Application For Business License - State Of Washington Page 2
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49. Property Owner(s)/Leasing Agent
(1)
(2)
Name:
Address:
City/State/Aip:
Home Phone:
10. Do you have other business locations in Kirkland?
Yes
No
11. Specifically describe your business activity:_____________________________________________
_____________________________________________________________________________________
12. Is this business a change of ownership, location change (within the City of Kirkland), or business
activity change?
Yes
No If yes, please indicate:_____________________________________________________
13. Is there a Change of Use occuring on the property e.g. retail to restaurant? If yes, did you check with
the Public Works Department to see if Traffic Impact Fees are due?
Yes
No
14. Is this business conducted in a residence?
Yes
No
If yes, you must submit a Home Occupation Agreement in addition to this form.
15. Occupancy Type:
Apartment Building / Condo
Office Building
Single Family / Duplex
Church
Hospital / Nursing Home
Retail
Warehouse
Hotel / Motel
School
Other (Please Specify)_________________
16. Number of square feet (gross) of floor space / business activity uses:________
17. Number of workers at this location including owner / manager:________
18. Type of Business:
Business/Prof. Office
Restaurant
Wholesale
Religious
Manufacturing
Retail
Government
Utility
Medical / Dental Services
Service
Other (Please Specify)__________________
19. Is this a non-profit organization?
Yes
No
If yes, please provide a copy of IRS 501(c)(3) Federal Tax Exemption Certificate.
20. Will any type of live music be conducted at business?
Yes
No
21. Will any admission fees or cover charge be charged?
Yes
No
22. Do you store flammable or hazardous materials?
Yes
No
If yes, please attach a list of type and quantity.
23. Do you or will you have a security alarm(s)?
Yes
No
24. Has your security alarm system been registered with the City?
Yes
No
If no, you must contact the False Alarm Managing employee at 4.25.587.3142 to obtain an Alarm Register
Application.
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Parent category: Business