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BUSINESS LICENSE REGISTRATION APPLICATION

SDAT BUSINESS NAME AND ACCOUNT NUMBER PHONE # OWNER S NAME BUSINESS ADDRESS ZIP CODE MAILING ADDRESS ZIP CODE TYPE OF LICENSE LICENSE TITLE FEE LICENSE TITLE FEE ANTIQUE DEALER $ BOWLING ALLEY (per lane, $100 min) $ CONSIGNMENT GOODS $ DANCE ACADEMY $ EMPLOYMENT AGENCY $ HALL OR SPORTS CENTER $ JUNK DEALER/SCRAP METAL DEALER $ MOTION PICTURE THEATER $ MUSEUM $ FOR PROFIT THEATE

If you have more than one location that requires a license you may add that information on the reverse side. WE ARE NOT RESPONSIBLE FOR INCOMPLETE REGISTRATION FORMS FAILURE TO PROPERLY COMPLETE YOUR REGISTRATION FORM WILL DELAY THE PROCESSING OF YOUR LICENSE AND COULD RESULT IN YOUR BUSINESS BEING …

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Transcription of BUSINESS LICENSE REGISTRATION APPLICATION

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Department of Business and Professional Regulation ...

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CURRENT/PRIOR LICENSE INFORMATION If you currently hold or have previously held a business or professional license/registration in Florida or elsewhere, please list each one below (attach additional copies of this page as necessary): 1. License/Registration Type State Date (From) / / Date (To) / / License Number Name Used 2.

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13A-1 (rev. 09/21) General Information and Instructions APPLICATION FOR ORIGINAL CONTRACTOR LICENSE . General Information and Instructions (continued) You are also asked to provide business phone and business fax numbers and a business email address.

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CSLB collects the personal information requested on this form as authorized by BPC sections 136, 7083, and 7083.1. CSLB uses this information to change the name or address of your licensed business. Submission of the requested information is mandatory. CSLB cannot consider your application to change your business name or address unless you provide

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EMPLOYER'S INFORMATION - TO BE COMPLETED BY EMPLOYER Employer Name of Business Business Address (Not PO Box) City State ZIP Code Print Name of Supervisor Telephone Number Signature of Supervisor I. APPLICANT'S CERTIFICATION I understand that a temporary restricted license is limited (restricted) to driving for employment and supporting life ...

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For faster service apply online at dor.wa.gov/businesslicense

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If you have city or state endorsements, it may take an additional 2-3 weeks to receive your business license due to approval time. Processing fee instructions: A Business License Application processing fee is required for each application received in addition to applicable endorsement or trade name fees. See below to determine the processing fee.

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