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I� co�poialion, list otliceBpirinp tille. <br />aOGress, an0 p�one. <br />� W�FormerDusine�aopera�or <br />it. Former �usinoss operator's <br />12. Ditl you taka o•er7 <br />13. Remarka <br />"' ' 8usiness :nse numbe� <br />� SUeet num�ei . Posl nll¢e Zip GoOe <br />� ❑ Entire business <br />{.. R�'-5�4�.v� I'� <br />�, My N�..�e �5 <br />❑ Portion lhereol <br />riJaG�l�_: �o�— A%ccv CONST/��1CTJO.U.. <br />.:,.SEr� N_g .q..t� u�'rCP <br />1L NamelaUOress p�renl comDany I ___ <br />is. uwwes �weie�ewen a�erwm oe I C Business address ❑ Owner's address <br />DilleC lo <br />• � . I ❑ Other (Ezplain) :' <br />Be sure all information is complete before filing ihis application. If additional space is needed, attach supplementary I I; <br />sheets of this size. If buslness is conducted in more than ona location within the City of Everett, complete schedule <br />ot �usiness locations below (block ;6). There is no charge lor additional uusiness licenses for branch locations. <br />18. Name �a�Eer w�ich operatetl <br />Slraet numDor ' Post Oflice Whero book6 are kepl <br />I II � <br />; I <br />D I� CS/[�rII ��A � Zon C•- G/Asf %�CK�J ✓�' � Y <br />A'����f��E„ie��� c� wh°�� S.: /e: s o'� j��rsThe undersigned certifies lhat Ihe above inlormation is compiete, true <br />_, vlin d�� s, .tn�� �C1 /'�•� L' .I' �5 s� tc .�n � and accuralc� to ihe best of his knowledge. <br />Dale signed . 1 rade name__ ,��.�, �, � / <br />. inStaN�d. /��„�'� usc"� fc. •• �rjCe signedbY �... 1..,. <br />� � h�: .� k�..�i o�) • On r�.c K✓ v y , <br />i�(�C/d%�hWn e � U��, �„� „ft,i c r, Oflice or tltle <br />�:✓�I_ cSe/ ��' rkrJd ^'\ J. <br />bo nol write below Shis line — otfice use only. <br />�� . f � % % J �S <br />� B 8 O tax account no Utiliry acc�. no � n,�t E� dTransit tax SIC as� <br />�''' � �ark ci:nr ,':�in rrsic�,it�.. �- <br />�lo !/ass v . _. . ,. _ . i � �-. ..� , ic•_..... �.�.� <br />H <br />n <br />[9 <br />H F-I <br />H 'T1 <br />N� <br />� <br />O � <br />;-3 <br />E� M <br />�z <br />�M <br />� <br />H N <br />K �O <br />� H <br />N <br />�� <br />. � <br />� <br />� <br />ti <br />N <br />H <br />H <br />� <br />