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
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'CITY OF M`ACOND-3
BUILDING DE-PARTiViZENT
WORK 51(74o'C
Ar.'dDRESS 317AAWS,
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-'�IOVZD DATE:
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CITY Copy
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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 ;�' -