City of Mukilteo Finance Department
Attn: Business Licenses
11930 Cyrus Way
Mukilteo, WA 98275
STANDARD BUSINESS LICENSE APPLICATION
UPDATE APPLICATION/ADDRESS or OWNER CHANGE
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 at a fixed location within City)
(Please read each type
(Business office/operations located within a Mukilteo residential dwelling)
before selecting one)
SECTION 1 - BUSINESS INFORMATION
WA STATE TAX (UBI) NO:
FEDERAL TAXPAYER ID:
DESCRIBE IN DETAIL YOUR BUSINESS ACTIVIES, PRODUCTS OR SERVICES:
OPENING DATE OF BUSINESS:
TYPE OF BUSINESS (Check all that apply):
Real Estate Leasing/Rentals
(Attach Form A: Canvasser, Peddler or Solicitor - REQUIRED)
Canvassing, Peddling or Soliciting
TYPE OF OWNERSHIP (Check all that apply):
Note: Non-Profit organizations must provide copy of Federal (IRS) or State certification.
ON-SITE PRIMARY CONTACT INFORMATION (Individual who is responsible for managing the business in Mukilteo):
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):
If YES, please provide a copy of your current and valid license or certification.
FOR OFFICE USE ONLY Date ___________________