1. Applicant Information

Name of Organization (If Applicable)

First Name*

Last Name*

Date of Birth:*

Must be 21 years old to purchase permit.

Home Address:*

City:*

State*

Zip Code:*

Email Address*

Confirm Email Address*

Phone Number (###) ###-####*

2. Location Information

Name of Building or Location of Event:*

Room or Area Held:

Street Address of Location:*

County*

City*

Zip Code*

3. Event Information

Start Date of Event*

Event Start Time*
AM PM

Event End Time*
AM PM

Legal hours for service and consumption of liquor are 6 a.m. to 2 a.m. daily.

Number of Event Days:*

Enter the number of days of your event. Cost will be $11.00 per event day.
1 event day = 6 am to 2 am

Purpose of Occasion (Be Specific):*

Number of Persons Proposed to Attend:*

Number of Persons Under 21 Years of Age that will attend:*

Attendees Will or Will Not bring their own Alcohol:*

Name of Caterer:

Address of Caterer:

Caterer Phone Number:

4. Acknowledgement

Testimonial:*

I certify under penalty of perjury under the laws of the state of Washington the following statements are true and correct. I am assuming full responsibility for the event and the compliance of the rules stated below.

Liquor will not be sold for cash, scrip, tickets or any other manner whatsoever.
This permit is not valid on a liquor-licensed premise while the liquor license is suspended.
All liquor served will be purchased in Washington State from an authorized liquor retailer.
This permit will be conspicuously posted in the banquet area.
Liquor will be served and consumed only in the portion of the premises described.
Liquor will be served only to members and invited guests who are 21 years of age or older.
Legal hours for service and consumption of liquor are 6:00 a.m. to 2:00 a.m. daily.
The event and the premises for which this permit is issued will be subject to inspection by any liquor control officer or law enforcement officer.

Please Sign*

Warning: WAC 314-18-070 states that no banquet permittee or employee of a banquet permittee may knowingly permit.

The service of liquor to or consumption of liquor by any person under 21 years of age at the Banquet Permit event.
Any disorderly conduct to occur at the Banquet Permit event.
The service of liquor to or consumption of liquor by an apparently intoxicated person(s).

By making this application and accepting the Banquet Permit YOU ARE ASSUMING FULL RESPONSIBILITY FOR THIS FUNCTION. A violation could subject the violator to criminal prosecution, immediate cancellation of the permit and render the applicant/premises ineligible for future permits.

1. Applicant Information

Must be 21 years old to purchase permit.

2. Location Information

3. Event Information

4. Acknowledgement

Review Your Order

Name:

Email Address:

Phone Number:

Event Start Date:

Number of Days:

Number of Persons Proposed to Attend:

Number of Persons Under 21 Years of Age that will attend: