Tobacco & Nicotine Delivery Products Sales
Apr 01, 2019
submission
#6
Read Ordinance
Applicant
| Type of Application | Renewal |
| Name of Establishment | SULLY'S VARIETY STORE |
| Telephone Number | +17816967377 |
| Address of Establishment | 890 Broadway, Chelsea MA 02150-3056 |
| Fax # | +17812338251 |
| Days and Hours of Operation | MONDAY - SUNDAY 05:00-AM TO 11:00OPM |
| Email Address ( required ) | [email protected] |
Owners Information
| Owner's Name | BHUPENDRA PATEL |
| Telephone Number | +17818834072 |
| Owner's Address | 6 Gianna Dr, Saugus MA 01906-1987 |
| Emeregency Response Person | SAMIR PATEL |
| Telephone Number | +17816967377 |
| MA Dept. of Revenue Retailer's License for Sale of Cigarettes# | 884928512 |
| Issuance Date | 2018-10-01 |
| Type of Products | Cigarettes, Cigars, Chewing Tobacco, Pipe/Cigarette Tobacco, Nicotine Delivery Devices |
| List Other Tobacco Products | NONE |
Upload Documents
| Copy of Cigaretts Retailers License, issued by Massachusetts DOR | SULLYS+MA+DOR+LICENSE.pdf |
| Certificate of Good Standing from Massachusetts DOR | SULLYS+CERTIFICATE+OF+GOOD+STANDING.pdf |
| A certificate of Insurance showing workers compensation insurance or Certificate of Compliance | SULLYS+WORKMANS+COMP+INSURANCE.pdf, SULLYS+CERTIFICATE+OF+GOOD+STANDING.pdf |
| Wage Theft Certificate Form | SULLYS+WAGE+THEFT+FORM.pdf |
| Proof that any/all tobacco sales citations have been paid | SULLYS+NOT+APPLICABLE+1.pdf |
| Proof that City personal property tax has been paid ( obtain at City Treasury ) | SULLYS+NOT+APPLICABLE+1.pdf |
| Certificate of Occupancy | SULLYS+OCCUPENCY+PERMIT.pdf |
Payment
| $75.00 | $75.00 |