WASHINGTON STATE LIQUOR CONTROL BOARD Olympia, Washington CLASS 7 PERMIT NO. ________ APPLICATION FOR A SPECIAL PERMIT TO PURCHASE LIQUOR BY AN AUTHORIZED REPRESENTATIVE OF A MILITARY INSTALLATION OPERATED BY OR FOR ANY OF THE ARMED FORCES WITHIN THE GEOGRAPHICAL BOUNDRIES OF THE STATE OF WASHINGTON FOR USE ON SUCH MILITARY INSTALLATION. (RCW 66.20.010 (7).) NO FEE ASSESSED. of (Applicant) (Address) , Washington, operated by or for (Military Installation) , hereby makes application for a special (Branch of Armed Service) permit to purchase liquor for use on such military installation at prices fixed by the Washington State Liquor Control Board for military services. We desire to make our purchases at the Liquor Store (or Agency) No. _______ located at , (Street) . (City) Included with this application is a Washington State Liquor Control Board Military Liquor Custodian Signature Form, in Duplicate, signed by the applicant and by the authorized liquor custodian. Sales Outlet for Alcoholic Beverages 1. Is liquor dispensed only by the drink? 2. How many bars does this applicant operate on the base? 3. Give location and/or name of building. If more space is required for reply, use space on the back of this application. 4. Do you operate package Stores? _________ If so, how many? _________ 5. Give location and/or name of buildings. OVER Application for Class 7 Permit 4/00 American LegalNet, Inc. www.FormsWorkflow.com 6. Do you wish a single permit to cover your entire operation or do you wish a permit for the bar or bars, and one for the package store or stores? 7. Does each unit buy and dispense its own liquors, or do you have a centrally controlled operation? 8. Approximate number of men that will be using this facility? Dated this ________ day of ________________, 2________. This permit will expire June 30, 2_______. (Applicant: Organization or Club) (Military Installation) (Branch of Armed Services) (Address) Signed: Commanding or Executive Officer Mail to: Washington State Liquor Control Board Licensing & Regulation PO Box 43098 Olympia, WA 98504-3098 Retain copy for your files. DATE ___________________________ BY ___________________________ TITLE __________________________ ? Approved: Date _______________ by _______________________ Application for Class 7 Permit 4/00 American LegalNet, Inc. www.FormsWorkflow.com