Licensing and Regulation Division PO Box 43098 Olympia WA 98504-3098 360/664-1600 FAX 360/753-2710 www.liq.wa.gov License No ______________________________ Trade Name _____________________________ UBI No _________________________________ Beer, and/or Wine Restaurant Food Service Acknowledgment I understand that in order to obtain and maintain a beer and/or wine restaurant liquor license, I must: • Meet the definition of a restaurant as required by RCW 66.04.010 (32): “Restaurant” means any establishment provided with special space and accommodations where, in consideration of payment, food … is habitually furnished to the public…” • Maintain the kitchen equipment necessary to support the menu. I certify by my signature below that I meet the above requirements. ___________________________________________________ Licensee/Applicant Signature LIQ 775-50-4/06 __________________ Date American LegalNet, Inc. www.FormsWorkflow.com