Form Bls 700-060 - City Business License Addendum - Washington Department Of Licensing
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1
2Master License Service
UBI
UBI
Department of Licensing
PO Box 9034
Owner name
Owner name
Olympia WA 98507-9034
Telephone (360) 664-1400
City Business License Addendum
This form must be submitted with a completed Master Business Application form and required fees.
Instructions:
1. Complete section A of this form to apply with a city where your business is physically located inside city limits.
2. Complete section B of this form to apply with other cities to which you will travel to conduct business.
3. In Section 2 of the Master Business Application, write the city name and fee for the city you select below.
4. Complete a separate Master Business Application and City Addendum form for each physical business location.
Please note:
•
City licenses must be approved by the city before business may begin. City Land Use, Building and Fire codes and
ordinances may be applicable. Contact each city directly for more information.
•
You must apply for business licensure directly with cities not listed on this form. Contact the Master License Service
regarding City of Richland.
Complete this section for a city license if your business is physically located inside city limits.
A
1. Please indicate the city in which your business is physically located (select only one):
Anacortes ......... $30
Fircrest ...................$65
Long Beach .......$125
Skykomish ....... $50
Bellevue ............ $30
Gig Harbor .............$20
Marysville ............$50
Spokane Valley $13
Blaine ................ $75
Ilwaco ...................$100
Monroe .................$50
Stanwood ......... $35
Bonney Lake .... $60
Issaquah ................$60
Prosser ................$50
Sultan ............... $75
Covington ......... $39
Lake Stevens .........$40
Ruston .................$40
Sumner ............ $40
Duvall ................ $55
Liberty Lake ..........$26
Sammamish ........$15
Tumwater ......... $50
2. First date of business in the city selected: _________________________________________________________
3. Have you ever held a business license in the city you selected above? . . . . . . . . . . . . . . .
Yes
No
If yes, note the city license number of your previous business (if known): ________________________________
4. Will you use or store any hazardous or fl ammable materials at this location? . . . . . . . . . . . .
Yes
No
5. Are you conducting the business from your residence? . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
Some cities have special home occupation regulations, please contact the city for more information.
6. Square feet of fl oor space utilized by your business at this location: _____________________________________
7. Give the name and phone number of two after-hours Emergency Contact persons for this business location:
Name
Phone number
(
)
Name
Phone number
(
)
8. Are you applying as a nonprofi t organization?
. . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
If yes, attach a copy of your IRS tax exemption certifi cate issued under section 501(c) of the IRS code.
9. Are you a general or specialty construction contractor? . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
If yes, provide the Dept. of Labor & Industries registration number (if known): _____________________________
10. Mark any of the following activities that will be conducted at or from this business location:
Sexually Oriented Business
Charging Admission
Ambulance Service / Dispatch
Adult Entertainment
Taxi or For Hire Service / Dispatch
Utility (telephone/cellular/ISP,
Gambling
Amusement Devices / Arcades
cable, gas, electric, garbage)
BLS 700-060 (R/10/09) Page 1 of 2
BLS 700-060 (R/10/09) Page 1 of 2
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