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Application - Serve Employees Or Guests LIQ 651 - Washington
| Application - Serve Employees Or Guests Form. This is a Washington form and can be used in Applications Liquor Control Board Statewide . |
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For Office Use Only Licensing and Regulation PO Box 43085 Olympia WA 98504-0385 www.liq.wa.gov 360/664-1600 FAX (360) 753-2710 Date Check No. Amount Rec'd Rec'd By License No. Application: Serve Employees or Guests $500 fee For a business that does not hold a liquor license to serve liquor without charge to employees or invited guests (WAC 314-38-010/050). The liquor must be served to employees or invited guests in specified hospitality or dining rooms (the general public cannot be allowed in these rooms while liquor is being served). The liquor cannot be sold in any manner, whether by scrip, donation, or contribution. No charge may be made to the guests for admission to the hospitality or dining rooms, or for any meals or services provided in the rooms. Liquor service cannot be advertised. A class 4 permit holder may serve liquor for no more than 24 hours during any week. The liquor must be purchased at retail. Name of Applying Business Type of Business Business Address (Street or Route, City, State, Zip Code) Mailing Address (if different than above): Designated room(s) where liquor will be served Inside city limits Phone No: ( ) Outside city limits Partners, Corporate Officers, or Limited Liability Company (LLC) Members/Managers Name Home Address (Street, Route, or PO Box, City, State, Zip Code) Birth date Home Telephone No. ( ) Birth date Home Telephone No. ( ) Birth date Home Telephone No. ( ) Title Title Title % owned Name Home Address (Street, Route, or PO Box, City, State, Zip Code) % owned Name Home Address (Street, Route, or PO Box, City, State, Zip Code) % owned (Attach additional sheets if necessary) I declare under the penalties of perjury that the answers contained in this application are true, correct, and complete. The undersigned certifies it is understood that a misrepresentation of fact is cause for rejection of this application or revocation of any permit issued. Signature Partner, Corporate officer, LLC Member/Manager Title Date LIQ 651 7/11 American LegalNet, Inc. www.FormsWorkFlow.com
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