Form Bls 700-060 - City Business License Addendum Page 3
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1
2
3State of Washington
UBI
Business Licensing Service
po Box 9034
owner name
olympia Wa 98507-9034
1-800-451-7985
City Business License Addendum
Side B: For a business physically located outside city limits (non-resident)
This form must be submitted with a completed Business License application and required fees.
For faster service - Apply online at
business.wa.gov/BLS
Refer to the instructions and list of cities on page 1 of this form.
Complete this section for city licenses if there is no physical location inside the city limits.
B
1. from the cities and fees shown on page 1, list all the cities where you will travel into to conduct business.
Previous city license number
City name
First date of business
Fee amount
(if known)
$
$
$
$
$
$
$
$
$
$
Total amount due for non-resident cities $
2. are you applying for your business as a nonprofit organization? ..........................................
Yes
No
If yes, attach a copy of your IRS tax exemption certificate issued under section 501(c) of the IRS code.
3. are you a general or specialty construction contractor? ........................................................
Yes
No
If yes, provide the Dept. of Labor & Industries registration number (if known): _____________________________
4. Do you provide utility service (telephone/cellular/ISp, cable, gas, electric, garbage)? ..........
Yes
No
Note: In Section 2 of the Business License Application, write the city name and fee indicated above.
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for assistance or to request this document in an alternate format, visit or call 1-800-451-7985. Teletype (TTY) users may call 360-705-6718.
BLS 700-060 (06/25/12) page 3 of 3
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