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413 BELL ST.PDF1111111111 lill 10234 413 BELL ST 0 TAX ACCOUNT/PARCEL NUMBER:-0-0±�Lab'QMD W- BUILDING PERMIT (NEW STRUCTURE COVENANTS (RECORDED) FOR: CRITICAL AREAS:,/ DISCRETIONARY PERMIT #'S:- DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: 0 bAt, SEWER LID FEE $: DETERMINATION: E] Conditional Waiver Ej Study Required F] Waiver SHORT PLAT FILE: LOT: SIDE SEWER AS BUILT DATEDAYAQ4 1q SIDE SEWER PERMIT(S) #: GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: DiZ FOR: &" - WATER METER TAP CARD DATED: LID #: BLOCK: LATEMP\DS'Ps\FomLs\Street File Checklist.doc APPLICATION for The City of Edmonds SIODE SEWER PER-NaT EASEMENT No . .......................................... NEW CONSTRUCTION E] REPAIRS 0 114-02200 OWNER ........... Pr.. C. R. Goodhope ........................................................................................... CONTRACTOR .................................................................................................. PERMIT No . ...................... ADDRESS ....... 4.1.3 ... E�.ell ... 2t ... ........................ .................................... LEGAL DESCRIPTION: LOT No . .............................................. BL()CK No . ............................................ NAMEOF ADDITION ......................................................................................................................................... 4j E Dye Tested On Sewer 1972 Approved: DATE................................................ By ...................................................................... 40 CITY OF EDMONDS, PLANNING DEPART11ENT 505 BELL STPEET EDMONDS, WA .98020 775-2525 APPLICATION FOR -STREET USE PERMIT Name of Applicant: Mailing Address: Telephone Number:__7-2/ Date: -;7 — 301—a'2_ Description of Public Place or Portion thereof desired to be used: (exhibit may be attached) C_ Type of Use desired to be made of Public -Place: If applicable, attach plans and specifications for any utility or structure to be erected and/or maintained on the Public Place: TEMPORARY PERMIT: Unless otherwise designated herein, this permit is understood by applicant to be wholly of a temporary nature, that it vests no permanent right whatsoever. If the permitted use becomes dangerous or such structure shall become insecure or unsafe, or shall not be constructed, maintained or used in accordance with the provisions of this title, -the same may be revoked and the structure and obstructions ordered removed by order of the City Engineer. If this application is for a specified period of time, the terms of said application is:—__MoA) INDEMNITY: Applicant understands and by his signature -to this application, agrees to hold the-TiFt—yof Edmonds harmless from any injuries, damages or claims of any kind or descrip- tion whatsoever, foreseen or unforeseen, that may be made against the applicant or the Ci �Y­7 of Edmonds, or any of its departments or employees, including but not limited to the defe!!�,e of any legal proceedings including defense costs, court costs, and attorne fees by reason'.. y of granting this permit. In addition, appl'icant understands that the City shall.be provided a certificate of insurance to indemnify and hold the City of Edmonds harmless from all claims and/or property damage, naming the City of Edmonds as an also insured. APPLICATION OF CHAPTER 6.40 OF THE EDMONDS CITY CODE: Applicant warrants that he has read, or had the opportunity to read, Chapter 6 40 of dmonds City Code, attached herewith, and understands that all terms of that Or�inance are incorporated herein.as if set forth in full and this application and permit therefore are subject to th'e term's of that Chapter of the Edmonds City Code. 11/7/74 rev. Da te City Of Ed-monds Pl annARDepartment APPLICATION FOR �TREET USE PERMI.T -- Page 2 Approval (and Agreement, if applicable) DO NOT WRITE BELOW THIS LINE (To be completed by Issuing Agency) City Council Approval (Attach Minute Entry): Permit Fee:6S.Q0 Annual Fee: due January 1, 19 Amenities Design Board Approval (if applicable) Attach Minute Entry: Building Official Approval (if applicable): Signature Date Provision for Indemnity:__,-zaQ A-) Terms and Provision of Performance Bond, if applicable: (Reference 6.40.050 of applicable Ordinance) PERMIT AUTHORIZATION BY (��S i �gn a t u �re Date PERMIT NO. DATE Remarks: 11/7/74 rev. 0 0 CERTIFICATE OF INSURANCE 0 This is to certify that [2 STATE FARM FIRE AND CASUALTY COMPANY, Bloomington, Illinois F] STATE FARM GENERAL INSURANCE COMPANY, Bloomington, Illinois tin force for Blue Print Hnmps InC % Doug Herman Name of Policyholder 23106 100th Ave West Edmonds, WA 98020 Address of Policyholder. I WURK11 111-41111,111114 1111"916111 all Ice 0705_B0MdR". S.E. -Everetu Vvd=gb'-jM--- , ul3zvr+ location of operations Same Oft 206-337-48W I cr745-2965 fts: 2001IM66Z the following coverages for the periods and limits indicated below. POLICY NUMBER TYPE OF INSURANCE POLICY PERIOD LIMITS OF LIABILITY (eff./exp.) 98 62 1377 9 Comprehensive 3-8-82 to Dual Limits for: BODILY INJURY General Liability Q 2 *N Manufacturers' and Each Occurrence &�Sb!z , wt�'Z) Contractors' Liability Aggregate The above insurance includes (applicable if indicated by Z I Owners', Landlords'and Tenants' Liability I I 2 PRODUCTS - COMPLETED OPERATIONS PROPERTY DAMAGE Irs !) Each Occurrence $ Z) r.-S Aggregate* $ FXIOWNERS'OR CONTRACTORS' PROTECTIVE LIABILITY Combined Single Limit for: BODILY INJURY AND PROPERTY DAMAGE Lj CONTRACTUAL LIABILITY POLICY NUMBER TYPE OF INSURANCE POLICY PERIOD I (eff./exp.) watercra Liability F-1 Each Occurrence $ Aggregate $ CONTRACTUAL LIABILITY LIMITS (If different than above) Each Occurrence $ Each Occurrence $ Aggregate $ BODILY INJURY PROPERTY DAMAGE Workmen's Compensation Coverage A STATUTORY 0 Coverage � -Employer's Coverage B $ Coveracte E I � I *Aggregate notapplicable ifOwners', Landlords' and Tenants' Liability Insurance excludes structural alterations, newconstruction or demolition. THIS CERTIFICATE OF INSURANCE NEITHER AFFIRMATIVELY NOR NEGATIVELY AMENDS, EXTENDS OR ALTERS THE COVERAGE AFFORDED BY ANY POLICY DESCRIBED HEREIN. *SHOULD THE ABOVE DESCRIBED POLICY BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL MAIL A 30 DAYS WRITTEN NOTICE TO THE CITY OF EDMONDS BY CERTIFIED MAIL. IT IS UNDERSTOOD AND AGREED THAT THE CITY OF EDMONDS IS NAMED AS AN ADDITIONAL INSURED AND HELD HARMLESS FROM ALL CLAIMS AND OR PROPERTY DAMAGE AS PERTAINS TO 'THE NAMED PERMIT. NAME AND ADDRESS OF PARTY TO WHOM CERTIFICATE IS ISSUED CITY OF EDMONDS July 30, 19 Date Ed Signature of Autho4rea-kepresentativ"tr Agent Title F6-994.4 I - '�r Z 1i U 0 U 0 Z 0 0 CITY OF EDMONDS PUBLIC WORKS DEPARTMENT RIGHT - OF - WAY CONSTRUCTION PERMIT A. *Address or vicinity of Construction Owner: _taA Q_r_� A\.1 Name 141 Mailing Address 'F A \,VVNn V\) b <� V�,_.) ILA city, State, Zip Code Contractor: Name ?no� en vw�,� Mailing Address L IJ M V WO D 0 9 City, State, Zip Code PS No. 2,2 Issue Date 0 Permit Issued To:- ��, N__) • Type of Work to be Done-D!al —&)C 0 QJ �AJ _ � I\J -,, -VAL L, C-, �_CCT (2 k c- Q c: • Work in Connection With: [I Sub or Plat 1:1 Single Fam, iy ,_�,,&:`Comml. / Ind. 11 Apt. Condo. 0 Pavement Cut: El Yes _:�_�N 0 State License Number -7 L4 —7,117 Telephone Number . * * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE AN B. APPLICANT TO READ AND SIGN INDEMITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harm from any injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds, or any of it's departments or employees, including or not limited to the defense of any legal proceedings including defense, costs, court costs, and attorney fees by reason of granting this permit. Upon issuance of this permit, the contractor is responsible for workmanship and materials for a period of one year following the final inspection and acceptance of the restoration by the Engineering Division. Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed, at which time a debit or credit will be processed for issuance to the applicant. Work is to be inspected. Restoration to be in accordance with City Code. Traffic Control to be in accordance with Traffic Section of City Code. Street to be kept clean at all times. A 24 - hour, notice is required for inspection by Engineering. Call 775-2525, extension 220. I understand that this permit must be available at the job site for i—nspcction purposes at all times. irispc� -87 Signature: 1\1�, t N h AN f-,IL A �L- Date Owner or Agent THIS PERMIT MUST BE POSTED AT THE JOB SIT FOR INSPECTION PURPOSES CALL DIAL - DIG PRIOR TO BEGINNING WORK C. Issued By: Time Authorized: Vold after —days Special Conditions: Ammendments: 72- n Permit Fee: Security Deposit: Receipt No.: . Fund 111 Fee:, Street Cut Dimensions X - NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div. December 1978 � -_6 119 , FIELD INSPECTIOSOTES (Fund 111 -&-ute cony to Street T)6pt.) Comments: Diagram: Contractor called for inspection- Yes NO I a ;P ,A7ork Disapproved By: T) t Bv: Date: Work Aporoved Bv: Date: Inspector: Encr. Div. December 19' -WDS OLYMPICANC. LYNNWOOD OFFICE �SF TnE OFFICE:.:';"' P.O. Box ISO A OPERATING ECHS PAVING -:3400 S WAY N _LYNNYVOOD, WA 98036 TONE OASPHALT.PAV SEATTLE, I 778-31.24. HEATING OILS. ING W ­,.632 -0450..1.1 HEATING & AIR CONDITIONING,: �7, AED #1 E-S OLMOIC MVM PROPOSAL SUBMIT`Tj56R,, Herman P"ONE -:_774* 83ag DATI 3:juy� STREET ADDAESS: ==Beim& J013 LOCATION 413 SOLLI'Street CITY. STATE. ZJP FFL WE -EA K11jeR_ IYNg g- qs Pg& r j 70, 04D _210 RnSCO LIJ 27'X66 T, _13 f- 41 c /f,5 u co. Q A) O�vt ifl, G 7 1 O.Aj 4 AJ 0 j 6- ALL PRICES PLUS TAX PAYMENT DUE 15 DAYS FOLLOWING EMENT DATE A late payment charge may be made on any past due balance. which the law calls a "FINANCE CHARGE:' and it is computed at a monthly rate of 1 % (ANNUAL PERCENTAGE RATE OF TWELVE PERCENT). It Is agreed that in case suit is Instituted to collect amount due on this contract or any portion there of, reason,- able attorneys fees and court costs maybe added to this contract. AUTHORIZE SIGNATUREI`a��� THIS PROPOSAL MAY BE WITHDRAWN BY US IF NOT ACCEPTED WITHIN 30 DAYS Permits, If required, will be the ownees responsibility. We sha)l not be liable for damage to or breakage of septic tanks, underground pipes, andor conduits not visible from the surface of the ground now forany damage to approaches (including sidewalks) from the street to the property line. v'.,e cannot be responsible for sub grade failures or settling of subgrade material which was not Installed under the above agreement. Soil sterilization tweed killerl. If Included in contract, will be applied at rates specified by manufacturer, Olds Olympic Inc. will not be responsible for any subse- quent grOwth3 of horsetail weed, morning glory, deep rooted ferns, or perennials, which have not reached maturity prior.to application. All material Is guaranteed as specified. All work to be completed In a workmanOike manner according to standard practices. - .4 Olds Olympic Inc. accepts no responsibility for any work other than that speclfi�allj described above. Any additions 10 of alterations of the above VAA7Will De executed only upon written orders and may become an additional charge. All agreements are contingent on strikes, accidents, delays of carriers, and other delays unavoidable or beyond our control. ACCEPTANCE —YOUR SIGNATURE ON ONE COPY, RETURNED TO US; WILL MAKE THIS A LEGAL CONTRACT PEND114G ACCEPTABLE CREDIT APPROVAL. ACCEPTANCE BY DATE . SS372 413' 6,r- L L s -r, Oe5 lvr-) I-&,15W 9 s 7�021V L7 /V4,6- E, 51119-0 7- 1 7/7 1 IV� 0 CITY OF EDMONDS APPLICATION to the ARCHITECTURAL DESIGN BOARD DATE �`Z�-F I L E # Ab C7) - SITE PLAN BUILD ING PLANS (3): ELEVATIONS LANDSCAPE PLAN ENVIRONMENTAL DATA RECEIPT # SIGN EXHIBITS' FEE --RECPT # PLAN MODIFICATIONS TO I FILE NUMBER: HEARING DATE_ mn 01%r,N ER /REPR ES ENTAT IV E 25-FU--VE7 PHONE 77(,,-T1t1 ADDRESS— �il-3 O�Fz-L- ZIP CODE-9�-OZG ARCHITECT/DESIGNER 1D ra,5 i ci-r,) Co ta , u L� r/n., rz-r PHONE 3 li -7- If. PROPERTY ADDRESS �11-3 r3e7L-L- -5T- -ZONING-CoAjo-4 LEGAL DESCRIPTION &-r (2,7 ' 0 L-c)*T- 1 73 Lie- -Z 1-7 L- p�r o ;= =--T7 M C) N T7 S PLANS SUBMITTED FOR APPROVAL: 1. Building Plans.- Preliminary Final Site Plan 1,� Landscape Plan Sign Elevations Site Plan 3. Modification of previous approval Landscape Plan EXISTING USE OF PROPERTY -P A " C, tz-:- 5 T-L) 12 1 0 DESCRIPTION OF PROPOSAL 70 /,-T�--7 Xx SEFerrju Tn-,-0c)-1Z nr� APPROXIMATE DATE WORK WILL BEGIN ON PROJECT 5--1 - Y2- ESTIMATED TIME FOR COMPLETION OF WORK .3 RELEASE/HOLD HARMLESS AGREEMENT: The undersigned applicant, hi consideration for the City processing the application agrees to hold the City of Edmonds harmless from any and all damages and/c including reasonable attorneys; fees, arising from any action or such action or inaction is based in whole or in part upon false, information furnished by the applicant, his agents or employees. PERMISSION TO ENTER SUBJECT PROPERTY: The mission for public officials and the staff property for the purpose of inspection and Elevations W--- s heirs and assigns, in release, indemnify, defend and r claims for damages, inaction of the City whenever misleading or incomplete undersigned applicant grants his, her or its per - of the City of Edmonds to enter the subject posting attendant to this application. (Signature of'Applicant) IL DATEJ11111h6l -.8 6 FILE # CITY OF APPLICATIQ", to the -5"' ARCHITECTURAL DESIGN BOARD 'Row -ow SITE PLAN BUILDING PLANS (3): ELEVATIONS LANDSCAPE PLAN ENVIRONMENTAL DATA Receipt # SIGN EXHIBITS (3) PLAN MODIFICATIONS TO FILE NUMBER: HEARING DATE 01,TNER/REPRESENTATIVE f3ARCLAO --SO ELTOO VALICE, C-0JT-1=,i?- PHONE '-7-7 (0 e I I I ADDRESS �4i-3 E:-DM,-o - -Oe-,,- LUA ZIP CODE C16020 CONTACT PERSON S -i F- V E7 Of LEA "j G 0 uvo �j PHONE lcl-7E3 ADDRESS -7 7 1 G- L- A4 L� tA-) EDMOODS .1 WA. ZIP CODE .ARCHITECT/DESIGNER 'GA (\A G PHONE PROPERTY ADDRESS ZONING )6 1 12/78 LEGAL DESCRIPTION PLAN'S SUBMITTED FOR APPROVAL: 1. Building Plans Preliminary Final - Site Plan Landscape Plan ElevatiqA. 2. Sign Elevations X, Site Plan _Z Landscape Plan 3. Modification of previous approval EXISTING USE OF PROP ERT-,-,...C-IA Ai S DESCRIPTION OF PROPOSAL- iW.STA-LL, 6160 0k) SUILDIIJ& APPROXIMATE DATE U'ORK WILL *iiEC'1(*N ON 11ROJECT WPOM APPP-OVAL, OF G16kj ESTIMATED TIME FOR ("'OMPLETION OF U'0Rh.-00G vAj I (we) hereby Lertify to the best of iny (our) knowledge, that the statements and information contained berein are, in all respects, true and correct. k -15"Moil" ; , " '. MWIS gp CONS A i6 mg. Ed .......... FILO*PY .,October 28, 1980 NFMO TO: Architectural'Design.Board FROM: Engineering Division SUBJECT: COMMENTS FOR NOVEMBER. 1980 A. D.B. MEETING The Engineering Division has the following comments on the hearings I to come before the Architectural Design Board: CONSENT AGENDA�i.. 17. ADB-76-80 'SUSAN'ARBURY Review of signs for child care 'center at,'. 78Q2.196 t. S. 11. Engineering has no objections to this item. ADB-78-80 'BARCLAY-SHELTON-DANCE-CENTER-,- Review of sign's for dan�"ce" center atf413 Bell StreeE__ Engineering has no comment on this item. ADB-69-80 ATLANTIC RICHFIELD - Review of monument sign and land- scaping for exist—ing ARCO station at 202 5th Ave. S. A Street Use Permit is required for this sign. ADB-84-80 GREATER SEATTLE INVESTMENT - Review of existing signs for (1) "The Town Shop" at 4 Main Street and (2) "The Scan- dinavian Shop" at 402 Main Street Street Use Permits are required for both of the signs. ADB-71-80 R. L. HALE - Review of site landscape plan for -triplex at 528 Dayton Street. Engineering has no further requirements for this project than those assigned at the October 8, 1980 A.D.-B. Meeting. AGENDA.- ADB-79-'80 JAMES DOBRICK - Review of site, landscaping, elevations and signs or eight unit apartment at 7420 208th St. S.W. This applicant should be made aware of the following re- �o 3 7'-0 7 91- T7 v)--,- 0 3 1-1 r-Lb Y fs�m- V,4, rz 141 �j c,.- mo VA�C-G'lzp IL LU 0 uj 0 \9 0 3 -v Is! I T-0 m! R A. rL V. I 2 LL, P6)4 P^, V l'-1 C,- , INC W ',e. 7. 0 D C I TY S 1 0 e LQ A, H 12) 73 F I- L �-:) T S) T E P L /-\ NJ LE-G�/N,L IDI!SC' -rHE- WE-STG7*ZLY e.7.0' OF- LO-r j, r3LK 2, rLAT' OF /A,'S rZr='C0TZlDIFV IQ VOL I OF- FLk,:� PNG,57 ;Z4- k :27, TZEC-OrZ105 oF� 5N-�c�pHo") 51.1 c-oU"TY, WA-514, CITY OF Elomc>t-zv:�� GrEK)EfjAL �JQTE5 'ZOOWC), COMrIIERCIAL C0K)$rRUCTl0Q TYPE7 7%r 2 HOUR QoRTW wssr E-xr, i 1-40UR RE7MA)IJoErZ FIRE ZOK)E' OCCUPPIN)CY1. 5COPE ; TO A010 A P-LOOM TO Al-� STUIOVO CO TO E7 1. 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