323 MAIN ST.PDFiiiiiiiiiiiiii
14159
323 MAIN ST
ADDRESS: �Va lvmn
TAX ACCOUNT/PARCEL NUMBER: 00 60 00 / 0o
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: DETERMINATION: [] Conditional Waiver E] Study Required [] Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR: -
PERMITS (OTHER): 1-7 -0-3570 (bq&,Vjtj(d) 2a,00-0-753
W4-00/3 0 If Z2 -02-12
Lop
PLANNING DATA CHECKLIST DATED:Aj
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
SHORT PLAT FILE:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT
FOR:
WATER METER TAP CARD DATED:
LID #:
LOT: BLOCK:
LATEMP\DST's\Forms\Street File Checklist.doc
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PLANNING DATA STREE
-- Signs --
Name:
Date:
Site Address: Mouin
Plan Check #: BLD-200'7- 0674
Project Description:
kefat
1^44 11 1 All
-e It
lr�l fh—ovet-.e
(I h*4p� 10-illoml,I)o
Reduced Site Plan Provided: (�.ES /.�O) Ml��ir)��l
I Zoning:
Comprehensive Plan Designation: W m C' om
Map Page: 21-02-
1 Corner Lot: 0 NO)
Flag Lot: (YES
ADB File # (or date waived):
&
WTAL Area per Type of
Type of Sign
Allowed in
Matrix
conditions
Allowed
area per
Unit
TOTAL sign
area
Proposed
zone?
met?
unit
allowed for
sign area
this sign
Example
Wa// wlInternal
IllumInatlon
Yes with
condItions
Yes
I sq. It.111neal
ft. attached
41 fit attached
wall
41 square feet
20 square feet
Wa//
Sign #1
Yes, lk/
is
rg fpL tj, ?f
f
11-7
(1-7
2y' I b=26
r
pr or in - .
* C�Wall
F
Wlict�kalia
sl9r, .', Or-
Sign #2
Sign #3
Wuly,
TOTAL Sign Area for TenantlSlte
Max Permitted: tast
1 n'
*
Previous Total
Fproposed Total:
Sign
Sign Type: Wd.11 514h
Max Permitted:
Actual Height
Sign Type:
Max Permitted:
Actual Height:
Sign Type:
Max Permitted:
Actual Height:
Sign - L igh ting
Sign Type: VaJUV1kJJjj (&'Waill
Proposed: VaJfArial (5 1;� Lmm
low!
Al in Zone: COO,
Sign Type:
Proposed:
tAllowe�d in Zone:
0 0 . —]
PLANNING DATA S TREE T =FILE
-- Signs
Sign COIM5
Proposed:
F,4act Wall6la'-,
W�jk PahfONWO rem)
da&- �mwrl ax,6,,�
Acceptable?
Requires ADB Approval?
. M 7-�W
i - S Locati
gn on
Uvrx 0&
If freestanding and 3-feet or over (unless a fence) meets setbacks?
V5()OL/[,9 WOO'd
Required Setbacks
Street: NA
Side:
Side:
Rear:
Actual Setbacks
Street:
Side:
Side:
Rear:
Oodscaping. for, Freestandil7q �5ign-5
Size:
Location:
Critical Areas Determination #: 'N /A
11 Study Required
0 waiver
Other
Sinct -Ais is W&u, of M,-51kM (AAA�UM.A,,J,[�)
n of rl ulqd
Plan Review By:
0
�* RECEIVED
/x- JUN! 4 1999 Receiver)
PERMIT COUNTER
STREET USE PERMIT APPLICATION
NAME OF APPLICANT: Z Ot 6v - e.#) r e /'� 7;�C �1-r4
NAMEOFBUSINESS: k- e e,*- 0A
MAILING ADDRESS: ',i e e 7' 6V,4 9,PO 219
CONTACT PERSON AND PHONE NUMBER: Z A ci�, r, e -n e e t' 7,--e .1.r4 C'7-.?- q96PO
ADDRESS OF PUBLIC USE: -7 2 "o' 0
Describe the public place or portion of public space to be utili7ed:
?rO -r IR t, a -if P-e 4-. t 'AL
Specify
the type of use desired:_ le
c) 74' C,
0
CA Ar _4. 0 f4
AA
C2 L.'L OL P-1 44 Z-A
ex
j- a
5AAAAA0164'
VOW 514W AW IrO.OMA&
34FA) 401A) 7t64 0- e- 0 - W.
4& to/#/"
Specify the length of time for use: ')n ""In le 1�e *.Ze
NOTE: 'R e issuance of this permit is understood by the applicant to be of a temporary nature and that no vested right is granted
INDEAMITY: The apv] nt understands and by hislher signature to this application, agrees to hold the City of Edmonds
harmless from any injuries, damages or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made
against the applicant or the City of Edmonds, 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 of granting this permit. In addition, the
application understands that the City shall be provided a Certificate of Insurance to indemnity and hold harmless the City of
Edmondsfrom all claims andlorproperty damage, and naming the City ofEdmonds as an additional insured
CODE APPLICATION: Bysiping the application below the applicant warrants that s1he has read or had the opportunity to read
Chapter 18 of the Edmonds C6mmunity Development Code and s1he understands that all terms of the adopted ordinance are
incorporated herein as ifsetforth infull and this application andpermits therefore are subject to the terms of that Chapter.
W
DATE e -I /'/'
Struseho.doqj1g6/98
6
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. Note, this requirement is evaluated by
City Staff and, when required, the applicant will be notified.
Signature
Signature
Signature
Address
Address
Address
Signature Address
DO NOT WRITE BELOW THtS LINE --FOR CITY USE ONLY
Planning Division Approve(
I
Public Works Approved By
Fire Department Approved By
Police Department Approved I
CertificAte of Insurance Verified By -
Engineering Division Approved By
,_ . Remarks or Comments:
I
STREE T USE PERMIT#- DATE OF ISSU CE
J Z-
RELEASED.B RECEIPT #
BUILDING PERMIT # DATE OF ISSUANCE
Struseho.docj1g6/98
TE
ACHIRM.1, CERTIFICATE �'OF INSU RANCE*:-�-.-`
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
LFRINGER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
13AIL WE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALLSTATE ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
214 MAIN ST COMPANIES AFFORDING COVERAGE
EDMONDS, WA 98020
A
(425) 774-4488 COMPANY fe I
Tu
IRED
COMPANY
B
DBA, -. fvf Ftt wer-40114
32.1 Ma (vi s+.
COMPANY
C
COMPANY
q 30'ao
m nool s j VVA
D
COVEROIIGg��-.
T i�'TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
HIS
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 I
TYPE OF INSURANCE
..
POLICY NUMBER
POLICY EFFECTIVE
DATE (MMIDD/YY)
POLICY EXPIRATION
DATE (MMlDDlYY)
LIMITS
GE
L LIABILITY
ER LL
GENERAL AGGREGATE
s
COM
OMMERCIAL GENERAL LIABljgY
CLAIMS MADE F_%-KcUR
jqoAq�qq I 9012.&A-
�ljql
U11160
PRODUCTS -COMP P AGG
PERSONAL & ADV INJURY
TR
EACH OCCURRENCE
$
OWNER'S & CONT PROT
FIRE DAMAGE (Any on i fire)
MED EXP (Any one p*rson)
$
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
$
ANY AUTO
BODILY INJURY
(Per pwwn)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY DAMAGE
$
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
STATUTORY LIMITS
EACH ACCIDENT
$
EMPLOYERS' LIABILITY
DISEASE - POLICY LIMIT
$
THE PROPRIETOR/ INCL
PARTNERS(EXECUTIVE
OFFICERS ARE: EXCL
DISEASE - EACj;jk4gfdjt
WED
OTHER
JUN 14 1999
DESCRIPTION OF OPERATIONS/I OCATIONSIVEHICLES/SPECIAL ITEMS PERMI I CO NTER
reed ctmd Uhickrsbad -Re&4 C
�OLD R..�." ANCELLATIONfi"
CERTIF E
Em
SHOULD ANY OF THE ABOVE DESCRIBED POLICAES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
tiDAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
iLURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
Aveffi u Uo - OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
Vqo,. LM-m AIR ED REPRESENTATIVE
b 0.
ACORD, 25-S(3193) ..GACORDCORP ORATION 1991
n/ v
0
1411 a
You're in good hands -
ALLSTATE INSURANCE COMPANY
CUSTOMIZER POLICY BINDER
RECEIVED
JUN 14 1999
PERMIT COUNTER
App. No. 750496991590264
Applicant Name LAWRENCE TRESSA
DBA FOR PET LOVERS ONLY
The following Premises and Coverages will apply to the policy as listed.
THE FOLLOWING APPLIES TO THE ENTIRE POLICY:
POLICY TYPE: Special Form
BUSINESS LIABILITY: $1,000,000
DEDUCTIBLE: $500
POLICY COVERAGES AMOUNT
Fire Legal Liability 50,000
THE FOLLOWING APPLIES TO LOCATION 01 BUILDING 01:
PREMISES TO BE INSURED: 321 main st
edmonds, WA. 98020, snohomish
COVERAGES APPLICABLE
Contents(Replacement Cost)
All Exterior Signs
Page 1 of 2
AMOUNT
100,000
2,000
R2853
0
All a
You're in good hands.
ALLSTATE INSURANCE COMPANY
CUSTOMIZER POLICY BINDER
App. No. 750496991590264
Applicant Name LAWRENCE TRESSA
DBA FOR PET LOVERS ONLY
Mailing Address: 321 Main St
Edmonds, WA. 98020
Business Phone : (425) 673-4480
NATURE OF BUSINESS/DESCRIPTION OF OPERATIONS:
pet supplies and gifts
Business Entity: Individual
BOUND APPLICATION - The insurance applied for is bound on the effective
date and time stated, but subject to the following:
1. is afforded in reliance by Allstate on the statements made by the
gplicant: 2. is subject to the terms, exclusions and conditions of
t e designated policy; 3. is limited to thirty (30) days beginning on
the effective date and time indicated below: 4. Allstate may
sooner cancel this binder by mailing the applicant at the address
stated, writte.n notice stating when the termination shall be effective;
5. any risk bound will be charged rates and premiums in accordance with
Allstate's manual rules and rates for s.uch period of time that the
coverage is afforded by this binder, whether or not a policy is issued.
BOUND EFFECTIVE DATE AND TIME: June 08, 1999 4:55 P.M.
Upon issuance of the insurance applied for, the Property Insurance
Adjustment Provisions of the policy will become effective. Therefore
the Limits of Liability for Buildings may be adjusted at each anniversary
of the policy.
TOTAL ESTIMATED ANNUAL PREMIUM
TYPE OF PAYMENT PLAN: 1 PAY PAYMENT RECEIPT:
APPLICANT'S SIGNATURE: -,; /��, Date
.44131089 OFF
AGENT'S SIGNATURE Date
AGENT: GAIL WELFRINGER , C, W 1u, ;r
Phone: 425/774-4488
Page 2 of 2
$1,236.00
$1,236.00 CHECK
LOC. A48 RO: 07
R2853
__I 3(__Jq
_JljN_2 1
TO (�e oL 1999
PERMIT-cou-N-TE-R
_Z_A,
L a Ve i (D
ly
CVA
i j k c 141
.4
:X3
1A
5/8" Mdo Plywood
Double Faced
White background
Red lettering
36 fig ---�crew eyes
FOR
18 66 T OV R
Jf lr--
_c
Ed�*WA 98020
0 N LY
40
RECEIVED
JUN 11190
PERMIT COUNTER
4" X 316'
0
existing brackets
lit
w
n
d
0
w
S
RECEIVED
JUN 11 1399
PERMIT COUNTER
E S!�7111 Dos�rfn Iric
5 1/4" x 79 3/
949,
windows and door
ALL COPY IN WHITE VINYL
60"
FOR PET LON(ERS ONLY
Pet Supply & Gif 1\
0
HOU
MON-W . I
xko�m
stm
ftooafn-sooww\�266
9 1/2" x 111
5 1/4" x 79 3/
10011
FOR PET LOVERS ONLY
Pet Supply & Gift
3./4" x 35 3/,
7"'
'-'a /2
/.6
Aj k
J E Sign Design, Inc
4- 9920 Edmonds Way
Edmonds, WA 98020
i
f�
C2010 -0 G1 5
STREET FILE
3;"3 M&n 5T-
CITY OF EDMONDS
TRAFFIC IMPACT ANALYSIS
WORK SHEET
Name of Proposed Project: �5;5 MA-f tq �YrECT-r
Owner/Applicant:
Name
ILIA ifi it YA
StreevMaihng Address
�Aa q
City State zip
Telephone:
AUG 1'?' 2010
Applicant Contact Person:
NAggr4l 44-FoN - Are i4l F.�=- c
Name
&4h:? (I)Aq
Street/Mailing gddress
6U6g&,n2-,
city State zip
Telephone: An� - T& -74
Trafflc Engineer who prepared the Traffic Impact Analysis:
NI/A
Firm Ikan;e Contact Name
1. PROJECT DESCRIPTION
a. Street address (iftnown): -19" ?,:;5 &R14 —Iz�5rC;5e �r
b. Location: LW uApy A Ahrk hik-
c. Specify existing land use: f2v- f
d. Specify proposed type and size of development: fo
966-r
Telephone
(Attach a Wcinfty map and siteplan.)
e. When will the project begin construction and when will it be completed? 46AE
f. Define proposed access locations:
-r
AUIEM
g. Define proposed sight distance at site egress locations: 0-454� &Ael-11.
W
Page I
11
0
W11
v04
7. MITIGATION RECOMMENDATIONS
State recommended measures and fees required to mitigate project specific traffic impacts. Traffic
impact fee shall be calculated from the Edmonds Road Impact Fee Rate Study Table 4 (attached)
and as identified in ECDC 18.82.120, except as otherwise provided for independent fee calculations
in ECDC 18.82.130.
CHANGE IN USE
Fee for prior use shall be based on fee established at the time the prior use was pen-nitted. If the
previous use was permitted prior to the adoption of Ordinance 3516 (effective date: 09/12/04),
the 2004 ECDC 18.82.120 impact fee shall be used.
Units in
square feet,
# of dwelling,
vfp, etc.
I
bu
X 14 'A
X 14V
Fee
$ Ng-i Y
$ 04 4 '5-0
L/U
New Use Fee: Prior Use Fee: $ 06
$ 114 $ 4�4 0�e-]
I F
11 NEW DEVELOPMENT
Units in
ITE Land Use Category Per Unit square feet,
Fee Rate # of dwelling,
vfp, etc.
New Use $ X
11 OTHER
MITIGATION FEE RECOMMENDATION:
S
INDEPENDENT FEE CALCULATION: $200.00 (+ consul
TOTAL TRAFFIC IMPACT FEE
s
aa YnaA
Edmonds, Engineering Division Approval Date
1 No impact fees will be due, nor will a credit be given, for an impact fee calculation resulting in a net negative.
Revised on 6124110 E82 - Traffic InipactAnalysis Worksheet Page 5 of 5
Setbacks - �uired� A al
Front
AP01OVED BY PLANNING Sides
Rear -----------
Odw -- ----------
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CITY OF EDMONDS
BUILDING DEPARTMENT
WORK Q,6AI
ADDRESS .32-3
OWNER
APPROVED DATE:
C-'DG.. OFFICIAL
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CITY OF EDMONDS
250 5TH AVENUE NORTH - EDMONDS, WA 98020 - (206) 771-0220 - FAX (206) 771-0221
wow
COMMUNITY SERVICES DEPARTMENT
Public Works e Planning * Parksand Recreation Engineering
C. 891,
February 26, 1997
Roxanne Marlin
Edmonds Arts and Crafts
319 Main St
Edmonds, Wa 98020
Re: Revised sign plan
BARBARA FAHEY
MAYOR
This letter is a reminder that per your conversations with Jeannine Graf, 13.0,. we are still
waiting for a revised sign plan in order to process your permit. If you have any questions
regarding this, please feel free to call us at 771-0220.
Thank you,
6/v- t
Lara Knaak
Permit Coordinator FILE
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Sister Cities International — Hekinan, Japan
-
TELEPHONE/COUNTER
CONVERSATION RECORD
E3 � (o
DATE: A1026 TIME: L2 FILE: 1'nPfk4W
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7-70-.?131
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PHONE AREA COOE Numt=� EXTLNt�lUiN
U'FAX
Inollila-4 - 71,
U MOBILE A 0 E —7 -NI-BER' TIME TO CALL
TELEPHONED PLEASE,CALL
CAME TO, EE Y U -WILL CAWAGAIN
it"
WANTS TO, SEL YUU,
`RE I TURNED YOUR CALL :�:,WiLL FAX.�.111
MESSAGE
c� P4
SIGNED,
TOP'S FORM 74600 100% RECYCLEO
LITHO IN U.S.A.
4�' S t . 18 9%)
CITY OF EDMONDS
250 5TH AVENUE NORTH - EDMONDS, WA 98020 - (206) 771-0220 - FAX (206) 771-0221
COMMUNITY SERVICES DEPARTMENT
Public Works 9 Planning e Parks and Recreation e Engineering
October 23, 1996
Ms. Roxanne Marlin
Edmonds Arts & Crafts Supply
319 Main Street
Edmonds, Washington 98020
RE: Sign permit application dated 4/2/96
BARBARA FAHEY
MAYOR
It has come to my attention that the -sign permit for your place of business (received by the
Building Division 4/2/96) has still not been issued. According to our records the Permit
Coordinator informed you that a street use permit would be required, -in addition to your
sign permit, since the proposed sign will extend over a City sidewalk. The street use
permit is required by the City Engineer when any portion of public property is utilized by a
private individual or private business. I have enclosed the applicable- handout for your
review should you have any questions.
A site inspection today by the City Building Inspector revealed that a sign is already
installed but we are unsure whether this is the same sign on file with the permit application
or a new sign. To resolve this issue please contact me at your earliest convenience, at
771-0220.
Thank you,
Veannine L.?af rD
Building Official
CLOSE FILE
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ec, 1,04, j 4A4,_* -f/z?' / /%of
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e Incorporated August 11, 1890 0
Sister Cities International — Hekinan, Japan
��'s t . 18 9 \)
April 3, 1996
CITY OF EDMONDS BARBARA FAHEY
MAYOR
250 5TH AVENUE NORTH - EDMONDS, WA 98020 - (206) 771-0220 - FAX (206) 771-0221
COMMUNITY SERVICES DEPARTMENT
Public Works * Planning a Parks and Recreation * Engineering
Roxanne Marlin
Edmonds Arts & Crafts
319 Main Street
Edmonds, WA 98020
RE: SIGN PERMIT APPLICATION:
On February 5, 1996, the City received your request for a sign permit for your business.
Unfortunately it was routed to the wrong division, and has not received any attention until
the date of this letter. I would like to apologize for this error and any inconvenience this
has caused. We will do what we can to expedite the review of this application, while,. still
adhering to the requirements of the Edmonds Community Development Code.
After a review of this application I find that there is some information missing which is
needed for us to process your request. That information is a building elevation which
shows the front of the building, and the location of the sign on the building, type of
materials from which the sign is constructed, and details showing the method of
installation of the sign. Please submit the requested information to Sharon Nolan in the
Building Division at the City of Edmonds Community Services Building; 250 5th
Avenue North.
Sincerely
John Bissell
Planning Division
C. Sharon Nolan, Building Division
9 Incorporated August 11, 1890 0
Sister Cities International — Hekinan, Japan
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STREET USE PERMIT APPLICATION
Date Received_/
Date Issued
Permit No.
1 110 nt or Business -
Name o
Ma i 14-6 g Ad d re s s
Address of Public Use:-!��
1. DESCRIBE THE PUBLIC PLACE OR PORTION OF PUBLIC PLACE TO BE UTILIZED:
Attach an appropriate plot plan or elevation view.
2. SPECIFY THE TYPE OF USE DESIRED:
W QfW /S -150 '1W'4e1y-"f /Or4fr" 4A,1aAy 77V 'OeQ�0��
3. SPECIFY LENGTH OF TIME FOR USE 1�60,YJ
The issuance of this permit is understood by the applicant to be of a
temporary nature and that no vested right is granted.
4?
INDEMNITY: The applicant understands and by his signature to this
application, agrees to hold the City oflvmonds harmless from any
injuries, damages or claims of ay,,Z�
m\lvd description whatsoever,
foreseen or unforeseen, that beim d-e- against the applicant or the
City of,Edmonds, or any ofl 205-
-�I,Vepartments or employees, including but
,e w any l6gal'proceedings including defense
not limi'ted-to the de
costs, court costs, (ahRd�%A-ttorney fees by reason of granting this
permit. In additionqhe 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 as an additional insured.
CODE APPLICATI'ON.
By signing the application below the applicant warrants that s/he ha��
read or had the opportunity to read Chapter 18 of the Edmonds CpmmL1ni\t,9
Development Code, and s/he understands that all terms of 1!�� at-r\Or\dinan't�e
are incorporated herein as if set forth in full and �h-i,9'7�polfcation
and permit therefore are subject to the terms of((--trat,C-h&pt"e—r.
Page 6 of 8 1/89
Street Use Permit Application
Page Two
SIGNATURE OF APPROVAL FROM ABUTTING PROPERTY OWNERS
When applicable; if the street use proposal is for utilization of City
right-of-way that may directly 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 the permit has been made by the applicant.)
SIGNATURE PRINTED NAME ADDRESS DATE
DO NOT WRITE BELOW THIS LINE FOR CITY USE ONLY
Cit Council Approval Date
y AIA ADB Approval Date
Certificate Of Insurance Posted Bond Required
SIGNATURES OF PERMIT APPROVAL FOR ISSUANCE
Fire Department X� ,, —Date_/_/2_90
Police Department -Date
Engineering Dept Date
'F�'f
Building Official Date
Public Works 41�01 Date
REMARKS/COMMENTS:
PERMIT No. DATE OF ISSUANCE
RELEASED BY— RECEIPT NO. 44�'9/7/
BUILDING PERMIT NO.
M?
Page 7 of 8
1/89
CITY OF EDMONDS
250 - 5TH AVE. N. - EDMONDS. WA 98020 - (206) 771-3202
COMMUNITY SERVICES:
Public Works o Planning e Parks and Recreation o Engineering
1 8 go - I o4
January 31, 1990
Pam Jacob
323 Main St.
Edmonds, WA 98020
Case Number ZE-10-90
Dear Ms. Jacobs
LARRY S. NAUGHTEN
'.�AYCR
PETER E. HAHN
D1=z-CT09
I am writing to inform you that a site inspection was made on your
property, located at 323 Main St. This inspection revealed
violations of the Edmonds Community Development Code (ECDC), sections
19.45, 20.10.0101 20.60.010 specifically the placing of a signs and
the alterations of the exterior of the building without a sign permit
and without Architectural Design Board approval.
The Planning Division is quite concerned with the correction of these
matters and also realizes that you were possibly unaware of violations
of City Code. Therefore, this office is requiring that you correct
these situations by applying for approval by the ADB no later than
February 14, 1990, followed by application for the other necessary
permits.
Your cooperation and attention to this matter is appreciated. If you
have any questions, please do not hesitate to contact this office.
Sincerely,
John E. Bissell
Planning Division
0 JACOBS2/TXTJEB52
incorporated August 11. 1890 0
Siste:Cities Internlational — Hekinan, Japan
0
0
0
0
8 90 C!I
CITY OF EDMONDS
250 - 5TH AVE. N. - EDMONDS. WA 98020 - (206) 771-3202
COMMUNITY SERVICES:
Public Works * Planning * Parks and Recreation e Engineering
January 3, 1990
Pam Jacobs
Cottage Garden Gifts
323--Main Street
Edmonds, Washington 98020
Dear Ms. Jacobs:
LARRY S. NALIGHTEN
MAYOR
PETER E. HAHN
DIRECTOR
Thank you for sending us the current Certificate of Insurance for the
sign at your place of business. However, as I mentioned in my letter
of November 28, 1989, we still need a new Street Use application form
filled out and returned to us with the —fee of $10. Normally, there
would be a $25 charge for a new Street Use Permit, but, taking into
consideration the fact that your new permit is prompted by the fact
that you changed the location of your sign, we are only charging $10,
which is the same as a renewal fee and will take you through to
November of 1990.
I've enclosed a Street Use Permit application for your use. Please
return it and the $10 to the Building Department, City of Edmonds,
250 - 5th Avenue N., Edmonds, WA 98020.
Thank you,
�e;annine Graf
Permit Coordinator
JLG/sfn
Enclosure
Ll� / - /C, -
/0
A-41— d //&
" Incorporated Auqust 11 1890 *
Sister Cities International — Hekinan, Japan
(9
Q)
8 go 19
1 9
CITY OF EDMONDS LARRY S. NAUGHTEN
1150 - 5TH AVE. N. - EDWC-NOS. V%*.A '38020 771-3202 MAYOR
COMMUNITY SERViCE& PETER E. HAHN
Public Works & Planning * Parks and Recreation e Engineering OzFEC-OR
November 28, 1989
Pam Jacobs
Cottage Garden Gifts
323 Main Street
Edmonds, WA 98020
RE: Street Use Permit for Sign
A site inspection of your business sign on November 27th revealed that
a Street Use Permit is required. The placement of the sign and the
angle of deflection into the City right-of-way could cause potential
damage and/or injury to citizens on the sidewalk or in the right-of-way
area.
The intent of a Street Use Permit is to protect the City while allowing
reasonable use of City property,. Therefore, it will be necessary for
you to'submit for a new Street Use Permit, pay the required fee of
$10 and submit a current certificate of insurance. I have
enclosed a permit application for your use. Please send permit, check
and insurance certificate to the Building Division, 250 - 5th Avenue
N., Edmonds, WA 98020.
If you have any questions, give me a call at 771-3202, extension 257.
Thank you,
Z
6�eannine Graf
Permit Coordinator
0 Ir.corpornted Aug,,;st 11, 1890
lntorn�itinmfl — Hol�in;in Ianan
0
1,
CITY OF EDMONDS LARRY S. NAUGHTEN
250 - 5TH AVE. N. - EDMONDS, WA 98020 - (206) 771-3202 MAYOR
COMMUNITY SERVICES: PETER E. HAHN
go Public Works * Planning * Parks and Recreation Engineering DIRECTOR
January 15, 1992
Pam Jacobs, Cottage Gardens & Gifts
323 Main St.
Edmonds, WA 98020
RE: Street Use Permit 90-1
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 date of 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 1993.
If there are any questions contact the building division at 771-3202.
Thank you,
ae-�� C�1' zq--�
Sharon F. Nolan
Permit Coordinator
STREETLT/TXTDOS62
416 1 #0 �Z_
3t
9 Incorporated August 11, 1890 0
Sister Cities International — Hekinan, Japan
8 9 0 - I C) 9 -
9
CITY OF EDMONDS
250 - 5TH AVE. N. - EDMONDS, WA 98020 - (206) 771-0220 - FAX (206) 771-0221
COMMUNITY SERVICES DEPARTMENT
Public Works * Planning * Parks and Recreation * Engineering
December 28, 1992
Pam Jacobs, Cottage Gardens & Gifts
323 Main St.
Edmonds, WA 98020
RE: Street Use Permit 90-1
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 date of 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
el -7
* Incorporoted August 11, 1890 0
Sister Cities International — Hekinan, Japan
CITY OF EDMONDS
BARBARA FAHEY
MAYOR
250 5TH AVENUE NORTH EDMONDS, WA 98020 (206) 771-0220 FAX (206) 771-0221
COMMUNITY SERVICES DEPARTMENT
Public Works 9 Planning 9 Parks and Recreation e Engineering
May 19, 1997
Cottage Garden Gifts
323 Main St.
Edmonds, WA 98020
Re: Street Use Renewal Fee Permit #90-1
As required by City Ordinance #2972, Street Use permit renewal fees are now
collected every three years instead of yearly. The first effective billing date was 1/1/96
however, due to staff shortages, the City was unable to send out this billing for the
period 1/96 to 1/99. Please remit renewal fees in the amount of $25.00 to the City of
Edmonds, c/o Building Division, Permit Specialist, 250 5th Avenue North, Edmonds,
Washington 98020 within 15 days date of this letter.
If this permit is no longer applicable i.e., you. no longer utilize that portion of the City
right-of-way granted under the street use permit; please notify the Building Division in
writing so that we may cancel the permit. As permit holder it is your responsibility to
inspect the permitted use for safety hazards on a yearly basis.
Note, with the payment please include a current Certificate of Insurance since the
insurance policy on file with the City has expired on 1/27/97.
If you have any questions please feel free to call me at 771-0220.
Thank you, .
Vivienne Myers
Permit Specialist
0
0 Incorporated August 11, 1890 0
Sister Cities International — Hekinan, Japan
4
I
............. .. ......... ......
COMO. CERTIFICAGE OF
..... . ...... ........
DATE (MM/DD/YYI
INSURANCE OP ID RT
COT1000 01/03/96
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
W-D Insurance
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
IPost Office Box 1100
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
-'rcer Island WA 98040-1100
COMPANIES AFFORDING COVERAGE
e ith Degginger
2 -
206-232-6000
COMPANY
A American Economy Insurance Co.
INSURED
COMPANY
B
COMPANY
C BIJI'LDING
Cottage Garden Gifts
COMPANY
D JAN 0
323 Main St.
Edmonds WA 98020
. 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 SUBJ ECT TO-AL-L-TtIE 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 (MMtDDfYY)
POLICY EXPIRATION
DATE (MM/DDIYY)
LIMITS
GENERAL
LIABILITY
GENERAL AGGREGATE
s2,000,000
X
PRODUCTS - COMP/OP AGG
$1,000,000
A
COMMERCIAL GENERAL LIABILITY
02BOO648751
01/27/96
01/27/97
CLA2.11S PJADEEx
PERSONAL -* ,,V!NjURY
$ 1,000,000
EACH OCCURRENCE
$ 1,000,000
OWNER'S & CONTRACTOR'S PROT
FIRE DAMAGE (Any one fire)
$ 50,000
M ED EXP JAny one person)
$ 5,000
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT
$
ANY AUTO
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NOWOWNED AUTOS
PROPERTY DAMAGE
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
OTHER THAN AUTO ONLY:
...................
...........
ANY AUTO
EACH ACCIDENT
$
P
AGGREGATE
$
EXCESS LIABILITY
EACH OCCURRENCE
$
AGGREGATE
$
UMBRELLA FORM
$
OTHER THAN UMBRELLA FORM
WORKERS COMPENSATION AND
STATUTORY LIMITS
.........
EACH ACCIDENT
EMPLOYERS' LIABILITY
THE PROPRIETOR/ INCL
PARTNERS/EXECUTIVE
�.- F; C 2 = A R EXCL
DISEASE - POLICY LIMIT
$
DISEASE - EACH EMPLOYEE
$
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSIVEFOCLES/SPECIAL ITEMS
Location: 323 Main Street Edmonds, WA
98020
Certificate Holder is Additional Insured as their interest may appear as
landlord.
:Jbthn0*idAn HOLDER
CANCEL TION
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 SHALL IMPOSE NO OBLIGATION OR LIABILITY
I
Edmonds WA 98020 q o
OF ANY KIND UPON THE COMPANY, IT"GEPTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
I
Keith Deggin
��93
AC ORD 26-S (3/93)
ORD RPORATION 19
I
IArd, ilk
I
CITY OF EDMONDS
200 DAYTON ST. - EDMONDS, WASHINGTON 98020 - (206) 771-3202
DEPARTMENT OF PUBLIC WORKS
CERTIFIED MAIL
June 15, .1982
Resident
323 Main St.
Edmonds, WA 98020
S -iEET FILE':
TF
PROPERTY DESCRIPTION: Lots 1 & 2, Blk. 6
.Plat of Edmonds (4344)
Re:
. �A����
Edmonds, WA 98020
Dear Resident:
HARVE H. HARRISON
MAYOR
On February 1.7, 1981, the Edmonds City Council passed
Resolution 488 for construction, reconstruction, and repair of
deteriorated sidewalks. A letter dated March'16,"1981 was sent to
re-sidents that were required to repair -the sidewalk abutting their
property. The improvement of sidewalks in need'of repair at the
expense of the abutting property owner is provided'by City
Ordinance, Chapter 7.20 and Revised Code of Washington, Chapter
35.68.
The areas' needing repair have been marked in paint on the
sidewalk adjoining your property. Reconstruction permits mu-st be
obtained from the Building Department at 501 Bell Street within 30
days upon receipt of this certified letter. The fee for the
sidewalk repair has been waived by the City of Edmonds. In the
event these improvements are not completed within ninety (90) days'
upon receipt of this certified letter, the City will 'employ a
!private contractor to perform the'designated repairs gnd,the�City
will bill the abutting property owner.
This action is in response tomany citizen,requests and
pedestrian falling accidents which have been increasing in recent
years as a result of sidewalk deterioration and increased
pedestrian traffic.
If you have any question,s, please call Bobby Mills,!A:t'771712-02,
ext. 289.
Sincerely,
JOHN B. MITCHtLL
Superintendent of Public Works
BM/ml
CITY OF EDMONDS
200 DAYTON ST. - EDMONDS, WASHINGTON 98020 - (206) 771-3202
DEPARTMENT OF PUBLIC WORKS
STREET'TILE,:!
HARVE H. HARRISON
MAYOR
CERTIFIED MAIL
'1982
Jun'e 15,
Mr. Frank B. Taskett
P. 0. Box 10580
a nbridge Island,' WA 98110.
PROPERTY DESCRIPTION.: Lots 1 & 2i Blk. 6
Plat of Edmonds (4344)-
R e *3 Q#WM__� ki
_1n #$,Zt1Mefe_t -
Edmonds, WA 98020
lei
Dear Resident:
On February 17,.198 1, the Edmonds City Council pass ed
Resolution 488 for construction, reconstruction, and repair of
deteriorated sidewalks. A letter dated March 16, 1981 was sent to
residents that were required to repair the sidewalk abutting their
property. The improvement of sidewalks in need of.repair at the
expense of the abutting property --owner is provided by City
Ordi:nance, Chapter 7.20 and Revised Code of Washington,,.�Chapter
35.68.
The areas needing repair have been marked in paint on the
sidewalk adjoin-ing you r property. Reconstruction permits must be
obtained from the Building Department.at 501 Bell Street within 30
days upon receipt of this certifi.ed.ietter. The fee for the'
sidewalk repair has been waived by.the City of Edmonds.-' In the
event these improvements are not'completed within ninety (90) days'
upon receipt of this certified letter, the City will qpploy 4
private. contractor to perform the designated repairs,and-tho-,City.'
'will.bill the abutting property owner.
This action is in response to many citizen' requests and
pedestrian falling accidents which have been increasing in recent
years as a result of sidewalk,deterioration and increased
pedestrian traffic.
If you have any questions, plea'se call Bobby Mills at 77.1-3202,
ext. 289.
Sincerely,
JOHN MIWCHELL
Superi�ten ent of Public..,,.Wor.ks
BM/ml
4��
STREET FtE
0
PERMIT #:
STREET USE PERMIT
LIZO
O/V/8101V
PROPERTY OWNER NAME: !RVL-- I-X��N4 0 Phone
BUSINESS NAME: �6Q4& 11-JA-02ee-,�, i to-Z.
BUSINESS OWNER NAME: 'Rot1,y--Pr- tNot�L4LV-ej5r Phone
ADDRESS OF PUBLIC USE: I�A A%
APPLICANT MAILING ADDRESS: PC) r--�O-x lelsn
Placement of any temporary or movable obj ects in any portion of public space or City night -of -way shall
meet all Code Requirements as set forth in the following chapters of the Edmonds Corrununity
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, right-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 idversely impact public space open to vehicular or
pedestrian travel;
> Architectural Design Board approval has been granted or the process has been administratively
approved;
> The 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
permit;
> Safe pedestrian travel area, or clear zone, of 44 inches.minimurn 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\Fonns\Street Use Perynit.doc Revised 2/6/04
EO/ZO 39Vd OD N9IS -1-13ssna 0809SMSZO 90:EZ SOOZ/91/90
> Three feet. of clearance around f1re hydrants, standpipes, manhole�, water meters, blowoffs, cleanouts
and valves shall be maintained.
Clea . r Zone Definition: Clear Zone refers to an area 7 feet in height and . 44 inches in Width providing
along -the public sidewalk e.g. measuring 44 nches from edge of street tree
Is toward vlace of business and from the Pround up
DESCRIPTION OF PROPOSED STREET USE: 2- C4-12AS AwkJ110(aS 251 4-MA4C-1
ell G
APPLICANT TO READ AND SIGN
NOTE: 7he issuance of this permit isunderstood 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. Failure to do so
will terminate thispermit application and require removal of any temporary structures granted by this
permit.
.MEAVITY. The applicant understands and by his/her signature to this application, agrees to ho d the
City ofEdmonds harmlessfrom any injuries, damages or claims of any kind or description whatsoever,
foreseen or unforeseen, that may be made against the applicant or the City of Edmonds, or any of its
departments or employees, including but not limited to the defense of any legal proceedings including
defense costs, court costs, and attorneyfees by reason ofgranting thispermit. In addition, the applicant
understands that helshe shall provide and continually maintain during the term ofthe 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 other policy of insurance.
CODE APPLIC4TION.- 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 ands1he understands that all terms of the adopted ordinance are incorporated herein as ifsetforth in
full and this application 7adp�eit herefore are subject to the terms ofthose Chapters.,
DATE :51 5
SIGNATURE
I �roperWOA-erfflusiness Owner
FOR CITY USE ONLY
00 M 5�9 fA S-ep
Approved by: Street Use Fee: Iff — �
Issued by-
Receipt No: r,/. L "" \6
Issue Date: -7 c2O
SAEngr\Fom�s\Sb-cet Use Pernitdoc
Reviod V6/04
60/60 39Vd 00 N9IS 1-13Ssnd OBOSSEL99ZV 90:EZ SOOZ/91/90
rRum—isiana inuran�u tunw
0
TIUD-404-4(vo I-ilf r.uumuz r-jjj
0
ACORD. CERTIFICATE OF LIABILITY INSURANCE
DATE (MMIODNM)
06/22/2006
PRODUCER
Island Insurance center, Inc.
P.O. Box 390
Vashon WA 98070
THIS CERTIFICATE 18 ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS'CERTIFICATZ DOES NOT AMEN EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POL CIES BELOW
INSURERS AFFORDING COVERAGE
NAICS
INSURED Robert Boehlke
INSURER& MUTUAL OF ENUMCLAW
INSURER 8;
House Wares
INSURER C.
323 Main St.
INSUREROj
F-dmonds WA 98020 Snohomish County
I I
INSURER 9:
""V�wn"�M
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 kSURANCE AFFORDED 13Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
IN5R
JjjL
ADO'L
-rVDCnCM&U8ANGfi--
POLICY NUMBER
POKY.0F.Ec "'VE
POLICYNXPIKATION'
LIMITS
A
GENERALLIABLITY
COMMERCtAL GENERAL LIABILITY
CLAIMSMAOE =V
I ^ I OCCUR
B033680
02/23/2005
02123/2008
1,000,000
PREMInFaiftagourfin,h)
A
MED EXP tAgy one person)
$
PEAeONAL & A13V INJURY
S 1,000,000
GENERAL AGGREGATE
1? 1.000,000
GEN'LAOGAEOATE LIMITAPPLIES PER
POLICY 7 PRO- 71 LOC
JSCT
PROOLICTS-COMP/01PAGG
S 1,000,000
AUTOMOBILE
LIABILITY
ANY AUTO
ALLOWNEDAUTOB
OCHEDULEDAUTOO
HIRED AUTOS
NON-OWNFOAUTOG
k'A
44V
0/,V
C13MBINED SINGLE LIMIT
(Ee accideni)
BODILY INJURY
(Pot Osman)
3
80DILYINJURY
(Peraceldent)
PROPERTYDAMAGE
(Perouldeni)
GARAGE LIABILITY
ANYAUTO
R
743/0$v
AUTO ONLY- EA ACCIDENT
8
OTy.ER A ISAACC
A Lp
U OT AGG
S
S
FXCESaIUMORr&LLA LIABILITY
OCCUR F7 CLAIMS MADE
DEDUCTIBLE
RGTSNTION-.-
FACHOCCURPIENCE
3
AGOR90ATE
8
WORKERS COMPONIATION AND
EMPLOYERS'LIAMILITY
ANY PROPAI1TOFk1PAATNERfEXECUT1VE
OFFICER/MGM8611 EXCLUDED7
I1m=Ib09Vw,nd9r
3 LPR ,
y WMINT—Tow,
ARST
Et.. EACH ACCIDENT
E.L. DISEASI!-EAEMPLOYEEI
6
E.L. DISEASE - POLICY LIMIT
OTHER
DS&C?JPTION OF OPERATION&I LOCATIONS/ VEMICLEG 1EXCLIJBIONMADDIII) MY 11INDORSEMENT1 SPECIAL PROVISIONS
CERTIFICATE HOLDER IS ALSO ADDITIONAL INSURED
I 114GATh MULUEK A
Clty of Edmonds
Bulldlng DlvIsIon
121 5th Avenue North
Edmonds, WA 98020
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES DUCANCELLSO 11111FORSTHIP EXPIRATION
DATE THEREOF, THE 10-SUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NnCE TO THE CERTIFICATE HOLDER NAMED TO THE U!", BUT FAILURE TO 00 80 SMALL
IMPOSE SP402'40N 010LIABI-LITyk ANY KIND UEI0VTM5 INSURER. ITS AGENTS OR
ACORD 25 (2001/08) 'f — V — @ACORD CORPORATION 108i
T--i
L0
M
co
---1-
RECEIPT FOR CERTIFIED MAIL
RECEIPT FOR CERTIFIED MAIL
SENT TO
Frank B. Taskett
POSTMARK
OR DATE
SENT TO
Resident
POSTMARK
OR DATE
CY)
STREET AND NO.
323 Main St.
STREET AND NO.
P. 0. Box 10580
L0
CIO
OX 1%
P.O., STATE AND ZIP CODE
Edmonds,WA 98020
P.O JTATF AqD Zil� CpDE
ainDridge Island, WA 981,10 lei
OPTIONAL SERVICES FOR ADDITIONAL FEES
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OPTIONAL SERVICES F�R ADOMONAL FEES
R hows t whom and date delivered . .......
ETURN � I- S 0
With restric ed delivery -----------
RECEIPT to date and where delivered &R,
RETURN 1. Shows to whom a nd date delivered
1 i t h restricted delivery
RECEIPT 2. Shows to whom, date and wh"ere delivered
M,
2. Shows whom,
2
SERVICE With restricted delivery
SE I .........
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RVICE With restricted delivery
......
RESTRICTED DELIVERY ..........
RESTRICTED DELIVERY . ... ............
SPECIAL DELIVERY (extra fee required)
SPECIAL DELIVERY (extra fee required) -
PS Form NO INSURANCE COVERAGE PROVIDED— (See other side)
PS Form NO INSURANCE COVERAGE PROVIDED—
Jan. 19763800
FOR INTERNATIONAL MAIL
(See other s;de)
Jan. 19763800 NOT FOR INTERNATIONAL
MAIL GPIO: 1975-0-591-452
NOT
',�7 GPO 1975-0-591-452
CITY OF EDMONDS
USE
ZONE PERMIT
NUMBER
CONSTRUCTION PER MIT APPLICATION
JOB SUITE
ADDRESS
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LEGAL DESCRIPTION CHICKI
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
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TELEP.ON E NUMBER
PROPOSED
inspection Re
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NAME
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NO.OFF�IXTURES
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This Permit covers work to be done on priva# 01 jpb
Any constructiomon the public domain (c , si wpiks,
driveways, marquees, etc.) will require sept fermission.
STATE SURCHARGE
Permit Application: 180 Days
Permit Limit: I Year - Provided Work Is Started Within 180 Days
STORM DRAINAGE FEE
—Applicant. on behalf of his or her spouse, heirs, assigns and
ENG. INSPECTION FEE
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successors in interest, agrees to indemnity, defend and hold
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employees, and agents from any and all claims for damages of
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PLAN CHECK DEPOSIT
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Inor limit in any way the City's ability to enforce any ordinance
TOTAL AMOUNT DUE
provision."
I hereby acknowledge that I have read this application; that the
ATTENTION
APPLICATION APPROVAL
information given is correct; and that I am the owner, or th - a duly
authorized agent of the owner. I agree to comply with city and
state laws regulating construction; and in doing the work authoriz-
THIS PERMIT
AUTHORIZES
This application is not a permit until
ed thereby, no person will be employed in violation of the Labor
ONLY THE
signed by the Building Official or his/her
Code of the State of Washington relating to Workmen's Compensa-
WORK NOTED
Deputy; and fees are paid, and receipt is
t and RCW 18.27. -
Insurance
INSPECTION
acknowledged in space provided.
1111.,ion
OWNER OR AGENT) DATE SIGNED
DEPARTMENT
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CITY OF
EDMONDS
OFFICIAL'S SIGNATURE DATE
66
CALL FOR
RELEASED BY: DATE
ATTENTION
INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
771-0220
ORIGINAL — File YELLOW — Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3,
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Inspection Requited Q
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PROPERTY T ACCXqqEL
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VESTED DATE
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Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
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PERMIT APPLICATION: 180DAYS
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PERMIT UMrr I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
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'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, I HE R
IRS ASSIGNS AND SUCCESORS
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Fire Review
Plan Chk. Deposit
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IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND H&D HARMLESS THE CITY OF
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ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
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FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOTeE
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NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFOR IS11
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1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP I I TI ARMATPON
T T ON
GIVEN IS CORRECT, AND THAT I AM THE OWNER, ORZ LY �AUTHORIZE AGEN T OF
D T OF
APPLICATION
APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWSREGULATING CONSTRUC-
CALL
This application is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
Building Official or his/her Deputy: and Fees are paid, and
IN VIOLATION OF THE LAB 3 To
v CODE OF THE STATE OF WASHINGTON RELATING TO
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FOR INSPECTION
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receipt Is acknowledged in space prpvided.
WORKMEN'S COMPENSAK� INSURANCE AND RCW 18.27.
F CIALS SI NATURE DATE
(L
-SIGNATURE (OWNER OkAGE /
DATESIGNED/
IA95
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7
771-0220
RELEASfD INY DATE
AITENTION
M 1333'
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL -FILE YELLOW- INSPECTOR
CATE OF OCCUPANCY HAS- BEEN- GRANTED. UBC SECTION 109
PINK -OWNER GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
',,ATE
RECEIVED
��V��-[PiRMIT
EXPIRES
CITY OF EDMONDS
USE PERMIT
ZONE NUMBER 2&)7,15�3
ICONSTRUCTION PERMIT APPLICATION
JOB SVITE/APT#
ADDRESS—
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PLAT NAME/SUBDIVISION NO.
LOT NO.
L�D NO.
L D FEE $
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING — PROPOSED
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TESCP Appmed
RW Permit Required 0
Street Use Permit Req'd 0
Inspection Required 0
Sidewalk Required 0
IrIng required 0
ZIP
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METER SIZE
LINE SIZE
NO. OF FIXTURES
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YES 13 NO 0
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REMARKS
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NUMBER
NUMBER OF I.,
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UNITS
AITI
LA4EAS
NUMBER
SPECIAL INSPECTOR
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DESCRIBE WORK TO BE DONE
REMARKS
PROGRESS INSOECTIONS PER UBC 108/FINAL INSPECTION REO'D
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PLAN CHECK FEE
HEAT SOURCE GLAZING % LOT SLOPE %
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BUILDING
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PLAN CHECK NO: VESTED DATE
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
GR ADING/FILL
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
MTSURCHARGE
W PERMIT APPLICATION: ISO DAYS
PERMIT LIMIT: 1 YEAR - PROVIDED WORK IS STARTED WITHIN 160 DAYS
ENG. REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASS16h�`AND��S'U'CCE"S'014` S
ENG. INSPECTION FEE
uj IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE Cl I Y Ut.
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LANDSCAPING
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INSPECTION FEE
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< ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
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PLAN CHECK DEPOSIT
RECEIPT
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
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R CEY
I
TOTAL AMOUNT DUE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT.' AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
This application is not a permit until signec v) me
TION. AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
Building Official or his(her Deputy: and Fees am :iaid. anc
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION receipt is acknowledgea in space oro��oec.
WORKMEN . S COMPENSATION INSURANCE AND RCW 18.27.
OFFICIAli,,& PIGNATORE DATE
r) DATE
U�E (OWNER "A SI ED
(425)
'il
C11
771 -0220
I�FELEASED BY DATE
ATTENTION
EXT 333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
ORIGINAL - FILE YELLOW INSPErTOZ
PINK - OWNER GOLD - ASSESSOR
Ali
'DATE RECEIVED
FPERMIT EXPIRES
CITY OF EDMONDS
USE PERMIT V
ZONE
NUMBER
CONSTRUCTION PERMIT APPLICATION
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JOB SUITE/APT#
ADDRES&
OWNER NAME/NAME OF BUSINES S
PLAT NAME/SUBDIVISION NO.
LOT NO.
LID NO.
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MAILING ADDRESS
LID FEE $
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3:
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Approved 13
RW Permit Required 13
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CITY ZIP
TELEPHONE
EXISTING — PROPOSED
Street Use Permit Req'd 13-
Inspection Required D
Sidewalk Raq ired 13
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--Z72 104
REQUIRED DEDICATION— FT
Underground
Wiring required
NAME
METER SIZE LINE
SIZE
NO. OF FWURES
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YES 13 NO
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REMARKS
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ADDRESS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
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STATE LICENSE NUMBER EXPIRATION DATE
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EXP
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NEW
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FRONT iJR
ADDITION
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GRADING FENCE I .
n REPAIR CYbs 11 ( — X _FT)
REMARKS
DEMOLISH. TANK OTHER
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NUMBER
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NUMBER OF
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AREAS
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LOAD
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REMARKS
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PROGRESS INSPECTIONS PER UBC I 08/FINAL INSPECTION REO'D
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VALUATION
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Description
FEE
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FEE
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State Surcharge
HEAT SOURCE
GLAZING %
LOT SLOPE %
Building Permit
IDD
City Surcharge
PLAN CHECK NO:
C
F
VESTED DATE
Plur�bibing
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
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PERMIT APP LICATION: 180 DAYS
Engr.144�vlew
*4
PERMIT LIMIT: I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
In
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, tHEIRS, ASSIGNS AND SUCCESORS el
Fire Review-t�
. ;
Plan Chk. Deposit
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IN INTEREST, AGREES TO INDEMNIFY DEFEND AND HOLD HARMLESS THE CITY OF
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2
EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY:ANQ.
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Fire IhS1pjptioA'
'Receipt
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X
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CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF TH16 PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapeinsp.
Total
Amt. Due
0
21
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION."
ReC9
"!Pihg,Fee
Receipt #
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
APPLICATION
APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS_REGULATING CONSTRUC-
CALL
This application is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
Building Official or his/her Deputy: and Fees are paid, and
IN VIOLATION OF THE LABRR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
receipt Is acknowledged In space Provided.
WORKMEN'S COMPENSAJ19N INSURANCE AND RCW 18.27.
.�SIGNATURE (OWNER O�AGEINJ//
DATE,,91GNED/
k17A
IA215
14F INALI NAZT1JRE DATE
771 -0220
RELEiSfD 61e7' DATV
ATTENTION I .
EXT 1333-
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE'6F OCCUPANCY HAS- BEEN- GRANTED. UBC SECTION 109
ORIGINAL-FILE YELLOW- INSPECTOR
04/02
PINK -OWNER GOLD -ASSESSOR
GREEN - ACCOUNTING
PRESS HARD -YOU ARE MAKING 5 COPIES
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This drawing was specifically created for: HOUSEwares
Proofs are property of Russell Sign Company and may not be reproduced in anyway
RUSSELL without consent from Russell Sign Company. All proofs are for representation only.
SION a"
5629 208th St. SW Ste. H Lynnwood, WA 98036. 425.775.7010 Fax 425.673.5508
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RUSSELL
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This drawing was specifically created for: HOUSEWares
Proofs are property of Russell Sign Company and may not be reproduced in anyway
without consent from Russell Sign Company. All proofs are for representation only.
5629 208th St. SW Ste. H Lynnwood, WA 98036. 425.775.7010 Fax 425.673.5508
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CITY OF EDMONDS
BUILDING DEPARTMENT
WORK
ADDPESS.
OWNER-
VED DATE:.,__
BLDG. OFFICIA4��
PEIRMIT N�WIJER
2003
DEVELOPMENT SEFjvICES CTR.
CITY OF EDMONDS
STH"*EET FILE
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APPROVED 13Y PLANNING
4-1 vi I oi5-
Specs:
Fabricate (2)
Aluminum Awning with Black Canvas coverg,
and aluminum end caps with lettering
24"x24'x23'
Customer approvei
Notes:
Client Approval:
Landlord Approval:
CONCRETE W/1.
EXPANSION ANC
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2 REQ'D APPROX. 23.0'LONG AWNINGS
ElColors ElSpelling ElMaterials ElLocation Proofs are property of Russell Sign Company and may not be reproduced In anyway without
consent from Russell Sign Company. AJI Proofs are for presentation and client approval only.
10 LL Artwork and designs are subject to a design fee.
Date: :&14mm IDOL
5629 208th St SW Ste. H Lynnwood, WA 98036 425.775.7010 Fax 425.673.5508
Date: I
�S W/
WASHERS
DLID WELD 1 " SQ, ALUM. TUBING
I
�L IS NON -ILLUMINATED WOVEN FABRIC
BLACK SUNBRELLA W/ OPEN ENDS
"ROOF SCREWS
RECEIVED
APR 12 2005
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S�ustomer:
House Wares
Address:
323 Main St Edmonds, WA 98020
Contact:
Robert Boehlke
Sales: D, Russell Designer: Russell
Date: 11/ 15/04 1 Revision: I Scale:
AlAininn Details
24.0"
32.0"
b
Doorway
4 . _23.0'
Doorway ----
APPR' ED AS NOTED
B G
Y E G1 EEBING
Date:
9-T
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Specs:
32
Fabricate (2)
Aluminum Awning With Black Canvas covers
,1-60
SOLID WELD I" SQ, ALUM. TUBING
STIFFENER
COVER MATERIAL IS NON -ILLUMINATED WOVEN FABRIC
(FIRE RESISTANT) BLACK SUNBRELLA W/ OPEN ENDS
TIE RAIL
ATTACH AWNING TO BLD'G W/RUSTPROOF SCREWS
RECEIVED
L M_ SiW CO Ra�
110�
7_1�11 cl�
APR 12 2005
b
and aluminum end caps with lettering
2 REQ'D APPROX. 23.01ONG AWNINGS
24"x32"x23'
C mpany and may not be reproduced in anyway without
Customer approves: ElColors ElSpelling []Materials 01-ocation Proofs are property of Russelt Sign 9 sentation and client approval only.
consent from Russell Sign (;br-qpany,!'All Proofs are for pre
Notes: Artwork and designs are sUbject to,�a design fee.
77FUMSELL
Client Approval: Date: 991111110111144 4OC16 5629 208th St SW Ste, H Lynnwood, WA 98036 425.775.7010 Fax 425.673,5508
Landlord Approval: Date: NEENNEN�� — —
PERMIT COUNTER
Customer: House Wares
Address: 323 Main St Edmonds, WA 98020
Contaict: Robert Boehlke
Sales: D. Russell -F—Revision: Designer: Russell rscale:
Date: I I / 15/04
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or�
STREET FILE
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SPECS:
Fabricate new sign face for existing cabinet.
Sign features reverse channel letters With
white LED halo lighting.
CustomecljouseWares
Address:323 Main St Edmonds, WA 98020
Contact: Robert Boeh1ke
Phone # 425.672.1903 Mobile #
E-Moil:hsware�—@cW.com
L;ULUK tiVhU%'j
Russet Brown
Dark Brown
F-] Antique White
Pantone 398
White
1 11
If not measured correctly the drawing
has been reduced or enlarged from original size.
Date: 4/20/07
Job # 1087
PO# -
Fax # 425.672.2775
li—D. Russell
10
RUSSELL
IMOW-40
SCALE: 3/4" = V-011
2 6,17A :4 D-J
ustomer has reviewed drawing and has
approved for production.
Signature -
Date
COPYRIGHT 2006 RUSSELL SIGN CO.
Proofs are property of Russell Sign Company and may not be reproduced in anyway without consent from
Russell Sign Company. All Proofs are for presentation and client approval only. Artwork and designs are
subject to a design fee. THIS DESIGN IS PROTECTED UNDER FEDERAL COPYRIGHT LAWS.
For more detailed information or to purchase the rights to use this custom design contact Russell Sign Co.
5121 208th St SW Ste.eynnwood, WA 98036 425-775.701 Ox 425.673.5508
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SPECS:
Fabricate new sign face for existing cabinet.
Sign features reverse channel letters with
white LED halo lighting.
LOULUM -DIVIt-k-10
Russet Brown
Dark Brown
Antique White
E:i Pantone 398
[:] White
!!!)M
�A-
1/4 1
= 1/2"
If not measured correctly the drawing SCALE: 3/4" = V-011
has been reduced or enlarged from original size.
A
MAY 2 4 2097
BUILDING DEPARTME!
WY OF EDMONP'-
ed drawing "andhas
V
10
approved for production.
Signature -
Date
Customer: HouseWares Date: 4/20/07 COPYRIGHT 2006 RUSSELL SIGN CO.
Address:323 Main St Edmonds, WA 98020 Job # 1087 Proofs are property of Russell Sign Company and may not be reproduced in anyway without consent from
0 Russell Sign Company. All Proofs are for presentation and client approval only. Artwork and designs are
—Contact:Robert Boehlke PO# - subject to a design fee, THIS DESIGN IS PROTECTED UNDER FEDERAL COPYRIGHT LAWS.
Phone # 425-672.1 obille # LFax # 425.672.2775 RUSSELL For more detailed information or to purchase the rights to use this custom design contact Russell Sign Co.
9 0a M ajQN 4M4O6 5121 208th St SW Ste. nnwood, WA 98036 425.775.701*x 425.673.5508
E-Mail:hswares@cW.com SMS: D. Russell ey
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1) Any request for alternate design', modification,
variance or other administrative deviation
(hereinafter "variance") from adopted codes,
ordinances or policies must be specifically
requested in writing and be called out and
identified. Processing fees for such request shall be
established by Council and shall be paid upon
-refundable.
submittal and are non
2) Approval of any plat or plan containing
provisions which do not comply with city code and
for which a variance has not been specifically
identifi�d, requested and considered by the
appropriate city official in accordance with the
appropriate provision of city code or state law does
not approve any items not to code specification.
WORK
ADoRE7s
OWINER
BLDG.
b [�_tPARTMENT
HUM
STREET- FILE
RECEIVED
MAY 2 4 2007
BUILDING DEPARTMENT
CITY OF EDMONDS