SECTION E - Hazardous Materials - Required by the City of Federal Way and Fire Department.
facility currently report to the Federal Way Fire Department under Sara Title III? Yes No
Does your facility currently use or store flammable materials? Yes No
If yes, please list.
What types of hazardous materials and /or waste are used, stored, handled, processed, or generated by your
business? If additional space is needed, please attach a separate sheet(s) of paper.
What quantity (in gallons) of the above substance is stored on site at any given time?
(Excluding consumer commodities for household use packaged in quantities of less than five (5) gallons)
SECTION F – Home Occupation – Required by the City if you run the business from your home.
Names all family members who reside at the home and work in the business,
Total Floor Space of
Do you have employees who are not a family member residing in the home? Yes No
If yes, do any of these employees visit the residence in connection with the business? Yes No
* *Non resident, non family member employees may not conduct business on this property* *
Will there be any outside storage of goods, display of materials or outside activity? Yes
If Yes, please explain:
Will the business require the use of heavy equipment, power tools or power sources not common to a residence?
Yes No , If Yes, please explain:
Will there be any pick up or delivery by commercial vehicles ? Yes No
If Yes, please explain type and frequency:
Will there be any visits to the home by clients or delivery services? Yes No
If Yes, please explain the number of deliveries expected: per week______ per month_______
Are there any conditions produced by the home occupation such as noise, vibration, smoke, dust, odor, heat, or glare
which would exceed that normally produced by a single residence, or which could create a disturbing or objectionable
condition in a neighborhood? Yes No If Yes, please explain type and frequency:
SECTION G– Temporary Business Activity - Temporary Registrations are granted for a
specific period, and are not to exceed 90 days in a calendar year.
Description of Temporary Business/Activity:
Dates of Temporary Activity:
**Please provide map of area/streets event will take place.
Attach additional paperwork if necessary**
**Signed Consent of Property Owner is required for
approval. Copy of lease agreement is acceptable**
SECTION H – SIGNATURES
I (we) the undersigned, declare under the penalties of perjury and the denial of a license or revocation of any license
granted, that I (we) am (are) the applicant(s) or authorized representative(s) of the firm making this application and that the
answers contained, including any accompanying information have been examined by me (us) and that the information set
forth is true, correct, and complete. I also understand that I am responsible for notifying the City Clerk, in writing, of any
change in location or mailing address within thirty days. All licenses are nontransferable. I understand my place of
business must comply with all federal, state, and local codes and ordinances.
Signature of applicant
Application prepared by
For office use only
Amount Received: __________ Check No.: ________________ Date Received: _____________ Receipt # _____________
Business Registration#: _______-__________________ Date Issued: ________________
E-SIGNATURE IS NOT ACCEPTED