08-105005005-0
Hulk Hauler, Wrecker, and Scrap Processor additional information
Hulk Hauler, Wrecker, and Scrap Processor applicants �( cf 9(t�
If applying for any of these three licenses, you must attach a list of the vehicles owned, leaser!, rented, or otherwise op ra e t
conduct of your business. A blank Vehicles Used to Conduct Business form is enclosed.
CITY OF FEDERAL'
Scrap 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 (s&DS
section F), and then attach the completed checklist to this application. A blank checklist is enclosed.
Wrecker applicants only, attach the following completed forms (blank forms provided)
Personal/Criminal History Form
® 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.
Business site identification Certifications in sections �, F and G apply to the following business location
Business firm name Business telephone number
Lla
Business physical Iocalion address or Rural route Do not use'P77O box number
city
71A,
County-
State-
Zip code
9
Zoning certification Reg. Tow Truck Operator, Wr , Hulk Hauler, and/or Scrap Processor applicants only
This section must be completed and signed by the local zoning authority before submitting the application to the Master License
Service. Zoning Officer. Check either "yes" or "no" for each option, then sign.
1. Applicant is applying as a Registered Tow Truck Operator ....... ..................... ............... ............ ............... ........ — ❑❑ Y/Js N No
2. Applicant is applying as a Hulk Hauler................................................................................................................. L�Yes ❑ 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 Scrap Processor........................................................................................................ ❑ Yes 19'Io
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 Scrap 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.
of local zoning official Title of local zoning official Date signed
Oignature
Inspecting Officer approval Hulk Hauler, Wrecker, and/or Scrap Processor applicants only
fore submitting your Master Application, you must 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). You need to arrange for them to do a site inspection, review your entire
application, and sign this form. Inspecting Officer. Check either "yes" or "no" for each option, then sign.
1. Applicant is applying as a Hulk Hauler................................................................................................................. L�J'Yes ❑ No
2. Applicant is applying as a Scrap Processor........................................................................................................ ❑ Yes lv �o
If "yes" is checked for #1 or #2 above, my signature below certifies that this Hulk Hauler or Scrap Processor applicant is located
at the address shown in section E above and has suitable equipment for the safe and lawful transport of vehicle salvage on the
public highways. The applicant has displayed with letters and numerals at least three inches high, painted or permanently affixed
to each vehicle, the business name, complete address of place of business, and current business telephone number on all
vehicles operated by the applicant on highways of this state and which are equipped for lifting or transporting vehicles or hulks.
3. Applicant is applying as a Motor Vehicle Wrecker............................................................................................... ❑ Yes L4 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, and has displayed with letters or numerals at least three inches
high, painted or permanently affixed to each vehicle, the business name, city name of place of business, and current business
telephone number on all vehicles operated by the applicant on highways of this state and which are equipped for lifting or
transporting vehicles or hulks.
I assume responsibility for enforcement of the certifications stated above.
_
Signature of inspecting officer Title of inspecting officer Badge number Date signed
X
LS-700.193
(R/04/08) Page 2 of 2
NAY
p.2
;t 29 08 01:06p
hulk Hauler, Wrecker, and Scrap Processor additional informatioau
Me p applicants leased, rented, or otherwise operated in the
Hulk Hauler, Wrecker, and Scrap Processor t attach a list of the vehicles owned,
If applying for any of these three licenses, y
conduct o"r your business. A blank vehicles Used to Conduct Business form is enclosed.
Scrap Processor and Wrecker applicants only application- A blank checklist is enclosed.
checklist, present it to the local zoning offlcia! for review (see
You must also complete a State Environmental Policy Act application,
section F), and then attach the completed checklist to this
feted farms (blank forms provides)
Wrecker applicants only, attach the following comp
Personall--riminal History lease see the
a Bond of Motor Vehicle Wrecker as this busiress location, p
e additional (branch) Motor Vehicle Wrecker business locations in the same county
et for information about registering the other
instructions shelocations.
If you havapply
to the following business location
Business site identification Certifications in sections C, F and G app e.isiness lelephorn' nu-nbe'
Business firm name
r
Business phgs�cal IaGdUVn address ^ i o' Astral route Do no[ use PO box number
� `) ;j State Zipod(]ce�-1
33 \ .]« ^� - county A -i Ol��.
c,� applicants onl
orator, iNre , Hulk Hauler, andlor Scrap Processor
Zoning certification Reg. Tow Truck op the application rc roe master Licen�'-
tion.
This secmust be completed and signed by tI79 focal avnirt9 avtho m before submitting N
Yes
service. Toning( officer, Check either "yes" or "no" far each option •-, No
.................
• isteredTowTruck operator ............... ........... es
1. Applicant is applying as a Reg . r .....op
2. Appli :ant is applying as a Hulk Hauler ................................................. t thi.........................
„ es" is checked far #1 or lit above, my signature he[ow Certifies that this Registered Tow Truck Operator or Hulk Neuter
lF y with all applicable local land use ordinances.
applicant's pie of business is in complianceYeso
...................
� Yes
3. Applicant is applying as a Motor Processor
s Wracker..._......_..........................................._..............,............this_...
�. Applicant is applying as a Scrap Processor ter 43.2i t�C�1. (#tie state
ss appears insignificant, pursuant to Chap State Environmental Poflcy
f "yes" is checked fgr3 or #G above, MY slranature oeelow cgrtittes that the environmental impa team this proposed tan use
t y 14 f A completed
for a Motor Vehicle Wrecker or Scrap processor bush
Environmental Policy, WAG 197 -11-305. WAC 197-11-t32t�, and WAC 1t3i-11-8t3�{ i()
Act (SEPA) checklist must be attached_ oa:e sign
nl= of local zoning Official (/n 2�( Z��'i
Si4nalur L—A$� [3Gf ��'✓ O llJ.�n n-P�`
x % royatl Hulk Hauler, Wrecker, andlor Scrap Processor applicants only
inspevtir�g Officer app
eClrOn- 'g'liBN your entire
are Pe ,ti-ng your Master A{yp[ication, you must ou need ro arra ge for hem olate f do arol re is insp the [Ocz Chief of po7,ce (if business is
Before U'vr+. than s gn•
lvCaied in a tarty with a avpulaf+on of more than 5'000 . Y w 'no" far each aA �
k (then "yes or .JYes I Flo
and sin this form. Inspecting officer: Chet e-
appfication. 9 Yes e�1v
1. .Applicant is applying as a Hulk Hauler ...............
.................
titan is located
2. Applicant is applying as a Scrap Processor ......I......_......._......... Processor app '
m signature below certifies that this Hulk nt for the safe and tef ortSonsport of vehicle salvage on the
If "yes" is checked for tit or 92 above, Y 9 pain'
or permanently affixed
at the address shown in section E atNwe andhasl�� �s and numerals at least three inches high.
puidlic highways. The applicant has disp yp .tin vehicles or hulks.
�}� vehicle. �e business Warne, complete address of place of business, and current
for fitting or Irar. po n g umber on al f
to
ea.
veiFictes operated by the applicant an highways o-r this state and which are equipA .Yes '� No
3. Applicant is applying cant is IDcated at the
address
as a Motor Vel►tf:ie Wrecker..................................•--.............................,....
if "yes" is ct ecked far 3 at>ava, my signature beloyr certifies that this Motor ed weth lett� s on urine als at least three inches
the business name, city name of place of buslnes�' and d 1a(liF rig business
shav,m in section E above. as defined by RGW a�.l3o.oi 0, and has disp ay
.sigh. painted o[ permanently affixed to each vehicle' applicant on highways of this "state and which are equipped
pP
telephone number on all vehicles operated by the
,ranspor:ing vehicles or hulks.
Badge number
dale signed
I assume res?onsibili for enforcement of the c+;rtiiicatTaeoi in p0atiiabove.
off cer
signature of inspect;ng officer
�700-IB- IR/04/Oe) Page 2d 2
Oct 29 08 01:06p
MASTER LICENSE SERVICE
c DEPARTMENT OF
b LICENSING
r PO SOX 9034
� ac' OLYMPIA,'NA 98507-9034
"ham Telephone.[380j664-1400 CORPORATE INFORMATION
Must be filed with a Master Application (or upon requesst-�),
Type of license(s) requested — check all that apply: ❑ Liquor El Lottery Lvl Dealer/Manufacturer (Vehicles)
CORPORATION INFORMATION Corporations must be registered with the Washington Secretary of State.
Name of Corporation Telephone No.
C) 93 9- b 3 y a
^grparatS Mailing Address Street orRoule Ciy Sfn'e Zip Code
3 3 l;) S 1 S f
USINo.(I(known) Date oflncorporation State of Incorporation
�dl
rr-jPPnPATF C1FFIf'FRS
Title
Name
AddresslTele hone No.
P
date o
Birth
octa
Security No.
3
D
i 5
t 3
S
—31"k`IS35
STOCK INFORMATION
A)Total Amount of Stock Authorized to the Corporation B) Total No. of Shares Iss.ted or Pending Issuance
STOCKHOLDERS List all stock issued or oendino so we can determine each ❑erson's interest in the business.
Name
AddresslTeiephone No.
No. of
Shares
o
/, of
Total
Date issue
(state'pending if
not yet issued)
Please attach additional sheets if necessary, in same format TOTALS 1 1
The total "No. of Shares" must equal the amount in box "B" above.
The total of "% of Shares" must equal 100%
The undersigned hereby certifies to the Washington State Liquor Control Board, Lottery Commission, andior Dealer and
Manufacturer Services, that the above information is accurate and complete. Misrepresentation of this information is cause for
denial of the license applied for.
Name- please prinl Title
X Og
Sicnature - musl be ca porate, officer Date
Return White and Yellow Copy — Keep Plnk Copy
The Department of Licensing has a policy of providing equal access to ifs services- If
BLS-700-311 CORP. INFO (N/03i041F you need special accommodalion, please call (360)664-1400 or TTY (360) 664-5681.
Y" A sic I. I;.. a;. aw Si A r. z --p An, "m rh 1 13 F
RegLstterodw Tbvi Truck Oppe-rawltor
W v a m eorre-ss A � � ou-'o �
------------ -----
CHANGE TO:
Bu,-iness Name
...... - - ------ --------- -
C;zv
. ...............
o, u d -a f: r-m- ce, ed A f Al
'3085-61 L"'! t U.0 � 1 z � - M; a Po:
! iUV-1; I 1�1! U , ;,
S- kantaiure of
Date)
k�— fir
of Jl
Uale
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TU
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B Y C IE F—) TT v
U Ul if-,
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MPORTAN"l-
11he 'ollowlina a(xomioanv ac)plicatian� lReaz-Ae-, -us-c-, thcr-�
1,) inf:�e
t- - i-ir, j - ,!
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Mo D-OP2.,F.rar-
A�kCITY OF
Federal
July 8, 2008
Deanette Crow
ABT Towing of Federal Way
1210 South 3431d Street, #2
Federal Way, WA 98003
FILE
CITY HALL
33325 8th Avenue South
y Mailing Address: PO Box 9718
Federal Way, WA 98063-9718
(253) 835-7000
www.cityoffederalway.com
RE: File #96-104909-00-BL; ABT TOWING OF FEDERAL WAY
33125 15'h Avenue South, Federal Way, WA
Dear Ms. Crow:
Per your request, the City of Federal Way has reviewed and signed the Registered Tow Truck Operator
Name or Address Change form required by the Washington State Department of Licensing (WSDOL).
The form is included with this letter. The form identifies the change the location of the ABT Towing
Business from 1210 South 343rd Street to 33125 15'h Avenue South, in Federal Way.
Please be advised that city business licenses are required for each property that you use for business
purposes. If, for example, you change the business address but still use the old site for vehicle storage,
you must obtain a city business license for the old site as well as the new site. To that end, a city business
license application is enclosed for you to register the old business location when you move to the new
site. Please contact Cathleen Rossick at 253-835-2527 with any questions about the business license
requirements.
I can be reached at 253-835-2642 if you have any questions about this letter.
Sincerely,
Deb Barker
Senior Planner
Enclosure as noted
c: Cathleen Rossick, Finance
Isaac Conlen, Planning Manager
Doc 1 D 46180