607 7TH AVE NIIIIIIIIIIIIII
14740
607 7TH AVE N
1 890 - 199
FILE
CITY OF EDMONDS
250 - 5TH AVE. N. - EDMONDS, WA 98020 - (206) 771-0220 - FAX (206) 771-0221
COMMUNITY SERVICES DEPARTMENT
Public Works 9 Planning * Parks and Recreation e Engineering
April 18, 1994
Eileen Niven
Holy Rosary Parish
P.O. Box 206
Edmonds, WA 98020
Dear Ms. Niven:
0 7 V,
LAURA M. HALL
MAYOR
I have reviewed your account and will allow a credit for the billing
period -of 1-19-94 and 2-17-94 to your account in accordance with bur
City policy. The policy states that the customer will be billed at the
retail rate based upon the average water consumption for the same
period during the previous year. In addition, the excess water lost
from the leak will be. -billed to customer at the City's wholesale rate
with a 15% sut-charge.added for administrative cost. Only one leak
credit will be granted in any three year period.
Should you have any additional questions after you receive your new
billing, please contact Ilene Larson, Utility Billing Clerk.
Sincerely,
6�
aA�
Ron
Holland
Water/Sewer Supervisor
RH/l k
cc: Ilene Larson
Utility Billing Clerk
LEAKCRED/TXTWATER
a Incoi-poroled August 11, 1890 0
Sister Cities International — Hekinan, Japan
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STREET USE PERMIT APPLICA
NANE OF APPLICANT:
NANIE OF BUSINESS: .
NIAMING ADDRESS:— 22.02- M4 AVF,. S-5-- MWIZPF, WA 9e292-
CONTACT PERSON AND PHONE NUMBER: FEA ��Ka)ac-A�� .44z- -)41-5
ADDRESS OF PUBLIC USE: -)4, hit; W
Describe the public place or portion of public space to be utilized:
SNM L,*Lt� 4. PAF�AUAL PAgY-N�� W� -A 4 !�toj
:SWW-� kw fRDWT OF W MgKsmv- CAN 1-1-OS '
Specify �he type of. use
Specify the length of time for use: S yJ uk-(
NOTE: The issuance ofthis permit is understood by the applicant to
granted
- q I 1'ZJq? &*,-r otn 0"I"I",
and that no vested right is
-1A1DEA1fN1YY.- T-k- applicant understands and by hislher signature to this application, agrees to hold the City ofEdmonds
harmlessfrom(yu, -uries, adamages or claims of any kind or description whatsoever, foreseen or unforeseen, that may
be made againsta licant or the City ofEdmonds, or any of its departments or employees, including but not limited
1:
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to the defense or a roceedings including defense costs, court costs, and attorneyfees by reason ofgranting this
permit. In addition, th ation understands that the City shall be provided a Certificate of.Insurance to indemnity
arm I f
and hold h less the Ci o 4 ondsfrom all claims andlor property damage, and naming the City ofEdmonds as an
additional insured W.
�41
$14
CODE APPLIC,4 TION.- By signing the application below the applicant warrants that s1he has read or had the
opportunity to read Chapter 18 of the Edmonds Community Development Code and s1he understands that all terms of the
adopted ordinance are incorporated herein as if setforth in full and this application and permits therefore are subject to
the terms of that Chapter.
SIGNATURE DATE
STRUSEHO.DOCJLG/2-95
'I%
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SIGNATURE APPROVAL FROM ABUTTING PROPERTY OWNERS
-S'�Wt'h�� Ap
pl f4he streetu�e,,proposatdirectly impact.s.Any. Adjacent business or private property
owner t icant must obtain written approval from the -affected parties. This requirement is
evalilalkd City Staff after the initial submittal of the application..
re Address
Signattfre.
—Address
Signature .I ..' . 11 - 1. 1 1 1—
J I. Addre
Signature Address
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DONOTWRITE,BELO)V.TFUS.LINE-I-FOR,,CITY SEONLY
Planning Division Review: ADB#
Pu6licW,o'rkske'v'ieW:"',
Fire Department Review: Approved By,
Police D�partment Review: - Approved By
INN
Permit Coordinator Review: Certificate of Insurance Verified
Date
,5'
Engineering Division Review: Bond Required Amount $
Approved El�y�,/ Dated 20:;i�,9;)
Remarks or Comments:
PERMIT# DATE OF ISSUANCE_
RELEASEDBY RECEIPT
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PRODUCER 'WRR46 - I *
TRIIS C ICATE IS ISSLIFIDAS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Redding Insurance arculp xna HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
15935 NE Sth St #B-201 AITIERn -------FFOFIDEDDYTHr;FOLICIIFSBI!LOW,
Bellevue VA 98008-3918 COMPANIES AFPoRDINQ CMMRA(3p
LeRoy 1. Redding COMPANY
Ph p. 425-641-414 &MOrican Stat*c Invurance ca
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COMPPAY
Gregory, Dill a Co. C
22622 163th Avg So
N=041 WA 90272-9135 COMPANY
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THIS 16 TO CERTIFY THAT THE POLtCEs OF INSURANCE L(STED BELOW HAvE MN ISSILSO TOTHE INCLIAto wJWEDAbovr FoR I-EXICYFERIOD
INDICATED, NOTWITHSTANDING ANY RECUIREMENT, TFRm OR C-ONDrrK)N OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO 041CH 754K.
CERTIFIrAT'S MAY BE Z&Ur& OR MAY PERTAIN. THIE 101WRAME AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDMONs OF SUC14 POLICIES LIMITS RHOLIN MAy HAV& OPEN REnUCeO ey PAID 0L'M3'
CD TYM OF IN$MkM I E ---
LTR POLICY NUINKR POUCY EFFEnVE 'POUCYEXPIRAT*N
DATE (UMODOM 0ATZ(vMtDwM LIMITS
GBIVRAL UABRffy
GENERAL AGGREGATE $1000000
X COMMERCA GENERAL LIABILITY 01-CE-158143-10 01/29/97 01/28/98 PROD�ICTS COMPIOP AGG $100()000
CLAIMS MADE Occu"
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OWNEII A CCNTRACTORS PROT; $500000
EACH OCCUR:tENCE
$5000000
FIRE DAMAGE (Ay v*ftm)
11500DO
AUTOMOBILE LIABIU;rv�--
MED EAP (Any one pertan)
$ 10000
ANY AUTO
COMBINrOD SiNGLE LILCT
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ALL OMED AUTOS
SC14EDLILEO AUTDI
BODILY WJLRY
(Per person)
HIRED AUTOS
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PIROPERTY DAMAGe
GARAGE LIABILIrT
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DISEASE -EA EMPLOYEE
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It in Understood ana agreed thab
insured the City of ZdMonde is named as additional
ZAN
SHOULD ANY OF THE ABOVE DEScRaEv PoLicum as cAmew.1,up MFFaftE T"c
Cihr Of RdImonde VXPIRATION DATIE THEREOF. THE ISSUNG COMPANY %ALL EpjOaAVQR TO MN6
Building Divintaft -10 OAYSWRrMNNOTICPTO-rKeCPRTWICATEM13LOfiRMAMMOTOMFLrrT,
2SO St:h Ave iq 13UT FAILURE TO MAIL SUCH NOTICE $"ALL IMPOSE NO OBLI"TVON Olk 610IMLIre
zdmonds KA 96020 OF ANY KIND UPON THE COMPANY. ITS AGENTS OR ftEP;I1&QftA-nVr,&
AUTHORM REPRESEVATIWE
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