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��:Sy - �736 <br /> LICEN�E City of Everett <br /> ALPHA FILE _ eVefett <br /> ADDAESS FI�E BUSINESSTAX NUMBERpPpLICATION <br /> FOLDER � <br /> o.P. (BU51NE�S LICENSE) <br /> ANNL pRTR <br /> FILE THE FINST COPY qND $10.00 FEE WITH BUSINESS TAX DIVISION, CITY HALL <br /> FIFM NAME <br /> BU WF�SSPHONE . <br /> ,1.1(.: �; � � ;, �� �ti .; �,,- � �- -, .��. y - .- .. <br /> eU5�NE55 LOCAtION ISireet Numoer.Giy,Staie.Pot.Swie� � , � ^ 2�P COQE: . <br /> ' %%Jl •� - /1.- - �i F f'li. !JI)CLt � Q 1v/� �� % , �I �• - - � <br /> , <br /> MnILING ADDRESS IStreo1 NumOep Cny.Sla�c.Apt_Suncl , 21P GODE <br /> � -.� ; ,. . <br /> AERSON FOR FlcING INiS APP�ICAiION�.' NAME.FIRM NAME d AODFESS Of PREVIOUSOWNEP � ACGT.NUMBEA <br /> p ❑ Inm�ooratinq O C�an9e In OwnarsNp <br /> E�istinq Bu:iness oi E.�siin,7 Bus�nnss <br /> �IarbnqNewBusinefs ❑ CnanqemCOrp.En:��ty <br /> Z DATEOFFI(i5T'9USINESSACTIVITV MONTM pAV YEAF <br /> IN EVERETT UNDER TNIS OWNERSHIP. <br /> NATUFE OF ' ❑ Aelail ❑ Manula[hnn9 IF CONSTRUCTION,SPECIFV ttoE. � Resiaential ❑ Hqnway ❑Commemiai ❑ Spe[�iairve <br /> 4 BUSINE55. ❑Wnolesnla �Servme �,OTHER PlEASE SPECIFY ( I�L��`/` {)l. <br /> DESCRIBE IN OETAI�PqINCIPnL Pq00ULi OA SERViGE RENDERED IN EVERETi <br /> ,. � . , _ , , •„ " r: r`;• <br /> OWNER'SLASTNrIAIE FIR57 r�po�e BIRiHDATE / SOCIALSEGUAIiYNUM1IBER <br /> �{ �1 / .'i; — �.�� .^ � I f' l� /J����L.i.4 � �� <br /> ❑ SPOUSE ' FIFSi MIDOLE BIRTN�ATE ' SOCIAL SECUPITY NUM9EF • <br /> e <br /> INDIVi�UAL � � � �. <br /> OPEFATEDBVNUSBANOANOIYffE? ❑ YES ��NO ' <br /> FIRSi Pr1FiNER'S LAST NAME FIRST MI001 E BIRTMDaIE SOCIAL SECUFITV NUMBER <br /> C <br /> K ❑ SFCONp PARiNER'S LAST N�ME FIRST MIOOIE pIPTHOATE SOCIAL SECURIiY NUM9EP <br /> a . PAqTNERSHI <br /> C THIRD PARiNEP'S LAST NAME' FIFST MID�LE BI(iTHOATE SOCIAL SFLURITV NUh18EP <br /> O1�1 <br /> � FULL LEGAL NAME OF COFPORATION F.21N�feE.Em0 ��NOJ <br /> � NRAESOFCORPOFAiEOFfICEFS HOMEAODRESS CITY.STAfE Pi�ONE <br /> Pres. <br /> � HOME ADORE55 CITY,STATE PH9NE <br /> ORPOPnTION V Pres. <br /> NOMEAD�RE55 �ITV,STpTE PMONE � <br /> SeCreiary <br /> HOME.I�ORE55 CITV.STATE PHONE P <br /> T�easure� w <br /> MA�E YOU BEEN IN BUSINE55 NAME.FIRM NAME ANO AODFE55 ACCOUNT NUM6ER � <br /> 6 BEFOREIN EVERETn ❑ �ES <br /> ISpouso Inclutle0l �yNO <br /> IF YES.YEAR /� � <br /> LISTALL BRANCH LOCATIONS WITHIN EVERETT . <br /> NAME OPERFTEO UNDER STREET NUMBER,CITY �OLATION OF BOONS <br /> 7 <br /> T�s unEsnlanad eertllla�th�t the ebovs Inlor�natlon I�eompleb, trua�ntl�eeurale to Iha be�t of�I�knowledp�. Furth�r,th�undanlpneE e�r1111a�Ihat�a/aha <br /> und�nuntlf I��t a Ousin�u taa numbar(buslnas�Ilcenvi)b Ia�uaE lor iha sapnn pur0osa ol le�allon end ahsll not ba eonnrueE s��Ilcans�or pumit to operala <br /> •Ou�inau In vlalation olanyGiry ol Ererett ortllnanee,mb�r ropul�tlo^.Il b t�e unLanl9�atl's aoi�n�pon�ibllity lo�n�unoompilene�wit��II appllnEh Utyartllnenen, <br /> ruln and n9 W�tlona ptlor to eonuuellnq bu�lnea�In!he Cly ol Ereratt <br /> 8 APPLICATIONSIGNATURE TITL! DPiE51GNE� � ' � �� <br /> G� — <br /> MOMEA�OjESS � HOh1EPHOI�{E ^ • (�' <br /> ,`7/l�/- I ,-G �� C��. l-r. f�rr���il� ;; ..�,� � 4� � � <br /> 9 PROCESSEDBY SIChUMBEH BdOACCOIINTNUI.�BER }� <br /> TR ❑CNECK OCASH �_.��u <br /> '�ATTPCH 115T FOfl ADDITIONA�PARTNERS� � <br />