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Get Torrance Business License

LICENSE NO. HOME OCCUPATION City of Torrance Revenue Division 2. CATEGORY NO. HEALTH PERMIT Business License Application N.A. STATE TAX ID 21. OWNERSHIP INFORMATION PARTNERSHIP NAMES OF OWNER PARTNERS OR PRINCIPAL OFFICERS CORPORATION TITLE SOLE OWNERSHIP HOME ADDRESS I declare that I am the owner partner corporate officer or person with the power of attorney and i understand if all the information provided above is not the true the business license being applied for may be revoked as outlined in section 31. 9. 10 of the Torrance Municipal Code. I am duly authorized to make this application. All of the information provided in this application is true and correct. Please call the Business License Office at 310-618-5923 for fee amounts. Payment must be submitted with your application* FOR OFFICIAL USE ONLY 1. I. C. S* CODE 3031 Torrance Boulevard Torrance California 90503 310/618-5828 PART I. APPLICANT TO ANSWER ALL QUESTIONS IN THIS SECTION print or type 3. BUSINESS NAME OR DBA 4. CORPORATE NAME IF DIFFERENT FROM ABOVE 5. BUSINESS ADDRESS SUITE CITY STATE ZIP 6. MAILING ADDRESS 7. NATURE OF BUSINESS state type of business being conducted at this location 8. NO. OF PERSONS WORKING AT LOCATION 10. NAME OF PERSON MAKING APPLICATION must be an owner partner or corporate officer 11. TITLE 13. RESIDENCE ADDRESS 16. STATE CONTRACTOR S LICENSE NO. 9. BUSINESS PHONE 17. SQUARE FOOTAGE 18. SOCIAL SECURITY NO. 12. HOME PHONE 14. DRIVER S LICENSE NO. 15. STATE SALES TAX NO. 19. FED TAX ID 20. STATE TAX ID 21. OWNERSHIP INFORMATION PARTNERSHIP NAMES OF OWNER PARTNERS OR PRINCIPAL OFFICERS CORPORATION TITLE SOLE OWNERSHIP HOME ADDRESS I declare that I am the owner partner corporate officer or person with the power of attorney and i understand if all the information provided above is not the true the business license being applied for may be revoked as outlined in section 31. 9. 10 of the Torrance Municipal Code. I am duly authorized to make this application* All of the information provided in this application is true and correct. The business will not provide any service good or product which is illegal under Federal State or Local Laws. I declare under penalty of perjury that the foregoing is true and correct. SIGNATURE DATE PART II. FOR OFFICIAL USE ONLY BASIC FEE APPLICATION SENT FOR ZONING PER PERSON FEE PROCESSING FEE FIRE INSP. FEE OTHER OTHER cont d YES PENALTY FEE HOLD ENT. FEE RECEIVED BY NO DATE DANCE/PIANO FEE CHECK NO. BANK NO. CASH TOTAL AMOUNT OWNER/APPLICANT INFORMATION CONTRACTOR INFORMATION Name Address City/State Zip Telephone Fax Excavation permits will not be issued without USA I. D. Number. State License Class Exp* Date Underground Service Alert Call 811 City Business USA I. D. Date Received CONTRACTOR Certificate of Insurance REQUIRED prior to issuance of permit. JOB LOCATION/ADDRESS closest street address Please list cross streets DESCRIPTION OF WORK LF Trench Width of Trench LF Curb Gutter LF Bore Sewer Connection Number of Curb Drains SF Asphalt SF Concrete Work Order Number for utility companies Applicant or Authorized Signature For further permit information please call 310-618-5898 or fax 310-618-2846.

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