Application For Business License - State Of Washington Page 3
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425. Will waste material (other than restrooms) be discharged into the sewer?
Yes
No
If yes, indicate type:
Cooling Water
Grease
Wash Down or Floor Cleaning
Food Waste
Product Waste
Other (Please Specify)__________________________________
26. Will you have any sanitary sewer connections from your production area (other than restrooms)?
Yes
No
If yes, indicate type:
Catch Basins
Floor Drains
Sinks
Sumps
Other (Please specify)______________________________________________________
27. Are you the first tenant at this location?
Yes
No
If no, name of previous business at this location:___________________________________________________
28. Is this business license application for a Home Daycare?
Yes
No
If yes, please indicate the following:
DSHS License / Certification No.:____________________________ Expiration Date:_____________________
Maximum Number of children authorized by DSHS:_________________________________________________
Actual number of children enrolled:______________________________________________________________
BUSINESS OWNER MUST ENSURE COMPLIANCE WITH ALL LAWS:
Do not engage in business practices until you receive an approved license. When the City issues a business license, the City is not repre-
senting that the business is in compliance with all local, state and federal laws.
DECLARATION:
I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct.
Applicant’s Signature:_________________________________ Title:___________________ Date:____________
Print Name:__________________________________________email address:___________________________
Business License Application Fee Worksheet
Registration
You may be eligible to pay a registration fee of $50 in lieu of a business license fee under the following circumstances.
1. Are the annual gross receipts of your business less than $12,000?
Yes
No $________________
If yes, stop here. Your registration fee is $50.
Exemptions:
You may be eligible to register a business license application under this chapter and be exempt from any fees.
1. Are you a qualified governmental or religious organization?
Yes
No
If you engage exclusively in religious activities or governmental functions, or if any of your activities go beyond core religious
functions, or if any of your activities go beyond core governmental functions, then skip down to the regular business license
section. You will pay a base fee and follow special instructions for calculating the Revenue Generating Regulatory License.
2. Are you a civic group, service club, or social organization?
Yes
No
that are not engaged in any profession, trade, calling, or occupation, but are organized to provide civic, service, or social
activities in the city.
3. Are you a non-profit organization exempt from Federal Income Tax?
Yes
No
(a copy of the 501(c)(30 is required)
If you answered yes to questions 1 - 3, stop here. Your registration fee is $0. Registration of business and and annual updated
information required. All other businesses proceed to next page.
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Parent category: Business