HomeMy WebLinkAbout*Other - BOCC (003)Department of 10
,4
Revenue(CA
Wdshington State
Form BLS 700 200
Business Licensing Service
PO Box 9034
Olympia WA 98507-9034
360-705-6741
BLS@dor.wa.gov
Fax: 360-705-6699
UBI number: 605-196211
For Hire Addendum
For faster service - Apply online
Questions? Call 360-664-6466 or emaflforhire@dol.wa.gov
For Hire Operator: This form indicates if your For Hire business will be locally regulated.
1. Complete Section A and read Section B.
2. Take this form to your local jurisdiction official and have them complete and sign Section C. Your local
jurisdication is the city or county (if outside city limits) in which your business isphysically located. You
can find contact information for your local jurisdiction at
mrsc-org/Home/Research-Tools/Washinctton-Cit v -and -Town_Profiles.aspx (cities) or
mrsc.grg/Home /Rese,arch-Tools/Washin-aton-County-Profiles.aspx (counties).
3. Submit this signed and completed form with your business license application or a For Hire change of
location form at: httD://www.dol-wa.aov/forms/750206.Ddf.
°: Applicant information
Business owner name: 'Jessica Wright-Whitnev
Firm/trade name: Jessica's Shuttle LLC
Type of For Hire business (check one): Taxi
For Hire Operator Permit Fee
❑ Cabulance
Other (For Hire)
If the local jurisdiction official answers "No"to the first question in Section C,you must submit a For Hire Per-
mit fee ($110), along with other required fees, with your business license application or your For Hire address
change form.
Continued...
To request this document in an alternate format, please complete the form dor.wa.,.g,ov/AccessibilitvRgq.,uest
or call 360-705-6705. Teletype (TTY) users please dial 711.
BLS 700 200 (7/26/21) Page 1
For Hire AddendLim Department of fw&""
Revenue, %;
Washington State
Local jurisdiction authority
Local jurisdiction official:
Does your jurisdiction, either alone or by agreement with another jurisdiction (e.g., KingCounty), license or
regulate the For Hire business type checked in Section A in accordance with RCW 81.72?F—IYes No
BLS 700 200 (7/26/21) Page 2
From: Jessica Wright -Whitney <Jessicawrightl4@outlook.com>
Sent: Monday, June 19, 2023 7:30 PM
To: Commissioners <Commissioners@grantcountywa.gov>
Subject: For Hire Addendum
**EXTERNAL EMAIL**
This email originated from outside Grant County's network. Do not click links oropen
attachments unless you recognize the sender and know the content is safe.
talked to Barbra on Friday about getting help with this form for my business. She requested I fill out
my business information and send it back over this week, with hopes we can figure this out. The
Department of revenue is requiring this form for me to apply for my business license.
A little about Jessica's Shuttle, I will be picking people up in Sunland and dropping in them at the
Amphitheater and then bringing them home afterwards.
Please confirm you received this.
Thanks
Jessica Wright -Whitney
425-941-1094