Business License Application - City Of Burlington, Washington - 2012 Page 2

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Is this a Home Occupation? Yes ____ No _____
If Yes, route to PLANNING DEPARTMENT ONLY.
OFFICIAL USE ONLY
Planning Department
Approval
YES
NO
Building Department
Approval
YES
NO
Fire Department
Approval
YES
NO
Police Department (Bill)
Approval
YES
NO
Engineering Department
Approval
YES
NO
Building Department
Inspection
YES
NO
Fire Department
Inspection
YES
NO
Addendum Questionnaire for obtaining a City of Burlington Business License.
Please complete this and return with your business license application.
Your application and questionnaire will be routed and reviewed by several
departments for approval prior to granting your business license. This review
process may take several business days to be completed. Inspections may also be
required.
1. Will the new business change the character or use of the building from the previous use?
Yes ____ No ____
If yes, please describe changes:
2. Will the new business change the number of parking stalls or increase traffic flows?
Yes ____ No ____ If yes, please explain:
3. Does the building in which your business is to be located have adequate restroom facilities, and is
it handicap accessible?
Yes ____ No ____ If no, please explain any deficiencies:
4. Will your business be using any toxic or hazardous chemicals or materials that would be discharged
into the sanitary sewer system? Yes ____ No ____ If yes, please describe:
5. Will the business be adding any additional plumbing fixtures or mechanical/ventilation systems?
Yes ____ No ____ If yes, please explain:
Revised 02/22/12

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