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319 MAIN ST.PDF11111111111111 14156 319 MAIN ST ADDRESS: -.(31 q TAX ACCOUNT/PARCEL NUMBER: BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) FOR: CRITICAL AREAS: DETERMINATION: 0 Conditional Waiver F] Study Required E] Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERMITS (OTHER): Iq T7 L 6 PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: SEWER LID FEE $: SHORTPLAT SIDE SEWER AS BUILT DA SIDE SEWER PERMIT(S) #:— GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT WATER METER TAP CARD DATED: OTHER: LID #: LOT: BLOCK: e) LATEMP\DS'Ps\Fonns\Street File Checklist.doc PLANNING DATA SIGNS SITE ADDRESS: ZONING: DATE: PLAN CHK#: -7 NAME OF BUILDING PERMIT APPLICANT: IMA 671A t�ot 0,�G PROJECT DESCRIPTION: AOmt46, 6iemo ADB FILE #: OR DATE WAIVED: PLANS MATCH APPROVED PLAN: 7, TOTAL AREA PER TYPE OF SIGN: TOTAL Sign area Allowed Matrix Area allowed Type of in Conditions Allowed Per for this Sign Zone? Met? Unit Unit sign Example Wall, wl Yes,. wl Yes I sq. ft.1 lin. 4 1, fo dt' 41 square Internal cond. ft. of attached feet Mum. attached wall wall SIGN I 1W (ASK- AVMicotw SIGN 3 TOTAL SIGN AREA FOR SITE / TENANT: Maximum Allowed: Previous Total: Proposed Total: 1Afibrary\p1anning\fbrms & handouts\staff reports\^plandat—SIGN.doc 6 -0 SIGN HEIGHT: Sign Type: -I tS-jt!'CL.;j tr�Lra Maximum Allowed: Actual Height: Sign Type: Maximum Allowed: Actual Height: Sign Type: Maximum Allowed: Actual Height: SIGN LIGHTING: Sign Type:--O/,A Lighting Proposed: Allowed in this Zone: Sign Type: Lighting Proposed: Allowed in this Zone: Sign Type: Lighting Proposed: Allowed in this Zone: SIGN COLORS: -%I L Proposed: (A t' -T-E Acceptable? 11-f E�� Requires ADB Approval? ffi;� SIGN LOCATION: Proposed: /d%..0M1r+C-k It4 flear47- 10T ID00it- If Freestanding and 3 feet or over (unless on a fence) meets setbacks? Required Setbacks: Front: — Left Side: Right Side: Rear: Actual Setbacks: . Front: — Left Side: Right Side: Rear: LANDSCAPING FOR FREESTANDINGSIGNS: Size: Location: CRITICAL AREAS # (Freestanding Signs Only): Waiver / Meets CA requirements REDUCED SITE PLAN (8.5X11) PROVIDED FOR STREET FILE? OTHER: Plan Review By: tA ,!5�e- 1Afibrary\p1anning\fbnns & handouts\staff reports\^plandat—SIGN.doc APPLICATION The City of Edmonds for SION SEWER PERN" NEW CONSTRUCTION 0 REPAIRS 0 EASEMENT No . .......................................... OWN= ------- Hubbard, Larry ............................. ............................................................... ......... CONTRACTOR .................................................................................................. PERIM No . ...................... AqDREss .............. .... j��ain St. ..................................................................... I ....... LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................ NAME OF ADDITION LjL LU LU Dye Tested On Sewer June, 1972 Approved: DATE............ ........... .................... — By ................................................ ..................... IESUB 0 of EDA,10 iaii�lb'p Av�— . 18,90 JUN 10 2005 BUILDING DEPARTMENT CrrY OF EDMONDS PROPERTY OWNER NAME BUSINESS NAME: PERMIT #: �W-05--Coo(o STREET USE PERMIT Ue W01 o4zee BUSINESS OWNER NAME: Phone 4,140 W.93 ADDRESS OF PUBLIC USE: �-3119 APPLICANT MA.ILING ADDRESS: Q19 I-W ---------------------------------------- ---------- ---- �--w ----- W ----------- Placement of any temporary or movable objects in any -portion of public space or City right-of-way shall meet all Code Requirements as set forth in the following chapters of the Edmonds Community Development Code. 18.70 STREET USE AND ENCROACHMENT PERMITS 17.65 LIMITED OUTDOOR DISPLAY OF MERCHANDISE 17.70.040 TEMPORARY USES; Bistro and outdoor dining PERMIT ISSUANCE A Street Use Permit may be issued, at the discretion of the Development Services Director, City Engineer or their respective designee, for temporary objects located within any public space, night -of -way, roadway, parking strip and/or sidewalk, including the air space above them, if they are placed in compliance with the above referenced Code Sections and the following criteria are met: > It has been concluded that the proposal will not adversely Impact public space open to vehicular or pedestrian travel; > Architectural Design Board approval has been granted or the process has been administratively approved; > ne proposal will not unreasonably interfere with the rights of the public; > Items shall be placed adjacent to the building and may encroach onto a maximum of two feet of the public sidewalk; or in accordance with Bistro and outdoor dining code; or per an approved building pen -nit, > Safe pedestrian travel area, or clear zone, of 44 Inches,rmmmum width shall be maintained on City sidewalks; (see definition of clear zone below) > Exterior light fixtures, banners, signs and flags must he a minimum . of 7 feet above City right-of-way, > Clear landings of 44 inches or no less than the width of the door (whichever is greater), measured toward the street, shall be maintained on the exterior side of all required exit doors; Illumination from City light fixtures shall not be blocked; > No objects shall be hung from City light standards; and SAEngr\Forrr,s\Street Use Permit.doc Revised 2/6/04 0 )> Three feet of clearance around fire hydrants, standpip'es, manholes, water meters, blowoffs, cleanouts and valves shall be maintained. Clear Zone Deflinition: Clear Zone refers to an area 7 feet in hei�ht and 44 inches in width providing a level, safe walking surface along the public sidewalk (e.g. measuring 44 inches from edge of street tree grates or newspaper stands toward place of business and from the gyound up to a height of 7 feet), ---- W-� -------- W, --------------------- �.W --- W ------- W ----------------- DESCRIPTION OF PROPOSED STREET USE: ns�-- �J �'J ';�J- -------------- ww--�.Ww --- ---- W-W --- WW --- 'W--w -------------- APPLICANT TO READ AND SIGN NOTE: The issuance of this permit is understood by the applicant to be of a temporary nature, shall vest no permanent right and shall ' be issued and may in any case be revoked at the sole discretion of the City per ECDC 18.70.040. By signing this application, the applicant accepts responsibilityfor all existing andlor future street uses. Applicant is responsible to pay an annual renewalfeefor this permit. Failuretodoso will terminate this permit application and require removal of any temporary structures granted by this permit. INDEMNITY.- The applicant understands and by hislher signature to this application, agrees to hold the City ofEdmonds harmlessfrom any injuries, damages or claims ofany kind or description whatsoever, foreseen or unforeseen, that may be made against the applicant or the City ofEdmonds, or any of its departments or employees, including but not limited to the defense of any legal proceedings including defense costs, court costs, and atiorneyfees by reason ofgranfing this permit. In addition, the applicant understands that helshe shall provide and continually maintain during the term of the permit a certificate of insurance naming the city as an additional insured, with respect to liability, andproviding that it shal be primary as to any otherpolicy of insurance. CODE APPLICATION: By signing the application below the applicant warrants that s1he has read or had the opportunity to read Chapter 18.70, 17.65, and 17.70.040 of the Edmonds Community Development Code and s1he understands that all terms of the adopted ordinance are incorporated herein as ifsetforth in full and this application andpermits therefore are subject to the terms of those Chapters. SIGNATURE czz -L— DATE 9 - aS- PropIrty Owner/Business.Owner FOR CITY USE ONLY Appr&ed by: Street Use Fee: ionoo Receipt No: Issued by: �An Issue Date: SAEngr\Fonvs\Street Use Perrrtitdoc Revised 2/6/04 ALT.STATE TNSTIRANCE CO JOHN KWON AGENCY 22727 HIGHWAY 99, STE 104 EaWWDS, WA 98026 PH:425-670-8900 PAX: 425-697-6001 EVIDENCE OF INSURANCE Ea CuslomizerO Policy LJ Business Package Policy AllState. YouYe in gond hands - POLICY NUMBER 050777953 LOAN NUMBER SECOND LOAN NUMBER Insured's name, mailing address, and zip code: IMA JUNG KIM DBA IMA'S F3TUDJ() NA-TI,S & SKIN _11c) MATN,I;TRFF.T 6rA-X)NDS, TAIA 98026 W)RIGAGEE, ADDITJONAf, INSUREI), r,05S PAYEE' CIrY OF EDKVDS BUILDING DIVION 121 91H AVF N ErMND-S, WA 98020 Policy Period: From 8/16/2604 To 8/10/2005 L)f 12:01 A.M. L 12:00 Noon Standard time at rhe addrou of tho imured stated above Insurance Is provided as follows: POLICY TYPE VALUATION Policy Limit of Liability LJ Named Peril LJ Actual Cash Value 13USINESS COVERAGE- S1.0,000 F, Basic Replacement Cost BUSINESS, L.IAUJI-YrY: 1,J.,()Q(l,00(J Broad *personal & adx,ertising injury: S:300,00%X cial *Properl,y dolliage: S100,000 SPL SUPRA *Siriould ahy of the atxwe nolicies be c.ancel.l.-ed lt)eforc- thC rXJ.)ir0i-,1.CT1 date ItLiereof, thc i.smiinq cr.Tn'nariv w1i rata.4 45 DAYS w7-.tci1 nr74.c(­- i.o (--ert.ifcal�.e 1-io!Aler. This policy will be subject to a property insur ance adjustment program which will automatically adjust tho building limits on an annual basis. 0 Yes )E No DEDUCTIBLE — will be deducted from each adjusted loss to covered proporty. Building Coverage $ ,—Business Contents$ 250 Combined$ PROVISIONS: This form is not the contract of insurance. The provisions of the policy shall prevail in all respe'Gis. All premiums for the insurance policy shall be computed in accordance with Allstate's rules, rates and forms, which are in effect at the inception of the policy and upon each anniversary thereof, including the date of interim changes'. It is understood that should the insurance protection evidenced herein terminate for any reason, due notice 'will be given to the Insured and to the mortgagee. �jA b the d larations pa reflecting the annual premium will be sent, if required. to the mortgagee and to any other e r e s �tc d p �e, 425-670-G900 7/15/2005 Atitnorized Phone Numbor Daie U10728-1 f III IC. wiptiovQ 'CITY OF M`ACOND-3 BUILDING DE-PARTiViZENT WORK 51(74o'C Ar.'dDRESS 317AAWS, alvd-c 6,011echk� I -'�IOVZD DATE: "A6 ,6 � V(NqL LC-1-ft 'IL' C16 " IL4j. Vi I r- a OAA-J 74:tl _Y1 2, Tl� fU 9 / Alultma JIUM 2 - 10A7 ou -r- AJ OPJ . w 3 it m 0 Fib 0 al --f c o u L c C- IF I Ie Y. I it it 0 4 - I ft- Prk C- I FG-jr- IS A -tiT �.A 1, OA��vAU)j IN oK Co I I - rv-iiStr- '7 / —1 S, I , ? co uj q �l L C 7 - TIE* f2ov�K I tv IN 4k Its Po 2, 56v��- 40( E No 7-V.-A Aj u vi ZF. �� 144 t,4 Al'� �- ('o t ( C C 7'� 6,o vw Mel 15 " � 3" ,301' (V bOUBLF. FACED M Do PLY c3iC,^; iN/ BQACtCE;T N.)Cto 0 #J FMc �,T kfi , N DCW I (60rTCM) MAD Ascsiac — 1>0061* FAcE Moo PLY st" 0 1 elouc*- WALL : S/ 4., x f / � -- Z"s zsvh co I "Le-L /Vyvkq- S--t CITY Copy q�-, Z'Zq- 0 0 SUILD-11H, JUN 2 - 1997 e e.7-- usc conr STREET USE PERMIT APPLICATION NANIE OF APPLICANT: 0410#05 _20d rl-g Ce 6:-r� NANIE OF BUSINESS:: - 6rt- IhAZA �T— MAILING ADDRESS:- C-Clrr-,� S-q k./11 dyll I CONTACT PERSON AND PHONE NUNIBER: (YI 7- - llf,--Wlfd V ADDRESS OF PUBLIC USE: — Describe the public placq or portion of public space -to be utilized: kir�) YA I Wn 10 fit-f T— QJC—v� I D&WA­1 Specify the type of use desired S/6-s" OLle-tt 5'1 Oe W A UC- 10'a Specify the length of time for use: NOTE.- The issuance of this permit is understood by the applicant to be of a temporary nature and that no vested right is granted INDEMNITY The applicant understands and by hislher signature to this application, agrees to hold the City ofEdmonds harmlessfroin any injuries, damages or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the applicant or the City ofEdmonds, or any of its departments or employees, including but not limited to the defense or any legal proceedings including defense costs, court costs, and attorneyfees by reason ofgranting this permiL In addition, the application understands that the City shall be provided a Certificate ofInsurance to indemnity and hold harmless the City ofEdmondsfrom all claims andlor property damage, and naming the City ofEdmonds as an additional insured. CODE APPLIC4 TION.- By signing the application below the applicant warrants that s1he has read or had the opportunity to read Chapter 18 of the Edinond� Community Development Code and s1he understands that all terms of the adopted ordinance are incorporated herein as if setforth in full and this application andpermits therefore are subject to the terms of that Chapter. UIXJLI NOW JUJ 2 -1997 STRUSEHO.DOCJLG/2-95 % HER HE SIGNATURE OF APPROVAL FROM ABUTTING PROPERTY,OWNERS When applicable, if the street use proposal directly impacts any adjacent business or private property owner the applicant must obtain written approval from the affected parties. This requirement is ..evaluated by City Staff after the initial submittal of the application. Signature Address Signature Address Signature Address Signature Address DO NOT WRITE BELOW TFHS LINE --FOR CITY USE ONLY Planning Division Review Public Works Review: Fire Department Review: ADB# Approved Approved By Approved By Pate 6-5- 97 Date b-C-�-7 Police Department Review: App�oved By S") X// Permit Coordinator Review: Certificate of Insurance Verified Olt-, Engineering Division Review: Bond Required A10 . Amount$ NA ApprovedB Dated Remarks or Comments: PERMIT OF ISSUANC RELEASED BY A /,W ///i —RECEIPT A290-5 STRUSEHODOOLG/2-95 . 0 :3(,)" APPROVED BY PLANNiNG boup,Lr. M Do PLy L""/ BeACKET 17 RECEIVED AW - 5 1997 PERMIT COUNTER 0 �j FQc;jT (Borrom) 0 0 b . I / a Inl1v W-41" : S/ �ev I / �-- 14' 0* LAG w oo LGEAD AlicNaiL b000jte RcE MOO PLY SIC04 MEMO-- BOU Ok. WA LL APPROVED By n-I.ANNING lE C C7 I V OU :.-AC ERTI A MDT,, Flo... .... ... .... DATE (MWOD" F: LIABI PRODUCER THIS CER' THIS CER71FICATE IS ISSUED AS A MATTER OF INFORMXTION Worthington* Insurance ONLY AN[ ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE FALTER : PO Box 625 HOLDE R. T HOLDER I HIS CERTIFICATE DOES NOT AMEND, EXTEND OR THE COVERAGE AFFORDED BY THE POLICIES BELOW. WA 98041 206) 486-1291 COMPANIES AFFORDING COVERAGE COMPANY I_'othellj, A Mutual of Enumclaw INED SuR COMPANY Gary & Dolly Haakenson B DBA: COMPANY 508 Main Street 6el Ile 4,17 IJ C COMPANY Edmonds, WA 98020 . I D , . ... ::.. '.' t6v9AACks ... : . . ............. . .. MIS IS TO CERTIFY THAT THE POLICIES OFINSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM 08 CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUGH POLICiES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLA!k1S. CO LTR TYPE OF INSURANCE I POLICY NUMBER U t EDATCEY(M� ED;Z POLICY EXPIRATION DATE (MWDDNY) UMrrS A GENERAL LIABILITY SM27400 11/21/95 11/21/916 GENERAL AGGREGATE $ 1,Qw,000 PRODUCTS - COMP)OP AGG COMMERCIAL GENERAL LIABILITY Co. SM27400 11/21/96 11/21/97 CLAIMS MADE [i] OCCUR PERSONAL & ADV INJURY s EACH OCCURRENCE $ 1,000,000 OWNER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) 3 50,000 MED EXP (Any one person) $ 5,0N AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT 5 BODILY INJURY $ ALL OWNED AUTOS SCHEDULED AUTOS (Per person) I— BODILY INJURY $ HIRED AUTOS NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE OARIAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY. ANY AUTO EACH ACCIDENT S AGGREGATE $ EXCESS LIABILITY EACH OCCURREN E $ AGGREGATE $ UMBRELLA FORM $ OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND STATk IOTH- I TORY LfMI 1 1 ER EMPLOYERS' LIABILITY EL EACH ACCIDENT $ THE PROPRIETOR/ INCL PARTNER&EXECUTIVE EL DISEASE - POLICY LIMIT $ EL DISEASE - EA EMPLOYEE OFFICERS ARE: EXCL OTHER DESCRIPTION OF OPERATIONS/LOCATIONSVEHICLESISPECIAL "AS The City of Edmonds is named as an additional insured, but onl as respects the business sign located on the insured's premises a? 508 Main Street, Edmonds, WA. :.CERTIFICATE.. HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEI I En BEFORE THE City of Edmonds EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Bell Street I ) DA YS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEM onds, WA 98020 Lt UT E LURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY (/ANY/)KIND 4PON//THE COMPANY, _F1v AGENTS OR REPA'OSENTATIVES. AUTH R " TA at��C�RPO ACORD 25-S (1/0) isis STREET USE �EOR�/ITT APPLICATION Name of Applicant or Business: Mailing Address: ';n )[)�hly) Address of Public Use: -:��tcj 1. DE;�CRIBE TH� PUBLIC PLACE OR P -:2� 4j+ () nA7) 5 ICI L( rJ ), L-1 I Date Received. Date Issued Permit No. elephone No: NAN, 017'f- 9,4 87 ON OF PUBQC PkAKE TO BE UTILIZED: Attach an appropriate plot plan or elevation view. 2. SPECIFY THE TYPE OF USE DESIRED: 1 3. SPECIFY LENGTH OF TIME FOR USE 4-o dct( y)) Qk The issuance of this permit is understood b the applicant to be dy-a y temporary qatur,� and that no vested right is granted. &L�—s INDEMNITY: The ap , p,licant understands and by his signature to this application, agrees^-t,o hold the City of Edmonds harmless from any injuries, damages Vr, - chlaims of any kind or description whatsoever, foreseen or unforesee/n ha� may be made against the applicant or the f its department's or employees, including but City of:Edmonds, or an4l not limited to the defen any legal proceedings including defense costs, court costs , and �t$ney fees by reason of granting.this permit. In addition the applicant understands that the City shall be provided a certificate of insurance to indemnity and hold harmless the City of Edmonds from all.claims and/or property damage, and naming the City of Edmonds'a*s an additional*insured. CODE APPLICATION: By signing the application below the applicant warrants that s/he has read or had the opportunity to read Chapter 18 of the Edmonds Community Development Code, and s/he understands that all terms of that Ordinance are incorporated herein as if set forth in full and this application and permit-tKi efore are subject to the terms of that Chapter. Applicant Signature -7 -7 tl — -7el,97 Date' Page 6 of 8 -��C&)tk d.�,-�O—W(DOOLOVA,-� 1/89 HERR Fg - 9 Street Use Permit Application Page Two SIGNATURE OF APPROVAL FROM ABUTTING PROPERTY OWNERS When applicable; if the stree't 9se proposal is for utilization of City right-of-way that may dir,ectly--impact any adjacent business or private property owners, the applicant shall obtain written approval from the neighbors. (This requirement will be evaluated by the City after initial submittal of 11 the permit has been made by the applicant.) SIGNATURE PRINTED NAME ADDRESS DATE lop DO NOT WRITE BELOW THIS LINE FOR CITY USE ONLY City Council Approval,Date, ADB Approval Date Certificate Of Insurance Posted Bond Required SIGNATURES OF PERMIT APPROVAL FOR ISSUANCE Fire Department -2— g Police Department Date Engineering Dept Date Building Official' '4)::>,P12Q �JE-:7,oO Date AI�W6-17- /9Z— Public Works Date RE ARt!/COMMENTS: 06- Ord a 4e Gar+ ar)J- 4bLe durb -_ F i*tkw (Ails, PERMIT NO. DATE OF ISSUANCE 7-8 - (5�A RELEASED BY RECEIPT NO.. /,S-6 0 /' 1,4941 'S' BUILDING PERMIT NO. Page 7 of 8 1/89 .,.#,,TO CREATE CARS NO ONE EISE CAN OFFER, Introducing the Ultimate FLIsion of Form and FUnction F- I L a � 8 9 0 - 1 9 C� - 0 0 CITY OF EDMONDS 250 - 5TH AVE. N. - EDMONDS, WA 98020 o (206) 771-0220 e FAX (206) 771-0221 COMMUNITY SERVICES DEPARTMENT Public Works 9 Planning * Parks and Recreation 9 Engineering December 28, 1992 Cottage Garden Too 319 Main St. Edmonds, WA 98020 RE: Street Use Permit 92-10 LAURA M. HALL MAYOR According to Building Division records, Street Use Permit renewal fees - are due. Street use renewal fees are collected in January for the current year and are currently set at $10. Please remit fees within 15 days of the dateof this letter. If you no longer utilize the portion of City right-of-way under the subject permit, please contact the City at your earliest convenience. Also note, a current certificate of insurance is required to be on file with the City at all times. Please check expiration dates with your insurance carrier and include a. current copy of your Certificate of Insurance with your payment. The City Council will be reviewing Building Department fee increases during the next few months and it is possible.that Street Use fees, both original and renewal fees, will be increased for next year and reflected in the billings for 1994. If there are any questions contact the building division at 771-0202. Thank you, Sharon F. Nolan Permit Coordinator STREETLT/TXTDOS62 9 Incorporated August 11, 1890 Sister Cities International — Hekinan, Japan 0 CITY OF EDMONDS i CIVIC CENTER - EDMONDS, WA 98020 - (206) 775-2525 -I-IM11111000- C� q 0 - 19 September 14, 1993 Ms. Pam Jacobs Cottage Garden Expresso Cart 319 Main Street Edmonds, WA 98020 Dear Ms. Jacobs: LAU M. HALL MAYOR On December 21 1992, 1 sent a reminder notice for renewal of your 1993 Street Vendor license for the espresso cart. The Business License Clerk on July 16, 1993 also sent a reminder that we had not received a response. I have had a turnover of licensing staff and have once again discovered that this renewal is still pending. It is imperative that this license be renewed for 1993. This license only runs through the calendar year. It won't be long before r6newals will begin for 1994. I have enclosed another application form. Please complete the application, attach your current health certificate (including your workers of the cart) and submit your fees for 1993. Please give this your immediate attention. Sincerely, I R o d:��iarch Edmonds City Clerk enclosure cc: Planning Division (re Street Use Permit #92-10 & ADB-102-92) DEPT. * Incorporated August 11, 1890 * Sister Cities International — Hekinan, Japan 4 .......... ACOORD CERTIFIC*E OF T,. LIABILITY INSU*kNCEOP ID UM DATE (MM/DDfYYI COT1000 01/15/97 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Walmsley-Degginger & Co. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE W-D Insurance HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 0 st office Box 1100 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. rcer Island WA 98040-1100 COMPANIES AFFORDING COVERAGE ith Degginger - COMPANY P'o eNo. 206-232-6000 Fax No. 206-232-6015 A American Economy Insurance Co. INSURED - COMPANY COMPANY Cottage Garden Gifts C COMPANY 323 Main St. Edm�inds WA 980.20. D COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN.ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDDIYY) POLICY EXPIRATION DATE (MM/DDNY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE s2,000,000 A X COMMERCIAL GENERAL LIABILITY 02BOO648751 01/27/97 01/27/98 PRODUCTS - COMP/OP AGG s 1,000,000 CLAIMS MADE TOCCUR PERSONAL & ADV INJURY $ 1,000,000 EACH OCCURRENCE s 1,000,000 OWN ER'S & CONTRACTOR'S PROT FIRE DAMAGE (Any one fire) $ 50,000 M ED EXP (Any one person) $ 5,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO BODILY INJURY $ ALL OWNED AUTOS SCHEDULED AUTOS (Per person) BODILY INJURY $ HIRED AUTOS NON -OWNED AUTOS (Per accident) DAMAGE $ HPROPERTY GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN AUTO ONLY: ........... ........ - ... ANY AUTO EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE AGGREGATE $ UMBRELLA FORM $ OTHER THAN UMBRELLA FORM WORKERS COMPENSATION AND H. ------ f?U0CRYSTL OETR ... EMPLOYERS* LIABILITY EL EACH ACCIDENT $ EL DISEASE - POLICY LIMIT $ THE PROPRIETOR/ INCL PART * NERS/EXECUTIVE EL DISEASE - EA EMPLOYEE $ OFFICERS ARE: EXCL OTHER DESCRIPTION OF OPERATIONSILOCATIONS/VE�CLFS/SPECIAL ITEMS Location: 323 Main Street Edmonds, WA 98020 Certificate Holder is Additional Insured as their interest may appear as landlord. �:.CERTIFI&ATE HOLDER CANCELLATION CITY005 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT. City of Edmonds Civic Center BUT FAILURE TO MAIL SUCH NOTICE $HALL IMPOSE NO OBLIGATION OR LIABILITY Edmonds WA 98020 OF ANY KIND UPON THE COMPAJNY.)Tp AGEIKTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIV ING R C0.9 truo P WA Keith Degging r �1 "CA ...... ACORD 25-S 11/95) C D PORATION 1988 w yo ti 6 �--r 5lide-Wniv- (+(0 11 <�O.E)V' 1�- AD ell '51 Ar lip, oa/j ry-) P�OJ 1.7511 Side View Specs: Routed Double Sided Hanging Sign Letters are V-Carved and painted Enamel White Back Ground is One Shot Enamel Dark Green 4.9 Total S.F 0 c-41"PROVED 9Y PLANNING FILE !!� t , R E (; "G I V " _.' MAY 17 2005 COUNTER LLZ fu� �,�J 1--wrornm UPPFQV63: U%_u"Zi Uowiny . umiwliuv� uwcarion Prooft are property of Russell Sign Company and may riot be reproduced In anyway without Customer IMA SW10 Inc Notes: 10 = t from Russell Sign Company. All Proofs are for presentation and client approval only. Address: 319 Man St Edrnoncir WA 98020 IIIIIIIISSELL and designs are subject to a design We. Contact: Client Approval: —Dale: 9MMMM d34M Sales: D. Russen Designer Russeu I nneflfwd A�1- 1 5121 208thStSWSle.5 LWwwood,WA98036 425.775.7010 Fax425.673.5508 1— —.1"--.- i 2--l— J Custom Welded Aluminum Bracket Mounted to 1.5" Awning Tube Frame with .375" x 2" Log Bolts (4 total) APPROVED AS NOTED BY ENGiNEERIN Date. - U1, IT-06 C 19E4e-Mt-T #-6Q-05-000(e % 40AL '.'# E I V E D 1 7- 29,05 !T COUNTE". Proofs are property of Russell Sign Company and may not be reproduced In anyway wittiout Customer W Studio h-C consent from Russell Sign Company. Ali Proofs are for presentation and client approval only. Address: 319 Main St Edmond& WA 98WO Designer RussW Notes; IKjSSELL Artwork and designs are subject to a design fee. Conlact- Client Approval: Date: Egan" C." Sales: D. Russen 11—M—A A-1- / Ste. 5 Lvnrrwood, WA 98036 425.775,7010 FCD(425,673.5508 C Specs: Window Vinyl Logo and Decorative Stripe 3M Dark Green and White 9.2 Total Sq. Ft. for three windows A-W-fti'by 9:W am to 7:W pm 9:00 am fo 6:00 pm Svnday 1:00 Pm to 6:00 P. Reffexofogy FA I A 5tlafio 11w. I Window Vinyl Main Street 319 Main St. Fouft AventRECEIVE & MAY 17 2005 PERMIT COUNTER = we property of Russell Sign Company and may not be reproduced In anyway without Custo menihm S�twio Ino Notes: 10 A nt from Russell Sign Company. Ali Proofs are for presentation and client approval only. Address: 319 Main St EdrnoncL% WA 98020 IIIIIIIISMs m Artwork and designs are subject to a design fee. Contact: Client Approval: Date: 9980" 43406 IlLandlord Approval: Date: =A 5121 208th St SW Ste. 5 Lynnwood, WA 98036 425.775.7010 Fa( 425.673.5508 ___.Designer Rumen. -CITY OF EDMONDS BUILDING DEPARTMENT A D n P 7,3,1; 01AINER-- APPROVED DATI�z- B.LDG. OFFICiAL PERNW90 NLhiMBER RECEivED MAY 17 2105 PERMIT COUNTUN FEET F lLa I N E: N C C-D I'D A I/- 6'1 EYX 2" STW I P M AJ N 18' 5 � EY 4" 5TV4 I P MAIN 18, �'j � PRCP L/4" STIA IP IAAlt� 4' E �; ALLEY (-1/9 L J�l E' MAIN ENDS 15 T' E � (Permit approved provided 1-1/4" -NOTE5*. 1. FIELD L,)( A-rF: ALL UTlLIT);-_-: NOTIPY THE FC'_L-0Vfl-k(7_? 24 *HF'� Fl�k)P A. EDMONDS VQATER DIEPIT. 117l b. GENIERAL TELE CO A L D 2 C. SNOHOM\ISH CO'LINTY RUD 774 -?-111 S,l)QVF='_f QDT Zc(D"D H L E PIPE l>LQG tX4" 78'0_70 4 140� STW—PI PE 7,:) 1 " C 3. 4" PROTKTOWRAP 66940 2. 61' PROTECTOWRAP 66950 1. PRIMER 70 B 66620 ITEM QUANT. D E S C R I P T 1 0 N STOCK ITEM BILL OF MATERIAL P E R M I T S I EDIAONCe_� E)GR — Pi5AP 6 WASHINGTON NATURAL GAS COMPANY AR EDMONDS —MAPNO —,E�-23-27-3-(_ 5T\N IF MAN 3)S) MA) N 5 T main is pushed under Main R/W Invasion Permit No. 137 dated 1/12/70 Street.) I zz n IR NO. DIESCRIPTION REVISIONS DWN. A. VA N N,,�-TT/) / _ JOB 6-9 C 902 DATE I ffy I APP'D. CHX'D D J 17 0 DRAWING c -9 "--,) 2 SCALE 5 01 APP. " j ;�' -