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RECFP!rr) <br />FILE THIS COPY WITH CITY CLERK <br />CITY OF EVERETT—CITY CLERK'S DEPARTMENT J "i LI 1971 <br />AL 9-0733 <br />CITY CLLkK <br />APPLICATION FOR BUSINESS LICENSE <br />ORDINANCE No. 3L92 <br />$1 FILING FEE MUST ACCOMPANY <br />PLEASE PRINT OR TYPE PLEASE PRINT OR TYPE <br />To Be Issued to �10z'('frzf ✓) <br />Trade Name 19glo- 1914"..Wehiiriff ,e... <br />Business Address &.77" ... ..... <br />Mortises and Strait) (Post Office) (ZIP) <br />Residence Address �00 7 C-lil... qw, Clexv rr. /.. 4A✓ ............. <br />QD Residence freaso) <br />Kind of Business in ous ... j avv.Av.f_ <br />(10 safe to 1111 In. D.'I'"ta .%#the, Retail, wholoost etc) <br />Opening Date of business in Everett (important) . '-?id; ... J. V. . . . .........................---- <br />Have You Ever Had an Everett Business License? .... .A/V ... ................ .. Business License No. was: ... wv. A ......... .................. <br />State Whether Individual. Partnership, at Corporation ......... 1W. 01.9ho... 44. L.. . . ... . .... ............................................................ <br />If Partnership List Partners. It Corporation List Officers, Giving Title, Residence Address and Phone Number of Each. <br />... .............. . . .................... ........ ............... ......................... ...................................... . .............. <br />............... ... . _ ....... ............. ...... ..................... .............. I ............................. .............. .................................... <br />.......... I ....... ...................... ­­ ....... . ........... . ....... .................... .................................... . .................. . .......... .......... __ <br />This Business Was Formerly Operated by.._ ......... . ................_.............................Bus. Lie. No...._AJ1,4 ........................ <br />WhosePresent Address Is ......... A1119 . ................. ......... ... ...... .. ... . .............. ............................................. . .................. <br />Did You Talto Over: Entire Business Portion Thereof C1 <br />Remark: ............. . .. .............. ....... * ....... * ...... ....... * ............ . ** ------- <br />... .. ...... ............................................. <br />.................. ......................... <br />BE SURE ALL INFORMATION IS COMPLETE. If additional space is needed, attach supplementary shoots of this site. If busi. <br />ness is conducted in more than one location within the City of Everett, complete schedule of business locations on bottom of <br />application sheet. There is no charge I additional sineslikensers for branch locations. <br />Name and address of parent company "C4, . . ....... .... ........ ... I—— .... . .. .................... . . . <br />SCHEDULE OF ADDIT)�NALg�BUSINESS LOCATIONS IN EVERETT <br />List each plant, factory, store, office, a, other location; Sire memo and address of bwltrs. .6'shoutemen or other person$ representing tolpayff <br />m this city If no office or weralrouto is maintained in tampayer's name. <br />NAME UNDER WHICH OPERATED STREET NO. POSTOFFICS WHERE NOOKS ARE KEPT <br />.............. Trade <br />Signed <br />'.V . ............................. <br />(Office at THIS) <br />2 PLAN141firl Or t'Ir.17 <br />