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What do you anticipate your business gross receipts* for an entire year to be? (Check one) (*Gross receipts: Total business income shall

include business activities both within and without the corporate city limits of Tacoma.)

Over $250,000 annual gross receipts

❐

Between $12,000 and $250,000 annual gross receipts

❐

Less than $12,000 annual gross receipts**

❐

**If less than $12,000, a $25 administrative fee is due. See details on Page 4.

n Fee: Annual business license fee is $90. If first time registrant and your business activity is starting after June 30th, the fee will be prorated at $45 for the first year.

n Penalties: (License is not considered filed until payment is received).

Paid within one month from start date

No Penalty

Paid within two months from start date

20% of the license or $25.00, whichever is greater

Paid after two months or more from start date

50% of the license or $50.00, whichever is greater

n Branch accounts: $25 administrative fee required.

Yes ❐ No ❐

Additional Locations (Branches) in Tacoma?

If yes, separate tax returns are required for each branch location.

Name under which operating_____________________________________________ Location______________________________

n 501(c)(3) accounts: $25 administrative fee required.

Yes ❐ No ❐

Is your organization recognized as a 501(c)(3) non profit organization by the Internal Revenue Service?

If yes, you must submit a copy of your 501(c)(3) status letter from the Internal Revenue Service.

n Non-Reporting Accounts: $25 administrative fee required.

If annual gross receipts are $12,000 or less

n License Expiration: Annual business license expires December 31st.

One or more of the following General Licenses are required if your business engages in any of the following activities: (Check all that apply)

For more information call (253) 591-5252

6B.30 Adult Entertainment

6B.150 Oil and Gas Delivery Vehicles

❐

6B.40 Alarm Devices

❐

6B.160 Pawnbrokers, Secondhand Dealers and Garage Sales

❐

6B.50 Ambulances

❐

6B.170 Sales - Door-to-Door Soliciting

6B.70 Entertainment and Dancing - Alcohol served

6B.180 Sales - Sidewalk Vendors

❐

6B.80 Entertainment and Dancing or Skating Rinks - All Ages

6B.190 Scrap Metal and Recyclable Materials Dealers

❐

6B.90 Fire Alarms and Fire Suppression Systems

❐

6B.200 Septic and Side Sewer Contractors

❐

6B.110 Garages, Fuel Stations and Marine Repair Facilities

❐

6B.210 Sign Erectors

6B.125 Hazardous Materials

6B.220 Taxicabs

❐

6B.130 Home Occupations

❐

6B.230 Temporary Licenses - Sales or Shows

❐

6B.140 Hotels

NOTE: In addition to the above requirements, apply directly to the Tacoma-Pierce County Health Department, Food & Community Safety Section,

for permits relating to FOOD SALES, FOOD SERVICE AND/OR PUBLIC AND SEMIPUBLIC SWIMMING POOLS.

If your business is in the City of Tacoma, Fife, Ruston or Fircrest please complete this survey in full by checking the appropriate answers to each question. If you

have a question regarding the survey please contact City of Tacoma's Environmental Service and Engineering Division at (253) 591-5588.

*Domestic Wastewater is defined as water carrying human wastes including kitchen wastes, bathroom wastes and laundry wastes that are typical of residential discharges.

1. Do you or will you discharge wastewater, other then domestic wastewater* into the public sanitary system? Yes ❐ No ❐

If yes, please check the source of the non-domestic discharge to the wastewater system.

❐ Boiler or Cooling Tower

❐ Vehicle/Equipment washing

❐ Food prep, cooking

❐ Industrial process wastewater

❐ Contact storm water

❐ Unused product disposal

❐ Other _______________________________________________________

2. Have you been issued any the following permits?

Permit Number(s)

Expiration Date