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1992 BUSINESS LICENSE APPLICATION FORM
Send Completed Form To:
CITY OF LA QUINTA
BUSINESS LICENSE DIVISION
P.O. Box 1504
La Quinta, CA 92253
1 .
Business
Name:ciny�
2.
Business
Address: :S4
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3.
Mailing Address: PO.
4.
Business
Phone:
5.
Owned By:
CORPORATION
PARTNERSHIP INDIVIDUAL
6.
If Corporation or Partnership: Tax I.D.# 33• -vim
7 If Individual Owner: Social Security #
•8. Name of Owner or Officers and Title:9
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9. SBE Resale Number:
10. Number of Decals Needed: �C�5is i0 035 ��E-i0-9: _
io C� SEI i TQTAL i `O.Oi)
11. CONTRACTORS ONLY:
A. Type of Contractor:
B. Classification:
C. State License Number: e_0-/0 6P4,S-4ge4
CONTRACTORS - GENERAL $1 er or $50.00 Semi-annual
CONTRACTORS - SUB 50.00 Per Ye or $25.00 Semi-annual
CONTRACTORS ARE ON A CALENDAR YEAR BASIS ONLY; ANNUAL FROM JANUARY 1ST
THROUGH DECEMBER 31ST. SEMI-ANNUAL FROM JANUARY 1ST THROUGH JUNE 30TH; OR
JULY 1st THROUGH DECEMBER 31ST.
I HEREBY CERTIFY that all the information supplied by me is correct and
*Ssued
y licenses required by the County, State or Federal Government have been
to me and are in full force and effect.
Signature Title Date
T H E C I T Y 0 F
.� �' ♦ 1
AL
pinta
1982- 1991 Ten Carat Decade
June 16, 1992
Mr. John White
John White Electric, Inc.
54-095 Avenida Velasco
Y La Quinta, CA 92253
Dear Mr. White:
A Home Occupation Permit is needed when a business is run out of a
home in La Quinta.
v
Please fill.out the Home Occupation Permit enclosed and return it ,
to the Building and Safety Department as soon as po ssible. The
one time fee for a Home Occupation Permit is $35.00. You also need.
to schedule an appointment for an inspection of the work area in
your home before the permit can be'approved.
Your business. license will be held until the Home Occupation- is
•' approved. We apologize for the oversight of issuing you a license
without a permit, and any inconvenience.
Sincerely,
BUILDING AND SAFETY DEPARTMENT
Ellie Shepherd
Secretary.
/es 19
LTRESO4
City of La Quinta
Post Office Box 1504 ♦ 78-105 Calle Estado
�k La Quinta, California 92253
Phone (619) 564-2246, Fax (619) 564-5617 z
Design & Production: Mark Palmer Design. 619-346.0772
H E C 1 T Y
L
Gut
S.,POSIAGE-
JUN IT92
DII+
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La,,c)qmtq 75506 •
1982- 19 Carat Decade
Mr. John White
John White
54-095 Ave H.•.. 922S,32044
IEb
La Quinta� r A
WHITE- ING TIME E -P
R
PO BOX 417
L.A QUINTA CA 92ES3-0417
ORETURN TO SENDER