Fillable Printable Local Authority Inspection
Fillable Printable Local Authority Inspection
Local Authority Inspection
BLS-700-379 (9/27/16)
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.
State of Washington
Business Licensing Service
PO Box 9034
Olympia WA 98507-9034
Telephone: 1-800-451-7985
business.wa.gov/BLS
UBI
Owner name
ABusiness Site Identification
Business Firm NameBusiness Telephone Number
( )
Business physical location address Street or rural route Do not use PO box number
CityCountyStateZip Code
BInspecting Officer approval Hulker Hauler, Vehicle Wrecker, Motor Vehicle Salvage Processor
Signature required of a Washington State Patrol Official if the city population is under 5,000 or signature of Chief of Police if population is
more than 5,000.This business complies with Chapter 46.79 RCW or 46.80 RCW.
Name of OfficerBadge #Title
Signature of inspecting officerPhone numberDate signed
CInspecting Officer approval Scrap Metal Processor, Scrap Metal Recycle, and/or Scrap Metal Supplier only
Signature required of a city or county local authority certifying this business complies with Chapter 19.290 RCW.
Name of Local AuthorityTitle
Signature of local authorityPhone numberDate signed
DOther Information (Optional) For Local Authority Use
Local Authority Inspection
This form may only be submitted as an attachment to the renewal.
If you are unable to obtain a signature from your local authority, please call Department of Licensing at (360) 664-6466.
You may send this information by:
•My DOR: the fastest and easiest way to send documents. Login at business.wa.gov/BLS.
You’ll need a Secure Access Washington user ID for My DOR.Visit bls.dor.wa/MyDOR for more information.
•Fax to (360) 705-6699
•Mail this form to the address above.
