120 JAMES ST.PDF11111111111111
11805
120 JAM ES ST
ADDRESS: /cal \,7A
TAX ACCOUNTMARCEL NUMBER:
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE S: LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
L:\TEMP\DSTs\Forms\Street File Checklist.doc
0 CITY OF EDMONDS 0
BUSINESS LICENSE APPLICATION— COMMERCIAL
P FEE: $65
CITY CLERK'S OFFICE, BUSINESS LICENSE DIVISION
121 5T" AVENUE NORTH, EDMONDS, WA 98020 PHONE: 425.775.2525
ECON D V
FIRE
MAYOR
PLAN
POLICE
UTIL BILL
OFFICE USE ONLY
BL# Customer# O
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Year
Class
SHD/Date
Paid
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INSTRUCTIONS: Please complete the application In full and attach the required floor plan. Middle initial or name required of all
parties concerned. If no middle name, please indicate by writing NMN. Sign and return application with fee. Please advise of
any change in status. New license required if business changes location or ownership. Notification to City of Edmonds required
If business closes.
BUSINESS NAME
u11/W%k1h
BUSINESS ADDRESS/ i /20 .JArnR.�
'Street
MAILING ADDRESS'_0 ts�
Street or PO Box
0
No. Zip Code
Suite No. City, State and-Zfp Code
BUSINESS PHONE NO. ( " (Off�Z WA STATE TAX ID NO. (UBI NO.) (idt
BUSINESS E-MAIL
PROPERTY OWNER Gyre IS �tl
Name
INESS WEBSITE
C C- C.
EMERGENCY NOTIFICATION (For Premise Access in Emergency):
LDSg t.✓v.} c 36Q) 563—O2 3
st Name First Name MI Phone No.
Last Name First Name Mi Phone No.
NATURE OF BUSINESS V! Z Z,
6
NUMBER OF EMPLOYEES % SQUARE FOOTAGE OF BUSINESS SPACE•
TYPE OF BUSINESS - PLEASE CHECK THE APPROPRIATE CATEGORY:
O CONSTRUCTION O FINANCE, INSURANCE, REAL ESTATE O LANDSCAPE, HORTICULTURAL O MANUFACTURING O NON-PROFIT
RETAIL O SECONDHAND DEALER O SERVICES O WHOLESALE O OTHER
AMUSEMENT DEVICES ON PREMISES? O YES C(NO IF YES, TOTAL NUMBER
LIQUOR SOLD ON PREMISES?: O YES 6L.NO GAMBLING? O YES ANO CIGARETTES SOLD ON PREMISES? O YES NO
FLAMMABLE FLAMMABLE OR HAZARDOUS MATERIALS USED OR STORED?: O YES YAD IF YES, PLEASE PROVIDE LIST OF MATERIALS AND QUANTITIES:
PROPOSED OPENING DAY OF BUSINESS �C •d (e BUSINESS HOURS
�AYS OPEN WSUNDAY fa MONDAY QKrUESDAY QJ WEDNESDAY MTHURSDAY QkFRIDAY QKSATURDAY
PARKING SPACES ON SITE: TOTAL ACCESSIBLE FOR PERSONS WITH DISABILITIES
DOES THE BUSINESS CONTAIN AN ENTRANCE ACCESSIBLE TO PERSONS WITH DISABILITIES? O YES .9rNO r
PREVIOUS BUSINESS USE AT THIS ADDRESS Cd r/J 4 %o v7ke-,
' I SOLE RIETORSHIP
NAME K� �!� I C.JA
Last c First MI
ADDRESS ��y V� "— U1�1'L�►'WI S i/i/��
Street Apt. No., Unit No. City, State and Zip Code
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HOME PHONE NO. ) ' �SI/ DOL NO. (DRIVERS LICENSE NO.) OR OTHER ID NO. Amea 52
DATE OF BIRTH CITY AND STATE OF BIRTH COUNTRY OF BIRTH
PARTNERSHIP - PARTNER 1
NAME
Last First f /! MI
ADDRESS l ....
Street Apt. No.=No. City, State and Zip Code
HOME PHONE NO.( DOL NO. (DRIVERSO.
DATE OF BIRTH CITY AND STATE OF BIRTH COUNTRY OF BIRTH
PARTNERSHIP - PARTNER 2
NAME
MI
HOME PHONE NO.( DOL NO. (DRIVERS LICENSE NO.) OR OTHER ID NO.
DATE OF BIRTH CITY AND STATE OF BIRTH COUNTRY OF BIRTH
CORPORATION
NAME OF CORPORATION FEDERAL TAX ID NO.
CORP. ADDRESS PHONE NO:(_ J
Street Suite, Apt., Unit No. City, State and Zip Code
CORPORATE OFFICERS:
Last Name First Name MI Title a 6i8irth DOL No. (Drivers License No.) or Other ID No.
C
LOCAL CONTACT I
Last Name First Name MI Title Phone No. \ DOL No. (Drivers Lic. No.) or Other ID No. .
APPLICANT
Name — Printed • Signature Title Date
CITY USE ONLY:
PLANNING DEPT.
O APPROVE
O DISAPPROVE
DATE
SIGNATURE
ZONING CODE
CONDITIONAL USE PERMIT
COMMENTS
BUILDING DEPT.
O APPROVE
O DISAPPROVE
DATE
SIGNATURE
OCCUPANT LOAD
BUILDING PERMIT
OCCUPANCY GROUP
COMMENTS
`
, 1
FIRE DEPT.
O APPROVE
O DISAPPROVE
DATE
SIGNATU
U.F.I.R.
COMMENTS
POLICE DEPT.
O APPROVE
O DISAPPROVE
DATE -
SIGNATURE
COMMENTS
•
•
Date:
To:
From:
Subject:
•
BLDG
ECON DEV
FIRE
MAYOR
MEMORANDUM
PLAN E
UTIL BILL
November 17, 2006
Business License Review Team
Sandy Chase, City Clerk
Old Milltown Pizza —120 James Street Location
On November 6, 2006, the City Council approved entering into a Concession
Agreement with Old Milltown Pizza for use of the unopened right of way of James
Street immediately east of the ferry holding lanes. As part of the agreement, Old
Milltown Pizza is required to obtain a regular business license for this specific location.
Attached is a copy of the Concession Agreement that includes copies of the trailer that
will be placed on site.
City of Edmonds c9 City Clerk's Office
• CONCESSION AGREEMENT
COMES NOW, the City of Edmonds, Washington, a municipal corporation (hereinafter
"City") and Milltown Pizza, a Washington SOLE l�RoPRieToA[insert partnership, corporation,
etc., as applicable] (hereinafter "Concessionaire") under the terms and conditions set forth
herein:
1. Statement of Purpose. The purpose of this Concession Agreement is to authorize
the temporary use as described herein of the unopened right of way of James Street immediately
east of the ferry holding lanes and adjacent to the SR 104 park. This Concession Agreement is a
legislative action of the Council, and as provided herein, may be terminated by the Council at
any time. The Concessionaire is authorized to use the location to sell food and beverages other
than alcoholic beverages. Nothing herein shall be interpreted to relieve the Concessionaire of
obtaining the approval of any necessary state or local entity, including requirements to obtain
business and street use permits as referenced in this Agreement.
2. Premises. This Concession Agreement authorizes the use of certain unopened
street right of way shown on the attached Exhibit A to the Concessionaire (hereinafter the
"Premises"). The unopened right of way of James Street, is shown on the attached Exhibit A
incorporated by this reference as fully as if herein set forth. Nothing herein shall be construed to
authorize the Concessionaire to enter into the ferry holding lanes without the permission of the
Washington State Department of Transportation nor to vend its products in any location other
than the Premises.
• 3. Undertakings of Concessionaire. In consideration of the benefits of this
Agreement, the Concessionaire promises and agrees to:
3.1 Utilize the leased premises for the maintenance of a temporary structure.
The temporary structure is a trailer as shown on the attached Exhibits B and C, incorporated by
this reference as fully as if herein set forth. This temporary structure (hereinafter "Trailer") shall
comply in respects with the State Building Code and the requirements of the Snohomish County
Health Department.
3.2 Pay to the City the sum of $100.00 per month. Such sum shall be paid on
or before the first day of each month. Any payment not received by the fifth business day of
each and every month shall be subject to a $25 service charge. Failure to remit the lease
payment and service charge by the 15th day of each month shall be grounds for immediate
termination of these provisions. In addition, an additional service charge of $25 shall be added
for every period of five (5) business days thereafter.
3.3 Obtain a business license from the City for this location in accordance
with the Edmonds City Code.
3.4 The Concessionaire shall provide a certificate of insurance naming the
City as an additional named insured. The policy shall provide public liability protection in the
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• minimum amount of $1 million per occurrence and $2 million in aggregate. The insurance
policy shall be primary as to any other policy of insurance. It shall provide that the policy may
not be cancelled except upon the provision of thirty (30) days written notice to the City. The
trailer to be installed is a temporary structure which does not require architectural design review
in accordance with the provisions of ECDC 18.70.030.
3.5 No sales of retail goods or services other than the selling of food or beverages
shall be permitted. By way of illustration and not limitation, no sale of alcoholic beverages shall
be permitted from this location.
3.6 Promise to indemnify and hold harmless, on behalf of Milltown Pizza, the
undersigned owner and successors, heirs and assigns, the City of Edmonds, its officers, agents
and employees from any claim, loss or liability of any kind or nature arising from or out of the
use of the Premises and/or the terms and conditions of this Agreement. To the extent necessary
to enforce this promise, the Concessionaire as a part of the negotiation of the provisions of this
Agreement, waives the immunities of Title 51 RCW to, but only to, the limited extent necessary
to indemnify and hold harmless the City, its officers, agents and employees.
3.7 Concessionaire may terminate this Agreement on the provision of thirty (30) days
written notice.
3.8 In the event of termination, Concessionaire shall restore the site to its original
condition and remove all structures, temporary or permanent by the date of termination. The
City may, at its option, seize any personal property, temporary structure or other object or item
isnotice
on the site and sell it in the event that it is not removed by the date of termination set in the
notice from Concessionaire. The City may, at its option, restore the site and bill Concessionaire
for the reasonable cost or restoration of the site to its original condition. If Concessionaire fails
to pay the sum within thirty (30) days, the parties agree that the City may forward the sum to a
collection agency for recovery. Concessionaire shall be responsible for any costs associated with
such recovery including reasonable attorneys' fees, court costs and the charges of the collection
agency.
4. Obligations of the City. The City shall:
4.1 Make available the unopened street right of way of James Street to the
Concessionaire to vend food and beverage, provided, however, that nothing herein shall be
interpreted to authorize the sale of alcoholic beverages from the site.
4.2 The City Council, in its sole legislative discretion, reserves the right under ?
this Agreement to terminate its provisions at any time upon the provision of forty-eight (48) Op
written notice. In addition, the City Council reserves the right to seek proposals for the leased 7
premises or any other property or unopened right of way of the City for competitive bids from
other vendors at such time and through such a process as in its sole discretion shall determine
appropriate. The Concessionaire shall be provided an opportunity in any such future process to
make a proposal on the same terms as other proposals, but shall have no competitive advantage
in the process. The lease payments provided in paragraph 3.2 above are specifically set at a
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lower rate than market rates to acknowledge that this Concession Agreement is terminable at
will. In the event of termination by the City, the City shall return a pro-rata portion of any
prepaid rent.
5. Term. This Agreement, unless earlier terminated as herein provided, shall expire
on December 31, 2007.
6. Entire Agreement This is the entire agreement between the parties. It shall not
be amended except in writing with the express written consent of the parties hereto.
DONE this „,AI 0! day of A/avem a E& , 2006.
MILLTOWN PIZZA
By:
Its: jo�j nVL
STATE OF WASHINGTON )
COUNTY OF SNOHOMISH )
I certify that I know or have satisfactory evidence that �,ChAe .9,✓�Te.a✓.s' is the
person who appeared before me, and said person acknowledged that he/she signed this instrument,
on oath stated that he/she was authorized to execute the instrument and acknowledged it as the
0 &J A/E 2 of MH LTOWN PIZZA to be the free and voluntary act of such party for
the uses and purposes mentioned in the instrument.
DATED:
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ATTEST/AUTHENTICATED:
By: ; �la....,/�c ,6- "d
Sandra S. Chase, City Clerk
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Q- �
NOTARY PUBLIC
Printed Name: A.
My appointment expires: U
CITY OF EDMONDS
By:
Ma or Haakenson
0
• APPROVED AS TO F
By:
W. Scott Snyder, City Attomck) ,
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EXHIBIT C
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