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Description and Summary for Proposed Mural
Edmonds To Starboard by Joel Patience (401 Main St)
The most enjoyable parts of travel are the stories and memories that you bring home.
Travel and painting used to go hand in hand as a way to hold those memories. As far as
Joel is concerned they still do.
Joel's defined painting lines come from a working knowledge of urban planning and
construction. His paintings reflect the artisan design styles and workmanship that has
created these special places. Water color is Joel's way of placing the viewer in these
historical, if not timeless settings. Many of the pieces are familiar points from his
painting trips to Italy, neighboring Southern France; as well as right here in the Pacific
Northwest and Edmonds.
His painting "Edmonds to -Starboard" depicts the view from the Edmonds cliffs looking
West with the schooner Adventuress from the non-profit group Sound Experience.
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Maintenance Requirements for Proposed Mural
Edmonds To Starboard by Joel Patience (401 Main St)
This mural shall be painted on a building wall that has been leased by written contract for
a length of ten years, with an option to renew. The Edmonds Mural Society, by contract
with the landowner, is responsible for all maintenance and upkeep for this mural during
the time specified by the contract.
The Edmonds Mural Society shall maintain this mural in the following manner:
This mural shall be mounted in keeping with the finest methods of mural creation to date.
In specific, the wall shall be pressure -washed at least two weeks in advance of the mural
raising. Second, before mounting the mural, a layer of primer shall be applied to the wall
surface area. Finally, following completion of the mural, it shall be treated with a Uv-
protective sealant to minimize fading or weather damage over the years.
The two main sources of damage to a mural are sunlight and dampness. Each spring, this
mural shall be examined thoroughly by technical consultants retained by the Board of the
Edmonds Mural Society for signs of fading due to ultra -violet rays or dampness or
weather damage. Any such damage will be immediately repaired in consultation with the
technical consultant and artists hired by the Board of the Edmonds Mural Society.
On a final note, the Edmonds Mural Society is often asked about protecting murals from
vandalism, specifically "tagging." Surprisingly, the wealth of experience of mural
societies across the country all agree: tagging of murals is not a serious concern. It
almost never occurs. Then, too, on those rare occasions that tagging does occur, mural
societies have uniformly found that cost of repairs is relatively cheap. (Quite simply,
they paint over the tagging.)
Moreover, all the mural societies that we asked agreed that while there are anti -tagging
products available on the market, they are so expensive that their purchase is not justified
when repairs to the rare mural tagged are so inexpensively, and quickly, carried out.
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Artist's Resume for Proposed Mural
Edmonds To Starboard by Joel Patience (401 Main St)
EDUCATION
University of North Dakota School of Business - graduate
WORK EXPERIENCE
Developer / planner on private and public projects from 1975- 2004.
Watercolor artist 2005 — present
SELECTED MEDIA AND EXHIBITS
Semantics Art Gallery Edmonds, featured artist in ongoing exhibit, Northwest Art Guide and
Edmonds Gallery Tour.
MyEdmondsNews.com feature profile — May 20, 2011
Italia Magazine (Anthem Publishing, London, UK) May 2011 (issue #78).
Everett Herald — feature story March 22, 2011
Bank of America Exhibit Edmonds WA — Original Watercolors of Italy by Joel Patience -
January -July 2011
Woodland Park Zoo Jungle Party July 2011 (annual fund raiser) in conjunction with the Bank of
America exhibit Edmonds..
Rick Steves Europe — Exhibit of 2010 Italy painting trip.
KING Television — syndicated feature interview including an on air painting of Downtown
Edmonds.
The interview painting "Pronso (Lunch?) Edmonds" is owned by Strom Peterson.
Wade James Theater- June 2011 and 2009
Downtown Edmonds Third Thursday Art Walk —including: Arista Wine Cellars, Bluefish
Designs, Coldwell Banker, Edward Jones, Joan Longstaff, Sapphire,
Chat With Women — syndicated feature interview
KOMO — interview at Semantics Gallery
Daniel Smith cover — Summer national catalog 2010
Port of Edmonds — watercolors of Edmonds Port development visions for public comment
process
Marriott Hotel — Spring Hill Suites of Old Montreal, Montreal, Canada
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Schedule for Development, Fabrication and Completion for Proposed Mural
Edmonds To Starboard by Joel Patience (401 Main St)
Development:
This mural design was submitted to the Edmonds Mural Society in January 2011 in the
competition to select five murals to be mounted. At that time, by the date the artist
submitted the design, its development was complete.
Fabrication:
This mural is being painted on the west wall of 401 Main Street. Therefore, there is little
fabrication occurring.
Instead, the wall will be pressure -washed the week of June 5 - June 11.
A coat of primer will be applied early in the week of July 24 - July 30.
The mural itself, weather permitting, shall be painted during the week of July 27 - August
3. If the weather is not appropriate for the painting of the mural during this week, the
Edmonds Mural Society will make arrangements for the painting of the mural on a
following week.
Completion:
During the week following the painting of the mural, it shall be coated with a LJV-
protective sealant to minimize fading, dampness, or weather damage over the years.
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Evidence of Assumption of Liability by Designee of Proposed Mural
Edmonds To Starboard by Joel Patience (401 Main St)
NAM��!!J�&Cjxf,
ADDRESS:
CITY: zip: .4160W
PHONE:
EMERGENCY CONTACT: —4215 Iq I 6206f
EMERGENCY PHONE: -406
I hereby release and absolve Edmonds Mural Society and any and all of their agents,
directors, board, agents, staff, personnel and/or volunteers from any liability for any
accident or injury that might occur from my participation in any activity sponsored by the
Edmonds Mural Society or any practice thereof.
I further agree to release and hold harmless Edmonds Mural Society and any and all of
their agents, directors, board, agents, staff, personnel and/or volunteers and agree to
indemnify each of them from any and all claims, costs, suits, actions, judgment, and
expenses, arising from my participation in any activity sponsored by the Edmonds Mural
Society or any practice thereof.
(signed by parent or legal guardian if under the age of 18)
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Materials Quality and Durability for Proposed Mural
Edmonds To Starboard by Joel Patience (401 Main St)
This mural shall be painted using Nova acrylic paint and products, widely regarded as the
first choice of muralists across the country. Nova Color Artists Acrylic Paints has been
made in Culverton, CA since the 1960s. Nova employs a tough, durable, 100% acrylic
resin suitable for use outdoors. No additives are needed for exterior use.
(By way of contrast: House paints or craft paints are often made with a less expensive
and less durable latex or vinyl latex resin, designed to last 5-10 years before recoating.)
The American Society for Testing and Materials (ASTM) standard D5098 rates the
lightfastness of pigments (ie resistance to fading). Lightfastness I is the highest rating,
and the majority of colors to be used in painting of this mural are rated 1.
In addition, the clear topcoat Nova Color #216 Exterior Varnish or Nova Color #206
Gloss Medium & Varnish designed for exterior use by Nova will be applied to the
completed mural to protect against dampness, fading due to LTV rays or weather damage.
Nova Color Artists Acrylic Paints conform with federal art material labeling guidelines
and have been reviewed by a toxicologist. All colors except the cadmium colors (rarely
used in murals) are labeled as follows:
No health hazard labeling required.
Labeling conforms with ASTM D-4236.
Chicago Public Arts Group recommends Nova paint in the painting of exterior murals,
saying: "Many murals in Chicago have life spans of thirty years and more. With ongoing
restoration and publication efforts, these works of art will speak to local, national, and
international communities for decades to come."
Users of Nova Color Acrylic Paints:
Philadelphia Mural Arts Program
Chicago Public Arts Group
Kent Twitchell, (nationally known) Muralist
John Pugh, Trompe L'oeil Illusion Artist
Art Mortimer, (nationally known) Muralist
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Zborge Yepes, (nationally known) Muralist
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WALL LEASE AGREEMENT
AGREEMENT BY AND BETWEEN THE EDMONDS MURAL SOCIETY AND ANN TURNER
This Lease between Ann Turner as Lessor (herein called "Wall Owner") and the Edmonds Mural Society, as
Lessee (herein called the "Society", WITNESS THAT
The Society has a program for expanding public experiences with visual art by placing works of art in public
places and in places open to the view of the public; and
The Wall Owner desires to participate in such program and to lease to the Society a building wall under its
control for the display of a painted mural on panels (hereinafter referred to as the "Work") and plaque, that will be
open to the view of the public from nearby public rights(s) of way;
NOW, THEREFORE, in consideration of the mutual covenants hereinafter contained, the parties hereto
agree as follows:
Article 1. Lease Property, The Wall Owner hereby leases to the Society the entire west wall of the building (which
space is referred to hereinafter as the "Wall") located at the property described as follows:
Addressed 401 Main Street, Edmonds, Washington.
Article 2. Compensation and Payment Schedule.
The Society agrees to lease the space described in Article 1 for a sum of One Dollar ($1) per year paid in a
lump sum as compensation for the entire term of the lease. Lessor shall be paid by the Society for services related
to this Agreement only as provided hereinafter. Such payment shall be in full compensation for use of the Wall as
described herein. The total payment is subject to adjustment as set forth in Article 3a. Total payment shall be made
as set forth below:
Payment $10 Within ten (10) days of the execution of the agreement
Article 3. Duration. The term of this lease shall commence on July 1, 2011 and shall terminate on June 30, 2021, a
period of one hundred twenty (120) months, unless terminated earlier under special circumstances as subsequently
provided.
a. Execution of the right of termination under special circumstances as subsequently provided, the Wall
Owner agrees that it will not intention ally destroy, obliterate, damage, alter, modify or change the Work, or in any
way restrict or obstruct its view from the general public from nearby public rights(s) of way during the lease term.
The Wall Owner may terminate this lease upon thirty (30) days written notice to the Society due to actual needs of
the building for reconstruction purposes or to erect a structure that restricts or obstructs the view of the Work or if
sale of h b
Ole uilding is jeopardized by having the agreement in place.
A
The Wall Owner agrees not to post signs or posters of any kind on the same wall as the Work.
The Society is responsible for all routine cleaning, maintenance and/or repair of the Work.
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M C� V0 in the event a person other than the Wall Owner erects a structure that, in the opinion of an authorized
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5 opre4otative of the Society, restricts or obstructs the view of the Work, the Society may terminate this lease upon
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e. In the event the building upon which the Work is executed is sold during the term of
this lease agreement, the Wall Owner shall condition such sale upon the acceptance of and adherence to the terms
of this lease by the new building owner.
Article 4. Entire Agreemen . This writing embodies the entire agreement and understanding between the parties
hereto, and there are no other agreements and understandings, oral or written, with reference to the subject matter
hereof that are not merged herein and superseded hereby.
Article 5. Modification. No alteration, change or modification of the terms of the Agreement shall be valid unless
made in writing and signed by both parties hereto.
Article 6. Waiver. No waiver of performance by either party shall be construed, or operate as a waiver of any
subsequent default of any terms, covenants and conditions of this Agreement.
Article 7. Governing La . This Agreement, regardless of where executed, shall be governed by and construed in
accordance with the laws of the State of Washington.
Article 8. Heirs and Assigns. This Agreement shall be binding upon and shall inure to the benefit of the Society
and the Artist and their respective heirs, personal representative, successors and permitted assigns.
Article 9. Dispute Resolution. All disputes or controversies that may arise between the parties with respect to the
performance, obligations or rights of the parties under this Agreement, including disputes as to the physical
acceptability of the work on the Wall or any alleged breach thereof, which cannot be otherwise settled shall go to
binding arbitration.
Article 10. Notices. All notices, requests, demands and other communications which are required or permitted to
be given under this Agreement shall be in writing and shall be deemed to have been duly given upon the delivery or
receipt thereof, as the case may be, if delivered personally or sent by registered or certified mail, return receipt
requested, postage prepaid, as follows:
If the Society, to:
If the Lessor, to:
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Manya Vee Schilperoort
Manya Vee Selects
409 Main Street
Edmonds, WA 98020
Ann Turner
P 0 Box 458
Edmonds, WA 98020
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IN WITNESS WHEREOF, the Wall Owner has executed this" ag'ree6m"�nt6y" having
the signatures of its authorized representatives affixed in the spaces provided below.
IN WITNESS WHEREOF the parties hereto have executed this Agreement on the day and year first written
above.
Society: Edmonds Mural Society
BY. Manya Vee Schilperoort
TITLE: Director
DATE:
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LESSOR: Ann Turner
DATE:
APPROVED AS
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GI-fY OF EDMOND—S--
BUILDING DEPARTIVIEN7
ADDRESS-4./Aj
BLDG. OFFICIAL.
PERMIT NUMBER
City Of Edmoods Building �Depaftent
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APPROVF,D N
R-EcEpjEE)
MAY 2 6 20 11
DEVELOPMENT SERVICEs C7p,
CITY OF EDMONDS
t"REET FILE
CITY OF EDMONDS
CITY HALL - THIRD FLOOR
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0247 - FAX (425) 771-0252
OFFICE OF THE MAYOR
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May 14,2003
Dear Edmonds Pestaurant Owner,
GARY HAAKENSON
MAYOR
FILE
As you are aware, in 2002 the Edmonds City Council approved a pre-treatment ordinance requiring food -
service establishments that introduce grease into the City's sewer system to operate either a grease trap or
a grease intercepior, as determined by Vne C ity based on several criteria.
City staff has held several public meetings (which, unfortunately, were not very well attended) to educate
the Edmonds restaurant owners with the severe problems associated with grease in our sewer system. We
have many documented examples, via our sewer cameras, of grease flowing from a restaurant's side
sewer into the City's main lines. In one example, the flow of grease has reduced an eight -inch line to less
than two inches, and in many cases has blocked lines entirely. We must find a way to solve this problem,
and the pre-treatment ordinance approved by the City Council is a starting point.
I have had several conversations with many of you about the cost to your business to install this needed
qquipme.nt. Even during good economic times, the cost can be burdensome. In today.'s economic climate,
the burden is heavier. Yet, I also have the responsibility to keep Edmonds taxpa.vlrs "burden as low as
possible, and they are paying for the chronic sewer problems associated wit-li grease"buildup.
I have. some ideas that I would like to share with you about this proble-,-zi, fand 1-am contacting a gToup of
ten restaurant owners/representatives to meet with me to discuss the issue. The City will continue to do
inspections in order to determine whether you need a trap or an interceptor. I am studying other cities'
ordinances to see how they handled the problem, and I will be in touch with you again to report my
findings. If you have a written estimate of the cost to install a trap or interceptor, please send me a copy.
Please feel free to contact me at 425-771-0247, if you care to discuss the problem, and thanks to those of
you who have already complied with the requirements of the ordinance.
Sincerely,
Gary Haakenson
Mayor
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C:�MayotD3\RestaurantO,�Nmers-Grease.Interceptors.doc
c: Duane Bowman, Development Services Director
Noel Miller, Public Works Director
Steve Kbho, Wastewater Treatment Plant Manager
Jeannine.Graf, Building Official
Incorporated August 11, 1890
Sister City - Hekinan, Japan
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STREET USE PERMIT APPLICATION
NAME OF APPLICANT:
NAME OF BUSINESS:
MAILING ADDRESS:
S'� 7�%
CONTACT PERSON AND PHONE NUMBER: 13� c. �2 0 e
k ?
ADDRESS OF PUBLIC USE: ioo'o 1 C7"
Describe the public place or portion of public space to be utilized:
S;<(, 2, Ik 4
Attach a plot plan.
Specify the type of use
desired: X,', , , - -
BUILDINO
e&-Z:C*�3
MY' - 1995
Specify the length of time for use i -x, 2 4 24 — 6
NOTE: The issuance of this permit is understood by the applicant Idbe of a temporary nature and that
no vested right is granted
INDEAINITY.- The applicant understands and by hislher signature to this application, agrees to hold the
City ofEdmonds harinlessfrom any injuries, damages or claims ofany 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 ofgranting this permit In addition, the
applicatioiVnderstands that the City shall be provided a Certificate of Insurance to indemnity and hold
harmlesQ
,� fo of Edmondsfrom all claims andlor property damage, and naming the City of Edmonds
as an additidnaA-I-sure'd.
CODEAPPLIC147Q" signing the application below the applicant warrants that s1he has read or
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had the opportunity t Qapter 18 of the Edmonds Community Development Code and s1he
understands that all ten i dpFP�% d ted ordinance are incorporated herein as ifsetforth in full and this
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application andpermi erqrcQFTisubject to the terms of that Chapter.
SIGNATURES DATE 3 12- / A I)—
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TIME H.M.,
HE F
mumm wa
SIGNATURE OF APPROVAL FROM ABUTTING PROPERTY OWNERS
Men applicable, if the street use proposal directly impacts any adjacent business or private property
owner the applicant must obtain written'6p�roval from the affected parties. This requirement is evaluated
by City Staff after the initial submit,t;il.4,& application.
Signature
Signature
Signature
Signature
Address
Address
Address
Address
DO NOT WRITE BELOW TMS LINE ... FOR CITY USE ONLY
Planning Division, Review: ADB#
Approved By
Date
Public Works Review: Approved By r%&-----Date
Fire Department Review:
Approved By
Police Department Review: Approved By
Permit Coordinator Review:
5'1�
Certificate of Insurance Verified
Engineering Division Review: Bond Required /0 14 Amount $ A)A
7-
Approved By.T� _Pateda6/V 4/12-
lee-<Ltz -�// '�4 1VXr-0 co -, �n�
PERMIT DATE OF ISSUANC
RELEASED BY RECEIPT
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MEMORANDUM
May 2, 1995
TO: File
FROM: Gordyo, Engineering Coordinator
SUBJECT: Street Use Permit for Edmonds Flower Shop at 401 Main
The Engineering Division has reviewed the subject permit. With the concurrence
of the Edmonds Police Department, the permit is approved subject to the
following restriction:
The location of the the street equipment will be checked from time to time
and repeated violations of having the equipment obstructing the right-of-
way of pedestrians on either 4th Ave. N. or Main Street will result in
immediate,denial of the use.
STUSEDOC
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***TO CREATE CAffrS NO ONE ELSE CAN OFFER.
Introducing the Ultimate Fusion of Form and Function
BURGI
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clients an
• Patente
• Advan(
create a s
- Modul.i
to custoll
e Lightw(
The portion of the Northwesterly 95 feet of Lot 12,
-Block 1, Plat of Edmonds, according to the plat
thereof recorded in Volume 1 of plats, Page 26,
Records of the Auditor of the County of Snohomish,
State of Washington. TOGETHER WITH a non-exclusive
easement for driveway purposes over the Northeasterly
10 feet of the Southeasterly 25 feet )f said Lot 12.
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Policy Number DECLARATIONS PAGE AMENDED 04/07/95
98-T6;5732-7 STATE FARM FIRE AND CASUALTY COMPANY
4600 25TH AV N EAST, SALEM OR 97313-1000
A STOCK COMPANY WITH HOME OFFICES IN BLOOMINGTON, ILLINOIS
AGENT COPY
NAMED INSURED AND MAILING ADDRESS
2192/OB X
SHA-MAR INC
DBA EDMOND'S FLOWER SHOP
401 MAIN ST
EDMONDS WA 98020-3137
BUSINESS.POLICY - SPECIAL FORM 3
"Il/10,
*41L0 Z#0
19196
COVA - INFLATION COVERAGE INDEX: N/A
COV B - CONSUMER PRICE INDEX: 150.9
Automatic Renewal — If the Policy Period is shown as 12 nio.nths, this policy will be renewed automatically subject
to the premiums, rules and forms in effect for each succeeding policy period. If this policy is -terminated, we will
give you and the Mortgagee/Lienholder written notice in compliance with the policy provisions or as required by law.
POLICY PERIOD: 12 MONTHS THE POLICY PERIOD BEGINS AND ENDS AT , 1 2:01 AM
EFFECTIVE DATE.- 05/18/95., STANDARD TIME AT THE PREMISES LOCATION.
EXPIRATION DATE: 05/18/96'_`
NAMED INSURED: CORPORATION
LOCATION OF COVERED PREMISES:
401 MAIN ST
EDMONDS WA 98020-3137
COVERAGES AND PROPERTY LIMITS OF
INSURANCE
SECTION I
1611 ILDINGS EXCLUDED
SINESS PERSONAL PROPERTY 45,700
SS OF INCOME I ACTUAL LOSS
SECTION II
L BUSINESS LIABILITY 11000,000
M MEDICAL PAYMENTS 51000
PRODUCTS -COMPLETED OPERATIONS 2,000,000
(PCO) AGGREGATE
GENERAL AGGREGATE (OTHER $ 2,000,000
THAN PCO)
FORMS, OPTIONS, AND ENDORSEMENTS
SPECIAL FORM 3
FP-6103
WA AMENDATORY ENDORSEMENT
FE-6247.1
HIRED AUTO LIABILITY END
FE-6311
TEMPERATURE CHANGE ENDORSEMENT
FE-6395
MONEY & SECURITIES
OPTION MO
$10,000/$2,000
DEBRIS REMOVAL ENDORSEMENT
FE-6451
POLICY ENDORSEMENT
FE-6464
NEW FORM ATTACHED
CONTINUED ON REVERSE SIDE OF PAGE
YOUR POLICY IS AMENDED 04/07/95:
TYPE OF INTEREST CHANGED
ADDL INSURED NAME & ADDRESS CHANGED
ENDORSEMENT FE-6494 ADDED
OCCUPANCY: MERCANTILE
DEDUCTIBLES -SECTION I
$ 250 BASIC
IN CASE OF LOSS
DEDUCTIBLE WILL
OCCURRENCE AND
THE AMOUNT OF T
DEDUCTIBLES MAY
ENDORSEMENT
PREMIUM NONE
EFFECTIVE
ICY, THE
TIM SHINION0. AGENT
State Far.m Ins. CO.'s
12529 Totem Lake lvd.
Kirkland, NNA 98034
OTHER LIMITS AND EXCLUSIONS MAY APPLY - REFr!!��UR-POLI
PREPARED COUNTERSIGNED
0/20/95
-8030.2C B15 BY
6/93) TIM SHIMON031��
(206) 823-2500
AGENT
V wun PULK, T GUN515 I a Ur I MIS PAUL, AN T LNUUnar-mr-N I a
AND THE POLICY FORM. PLEASE KEEP THESE TOGETHER. 555-7011.2 Rev. 11-94 Printed in U.S.A.
(FO I 15CI
pollc� Number CONTINJED FROM FRONT SIDE
98- 6 -5732-7
I NAN AMC!
BUSINESS POLICY - SPECIAL FORM 3
FORMS, OPTIONS, AND ENDORSEMENTS
SPECIAL FORM 3 ENDORSEMENT FE-6500
POLICY ENDORSEMENT FE-6503
*ADDITIONAL INSURED ENDORSEMENT. FE-6494
* NEW FORM ATTACHED
W-.�
PREPARED
04/20/95
(FO I 19C)
S Policy No. 98-76-5732-
FE-6494
(5/91)
ADDITIONAL INSURED ENDORSEMENT
Managers or Lessors of Premises
Policy No.: 98-76-5732-7
Named Insured: SHA-MAR INC
DBA EDMOND'S FLOWER SHOP
Name of Person or Organization: CITY OF EDMONDS BUILDING DIVISION
250 5TH AVE N
EDMONDS WA 98020-3146
Designation of Premises: REFER TO DECLARATION PAGE
WHO IS AN INSURED, under SECTION 11
DESIGNATION OF INSURED, is amended to include
as an insured the person or organization shown
above, but only with respect to their liability arising out
49 of the ownership, maintenance or use of the premises
leased to you and designated above.
is
This insurance does not apply to:
1. any occurrence which takes place after you
cease to be a tenant in that premises; or
2. structural alterations, new construction or
demolition operations performed by or on behalf
of the person or organization shown above.
FE-6494 Printed in U.S.A.
(5/91)
117 -C 9`)
.19
CITY OF EDMONDS BARBARA FAHEY
MAYOR
250 5TH AVENUE NORTH - EDMONDS, WA 98020 s (206) 771-0220 - FAX (206) 771-0221
COMMUNITY SERVICES DEPARTMENT
Public Works 9 Planning * Parks and Recreation e Engineering
January 31 1997
To: Sharon Rock/Edmonds Flower Shop
From: City of Edmonds Building Division
Re: Insurance Policy for Street Use Permit
Ms. Rock,
We received an "Acknowledgment of Cancellation Request" from State Farm for policy #
98 76 5732 7 (see attached). Insurance is required for your Street Use Permit at all times
per Edmonds Community Development Code section 18.70.03 D. Please check with
your agent if this was canceled by State Farm in error or resume the insurance if the
cancellation was initiated by you. If you have any questions regarding this matter please
call us at 771-0220.
Thq�k you,
� XaraEak
Permit Coordinator
0 Incorporated August 11, 189� .1
Sister Cities International — Hekinan, Japan
Rec'elveo
JUN 14 1995,
PER411TCOUWR
June 14, 1995
I understand that State law requires that I provide
handicap toilet facilities in my proposed Bistro,
however it is not technically feasible.,
In the future, if Iremodel my bathroom, I will comply
to the law and bring it up to code.
Sharon Rock
STREET USE PERMIT APPLICATION STREET FU
Date Received
Date Issued Y-f �61:R
Permit No.
CI�7 'S
Name of Applicant or Business:
Mailing Address: Z 0 4020 Te I ep hone No: —9/o)_
T7,7` 0
2
Address of Pub I i c Use
1. DESYRIBEJE PUBLIC PLACE OR PORTION OF PUBLIC PLACE TO BE UTILIZED:
I& tiW�/ V/1 AV C.
rfi!]W-Wfl�l �11 I I p an or e evation view.
2. SPECIFY THE TYPE OF USE DESIRED:
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4",
3. SPECIFY LENGTH OF TIME FOR USE 2 00
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 his 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 attorney 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
'In's
City of Edmonds from all clai,ms and/or property damage, and naming the
City of Edmonds as 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 therefge are subject to the terms of that Chapter.
cant Signature
a
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
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 Depa:rtment
Police Department
Engineering Dept
Building Official
Public Works
REMARKS/COMMENTS:
DATE
Date 4 10 -47 1---
Date 0
Date
Date -/-Neo
Date
PERMIT NO. DATE OF ISSUANCE FR
�19
RELEASED RECEIPT NO. /5-Q5E,)P 6&�Pnt
BUILDING PERMIT NO.
Page 7 of 8
1/89
9
0
E
a
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
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
Police Department
Engineering Dept
Building Official
Public Works
REMARKS/COMMENTS:
DATE
—I-- A F- 6 - 5'2-
Date 4 — 10 —4-7 -1.--
PERMITNO. DATE OF ISSUANCE
RELEASED RECEIPT NO.
BUILDING PERMIT NO.
Page 7 of 8
1/89
k
Date
--I
Date -elf -x� - ;�Pz—
bate -11-160
Date
S STATV FARM
AS)-
TIM SHIMONO, Agent
Auto -Life -Health -Home and Business
12529 TOTEM LAKE BOULEVARD -- "Across from Totem Lake Shopping Center"
KIRKLAND, WA 98034 PHONE (206) 823-2500
April 13, 1992
CERTIFICATE OF INSURANCE
This certifies that X State Farm Fire & Casualty __State Farm General
Insurance Company, Bloomington, IL insures the following policyholder
for the coverages indicated below:
Name: SHA-MAR INC. DBA EDMOND'S FLOWER SHOP
Address: P 0 BOX 490
EDMONDS, WA 98020-0490
Location of operations:, 401 MAIN ST., EDMONDS, WA
Description of operations: Retail floral shop
The policies listed below have been issued to the policyholder for the
policy periods shown. The insurance described in these policies is subject
to all the terms, exclusions, and conditions of those policies. The limits
of liability shown may have been reduced by any paid claims.
COMPREHENSIVE BUSINESS LIABILITY
Policy Number: 98 76 573� 7 F
Effective: MAY 18, 1992n��
Expiration: MAY 18, 199X
Limits of liability
(at beginning of policy period)
Bodily Injury & Property Damage
Each Occurrence $1,000,000
General Aggregate $2,000,000
Products --Completed
Operations aggregate $2,000,000
If any of the described policies are cancelled before its expiration date,
State Farm will try to mail a written notice to the certificate holder
30 days before cancellation. If, however, we fail to mail such notice,
no obligation or liability will be imposed on State Farm or its agents or
representatives.
Name and address of Certificate Holder:
Name: CITY OF EDMONDS
Address: EDMONDS, WA 98020
Sign—at-mr'eof Agi-n—t
APPLICATION
for
The City of Edmonds SIODE SEWER PERNaT
NEW CONSTRUCTION C] REPAIRS EASEMENT No . ..........................................
101-07800
OW'NER, .................. KUZM0fX,----A-lax ...................................................... CONTRACTOR ................... .............................................................................. PERMIT No . ......................
401 Main St.
ADDRESS .......................................................................................................... LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ...........................................
le
.d
NAMEOF ADDITION ................................................ ...................................................................
-Dye Tested On Sewer
June, 1972
Approved:
DATE................................................ By ...................................................................
9
USE
CITY OF EDMONDS ZONE
CONSTRUCTION PERMIT APPLICATION jo,
OW JA DO LRE S S
JbER NAME NAME OF BUSINESS
i�AILI'NG"A`DL'1R`E'S"S-' 7
4& j W e-,
0
9� ZIP ONENUMBER
" ef, -7 1 1 e, I -/ 5 1 �fe- 2
NAME
ADDRESS
ZIP [TELEPHONE NUMBER
NA
� /
DRESS
2 .3' 0
C ZIP TELEPHONE NUMBER
S 2 7 2
xewy 1 4. .36 3
STATE LICENSE NUMBER EXPIRATION DATE
.2 (7'-
Legal Description of Property - include all easements
PERMIT
NUMBER
SUITE APT a
DIVISION NO ILID NO moor
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP A proved
11
,W P.,rnp
I Required
-
0
EXISTING
— AEOUIRED DEDICATION
Street Use Permit Req'd
0
Inspection Required
13
PROPOSED
Sidewalk Required
0 M
METER SIZE
LINE SIZE
No. OF FIXTURES
PRV REQUIRED
Lu
YES 0 NO 13
�EMARKS
V
a:
Z
ReAl M
&O�AOMWA L-ZiWAVo�M i C
Z
-
1=rPe uA4v*e of-.
j
ENGINEERING MEMO DATED REVIEWED BY
SIGN AREA COMPSEPA REVIEW ADB NO
ALLOWED i PROPOSED LETE IEXEMPT 1A.A A", /),,
N
EXP
VARIANCE OR CLI ING REVIEW BY DAtTE
I � ! D / 4 62 �,,
SETBACKS — FEET I HEIGHT I LOT COVERAGE
Property
Tax Account -2d
70 ow I-
FRONT SIDE REAR
REMARKS
Parcel No. .411-7 .7
0 NEW RESIDENTIAL
El PLUMBING
1:1
&vmtr 9&wl I(A&y
ey
DADDITION COMMERCIAL
REMODEL APT. BLDG.
MECHANICAL
El SIGN
le"AW(fesy 110C It 4 d Wq S/ 6.#'V
CHECKED BY
TYPE OF CONSTRUCTION
CODE
r7 GRADING FENCE
F-1
REPAIR 1:1 — CYDS.
(_x_FT)
WOODSTOVE
DEMOLISH INSERT
GARAGE RETAINING WALL/
CARPORT ROCKERY
SWIM POOL
F� HOT TUB/SPA
RENEWAL
SPECIAL INSPECTOR
REQUIRED 13
AREA
REMARKS
PROGRESS INSPECTIONS PERUBC 305
:TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN:
RIF 111 vele fki,q AlAdd
.0 *71A
NUMBER
OF
STORIES
DWELLING
NUMBER OF,,,
UNITS
CRITICAL
AREAS
NUMBER M11
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
-1r1Vrr-4W,WM7 Wfl f III i /4',JIJ FINAL INSPECTION REQUIRED
VALUATION
M
Z
Z
0.
OCCUPANT
GR
Xa
OCCUPANT
LOAD:2 2
Z
0
g
to
*V.4
PLAN CHECK FEE
f!F 'I
ik'mle
BUILDING
HEAT SOURCE:
GLAZING
PLUMBING S� &z
I
�V., 7—
P Ian Check No.
MECHANICAL
GRADINGIFILL
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewelks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
4 e., 0
Permit Application: 180 Days :
:
Permit Limit: 1 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
successors in interest, agrees to indemnity, defend and hold
'Unj
harmless the City of Edmonds, Washington, its officials,
m
employees, and agents from any and all claims for damages of
whatever nature, arising directly or Indirectly from the issuance
of this permit. Issuance of this permit shall not be deemed to
PLAN CHECK DEPOSIT
0
modify, waive or reduce any requirement of any city ordinance
nor limit in any way the City's ability to enforce any ordinan ce
TOTAL AMOUNT DUE
12-9
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 the duly
authorized agent of the owner. I agree to comply with city and
THIS PERMIT
This application is not a permit until
state laws regulating construction; and in doing the work authoriz.
AUTHORIZES
THE
signed by the Building Official or his/her
,_ed-'*" reby, person will be employed in violation of the Labor
C ode o th State of Washington relating to Workmen's Compensa-
ONLY
WORK NOTED
Deputy; and fees are paid, and receipt is
tion Insu nce aqd KW 1&:,2-7----
1 NSPECTION
acknowledged in space provided.
TUR/E N R JDATE SIGNED
V �, �
DEPARTMENT
0 ATURE DATE
- ( y - ?
CITY OF
Aw
EDMONDS
CALL FOR
'R E L ErE DATE
AT ENTIQN
INSPECTION
7P
Z
IT IS UNLAWFOL 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.
PC=- 4Z a
PINK — Owrer GOLD — Assessor
0
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