Application For Business License Form - City Of Pacific Page 2
ADVERTISEMENT
1
2FEE MUST ACCOMPANY APPLICATION - NON-REFUNDABLE
RENEWALS ARE DUE JANUARY 15th
LATE PENALTY - 30 DAY DELINQUENCY CHARGE OF 50% + 10% FOR EACH SUCCEEDING MONTH
This section to be completed by business within the City of Pacific
Amusement Devices on Premises?
If yes, number of devices? __________
Serial Numbers for each:
Do you store FLAMMABLE, TOXIC OR HAZARDOUS Materials? ________ Yes
______No
If yes, type and quantity:
Does the business location have automatic sprinkler, fire alarm system, security alarm, or other?
____Yes ____No
If yes, please describe
*All security alarm systems must be registered with the City of Pacific
Does the business location have an irrigation system?
____ Yes ____No
NOTICE
NOTICE: Issuance of a license pursuant to this application shall not constitute an
I
f
li
t t thi
li
ti
h ll
t
tit t
assurance or representation that the business, or it's location, complies with
applicable local, state or federal laws. All licensees shall be responsible for
complying fully with all such laws.
I certify under penalty of perjury that the information above is correct, to my best knowledge and
belief.
Signed by: ____________________________________
Title: _________________________________________
Application Date: ______________________________
Note: Additional City Permits may be necessary before you can commence business. If you
change your business address, nature of business, or if you are no longer doing business
in Pacific, please notify the City Clerk's Office (253) 929-1105
FOR OFFICE USE ONLY
License # _____- _____________ Date: ___________________
Date: ____________ Receipt: ___________ Fee: __________ Drivers License ___ State License ___
Building
Approved _____
Date:
Comments:
See attached ___
Fire
Approved _____
Date:
Comments:
See attached ___
Police
Approved _____
Date:
Comments:
See attached ___
Page 2
Page 2
Business License Application Form
Business License Application Form
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal