct any other <br /> business within the city limits of Everett during the current year, an application for a general business <br /> license shall be made with the City Clerk's office. <br /> 46% 1/". 1 <br /> Applicant Signature Date <br />