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16-10615143vti:�o� State of Washington UBI Business Licensing Service 4.a — L) a PO Box 9034 1 fix ^, oYrs Olympia, WA 98507-9034 Owner name +Gjr 1-800-451-7985 Vehicle Transport/Disposal Addendum (To apply for an endorsement as 'a Registered Tow Truck Operator, Vehicle Transporter, Hulk Hauler, Wrecker and/or Motor Vehicle Salvage Processor) This addendum form may only be submitted as an attachment to the Business License Application. Licenses requested All applicants LReg.w Truck Operator (244) ❑ Hulk Hauler (247) ❑ Motor Vehicle Wrecker (250) Transporter (242) ❑ Motor Vehicle Salvage Processor (254) ck Operator additional information 1. If you maintain additional secured vehicle storage/impound areas away from this location, please see the instruction sheet. 2. You must attach all of the following lists and completed documents to this application (see instruction sheet for d scriptions): Names & addresses of all employees who serve as tow truck drivers Proof of Registered Tow Truck Operator liability insurance Registered Tow Truck Operator bond Fee schedule ® Washington State Patrol Tow Truck -Business -Operator -Equipment Inspection Report Vehicle Transporter additional information The transporter plates/license cannot be used to transport vehicles owned or registered to the licensee or business, unless you are a tow truck operator. (RCW 46.76.065) Is your transport business available to the general public? ......................... -- ....... .................. ❑ Yes ❑ No As a licensed transporter, will you provide towing services for pay?......................................................................... ❑ Yes ❑ No If you answered "yes" to the previous question, will you also hold a Registered Tow Truck (RTTO) license? ........... ❑ Yes ❑ No How many sets of Vehicle Transporter license plates do you need? . ($2 per set) Hulk Hauler, Wrecker, and Motor Vehicle salvage Processor additional information 1. How many sets of plates do you need? (first set is $5 each, additional sets are $2) Hulk Hauler Wrecker Motor Vehicle Salvage Processor 2. Hulk Hauler, Wrecker, and Motor Vehicle Salvage Processor applicants must attach a completed Personal/Criminal History Statement. 3. Motor Vehicle Salvage Processor and Wrecker applicants only You must also complete a State Environmental Policy Act (SEPA) checklist, present it to the local zoning official for review (see Vehicle Transport/Disposal Certification and Approval), and then attach the completed checklist to this application. A blank checklist is enclosed. 4. Wrecker applicants only, attach the following completed form (blank form provided) ❑ Bond of Motor Vehicle Wrecker If you have additional (branch) Motor Vehicle Wrecker business locations in the same county as this business location, please see the instructions sheet for information about registering the other locations. All business types EXCEPT Vehicle Transporter complete reverse side ... BLS-700-183 (6/28/16) Page 1 of 2 5TAI State of Washington uBl 2 Business Licensing Service 60` PO Box 9034 s -- �n' owner name Olympia, WA 98507-9034 E 1-800-451-7985O ' Vehicle Transport/Disposal Certification and Approval (To apply for an endorsement as a Registered Tow Truck Operator, Hulk Hauler, Wrecker and/or Motor Vehicle Salvage Processor) This addendum form may only be submitted as an attachment to the Business License Application. Business site identification Certifications below apply to the following business location Business firm name Business telephone number Business physical location addr s Shest oKroule Do not use PO do07 tuber City r County State Zipgcoyde 6.1 Cl/ o0 Zoning certification This section must be completed and signed by the local zoning authority before submitting the application to the Business Licensing Service. Zoning Officer. Check either "yes" or "no" for each option, then sign. 1. Applicant is applying as a Registered Tow Truck Operator................................................................................. X Yes []No 2. Applicant is applying as a Hulk Hauler.......--............................................................................................... ❑ Yes W No If "yes" is checked for #1 or #2 above, my signature below certifies that this Registered Tow Truck Operator or Hulk Hauler applicant's place of business is in compliance with all applicable local land use ordinances. 3. Applicant is applying as a Motor Vehicle Wrecker............................................................................................... ❑ Yes ® No 4. Applicant is applying as a Motor Vehicle Salvage Processor............................................................................. ❑ Yes ,K No If "yes" is checked for:=3 or #4 above, my signature below certifies that the environmental impact from this proposed land use for a Motor Vehicle Wrecker or Motor Vehicle Salvage Processor business appears insignificant, pursuant to Chapter 43.21 RCW, the state Environmental Policy, WAC 197-11-305, WAC 197-11-820, and WAC 197-11-800(14)(i). A completed State Environmental Policy Act (SEPA) checklist must be attached. iur oral o lal Title of local zoning official Phone number I Date fig n Col.ur�ln c a► of t ns- ear 2bv3 r 7 Inspecting Officer approval Hulk Hauler, Wrecker, and/or Motor Vehicle Salvage Processor applicants only Before submitting your Business License Application, you must arrange for law enforcement to do a site inspection, review your entire application, and sign this form. Contact the Washington State Patrol or the local Chief of Police (if business is located in a city with a population of more than 5,000). Out-of-state Hulk Hauler and Motor Vehicle Salvage Processor applicants must contact their local law enforcement officials. Inspecting Officer. Check either "yes" or "no" for each option, then sign. 1. Applicant is applying as a Hulk Hauler.................................................................................. ❑ Yes ❑ No 2. Applicant is applying as a Motor Vehicle Salvage Processor............................................................................. ❑ Yes ❑ No If "yes" is checked for #1 or #2 above, my signature below certifies that: this Hulk Hauler or Motor Vehicle Salvage Processor applicant is located at the address shown in section B above, and has suitable equipment for the safe and lawful transport of vehicle salvage on the public highways; each vehicle equipped for lifting or transporting vehicles or hulks operated by the applicant on highways of this state permanently displays, with letters and numerals at least three inches high, the business name, complete address of place of business, and current business telephone number; and that I assume responsibility for enforcement of the applicable laws. 3. Applicant is applying as a Motor Vehicle Wrecker... ................... ❑ Yes ❑ No If "yes" is checked for #3 above, my signature below certifies that: this Motor Vehicle Wrecker applicant is located at the address shown in section E above, as defined by RCW 46.80.010; each vehicle equipped for lifting or transporting vehicles or hulks operated by the applicant on highways of this state permanently displays, with letters and numerals at least three inches high, the business name, complete address of place of business, and current business telephone number; and that I assume responsibility for enforcement of the applicable laws. Signature of inspecting officer Title of inspecting officer I Phone number I Badge number I Date signed For tax assistance or to request this document in an alternate format, please call 1-800-647-7706. Teletype (TTY) users may use the Washington Relay Service by calling 711. BLS-700-183 (6/28/16) Page 2 of 2 Instructions for completing the Vehicle Transport/Disposal Addendum and Certification and Approval to obtain a license as a Registered Tow Truck Operator, Motor Vehicle Transporter, Hulk Hauler, Motor Vehicle Wrecker and/or Motor Vehicle Salvage Processor Application procedure 1. Review the Endorsement and Fee Description Sheets for general business registrations and vehicle -related businesses. 2. Select those endorsements that apply to your business activities at this location. You may apply for all endorsements and related license plates necessary for all vehicle business activities occurring at the same location with a single application, but each different business location requires a separate application. 3. Write the names and fees for each endorsement you require in Section 2 on page one of the Business License Application. 4. Complete the appropriate sections of the Vehicle Transport/Disposal Addendum and Vehicle Transport/ Disposal Certification and Approval (if applicable). 5. Submit the completed Business License Application, Vehicle Transport/Disposal Addendum and Vehicle Transport/Disposal Certification and Approval (if applicable), other documentation as described in these instructions, and fee payment to: State of Washington Business Licensing Service PO Box 9034 Olympia Washington 98507-9034 For more information, contact: Phone: (360) 705-6744 FAX: (360) 705-6699 TTY: (360) 705-6718 Complete these sections on Complete these sec - the Vehicle tions on the Vehicle Transport/Disposal Transport/Disposal If you are applying for a license as a: Addendum Form Certification and Approval A B C D A B C Registered Tow Truck Operator (RTTO) X X X X Vehicle Transporter X X Hulk Hauler X X X X X Motor Vehicle Wrecker X X X X X Motor Vehicle Salvage Processor X X X X X If you wish to register: For each physical location being registered you must RTTO Branch Storage Sites complete a separate application consisting of a Business and/or License Application and the combined RTTO/Motor Motor Vehicle Wrecker Branch Sites Vehicle Wrecker Branch Addendum form. Instructions for completing that form are included with it. For tax assistance or to request this document in an alternate format, please call 1-800-647-7706. Teletype (TTY) users may use the Washington Relay Service by calling 711. BLS-700-1 BB (10/26/16) Page 1 of 3 Vehicle Transport/Disposal Addendum Instructions Below are instructions for completing each section of the Vehicle TransporVDisposalAddendum form. If you have questions about completing the form or if you have questions about any of the endorsement requirements please contact the Vehicle Services' Dealers Division at (360) 664-6466. Section B: Tow Truck Operator additional information If you operate additional impound areas away from this place of business, you must register each location separately by submitting a Business License Application and a Vehicle Transport/Disposal Branch Site Addendum for each location. You do not need to complete the Vehicle Transport/Disposal Addendum form if you only wish to register for branch site endorsements. You must attach the following to the Vehicle Transport/Disposal Addendum: • Driver List: The names of all employees who will serve as tow truck drivers at this location. • Insurance: Proof that the business carries the following insurance: • $100,000 liability for bodily injury or property damage; and • $50,000 on -hook or cargo • $50,000 garage keeper • Bond: A properly executed Registered Tow Truck Operator surety bond in the amount of $5,000. Each separate business location must have its own bond. The name of the principal on the bond must reflect exactly both the business owner name (sole proprietor name, all partners, or the corporate name) and the business firm name. All bonds must be signed by the Attorney -in -Fact for the bonding company, and by the applicant (the individual, if a sole proprietor; all partners, if a general or limited liability partnership; or by an authorized corporate officer or member, if a corporation or limited liability company). Incorrect bonds delay endorsement approval. A blank bond form is provided for you in the application package. • Fee Schedule: A declaration of the fees you charge for the various tow truck services. (The form is provided.) • Inspection Report: You must arrange to have all your business facilities and equipment inspected by the Washington State Patrol before submitting the application. Attach the completed State Patrol Inspection Report form. Remember to include $50 with the total application payment for each truck permit. (The completed inspection is sent to you by the inspecting officer.) Section C: Vehicle Transporter additional information Answer the questions listed on the addendum and indicate how many sets of Transporter license plates you will need in your business. Remember to include $3 in your total payment for each set of plates you request. Section D: Hulk Hauler, Wrecker and Motor Vehicle Salvage Processor additional information 1. Indicate how many sets of plates you need for each business type. 2. All applicants for these endorsements must attach a Personal/Criminal History Statement. (Remember to include the correct plate fee with your total application payment: $5 for the first set of plates of each type, and $2 for each additional set of plates of that same type.) Note: You must submit a separate application for other locations doing business as a Hulk Hauler, Motor Vehicle Salvage Processor, and/or a Branch Site Vehicle Wrecker, and list the vehicles used for each business location on each separate application. Motor Vehicle Salvage Processor and Wrecker applicants must attach a completed Department of Ecology checklist for the State Environmental Policy Act (SEPA) for your business location (the form is provided with the application). The completed checklist must be presented to the local zoning official for review and approval before the application is submitted (see section B of Certification and Approval). Wrecker applicants only must also attach the Wrecker's Bond (form is provided). The surety bond must be in the amount of $1,000. The name of the principal on the bond must reflect exactly both the business owner name (sole proprietor name, partner name, or the LLC name) and the business firm name. All bonds must be signed by the Attorney -in -Fact for the bonding company, and by the individual, if a sole proprietor; all partners, if a general or limited liability partnership; or by an authorized corporate officer or member, if a corporation or limited liability company. An incorrect bond will delay your endorsement approval. BLS-700-188 (10/26/16) Page 2 of 3 Vehicle Transport/Disposal Certification and Approval (RTTO, Hulk Hauler, Wrecker and Motor Vehicle Salvage Processor only) Section A: Business site Identification This section identifies for the officials who will sign the certifications in sections B and C the business site for which the Certification and Approval form is being filed. List your firm name and physical location address. Section A of the Certification and Approval form must be completed before you submit the form to local officials for their certifications. Section B: Zoning certification (Registered Tow Truck Operator, Wrecker, Hulk Hauler and/or Motor Vehicle Salvage Processor applicants) Note: This section of the form must be completed and signed by the appropriate official before you submit your application to the Business Licensing Service. Registered Tow Truck Operator and Hulk Hauler applicants must have the place of business certified as complying with applicable land use ordinances by the local zoning and/or land use authority before submitting the application. Motor Vehicle Wrecker and/or Motor Vehicle Salvage Processor applicants must have completed the State Environmental Policy Act (SEPA) checklist from the Department of Ecology for the local zoning official to review. The completed checklist must also be submitted to the Business Licensing Service with the application. Mark "yes" or "no" for all boxes in section B which apply to you and have the local zoning official sign the certification. Section C: Inspecting Officer approval (Hulk Hauler, Wrecker and/or Motor Vehicle Salvage Processor applicants) Note: If you are applying for any of the endorsements listed in this section, you must contact the Washington State Patrol (or the local Chief of Police if you are located in a city with more than 5,000 people) before you submit your application to the Business Licensing Service. You must arrange with the appropriate law enforcement office for an inspection of your business site, and have the inspecting officer sign the certification in section C of the Certification and Approval. BLS-700-168 (10/26/16) Page 3 of 3 State of Washington LIN ,: ,t b �'F OS3 — b d a� Business Licensing Service � '-,;,yr, _ PO Box 9034 l) r �+ Owner name 'q r , Olympia, WA 98507-9034 IN �} ► �,� e'�-U ems, 4 ! Vehicle Transport/wiiposal Branch Site Addendum (To register a branch site of a Registered Tow Truck Operator or Motor Vehicle Wrecker) Instructions for Completing This Form • This form is only for businesses that are already licensed or have applied for a principal business location and are now registering an additional (branch) site related to that principal location. • This addendum must accompany a Business License Application. • Please print or type, using dark ink. • For licensing and regulatory questions, call (360) 664-6466. Registered tow truck operator branch site 1. Write `Tow Truck Branch Site" in Section 2 on the front page of the Business License Application form (there is no fee for this license). 2. Complete Section A on this form, identifying the principal business location to which the branch site relates and enter the physical address of the branch. This section must be completed before you contact local approving authorities. 3. Have the local zoning office and the Washington State Patrol complete their portions of Section B of this form. 4. Attach this form to the Business License Application and submit with the Business License Application fee. Principal and branch Motor vehicle wrecker branch site 1. Write "Motor Vehicle Wrecker Branch Site" in Section 2 on the front page of the Business License Application form (there is no fee for this license). 2. Complete Section A on this form, identifying the principal business location to which the branch site relates and enter the physical address of the branch site. This section must be completed before you contact local approving authorities. 3. Complete Section C on this form, listing vehicles you will use at this site which are in addition to any wrecker vehicles you have already registered. Each vehicle listed will be issued a set of wrecker license plates. The fee for license plates is $3 each. 4. Calculate the total amount due for wrecker license plates and write "Wrecker Plates" and the amount due, in section 2 , on the front page of the Business License Application. 5. Complete and attach the State Environmental Policy Act (SEPA) checklist for review by the local zoning office. 6. Have the local zoning office and the appropriate law enforcement official complete their portions of Section D of this addendum. 7. Attach this form and the SEPA checklist to the Business License Application and submit with the appropriate fees. I Identification (All applicants) Principal location: Enter the information for the existing principal location to which the new branch site is 1 connected. The UBI number is a 9-digit number found on the Business License. The Business ID is 3-digit number that immediately follows the UBI number; the Location ID is 4-digit number that follows the Business ID. Firm name Unitifed Business Identifier (UBI) Business ID Location ID i' Th L '- —�,53w `') S - Physical location address W8eror route (no PO Sox) City State Zip code WA 1 (Aktx 2 1 Branch site: Enter the physical address of the new branch site you wish to register on this application. Physical location address Street or route (no PO Box) 33 a-s- v� City Coun State Zip code &" WA 200 BLS-700-184 (9/2/15) Page 1 of 2 Registered tour truck operator branch site approvals The approvals certified in this section are for the branch business site identified in Section A on the front of this form. Note: Your signature on the Business License Application certifies that this branch site has the same business name as the principal location, and is covered by the principal location bond and insurance. You must obtain signatures from the Local Zoning Official and a Washington State Patrol Inspection Officer. Local Zoning & Land Use Approval I HEREBY CERTIFY that this Reglter,�d3N perator branch secure storage site is in compliance with all applicable land use ordinances. 4 Sin utsvaiZ ff-, Title of Zoning Official DgrSi9i1 1� . _ r► .1•n n. 1� _ _ r 1 I I I1 � 7 Washington State Patrol Inspection Approval I HEREBY CERTIFY that this Registered Tow Truck Operator branch secure storage meets all requirements of RCW 46.55 and WAC 308-61, and that 1 assume responsibility for enforcement of the applicable laws. Signature of Inspecting Officer I Title of Inspecting Officer -]--Date Signed X jl Motor vehicle wrecker branch site description of vehicles used at the site Make I Model 1 Year I Vehicle ID number (VIN) Motor vehicle wrecker branch site Total approvals The approvals certified in this section are for the branch business site identified in Section A on the front of this form. You must obtain a signature from the Local Zoning Official. You must also obtain a signature from the Chief of Police (if the business is located within the city limits of a city with a population over 5,000) OR the Washington State Patrol (if the business is located outside city limits, or within a city with a population of less than 5,000) Local Zoning & Land Use Approval I certify that I have reviewed the attached State Environmental Policy Act (SEPA) checklist for this Motor Vehicle Wrecker Branch Site, and the environmental impact from this proposal appears insignificant to RCW 43.21C and WAC 197-11-305. Signature of Local Zoning Official X Title of Zoning Official Date Signed Inspecting Officer Approval certify that the applicant has a Motor Vehicle Wrecker Branch Site at this address, as defined by RCW 46.80.101: each vehicle equipped for lifting or transporting vehicles or hulks operated by the applicant on highways of this state permanently displays, with letters and numerals at least three inches high, the business name, complete address of the place of business, and current business telephone number; and that I assume responsibility for enforcement of the applicable laws. Application requires approval of the Chief of Police if the business address is within the city limits of a city of over 5,000 population. Otherwise, approval of the Washington State Patrol is required. Signature of Inspecting Officer Title of Inspecting Officer Date Signed X For tax assistance or to request this document in an alternate format, please call 1-800-647-7706. Teletype (TTY) users may use the Washington Relay Service by calling 711. BLS-700-1 e4 (9/2/15) Page 2 of 2 J. i STATES 01P 4 �:. r I 1 secretary of state I, HIM WYMAN, Secretary of State of the State of Washington and custodian of its seal, hereby issue this CERTIFICATE OF FORMATION ABT TOWING & RECOVERY LLC a/an WA Limited Liability Company. Charter documents are effective on the date indicated below. Rl� 10 -�1889 Date: 11/28/2016 UBI Number: 604-053-846 Given under my hand and the Seal of the State of Washington at Olympia, the State Capital Kim Wyman, Secretary of State Date Issued: 11/28/2016 REQUEST FOR ADMINISTRATIVE DECISION DEPARTMENT OF CommuNITY DEVELOPMF NT CITY OF t DEC �(1 Sri 33325 8`° Avenue South Federal Way Federal Way, WA 98003-6325 FweR-At. ANY 253-835-2607; Fax 253-835-2609 www.ci affederalwa .cam FILE NUMBER - ! 0 Date Applicant PRIMARY PHONE NAME, 1��ur fie. . � Z� ob — 6 � — 9 �� y ALTERNATE PHONE BUSINESS/ORGANIZATION //�� AAt r 'i,-".". _ _ .� I ite P.., FQr l.s LAC. 9 Z 31 MAILING ADDRESS V 33 ►2 � ��' ��� S CITY STATE ZIP FAX 1-c j "' DU � Property Address/Location Description of Request 's l 1► * Ste- Vb8V List/Describe Attachments. For Staff Use ❑ Code interpretation/Clarification ❑ Critical Areas Letter/Analysis/Peer Review ❑ Request for Extension (Land Use/Plat Approval) ❑ Revisions to Approved Permit ❑ Tree Removal ❑ Zoning Compliance Letter - No Fee - No Fee (Actual Cost if Applicable) - Check Current Fee Schedule - Check Current Fee Schedule No Fee - Check Current Fee Schedule iulletin #079 — January 4, 2016 Page 1 of 1 k:\IIandouts\Request for Administrative Decision > State of Washington UBI . _ r Business Licensing Service } _,:. L)— OS3 J o PO Box 9034 �L tr V Owner name Olympia, WA 98507-9034 f -Wr Vehicle Transpord"Posal Branch Site Addendum (To register a branch site of a Registered Tow Truck Operator or Motor Vehicle Wrecker) instructions for Completing This Form • This form is only for businesses that are already licensed or have applied for a principal business location and are now registering an additional (branch) site related to that principal location. • This addendum must accompany a Business License Application. • Please print or type, using dark ink. • For licensing and regulatory questions, call (360) 664-6466. Registered tow truck operator branch site 1. Write `Tow Truck Branch Site' in Section 2 on the front page of the Business License Application form (there is no fee for this license). 2. Complete Section A on this form, identifying the principal business location to which the branch site relates and enter the physical address of the branch. This section must be completed before you contact local approving authorities. 3. Have the local zoning office and the Washington State Patrol complete their portions of Section B of this form. 4. Attach this form to the Business License Application and submit with the Business License Application fee. Motor vehicle wrecker branch site 1. Write "Motor Vehicle Wrecker Branch Site" in Section 2 on the front page of the Business License Application form (there is no fee for this license). 2. Complete Section A on this form, identifying the principal business location to which the branch site relates and enter the physical address of the branch site. This section must be completed before you contact local approving authorities. 3. Complete Section C on this form, listing vehicles you will use at this site which are in addition to any wrecker vehicles you have already registered. Each vehicle listed will be issued a set of wrecker license plates. The fee for license plates is $3 each. 4. Calculate the total amount due for wrecker license plates and write "Wrecker Plates" and the amount due, in section 2 , on the front page of the Business License Application. 5. Complete and attach the State Environmental Policy Act (SEPA) checklist for review by the local zoning office. 6. Have the local zoning office and the appropriate law enforcement official complete their portions of Section D of this addendum. 7. Attach this form and the SEPA checklist to the Business License Application and submit with the appropriate fees. Principal and branch location identification (All applicants) Principal location: Enter the information for the existing principal location to which the new branch site is 1 connected. The UBI number is a 9-digit number found on the Business License. The Business ID is 3-digit number that immediately follows the UBI number; the Location ID is 4-digit number that follows the Business ID. Firm name Unitifed Business Identifier (UBI) Business ID Location ID AW Physical location address of or route (no PJ BoxJ City Cau State Zip code 2 1 Branch site: Enter the physical address of the new branch site you wish to register on this application. Physical location address Street orrgule (no PO Box) J 1 t� V State Tip code city Count /p O .ri ,rn.r� WGh U"Lij L.Uw�,II WA C, 0 V0 BLS-700-184 (9/2115) Page 1 of 2 Registered tow truck operator branch site approvals The approvals certified in this section are for the branch business site identified in Section A on the front of this form. Note: Your signature on the Business License Application certifies that this branch site has the same business name as the principal location, and is covered by the principal location bond and insurance. You must obtain signatures from the Local Zoning Official and a Washington State Patrol Inspection Officer. Local Zoning & Land Use Approval HEREBY CERTIFY that this Registered Tow Truck Operator branch secure storage site is in compliance with all applicable land use ordinances_ Washington State Patrol Inspection Approval I HEREBY CERTIFY that this Registered Tow Truck Operator branch secure storage meets all requirements of RCW 46.55 and WAC 308-61, and that I assume responsibility for enforcement of the applicable laws. Signature of Inspecting Officer Title of Inspecting Officer Date Signed X Motor vehicle wrecker branch site description of vehicles used at the site Make Model Year Vehicle ID number'(VIN) Motor vehicle wrecker branch site local approvals The approvals certified in this section are for the branch business site identified in Section A on the front of this form. You must obtain a signature from the Local Zoning Official. You must also obtain a signature from the Chief of Police (if the business is located within the city limits of a city with a population over 5,000) OR the Washington State Patrol (if the business is located outside city limits, or within a city with a population of less than 5,000) Local Zoning & Land Use Approval I certify that I have reviewed the attached State Environmental Policy Act (SEPA) checklist for this Motor Vehicle Wrecker Branch Site, and the environmental impact from this proposal appears insignificant to RCW 43.21 C and WAC 197-11-305. Signature of Local Zoning Official is i itie or coning uniciai Date Signed Inspecting Officer Approval I certify that the applicant has a Motor Vehicle Wrecker Branch Site at this address, as defined by RCW 46.80.101: each vehicle equipped for lifting or transporting vehicles or hulks operated by the applicant on highways of this state Permanently displays, with letters and numerals at least three inches high, the business name, complete address of the place of business, and current business telephone number; and that I assume responsibility for enforcement of the applicable laws. Application requires approval of the Chief of Police if the business address is within the city limits of a city of over 5,000 population. Otherwise, approval of the Washington State Patrol is required. Signature of Inspecting Officer X Title of Inspecting Officer Date Signed For tax assistance or to request this document in an alternate format please call 1-800-647-7706. Teletype (TTY) users may use the Washington Relay Service by calling 711. BLS-700-104 (912/15) Page 2 of 2 STATES QJP • 5TAr� O' T of - a wU)a5 n ato n btate x e ems.. d,0 .+ Secretary of state I, HIM WYMAN, Secretary of State of the State of Washington and custodian of its seal, hereby issue this CERTIFICATE OF FORMATION ABT TOWING & RECOVERY LLC a/an WA Limited Liability Company. Charter documents are effective on the date indicated below. M=,wii..:.. Qe� Date: 11/28/2016 UBI Number: 604-053-846 Given under my hand and the Seal of the State of Washington at Olympia, the State Capital /754';� *AO — Kim Wyman, Secretary of State Date Issued: 11/28/2016