Application For Business License Form - City Of Pacific
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2CITY OF PACIFIC
100 3RD AVE SE
PACIFIC, WA 98047
CITY HALL (253) 929-1100
FAX (253) 939-6026
Application for Business License (PMC Title 5)
Please fill out this form in its entirety. Incomplete applications will not be accepted.
This is an APPLICATION ONLY, and NOT a license to conduct business
You must obtain a business license PRIOR to conducting business.
PLEASE CHECK ONE (1) :
New _______
Renewal _______
Business Name:
Address:
Mailing Address:
Business Telephone No.(s):
Business Fax No.:
How long at present location:
Please give the type and details of business:
Business Offices Outside City Limits - Flat fee $50.00
Business Offices Within City Limits
Please note specifically the number of employees
Please note specifically the number of employees
_____ Home Based Business …………… $50
_____ 1 to 5 Employees………………… $50
_____ 6 to 12 Employees…….….…….…$75
Special Licenses & Fees: Amusement Devices,
_____ 13 to 25 Employees……………… $95
Gambling, Games of Chance, and Cabarets.
_____ 26 to 50 Employees……………… $105
(Special Fees – Contact City Clerk’s Office)
_____ 51 Employees and over…………. $150
*MANDATORY - Washington State UBI No.: ________ - ________ - ___________
Federal ID No: ______ - _______________________
Contractor, Daycare or Other Specialty License Required: ______________________
Expiration Date: _________________________
List all persons having an ownership/management interest in this business:
First
MI
Last
Address
Telephone
Date of Birth
For New City of Pacific businesses only, please attach a copy of drivers license(s) with application for
each person listed above.
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Business License Application Form
Business License Application Form
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Parent category: Legal