Washington Burrowing Shrimp Home » Washington » Open Entry Commercial Licenses » Shellfish Licenses » Burrowing Shrimp Application for Commercial Fishery License / Burrowing Shrimp A brief description of the form or Application to be filled out here. Application Year20212022202320242025202620272028202920302031License District Coast Grays Harbor Other Puget Sound Willapa Harbor Vessel NameState or Documentation NumberHull Identification NumberOverall LengthBeamHorsepowerFuel Gas Diesel Net TonnageGross Tonnage10 inch numberFuel Fathometer Loran Radar License OwnerName First Middle Last Address Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Mailing Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone NumberSSN or UBI #Residency I have been a resident of Washington for the previous 90 days and am not licensed as a resident in another state. I am not a resident of Washington State. Primary OperatorName First Middle Last Date of Birth MM slash DD slash YYYY SexHairEyesWeightHeightSocial Security NumberAlternate Operator(optional)Name First Last Birthdate MM slash DD slash YYYY Name First Last Birthdate MM slash DD slash YYYY Undesignated crewmember licensesYou can select up to TWO undesignated crewmember licenses Resident Crewmember License - QtyPlease enter a number less than or equal to 2.Non-Resident Crewmember License - QtyPlease enter a number less than or equal to 2.Non-Resident Albacore Tuna Crew License - QtyPlease enter a number less than or equal to 2.Contact InformationName First Last Email* Enter Email Confirm Email Phone*Application Fee Price: Application Fee Price: Resident Crewmember License Price: $0.00 Non-Resident Crewmember License Price: $0.00 Non-Resident Albacore Tuna Crew License Price: $0.00 RENEWAL ADVANCED PAYMENT OPTION No Additional Years 2 year renewal 3 year renewal 4 year renewal 5 year renewal Total $0.00 Consent*I CERTIFY THAT THE RECITATIONS CONCERNING THE VESSEL: NAME, TONNAGE, DIMENSIONS, PROPULSION, OWNERSHIP, HAILING PORT, RESTRICTIONS, ENTITLEMENTS, REMARKS AND ENDORSEMENTS CONTAINED IN THE CERTIFICATE OF DOCUMENTATION REMAIN ABSOLUTELY THE SAME. I agreeNAME:*Type your full name to sign this secure webformSignature*CAPACITY OF PERSON SIGNING (E.G., OWNER, AGENT, TRUSTEE, GENERAL PARTNER, CORPORATE OFFICER, MEMBER)Date MM slash DD slash YYYY Authorization*I agree to pay the above total amount according to the card issuer agreement and hereby authorize the charge for the total amount above for the processing of selected permits. I understand that my application will be processed in the order in which it is received by Commercial Fishing Permits Center, a private fee-for-service documentation company, not owned or operated by any governmental agency. I understand that application and processing fees are non-refundable as per Commercial Fishing Permits Center's no refund policy. I understand that submitting another application for a license or permit will supersede the current/pending application for that license or permit. I understand that Commercial Fishing Permits Center does not issue or sell any licenses or permits. I agreeCredit CardCard Details Cardholder Name Having Trouble with your card?Check this box to move forward without your Credit Card. 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