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<br />RWC LICENSE NO. <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 I FAX (650) 368-6974 <br /> <br />BUSINESS NAME <br /> <br />Ackerman-Practicon <br /> <br />BUS. TEL. NO. 650-965-1000 <br /> <br /> <br />BUSINESS ADDRESS (include Zip Code) <br /> <br />801 E Charleston Rd, Palo Alto, CA, 94303 <br /> <br />MAILING ADDRESS (include Zip Code) <br /> <br />same <br /> <br />DESCRIPTION/TYPE OF BUSINESS <br />DATE BUSINESS OPENED IN REDWOOD CITY NA <br /> <br />Consulting Engineers <br /> <br />NUMBER OF PERSONS (including owners, partners, an <br /> <br />SELLERS PERMIT NO, IF APPLICABLE <br /> <br />NA <br /> <br />STATE CONTRACTOR LIe. NO. IF APPL <br /> <br /> BUSINESS OWNER'S NAME(S) TITLE HOME ADDRESS HOME PHONE <br />Dan Smith President 684 Cuesta Dr, Mtn View 650-224-1636 <br />Charles Lee V. President 20775 Maureen Way, Saratoga 408-828-9567 <br />David Kung Secretary 503 Sea Light Ln, RedwoodShore s 650-759-83 <br /> <br />6 <br /> <br />BUSINESS TYPE: <br /> <br />o SOLE PROPRIETOR <br />o PARTNERSHIP <br /> <br />~ CORPORATION <br />o CO-PARTNERS <br /> <br />o llMITED PARTNERSHIP 0 JOINT VENTURE <br /> <br />o LLC <br /> <br />o BUSINESS TRUST <br /> <br />o GOVERNMENT <br /> <br />FEDERAL TAX ID NO. 94-2219268 <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 OF EMERGENCY, LIST A CONTACT PERSON FOR POLICE AND FIRE DEPARTMENT: <br /> <br />NA <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**(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 />I declare, under penalty of perjury, that this application has been prepared by me or under my direction, and to the best of my <br />knowledge and belief, is true and correct. <br /> <br />SIGNATURE <br /> <br />~~t.. /r3 <br /> <br />- <br /> <br />TITLE Vice President <br /> <br />DATE 8/11/10 <br /> <br />FEE CALCULA nON <br /> <br />=$ <br />=$ <br />=$ <br />=$ <br /> <br />37.00 <br />48.00 <br /> <br />Credit Card Payment Information: MC VISA <br /> <br />BASE FEE <br />No. of persons FT~ <br />No. of persons PT_ <br />No. of units <br />No. of square feet <br /> <br />x$ 24.00 <br />x$ <br />x$ <br /> <br />Credit Card Number: <br /> <br />Credit Card Exp. Date: <br /> <br />Commercial x $ <br />PENALTY: 10% of total fees per month up <br />to 100% per fiscal year. <br />Fee Proration: <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 />=$ 85.00 <br /> <br />APPUCANTS SIGNATURE <br />