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APPLICATION FOR BUSINESS LICENSE FOR RENTAL HOUSING (ORDINANCE NO. 5882) Phone: LICENSEE MAILING ADDRESS (All information related to this license will be sent to this address) Fax: Name:
e-mail: Title: Address: Suite: City, State: Zip: WEB SITE (if applicable): LEGAL STATUS: Sole Proprietor Individual Corporation LLC Partnership Other________________________________
_____________________________________________________ COMPLETE THIS SECTION FOR ALL OWNERS, AGENTS, PARTNERS OR CORPORATE OFFICERS, EVEN IF LISTED ABOVE (attach separate page if necessary):
1) Name: Title: % Owned Home Address: City/State/Zip: Home Phone: Date of Birth: Place of Birth: Driver's License #: 2) Name: Title: % Owned Home Address: City/State/Zip: Home Phone:
Date of Birth: Place of Birth: Driver's License #: Business License # BUSINESS LICENSE FOR RENTAL HOUSING FEES Fees are based upon cumulative number of units at all locations. 1–4 units:$53.00
5–24 units:$106.00 25+units:$212.00 All licenses expire June 30. Renewal notices are mailed in May. Business licenses are not pro-rated and are non-transferable. If you discontinue your
rental activity in Auburn, please notify the Permit Center at (253) 931-3020. PLEASE RETURN TO: Permit Center 25 West Main Street Auburn, WA 98001 Phone: (253) 931-3020 Fax: (253) 804-3114
MANAGER/AGENT/EMERGENCY CONTACT: Title: Business Phone: Home Address: City/State/Zip: Home Phone: Date of Birth: Place of Birth: Drivers License #: FOR OFFICE USE ONLY: Prior License
#___________________Date Received: ________________ TR #___________________$_________ Issue Date: _________________ SIC Code __________________________________________________________
BUSINESS INFORMATION FOR CORPORATIONS, LLCs, PARTNERSHIPS WA STATE UBI/TAX #: If applicable FEDERAL TAX ID #: If applicable CONTRACTOR ID #: If applicable RENTAL HOUSING UNITS (list
all properties you own) Property Name/Address # of Units Parcel Number Have you ever had a rental housing business license with the City of Auburn denied, revoked or suspended? Yes
No If yes, when and for what property: _________________________________________________________________ APPLICANT’S SIGNATURE I hereby certify and declare under penalty of perjury
under Washington law that the statements furnished by me on this application are true and complete to the best of my knowledge. I understand that the issuance of this license is conditioned
upon compliance at all times with all applicable ordinances, regulations and statutes of the City of Auburn and the State of Washington. The issuance of this business license does not
imply compliance with the Zoning Code and International Fire and Building Codes. Date Signature Title THIS APPLICATION ALSO SERVES AS YOUR APPLICATION FOR A CITY OF AUBURN BUSINESS LICENSE.
IF APPROVED, ONLY A SINGLE LICENSE WILL BE ISSUED. Auburn Rental Housing Business License Page 2 of 2 Rev. 2009