Please provide some basic information about your business.

Privacy Notice:
Information provided in this survey is considered a public record and may be subject to public disclosure. For more information, see the Public Records Act, RCW Chapter 42.56. To learn more about how we manage your information, see our Privacy Statement.

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* 1. Your name

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* 2. Title

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* 3. Evening phone number

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* 4. Daytime phone number

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* 5. Email address

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* 6. Business name

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* 7. Business address

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* 8. City

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* 9. Zip/postal code

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* 10. What is the best way to reach you?

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* 11. What is the best time of day to contact you?

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* 12. What is your preferred language?

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* 13. Do you have any ADA access needs?

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* 14. Are you a low or moderate-income business owner? "Moderate income" means less than or equal to 80% of the Area Median Income (AMI). See chart below for reference.

See chart below for reference.

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* 15. Does your business have five employees or less, including you?

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* 16. Is your business a franchise, chain, startup, or restricted to patrons above the age of 18?

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* 17. Is this a woman- or minority-owned business (WMBE)?

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* 18. Do you have a lease or Letter of Intent from the property landlord where you will be constructing tenant improvements?

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* 19. Has your business been recently displaced or expected to be displaced in the next year?

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* 20. When do you plan to start your tenant improvement project?

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