Standard Business License Application Form - City Of Mukilteo
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1
2
3CITY OF
MUKILTEO
STANDARD
STANDARD
BUSINESS LICENSE APPLICATION
BUSINESS LICENSE APPLICATION
11930 Cyrus Way, Mukilteo, WA 98275 (425) 263-8035
NEW APPLICATION
UPDATE APPLICATION/ADDRESS or OWNER CHANGE
INSTRUCTIONS:
a. Answer all questions on page 1 completely.
b. Answer all questions on either page 2 or 3 completely, depending on the type of business.
c. Calculate fees payable using the Business License Fee Calculation Worksheet for your business type.
d. Return the completed application, printed copy of the fee calculation worksheet, and applicable fees to the
Mukilteo City Hall at the above address for processing.
BUSINESS TYPE:
GENERAL
(Business at a fixed location within City)
(page 2)
(Please read each type
HOME OCCUPATION
(Business office/operations located within a Mukilteo residential dwelling)
before marking one)
(page 3)
BUSINESS NAME:
STREET ADDRESS:
MAILING ADDRESS:
CITY/STATE/ZIP:
BUSINESS PHONE:
WA STATE TAX (UBI) NO:
FEDERAL TAXPAYER ID/SOCIAL SECURITY NO:
DESCRIBE IN DETAIL YOUR BUSINESS ACTIVIES, PRODUCTS OR SERVICES:
OPENING DATE OF BUSINESS:
KIND OF BUSINESS (Check all that apply):
Retail
Manufacturing
Construction Groups
Real Estate Leasing/Rentals
Wholesale
Services
Door to Door Solicitation
Financial/Insurance
Other (Specify :)
TYPE OF OWNERSHIP (Check all that apply):
Sole Proprietor
Partnership
Corporation
Association
LLC
Non-Profit
Note: Partnerships, Corporations or Associations must provide name, title, address and phone number of all owners/officers.
Non-Profit organizations must provide copy of Federal (IRS) or State certification.
OWNERS, PARTNERS,
CORPORATE OFFICERS:
HOME ADDRESS:
CITY/STATE/ZIP:
PHONE:
DRIVER’S LICENSE #/
STATE:
DATE OF BIRTH:
Is business regulated, licensed or certified by any other governmental or professional agency (i.e. Dept. of Labor & Industry, DSHS):
NO
YES
If YES, please provide a copy of your current and valid license or certification.
FOR OFFICE USE ONLY
Date
___________________
Amount Paid ______________________ BID # _______________
LIC #
_______________
Receipt # ___________________
Annual
Quarterly
Issued _______________
Expires ______________
1
BUSINESS LICENSE APPLICATION - STANDARD
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Parent category: Business