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CITY OF TRACY FINANCE DEPARTME <br /> 16325 E. 10th STREET BUSINESS LICENSE APPLICATION <br /> TRACY, STA 95376 TYPE Contractor <br /> FEE, S40 ,r per quarter <br /> (209) 835-2211 <br />' or Sign ger year <br /> a NOTICE TO APPLICANT: <br /> All general contractors, sub-contractors or specialty contractors providing <br /> services to customers within the City of Tracy are required to obtain, a City <br /> of Tracy Business License. "General contractor" shall mean a person holding <br /> an 'A' or 'B' license pursuant to Section 7056 and 7057 of the Business and <br /> Professions Code of the State of California. "Sub-contractor or Specialty <br /> Contractor" shall mean a person holding a 'C' license pursuant to Section <br /> 7058_ IT IS A MISDEMEANOR TO CONDUCT BUSINESS WITHOUT A BUSINESS LICENSE. <br /> 'GENERAL INFORMATION: <br /> Nama of Business A(LU 1✓�)` ci,3 I UZ <br /> Mailing Address ' ocation IC [ 3.;72j <br /> n <br /> Owner l IZClY 10,:,-U7- <br /> Telephone v� Z2`]-L9 511 ](oU�� �—+Sj3 <br /> T —Soc3.al Security Numaer <br /> Corporation Q Partnership Q Sole Owner 2 r) - a`) C<��,�') U <br /> eEIN V <br /> State Lies. f 77 Type iAZ 7 r)- <br /> State Employers LD Number <br /> FEE <br /> Tha Businass license fee for all contractors is$120 per Fiscal Year ending .lune 30th, <br /> Or $40 per quarter. or fractional part thereof. <br /> License Desired: _X_Quarter ($40) Annual ($120) <br /> DECLARATION: <br /> Every city or city and county which requires the issuance of a business license as <br /> a condition precedent to engaging. within the city or city and county, in a business <br /> which is subJect to regulation undar this chapter, shall require that each licensee <br /> and each applicant for issuance or renewal of such license shall file. or have on <br /> file, with such city or city and county, a signed statement that such licensee or <br /> applicant is licensed under the provisions of this chapter and stating that the <br /> license is in full force and affect, or, if such licensee or applicant is exempt <br /> from the provisions of this chapter, he shall furnish proof of the facts which <br /> entitle him to such exemption. (Contractors License Law, Business and Profession <br /> CodAl,he <br /> ision 3 Chapter 9. Article 2; Section 7033) <br /> am licensed under this code to perform the work which is permitted under <br /> business license of the City of Tracy for Which I am applying <br /> 0 I am not covered under this code -- <br /> I declare under analty of perjury that the information provided on this application <br /> is true and cor ctrto the at of myknowledge and belief. ;:a_-- <br /> signatu G Date S 5Z 1,0kY 2 <br /> Fos City - - - - - - - - - - - - - p- - y;J- —-.�- - - <br /> License ! 117p l/7 Date Paid- - - - - - - - - - , <br /> ,�L-- <br />