CITY OF RENTON WASHINGTON

Office Use Only
Date:	New License:	Fee:	Penalty:	Total:	Old License:

Make check payable to City of Renton and return all copies of application.	License must be on animal at all times License required by four months of age License renewed after prior license expires is subject to a $30.00 late renewal fee
Mail to: City of Renton, Finance/Animal Licenses 1055 South Grady Way, Renton WA 98057

Dog/Cat	Animal's Name	Breed	Color	Sex	Altered

Home Phone	Work Phone	ANNUAL FEE SCHEDULE FOR DOGS AND CATS
		Un-Altered Rate	$50.00
		*Altered Rate	$30.00
Email Address:
Name:		*Must show written documentation from veterinarian
Address:		Lifetime tag fee for qualified seniors same as above Maximum 3 animals
City, State, Zip:		Licensed Info: 425-430-6924 Animal Control: 425-430-7550

I certify that the dog to be licensed herein had no history of dangerous behavior towards people or other domestic animals as defined in the Renton Ordinance Number 5512.
Signature:

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