611 EDMONDS WAY.PDF11111111111111
13930
611 EDMONDS WAY
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STREET USE PERMIT APPLICATION
Date Received 6-1-7-V
Date Issued (,-17- /
Permit No. 91 - 'Q
Name of Applicant or Business: SERVICE CLUBS OF EDMONDS
Mailing Address: BOX 178, EDMONDS,WA —Telephone No: 778-3189or
6// 774-6667
Address of Public Use:- 6=24 EDMONDS WAY
1. DESCRIBE THE PUBLIC PLACE OR PORTION OF PUBLIC PLACE TO BE UTILIZED:
Planter island iust south of 620 Edmonds Way
Attach an appropriate plot plan or elevation view.
2. SPECIFY THE TYPE OF USE DESIRED:
Display ioint service club
3. SPECIFY LENGTH OF TIME FOR USE Indefinite
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
City of Edmonds from all claims 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 therefore are subject to the terms of that Chapter.
7 A plicant-Signature Date
I? f S' OF 0 A11.0 C
Page 6 of 8
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Street Use Permit Application
Page Two
SIGNATURE OF APPROVAL FROM ABUTTING PROPERTY OWNERS
None
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
/ro /fVA
City Council Approval Date ADB Approval Date Jrellr /-P
Certificate Of Insurance Posted PVAII�d Bond Required 4/&
SIGNATURES OF PERMIT APPROVAL FOR ISSUANCE
Fire Department
Police Department
Engineering Dept
Building Official
Public Works
REMARKS/COMMENTS:
Date
Date
Date 45�
Date,//
Date
PERMIT NO. DATE OF ISSUANCE 4 -/7-f.Z
RELEASED By RECEIPT NO. r—e'E7- x
BUILDING PERMIT NO. U1111VeD
Page 7 of 8
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CITY OF EDMONDS LARRY S. NAUGHTEN
250 - 5TH AVE. N. - EDMONDS, WA 98020 - (206) 771-3202 MAYOR
COMMUNITY SERVICES: PETER E. HAHN
Public Works * Planning * Parks and Recreation 9 Engineering DIRECTOR
1 890 . 194
January 15, 1992
Service Clubs of Edmonds
Box 178
Edmonds, WA 98020
RE: Street Use Permit 91-2
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 feesi
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,
Nf �' Q5. -y(66t--'
Sharon F. Nolan
Permit Coordinator
0 STREETLT/TXTDOS62
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e Incorporated August 11, 1890 0
Sister Cities International — Hekinan, Japan
CITY OF EDMONDS
250 - 5TH AVE. N. - EDMONDS, WA 98020 - (206) 771-0220 -FAX (206) 771-0221
COMMUNITY SERVICES DEPARTMENT
Public Works e Planning a Parks and Recreation e Engineering
890 - ()-)
Detember 28, 1992
Service Clubs of Edmonds
Box 178
Edmonds, WA 98020
RE: Street Use Permit 91-2
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
01 /0,00
d / 9 �1_z
STREETLT/TXTDOS62
9 Incorporated AuSust 11, 1890 e
Sister Cities International — Hekinan. Janan