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CITY OF EVERETT <br /> APPLICATION FOR TEMPORARY BUSINESS LICENSE <br /> Please return application to Clerk's Office, Business Tax Division <br /> 2930 Wetmore,Suite 1-A, Everett,WA 98201 <br /> PH:(425)257-8610 FAX: (425)257-8741 EMAIL: businesstax@everettwa.gov <br /> EVENT NAME: �� � EVENT DATE(S): LI/� h Ji <br /> EVENT LOCATION: '"1 r�°1 �01-3 3 � Imo' eAmokvo ZO3 <br /> You must answer"Yes"to both questions to qualify for a temporary business license. <br /> 1. Will you be operating in Everett on a temporary one-time basis of no NPI Yes D=No <br /> more than three (3)consecutive days? <br /> 2. Do you estimate gross receipts earned from this event to be under$5,000? ` .Yes LI No <br /> PRINCIPAL/OWNER NAME Title Phone <br /> z. <br /> BUSINESS NAME/DBA "1-j �� � �✓1 {� �' <br /> BUSINESS ADDRESS /6 a'S h `'�"` Thu kib VSA 912Th <br /> MAILING ADDRESS <br /> EMAIL ADDRESS 31i 6- ".J <br /> DESCRIBE BUSINESS ,(c) <br /> I understand that this is a temporary one-time business license. If I return to conduct any other <br /> business within the city limits of Everett during the current year, an application for a eneral business <br /> license shall be made with the City Clerk's office. 21 ( ;a, <br /> 117 ,. <br /> Applicant Sig lure Date APR 1 2 2018 <br /> CITY OF Elf ETI <br /> City Clerk <br />