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Agmt10 Interface Services
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Agmt10 Interface Services
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Last modified
4/9/2010 11:15:07 AM
Creation date
4/9/2010 11:10:30 AM
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Template:
Agreement
Contractor Name
Interface Services
PROJECT NAME
2010 Civic Facilities Carper Replacement Project (MSC, CAB Rm #8, Fair Oaks CC Admin, Fair Oaks Library, City Hall, Fire Station #20)
RMP File Number
304
Date
3/22/2010
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<br />N <br /> <br />cr',' <br /> <br />RWC LICENSE NO. <br /> <br />yrl89' <br />N \jL,- <br /> <br /> <br />CITY OF REDWOOD CITY <br />BUSINESS TAX APPLICATION <br />P.O. BOX 3355 <br />1017 MIDDLEFIELD ROAD <br />REDWOOD CITY, CA 94063 <br />TELEPHONE (650) 780-7214/ FAX (650) 368-6974 <br /> <br />BUSINESS ADDRESS (indutle Zip Code) <br /> <br />MAILING ADDRESS (iuclude Zip Code) <br /> <br />BUSINESSTYPE: <br /> <br />o SOLE PROPRIETOR <br />o PARTNERSHIP <br /> <br />i CORPORATION 0 liMITED PARTNERSHIP 0 <br />o CO-PARTNERS 0 BUSINESS TRUST . 0 <br />cRtP- 386&tjqq <br /> <br />JOINT VENTURE <br /> <br />o <br /> <br />LLC <br /> <br />GOVERNMENT <br /> <br />FEDERAL TAX ID NO. <br /> <br />If Real Estate Rental Business: <br />RESIDENTIAL: No. of units <br />COMMERCIAL: No. of square feet <br /> <br />NO. OF COIN MACHINES, if any' <br />NO. OF DELIVERY TRUCKS, if any' <br /> <br />IN CASE 0 MERGENCY, LIST CONTACT PERSON FOR POLICE AND FI . / L1 <br />. , '10- ~O <br /> <br />Appropriate permits from the Planning, Building, Fire, Police and/or other DepartmentS of the City may have to be secured before <br />the start of your business. The business location, whether owned or leased, must be properly zoned and the building must meet fire <br />code and hazardous materials standards. . A business tax license does not indicate clearance from the City, County, State <br />or Federal Governments from permits or licenses, which may be required for your type of business. ** BUSINESS TAX <br />. LICENSE FEES ARE NON-REFUNDABLE*:I(Sec. 32.117). You may want to contact the appropriate City Departments and/or <br />County, State or Federal agencies before submitting your application. <br /> <br /> <br /> <br />I declare, under penalty o. f perjury, that this application has been prep;1ed by me or under my direction, and to the best of my <br />knowledge and belief, is r e and correct. /tOeD.ttn-hi17-- D3/ ()6/ZoI 0 <br /> <br />SIGNATURE . TLE A ,,-,5/5 f-zz,H DATE <br /> <br /> <br />BASE FEE <br />No. of persons Fr _ x $ <br />No. of persons PT_ . x $ <br />No. of units x $ <br />No. of square feet <br /> <br />37.00 <br /> <br />Credit Card Payment Information: MC VISA <br /> <br />=$ <br />=$ <br />=$ <br />=$ <br /> <br />Credit Card Number: <br /> <br />Credit Card Exp. Date: <br /> <br />Commercial x $ <br />PENALlY: 10% of total fees per month up <br />to 100% per fiscal year. <br />Fee Proration: <br /> <br />=$ <br />=$ <br />=$ <br />=$/0 I. {flJ <br /> <br />. <br /> <br />Revenue Services: <br /> <br />Planning/Building & Inspection Approval: <br /> <br />TOTAL FEES DUE <br />( See fee schedule to determine fees) <br /> <br />APPLICANT'S SIGNATURE <br />
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