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S7�ATE OF <br />WASFIINC;7'ON <br />Uixy Lrc Hny <br />(�iWPrpOr <br />NORTfiTJEST HOCKEY ASSOCIATION <br />P. 0. Box 29 <br />Edmonds, Sdashington 98020 <br />Dear Applicant: <br />�.:�:M..�._.:..,�..�.,:...._ <br />WASHINGTON STATE GAMBLING COMMISSfOIV <br />1'.�P�LJ 1".e�n14nlJnvl. III'�Sl.n� Ihnun :qM� i!.{IV4d <br />P O IL�w YiNiL Oly�upi.�. W.nhirv�ton YA'dN <br />August 25, 1978 <br />Your application for a license to conduct gambling activity has been reviewed. You <br />are requir?d tc submit tne following information within tt�irty days or your license <br />will not be issued and fees will be forfeited. <br />1.) Please submit your Washington State Department of Revenue tax nwnber. <br />2.) TdAC 230-20-150 requires that operators of h3ngo games class "C" and larger <br />provide the Cqmmission with the name, address and city of the bank depository <br />establishe for the deposit of bingo receipts. Please supply this information. <br />3.) The personal information form for Sdilliam Anderson listed employment.only <br />for t'.ie past four years, please provide his previous employment for the <br />prior year. <br />4.) Please provide a copy of your organizations Internal Revenue Service letter <br />of tax exemption. <br />5.) Please provide z copy of the original leases for the building and the equipment. <br />Sde are in recaipt of the sublease to N. W. Hockey Assn. <br />6.) Plrase o�cai� fron your city administration a°Use and Occupancy permi: Yor <br />your premises. Also obtain from the local fire department a statement outlinir.g <br />;�}1` � "crowd capacity." Submit copies of both and any other pertinant infornation <br />as a result of the fire deparCment's inspection to the Commission. <br />If yo�� have any questions, please contact <br />753-G861. PLEASE RETURN THIS FORM �arTH v� <br />.�'� i'7 ��` <br />2, �,G.%G o� <br />'r1E6: nn <br />Enclosures <br />GC 131-057a <br />(Revised 1/1/77) <br />ker , phone (206) <br />you for your cooperation. <br />5incerely, <br />�= � ��- <br />Vlilliam E. Bj k <br />Director <br />� ) , ,,f -1,2� <br />,. <br />�• <br />��G�-. �-�-��:. <br />