Fillable General Business/ Contractor License Application (City of Washington Missouri)

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General Business/ Contractor License Application (City of Washington Missouri)

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BROWSE CITY OF WASHINGTON MISSOURI (MO) FORMS

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Business Information
Business Name:
Doing Business As:
Physical Address (Cannot be P.O. Box)
Street:
City:
State:
Zip:
Mailing Address (If different from above)
Attention:
Street:
City:
State:
Zip:
Phone
Primary:
Alternate:
Cell:
Fax:
E-mail Address:
Federal Tax ID#:
Missouri Sales Tax#:
Description of Business:
Number of Employees (that will be working within the city limits):
Date to Open:
Owner Information
Owner's Name:
Home Address:
Street:
City:
State:
Zip:
Phone Number:
City of Washington
Business License Application
405 Jefferson St • Washington, MO 63090 • (636) 390-1048 • ntope@washmo.gov
Business Licenses Are Renewable Yearly by July 1
Date Received:
I declare under penalty of perjury that this application has been examined by me and that the statements made
herein are in good faith pursuant to State and City regulations and, to the best of my knowledge and belief, are true,
correct and complete.
Signature of Applicant:
Date:
We accept cash, check, and card. Make checks payable to: City of Washington
License Requirements
Any outstanding fees owed to the City must be paid before a license will be issued
If the business will be occupying a physical location within the City, then:
You must obtain a
Certificate of Occupancy
from the Engineering Department.
You must complete and remit the
Emergency Callout Letter
for the Director of Communications.
If the business will be selling goods at retail, or if you will be providing lodging, then:
You must submit a copy your State of Missouri
Sales Tax License
acquired from the Missouri Department of
Revenue.
If you are a contractor, then:
You must supply either a current Certificate of Insurance showing Workers’ Compensation coverage – OR – a
completed and notarized
Affidavit of Exemption
.
If you will be offering massage, then:
You must supply a State of Missouri Massage License Therapist Certificate for each person who will be
performing massage.
Taxicabs, Bus Services, Mobile Food Trucks, Pawn Brokers, Security Guards, Sale of alcohol and/or cigarettes have
additional licensing requirements. Contact us at (636) 390-1048 or ntope@washmo.gov for more details.
Fees
General Business (all businesses excepting Specialties, Manufacturers, and Massage Therapists)
License Fee: $60.00 prorated monthly, plus
Employee Fee: $2.00 per employee
Specialty Business (Astrologers, Carnivals, Circuses or menageries, Clairvoyants, Fortune-tellers, Junk Dealers,
Recycling Centers, Mediums, Palmists, Tatooists, Slate writers, Billiard halls, Video/electronic Arcades)
License Fee: $250.00 prorated monthly, plus
Employee Fee: $2.00 per employee
Manufacturers
If less than or equal to 75 employees: $75
If more than 75 employees: $1 per employee
Massage Therapists
$25 for each Therapist
Contact Information
Business Licensing
(636) 390-1048
ntope@washmo.gov
Engineering Department
(636) 390-1010
jwalters@washmo.gov or
gvanek@washmo.gov
MO Department of Revenue
(573) 751-5860
businesstaxregister@dor.mo.gov
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General Business Contractor License Application (City of Washington Missouri)

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Completed 17 July 2020

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