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FILE THIS COPY WITH CITY CLERK <br />CITY OF EVERETT — CITY CLERK'S DEPARTMENT <br />AL 9-B]]� <br />APPLICATION FOR BUSINESS LICENSE <br />ORUINANCE No. 3292 � <br />jl FILING FEE MUST ACCOMPANY <br />v (`��VeD � � <br />AN1 � 19�� U <br />C' ��' f',r FPr, : <br />PLEA6E PHINT Oq TVPE ,'/ � (/� ;�, ,'� � �� PLG{[ PRINT OR TYP[ <br />f 1 . -1 . � � • � .. ,1'-}. <br />To Be Issued 4o,_.f�:.'.`�-:�.�.::�....._.'......_.._....:::.:..._...::....E�..:.�.....--c.......L............__._ ........................._......._..._.....--..--........... <br />- ; .: r, ' S- - `. % '% 2_. <br />Trade Neme _�_-:!:-j4 .._I�7 d � � �,�z, / � t i['.:�-% _...._ � .. ......... ....-- <br />._ . .. .. 1 <br />� � / � ' F1! /"r.�. r / i - 'T_ Uu�mm rhon�) � .! r, f . ' <br />Businass Address..... ...... :' ` ` ................• . <br />.... .: .^ S <br />.... ., . _.... . ... .. ... .. ...... . . _ . .. __......_.. . .. P ...... <br />(Numbu �nd StrN!) (�ort OflkU IZI I <br />Residence Address _, .!..'�.' __::. ' _ ...`__� .. �: _.�..... ..�'..?1....lJ.i.:�.J� � � ' `. ....5...(...:...�-`. <br />� .....�i�.�ie..�. rno.,� <br />.. .__ ..� <br />Kind of Businass in Defail...._ .......:.::.....:_.:._.:...=.._. :: ,. .' �......'....:.._s...................._._...._.................................... <br />........ <br />...............(b �m� l0 011 in. DnlfMt� .h�lh�r Rd�il. Whobub, Nc.) <br />Opening Dete of business in Everctt �Important�.._..._.._........,J._::...._'.....�........_�._1 ................. <br />Flave You Ever Hed an Everett Business License? ................:........:..............Business License No. <br />State Whether Individual, Pertnership, or Corporation ........................................._._.............._........-_--................................. <br />If Partnership List Partncrs. If Corporation List Officers, Giving Title, Residence Address +nd Fhone Number of Each. <br />This Business Wes Formerly Opereted by ........................... <br />Whose Present Address Is ..................................................... <br />Did You Take Over: Entire Busi�ess ❑ <br />Portion Thereof ❑ <br />Lic. <br />._......_ ............................................. ....... _. ........._ _......................._......... <br />JE SURE ALL INFORMATION IS COMPLETE. If additional spece is needed, ettoch supplementery sheets of this size. If 6usi- <br />nex is conducted in more then one location within the City of Everett, complete schedule of business locotions on bottom of <br />jpplicetion sheet. T�ere is no cherge for eJditional business licenses for brench lotations. <br />Nameand �ddrnt of puant cemp�ny..._ ............._..................._........................._.._........................................................................................................................" <br />SCHEDULE OF ADDI710NAL BUSINE55 LOGATION9 IN EVERETT <br />Lid aech plent, f�ctory, sloro. office, or other loution; gir� nem� �nd addnu oF bwken, w�nheu»m�n or elhn pmom npnpnling tup�pr <br />m lhis city ii na offics or rerohouw ii m�inl�in�d in lup�y�ii n�m�. <br />NAME UNDER WNICN OPERIITEO BTRCET NO. ►WTOFFICE WH[RF. �OOK� All[ KVT <br />._._........... Trade Name.....�----. ......_.... .... . . <br />Signed by.....;1._:'�L��/ �......;'t.�t•r._....yi.`.� ..:................................. <br />.. .. ....... .................................... <br />Y �, <br />� <br />...... _ ...............:............... .........................--••-----......_....... <br />�mmu <br />�arm. o� ru.> <br />