Application For Business License - State Of Washington
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4City of Kirkland
APPLICATION FOR BUSINESS LICENSE
City of Kirkland
Phone 425.587.3140
Customer Accounts/Licensing
license@ci.kirkland.wa.us
123 5th Avenue
Kirkland, WA 98033-6189
INSTRUCTIONS:
Items 1-27 must be completed, or application will not be accepted.
FOR OFFICE USE ONLY:
Please print or type.
4302_________________
Application must be signed.
4303_________________
If form is not fully completed, a delay in processing the application
4311_________________
will occur.
4312_________________
License Fee:
Check #______________
•Please refer to the Business License Application Fee Worksheet
Receipt #_____________
for fee calculations.
•Return application and check made payable to City of Kirkland.
1. Business Organization:
Sole Proprietor
Partnership
Corporation
LLP
LLC
_____________________________________________________________________________
2.
Name of Firm
DBA (Doing Business As)
Business Phone
_____________________________________________________________________________
3.
Business Address (Site Address of Business)
_____________________________________________________________________________
4.
Mailing Address (if different from business address)
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5.
_________________________________________________________
__ __ __ __ __ __ __ __ __
Opening Date of Business at this location Unified Business Identifier Number (UBI)
6. Are you a utility company?
Yes
No
Specify type ____________________________________
7. List names of owners partners, or officers: (ONLY LIST 3)
(1)
(2)
(3)
Name:
Address:
City/State/Zip:
Home Phone:
Drivers Lic. No:
8. Emergency Notification (must list two local contacts):
(1)
(2)
Name:
Address:
City/State/Aip:
Home Phone:
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Parent category: Business