405 MAIN ST.PDF11111111111111
14165
405 MAIN ST
0
TAX ACCOUNT/PARCEL NUMBER:4,5+4 OD I V2 02,
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED)
CRITICAL AREAS:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DA
EASEMENT(S) RECORDED
PERMITS (OTHER): /!271
DETERMINATION: [] Conditional Waiver 0 Study Required F] Waiver
-07, 31, Me I I I
m 9 fm I NO
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $: LID #:
SHORTPLAT
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S)
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:0rYft)05
FOR:
WATER METER TAP CARD DATED:
LOT: BLOCK:
LATEMPOSTsTorms\Street File Checklist.doc
APPLICATION
for
The City of Edmonds S13DE SEWER PERNaT EASEMENT No . ..........................................
NEW CONSTRUCTION F] REPAIRS 0
101-0?700
OVVNER.................. �4;�To-f f ...................................................... CONTRACTOR ................................................................... ............. ................ PERMIT No . ......................
.d
ADDRESS ............... 4Q�i ... MaLill--Z-t . . ......................................................... LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No . ............................................
4
9
0
NAMEOF ADDITION ..........................................................................................
Dye Tested On Sewer
June, 1972
Approved:
DATE... ............................................ By ................. ....................................................
8- TREET FILE
PERMIT #: 5--0 00 S_
STREET USE PERMIT
PROPERTY OWNER NAME: fori Phone
BUSINESS NAME: F_L:::� JQ f AZr
BUSINESS OWNER NAME: 3 Phone 6�c_)
Lzza,n,
ADDRESS OF PUBLIC USE:
APPLICANT MAILING ADDRESS:
Placement of any temporary or movable objects in any portionof public space or City right-of-way shall
meet all Code Requirements asset forth in the following chapters of the Edmonds Community
Development Code.
18.70 STREET USE AND ENCROACHMENT PERMITS
17.65 LIMITED OUTDOOR DISPLAY OF MERCHANDISE
17.70.040 TEMPORARY USES; Bistro and outdoor dining
PERMITISSUANCE
A StreetUse-Permit may be issued,. at the discretion of the Development Services Director, City Engineer
or theirrespeetive 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 adversely'impact public space open to vehicular or
pedestriantravel; - . I
> Architectural Design Board approval has been grantedor the process,has been administratively
approved;
> The,proposal will hot, unreasonably interfere with the righis of the public;
> Items shall be placed adjacent to the building and mayencro . ach 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 i z�o'ne, of4'4 iriches,minimum width shall be maintained on City
sidewalks; (see definition of clear,zone below)
> Exterior light fixtures, banners, signs and flags must be a nummum 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. shill'be maintained, on the exterior side of Al required --exit doors-
> illumination from City light fixtures shall not be blocked;
> No objects shall be hungfrom City light standards; and
SAEngr\Fonns\Street Use Pemift-doc
Revised 2/6/04
.0'.
A
>. Tbree feet of clearance around fire hydrants, standpipes, manholes, water meters� blow.offsl., cleanouts
and valves §hall,�e hikMaihed.
Clear Zone Definition: Clear Zone refers to an area 7 feet in height and ' 44 inches in width,12roviding a
level, safe walking surface along the public sidewalk (e.g. measuring 44 inches from ed�e of street tree
grates ornewMgper stands tbwgr&place otbusm'-d-ss,alid"from the ground gp t ahei of f6eo.
DESCRIPTION OF PROPOSED STREET USE: 211!!�1411 5'.4AJox1,
0 A r— 57145-7 J_ V1_5r!:',_
APPLICANT TO READ AND SIGN
NOTE: The issuance of this permit is undititood �y'the qpplicani� to be of a temporary natu ire, s hall vest no
permanent right and shall be issued and may in any case be revoked at the sole discretion o t e i per
ECDC 18.70.040. By signing this application, the applicant accepts responsibilityfor all existing andlor
'fWuii6stre&t'uiises. Ap,#Hcd)zt4sre"s'p' . ofisible t6p4y art anhadl refiewalfeefor thispermit. iture to do so
will terminate'th& permit'ap,61ication and, r equitr%e re; n6ovdl of any temporary str4ct4res nted by this
permit.
INDEMNITY.- The applicant understands and by hislher signature -to this application, agrees to hold the
City ofEdmonds harmlessftom any injuries, damages or claims of anykind or description, , hatsoever,
foreseen or unforeseen, that may be made against the.aDDlicant: or the City ofEdnipnds, 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 this permit. In addition, -the ap ca
pli nt
understands that helshe shallprovide and continually maintain during the tenn..pf thepermit a certificate
'o . insurance naming. the,city� as,an additional insured, with respect to,liability, andproviding that it.shal be
f
primary as. to. any, other olic
P, - y ojinsurance.
CODE APPLICATION. By signing the application below the applicant warrants that's1he has read or had
I
the opportunity to read Chapter, 18. 70i 17.;65,, and 17.70.040 of the Edmonds Community D11- Velopment
Code and s1he understands that all terms of the adopted ordinance are incorporated herein as ifsetforth in
full and,this application ondpermits, therefore are subject to -the terms of those, Chapters...
SIGNATURE I)ATE 1!57— j�,L rVi
ProptrtyOwner/Business Owner
FOR CITY USE ONLY
AAA (nd 11
Approived by: ZM I" 1111X 4 StreetUse FeO:'
Re �ceipt No:
Issued by: J), IssueDate:
SAEngr\Fomis\Sb-eet Use Peffnit.doc I Revised 2/6/04
A-CORA. CERTIFICATOF LIABILITY INSURAN619
DATE(MMIDDNY)
05 /24/2000
PRODUCER
Dickison Insurance Agency, Inc.
110 James St, #111
Edmonds, WA 98020
425-640-6400
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
INSURERS AFFORDING COVERAGE
INSURED Odyssey Books
and Kathie M. Brooks
405 Main Street
Edmonds, WA 98020
INSURER A American Economy Insurance Co.
INSURER 8:
INSURER C:
INSURER D'.
INSURER E:
('nVFRArZF.R
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPEOFINSURANCE
POLICYNUMBER
POLICY EFFECTIVE
DATE(MMIDDNY)
POLICY EY511RATION
DATE(MMIDDNY)
LIM ITS
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAW MADE I X] OCCUR
02 BO 724395
7/2/00
7/2/01
EACH OCCURRENCE
$1, 0
FIRE DAMAGE (Any one fire)
$ 100, 000
MED EXP (Any me Person)
$ 10,000
PERSONAL & ADV INJURY
$1,000,000
GENERAL AGGREGATE
s2,000,000
GEt?L AGGREGATE LIMIT APPLIES PER
nPOLICY F] JPECT F-1 LOC
PRODUCTS - COMPIOP AGG
s2,000,000
AUTOMOBLELLABLITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
D LV
CITY
FC)
Tj f, 3 C T
COMBINED SINGLE LIMIT
(Ea accident)
BODILY INJURY
(Per pewn)
$
$
BODILY INJURY
(Per accident)
$
I
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
ANY AUTO
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
AUrO ONLY: AGG
$
$
EXCESS LIABILITY
OCCUR FICLAIMS MADE
DEDUCTIBLE
RETENTION $
EACH OCCURRENCE
$
AGGREGATE
$
$
$
WORKERS COMPENSATION AND
EMPLOYERS! LIABILITY
H-
I WSM I I OETR
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE
$
E.L. DISEASE -POLICY LIMIT
$
OTHER
DESCRIPTION OF OPERATK)NSILOCATIONSNEkilCLESIEXCLUSIONS ADDED BY ENDORSEM ENTISPEECIAL PROVISIONS
With reference to street use permit at 405 Main St, Edmonds, WA
CERTIFICATE HOLDER I X I ADDITIONAL INSURED: INSURER LETTER: CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEI I ED BEFORE THE EKPIRATION
City of Edmonds
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAL 3 0 DAYS wRaTm
Street Use Permit Section
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
121 - 5th Avenue No
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Edmonds, WA 98020
REPRESEINJTAT
AUTHOROaR TATIVE
ACORD 25-S (7197) U V 0 ACORD CORPORATION 1988
ITY 0
CITY of EDMONDS BUS"�SS LICENSE APPLICATION
DATj*_
Edmonds, Washington 98
Civic Center
-ET FILE TYPE OF BUSINESS
City Clerk Phone 775-2525 %j
ICLASS I YEAR I LIC. EFFEC. DATE IRrAqr. i ir. No I.qPrF1 [:] (A) HOME OCCUPATION
4STRUCTIONS:
All items mus t be completed
or application will not be ac-
cepted.
Sign and return application
with fee., Renewals received
after February 15 must pay
penalty in addition to fee.
NEW BUSNESSES AFTER
JULY 31, 1/2 FEE�.
NAME OF FIRM C kA V,-0 )
MAILING ADDRESS
,Z/ 10 5- M A'I 1\.J
le �D /VI o -.,v _-Z) ,-
BUSINESS ADDRESS
OWNERS NAME
LICENSE NO.
ANNUALFEE AFTER FEB. 15
$15.00 $ 22.50
-V 1,6
.1 1
- I 1 1. . I
I I I I
E] (B) BUSINESSWITH $20.00 $ 30.00
1 TO 3 EMPLOYEES
RECEIPT
NO.
DATE PAID
C),
PRINT'X
IN SPEC BOX
E] (c) BUSINESSWITH $22.00 $ 33.00
0,6
FOR ISSUE
OF
4 TO 9 EMPLOYEES
FEE PAID
RENALTY PAID
CORRECTED
0 (D) BUSINESSWITH10 $75.00 $112.50
LZI 0:01
LICENSE WITH
'LC'AC110N.
OR MORE EMPLOYEES
1 1
NEW APPLICATION (LA)
10 RENEWAL (LB)
0 CHANGE (LC)
(PLEASE MAKE ANY NECESSARY CHANGES) 0 DELETE (LD)
BUSINESS PHONE
NO. OF EMPLOYEES
276' k6 '76
-7— k\,l 0
/0/_0 77Ct-o
NATURE OF BUSINESS
F 0 !;)L 0 1 K C- P, -Y
INDIVIDUAL PARTNERSHIP CORPORATION
r_15��q (S) = (P) = (C)
C L A o -1>6
HOMEPHONE DATE OF BIRTH
7 -7 z/ - f7 e> �L — / / — Z70
EMERGENCY NOTIFICATION (1) NAME& TELEPHONE
(PLEASE LIST TWO) (2) NAME & TELEPHONE
WASHINGTON STATE TAX NO.
HOME ADDRESS
1,7 vz��S- PV, k/1q �,?,006
PLACE OF BIRTH ISOCIAL SECURITY NUMBER
/L- R19 /VC(e- -7
--yAccoc-S F-Aop��
APPLICANT'S SIGNATUR
DO NOT WRITE BELOW THIS LINE 1�1�
STAFF REVIEW: FILL IN LAND USE CODE, UFIR NUMBERS, ZONING, ETC. CHECK APPROVAL OR DISAPPROVAL, DATE, AND
SIGN. IF DISAPPROVAL, PLEASE COMPLETE "COMMENT" SECTION. ROUTE TO NEXT DEPARTMENT ON LIST.
PLANNING DEPARTMENT DATE LAND USE CODE ZONING CODE
FC-1 APPROVE 0 DISAPPROVE
SIGNATURE
1810 1
CONDITIONAL USE PERMIT
COMMENTS F-T-71 ED
BUILDING DEPARTMENT DATE H 16-
Ce-'APPROVE 0 DISAPPROVE SIGNATURE-4!
COMMENTS:
CAPACITY: (NO. UNITS, APTS. OFFICES, SEATS, BEDS, STUDENTS)
FIRE DEPARTMENT DATE
5e APPROVE EJ DISAPPROVE SIGNATURE
COMMENTS:
PO DEPARTMENT LlLkl
[!�' �APPROVE El DISAPPROVE DATE SIGNATURE
COMMENTS:
PUBLIC WORKS DEPARTMENT
0 APPROVE 0 DISAPPROVE DATE
- , f- SIGNATURE
Building
Permit
0
Hotel/Motel
(L)
11��
0
0
Apt. Bldg.
Office Bldg.
(A)
(0)
Occupancy
0
Restaurant
(R)
Group
0
Hosp/Nurs Home
(H)
—
0
School
(S)
Ion MR-1
COMMENTS:
PLEASE RETURN TO CITY CLERK
STREET RLE, _-0
CHTY OP EMMOLNUEDE' - z ) HARVE H. HARRISON
200 DAYTON ST. - EDMONDS, WASHINGTON 98020 - (206) 775 25'21:1 MAYOR
DEPARTMENT OF PUBLIC WORKS
March 16, 1981
Dear Resident:
On February 17, 1981, the Edmonds City Council passed
Resolution 488 for construction, reconstruction and repair
of deteriorated sidewalks. A public hearing will be held
in the Council Chambers at the'Civic Center on April 21,1981
at 7:30 P.M. You are invited to attend this hearing for_
discussing p� F , p f P 0 r t i o . s . o d e t,e, r 1 o r 6 t 6 i
abutting you�-property, * ''�-"Thdimpr,6v6m--0'ht of siaewalks in
need of repair at the expense of the abutting propertv
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 proT)erty. Reconstruction� and
repair of these sidewalks must be conipleted on or bef'ore
September 1, 1981. In the event improvements are not
completed within the above specified tilne, the City will
perform and complete the improvements, at the expense of 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.
Sincerely,
FRED F. HERZBCRG i
Director of', Public Works
�c LTY 0
CITY of EDMONDS BUSI I LICENSE APPLICATION DATE LICENSE NO.
1A,
j - -- 9ton 98020
Civic Center - Edmonds, Washin ton 9802
City Clerk Phone 775-2525
CLASSIYEAR
INSTRUCTIONS:
=
All items must be completed
or application will not be ac-
RECEIPT NC
cepted.
I I I
Sign and return application
FEE PAID
with fee. Renewals received
I
I I I
after February 15 must pay
penalty in addition to fee.
NEW BUSINESSES AFTER
%T R — __ _1 I ANNUAL FEES PENALTY AFTER FEB. 15
. _�t � "' �A �
L t i 1— 00 ET' -HOME OCCUPATION
:FFEC.UAIL REASG.1-IC.NO.ISPEC.1 $10.00
1 1 1 1 1 1 1 / SMALL BUSINESS (A) ADDITIONAL $5.00 0
DATE PAID PRINT 'X' A— $15.00 (B) ADDITIONAL $7.50 0
IN SPEC. BOX
FOR ISSUE OF 0 Business with 10 or
PENALTY PAID CORRECTED more employees ADDITIONAL $25.00 0
1 LICENSE WITH (C)
'LC' ACTION. $50.00, �
[I\ NEW APPLICATION (LA)
0 RENEWAL (LB)
0 CHANGE (LC)
JULY 31, 1/2 FEE. (PLEASE MAKE ANY NECESSARY CHANGES) 0 DELETE (LD)
NAME OF FIRM BUSINESS PHONE NO. OF EMPLOYEES
a A 11AJ -:"Iee T IMI-5 / C__
MAILING ADDRESS NATURE OF BUSINESS
'9S A) EdM&Y� I
BUSINESS ADDRESS INDIVIDUAL PARTNERSHIP CORPORATION
41�)S_ = (S) (P) (C)
OWN�RS NAME HOME ADDRESS
IS 10 -2 C) 0 -a. A ue. W jjy-,, y\,�S L�8
HOMr�HONE DATE ?24�H PLACE OF BIRTH SOCIAL. SECURI[TY NUMBER
-2,5-- ) Ll 9.), /48 6, V_ �K%_j &-� . A LAS I e A ��ZS- — 41E - ;2 741��
EMERGENCY NOTIFICATION: (1) NAME & TELEPHONEV -J ' - -T:zw -77
(PLEASE LIST TWO) (2) NAME & TELEPHONE b,*LMs,4
WASHINGTON STATE TAX NO. APPLICANT'S SIGNATURE
STAFF REVIEW: -
DO NOT WRITE BELOW THIS LINE
FILL IN LAND USE CODE, LIFIR NUMBERS, ZONING, ETC. CHECK APPROVAL OR
DISAPPROVAL, DATE, AND SIGN. IF DISAPPROVAL, PLEASE COMPLETE "COMMENT"
SECTION. ROUTE TO NEXT DEPARTMENT ON LIST.
PLANNING DEPARTMENT DATE L ND USE CODE ZONING CODE
APPROVE 0 DISAPPROVE SIGNATURE 1910-1 F]
CONDITIONAL USE PERMIT
COMMENTS
BUILDING DEPARTMENT DATE 1z, Igo Buildi
3-1�PPROVE El DISAPPROVE 99 0 Hotel/Motel (L)
SIGNATURE- 'Qop:lcl� Permit 0 Apt. Bldg. (A)
M 0 Office Bldg. (0)
COMMENTS: Occupancy 0 Restaurant (R)
Group 0 Hosp/Nurs Home (H)
CAPACITY: (NO. UNITS, APTS., OFFICES, SEATS, BEDS, STUDENTS) 11 School (S)
FIRE DEPARTME * NT DATE 017-90 U. F. 1. R.
04,APPROVE 0 DISAPPROVE SIGNATURE eja^. — -1
Aill/ I ZI 0171
COMMENTS:
POY-ICE DEPARTMENT __1
F1 APPROVE 0 DISAPPROVE DATE _IZZV_�Ll SIGNATURE
COMMENTS:
PUBLIC WORKS DEPARTMENT
0 APPROVE El DISAPPROVE DATE 0 A'L SIGNATURE
COMMENTS:
PLEASE RETURN TO CITY CLERK
2.4 Sq Ft
25" Sintra trim lines, Pointed Burgundy
T
U?
04 C14 5trom H. reter5on, Ckee5emonger
Side Mew 19.3 In
Top Down View
ilk
4 - .1 11 � ,
J
.063 Alumin
3M Dark Burgundy 7 LaminIECEIVED
El 3M Antique White APPROli Aluminum Frame JUN - 6 2005
Sign is 1 " thick custom welded Aluminum Framing with Sintra and .063 Aluminum Lanninat BY PLAN�ING
Coated with Enamel based paint to match the listed 3M vinyl colors V�o
PERMIT COUNTER
Sign
3
3
is
M
M
1
D
A
C
n
t
Coated
Customer approves: ClColois OSpelling DMaterials ElLocaflon_ Proofs are property of Russell Sign Company and may not be reproduced In anyway without Customer cheeemonge, Artisan Cheeses
kNotes:7 consent from Russell Sign Company. Ali Proofs are for presentation and client approval only. Address: 405 Main St., Edmonds, WA 98020
10 Artwork and designs are subject to a design fee. Contact: , Strom H. Peterson, Cheesemonger
RUSSELL
C C t royc
lient Approval: Date: 5121 208th St SW Ste. 5 Lynnwood, WA 98036 425.775.7010 Fax 425,673.5508 Sales: D, Russell Designer: Russell
lie pip
La dio ppr4
Landlord Approval: Date: Date: 6/06/05 Revision: I Scale:
C
C
C
7C
C
a
-C
Note:
Client has 11. 5' Lineal Feet of Storefront
istornerapproves: ElColors E]Spefflng ElMaterials aocation
Notes:
Client Approval: Date:
Landlord Approval: Date:
0
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C
P-
0-0
C
CO
CD
E
9
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-2 0
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�Vw
(-U-i
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10
Yu.
11-101i 9.101S
REC I ED
JUN 716 .15
Prooft are property of Russell Sign Company and may not be reproduced In anyway without Customer: Cheesemonger Artisan Cheeses
consent from Russell Sign Company. All Proofs are for presentation and client approval only. Address: 405 Main St., Edmonds, WA 98020
10 Artwork and designs are subject to a design fee.
IKWbSFJLL Contact: Strom H, Peterson, Cheesemonger
0 21 208th St SW Ste. 5 Lynnwood, WA 98036 425.7 75.7010 Fax 425,673.5508 Sales: D. Russell Designer: Russell
I Date: 6/06/05 1 Revision:
1:16
?
4.4 Sq Ft tbtal
Door
e White Vinyl
&eff W41?�-
-,�,Ar�i�t-4(3ccscs 5pecialtq Foods
C?
M—J.3 - W,Jn,sda.9, ric6_q
I 1 00 am to 7--00 Pm
Tb-69
I 100.. to &00 P.
L
1 25.0"
Overhead Map Detail
No
RECEIVED
J
JUN - 6 2W5
Note:
Note.
Clien�t has 11. 5' Lineal Feet of Storefront
PERMIT COUNTER
a 1
Customer appr6ves: OColors OSpelling DIVIatedals bLocation
Proofs are property of Russell Sign Company and may not be reproduced In anyway without
consent from Russell Sign Compariy� All Proofs are for presentation and client approval only.
Artwork and designs are subject to a design fee.
FAMSEWIL
*16111a" V."
5121 208th St SW Ste. 5 Lynnwood, WA 98036 425.775,7010 Fax 425.673.5508
Customer Cheesemonger Artisan Cheeses
N 0
otes:
Address: 405 Main St., Edmonds, WA 98020
Contact: Strom H, Peterson, Cheesernonger
lient Approval: Date:
C Cil t pprovc
Sales: D. RLissell Designer: Russell
Landlord Approval:' Date:
Date: 6/06/05 1 Revision:
I Scale: 1: 16
a r
!/�X/MRAQ3
IT AUMBF.
PFERM
7c du.LL-
1'.. 0
SToc FILE
nL.ET
RECEIVED
JUN
PERMIT COUNTER
0
I0