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2. Name*
4. Address*
6. Home phone*
8. Work phone
10. Email*
14. Animal Information
16. License Type*

    1. New License
    2. Renewal
18. How long has your animal lived at this residence?*
20. Pet Type*

    1. Cat
    2. Dog
22. Pet Name*
23. Pet Age*
25. Pet Sex*

    1. Female
    2. Male
26. Altered*

    1. Neutered
    2. Spayed
    3. Unaltered
28. Breed*
29. Color*
33. Have you been contacted by Animal Control?*

    1. Yes
    2. No
35. Is your animal currently being held by WAIF?*

    1. Yes
    2. No
37. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
39. Electronic Signature*
40. Date*
    Date
42. City License Fees Schedule

    Dog and cat licenses may be purchased from the city or authorized designee upon the payment of a license fee as follows:

    • Each unneutered male dog over a year: $40
    • Each unneutered male cat: $40
    • Each unspayed female dog over a year: $40
    • Each unspayed female cat: $40
    • Each neutered male dog or unneutered male dog under a year: $10
    • Each neutered male cat: $10
    • Each spayed female dog or unspayed dog under a year: $10
    • Each spayed female cat: $10

    If a person is 65 years of age or over and certifies to Utilities under oath that he or she is over this age and is the owner of the cat or dog to be licensed, his/her license fee will be 50% of the fees.

    ___________________________________________________________________________

    A duplicate license tag may be obtained upon payment of a replacement fee from Utilities. No person or owner may use any license for any animal other than the animal for which it was issued. $3

    All cat and dog owners shall purchase licenses from January 1st through February 28th after which date a late charge fee will be assessed. The licensing period will be from January 1st through December 31st of each year. $5

    An owner before reclaiming an impounded cat shall pay a fee of $25 plus $10 board fee for each calendar day the animal has been impounded. $25+

    An owner before reclaiming an impounded dog shall pay a fee of $25 for the first offense, and $50 for the second, and $100 for all subsequent offenses. Impound fees for dogs shall cover a period of 24 hours, after said time period an additional fee of $10 for each calendar day shall be added. $25+

    If the impounded animal is unlicensed and its owner has been a resident for over 60 days, the owner shall pay a fine of $25 over and above the impoundment fees. The owner shall be required to license the animal at the time of reclaiming his/her animal. $25+

    In addition to the regulations imposed with regard to both potentially dangerous dogs and dangerous dogs, an additional registration fee applies.

    • Potentially Dangerous - $150/Renewal $50
    • Dangerous - $250/Renewal $100
44. I have read and understand the above information.*

    1. Yes
46. Acknowledgement*

    1. I Agree

    Next steps: Your animal tag will be mailed upon the receipt of the following:

    1. Email of your animal's current rabies information to the utilities email.
    2. Payment of the license fee with a debit/credit card by calling Utilities Office at 360-279-4530
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48. 1. Receive an email copy of this form.
49. Email address

    This field is not part of the form submission.

50. Submit

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