City of Brentwood, CA

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DBA
Bus Name
Bus Address (Must be physical location, not a Post Office Box)	Verifying Address... Verified! Not recognized as a valid USPS address. Valid USPS address but is missing UNIT/STE #. Valid USPS address but UNIT/STE # is not recognized. Verify Address Edit
Mail Address	Same as address above
	Verifying Address... Verified! Not recognized as a valid USPS address. Valid USPS address but is missing UNIT/STE #. Valid USPS address but UNIT/STE # is not recognized. Verify Address Edit
Business Description
Ownership Type	Corporation Ltd Liability Co Ltd Partnership Partnership Sole Proprietorship Trust
Employee Count *
Enter gross receipts estimate *
Start Date in City of Brentwood (estimate if in the future)
Contact Information
Phone
Phone 2
Fax
Website
Email Address
FEIN
SEIN
Contact Preference	Contact me by email whenever possible, in order to ensure timely notices and help protect the environment by conserving resources.
State License Information (Contractor, Medical, CAMTC, etc.)
State License#
State License Type
State License Expire Date
State License Verification *
Additional Information
SIC# (code describing the nature of your business) Click here to determine your SIC code. *
Are you a business that is a regulated industry with stormwater discharge requirements in accordance with the SB205 NPDES permit program? If so, please provide the Permit# below. *	Yes No
NPDES Permit# For more information on the Stormwater Program, click here.
WDID APP ID #
WDID Permit #
NONA ID #
NEC ID #
File Attachments (if required).
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File Description
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