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22618 HWY 99 STE 104 (3)_RedactedIIII�lIII zz u l o I4r&"1j14y ., ~} CITY OF EDNIONDS t`� r t BUSINESS LICENSE APPLICATION - COMMERCIAL ,a 100w' FEE: $12S600 '' CITY CLERK'S OFFICE, BUSINESS LICENSE DIVISION 121 5"AVENUE NORTH, EDMONDS, WA 98020 PHONE.425,775.2525 GI Uulr�iny p Engineering 0 Fire ri Plannmg Lt Police OFFICE USE ONLY BL# Customer # 2 SIC I Year :201 Class pats Paid TRP I0o u Fee 125 Mailed Deleted INSTRUCTIONS: Please compteiethe application in f dl end attach the mqutred Raw plan. Middle initial or nave required of all parties concealed. If no middle name, please Indicate by +Writing NMN. Sign and reban appiiadion with fear Pleaepe advise of any change In, status. Now license required if business changes locsion or ~ership. NoWcation to City at Edmonds required M bushiiess doses:. License exp6Y:s Oocember 31" each year. Renov" must be submitEad prior tp .January Wt to avoid late fees. BUSINESS NAME ABC Phones ofNorth'Carolina Inc. dba A Wireless BOSIKESS ADDaEss_ 22618 Highway"99, Suite 104,; Edmonds, WA.98026 SVQot Suite # City. State, Zip Code- MAILINGADDRES& 715 Prairie Center Drive, Ste 420, Eden Prairie, MN 55344 Street 6, PO Box # Suire r city, Slate, Zip Code UUSiN_SS PHONrt 425. 1774-3130 WA STATE TAX ID # (UBI) 6 1 0 5 1 8 10 3 2 0 UUSIN_S5 E-MAIL anet.osmundson@awireless.com BUSINESS WE8SITE www.a.wireless,net BUSINESS OWNER ' tdAIN CON IIAcr ABC Phones of North Carolina Inc. 1952 t 944-6803 Name Phwe,14timber PROFErtTYO✓JNER Boohan, B&H Properties r 253 1582-4400 Narne Phono Nurnbor EMERGENCY NOTIFICATION (For Promise Access In Emergency), Song Jong NMN r 206 i 3'54-1213 OstName First Name MI Phone NUmbnr sme First-Narnu MI Phone Number NA`I UI4L Oh UUSINLSS ;Provide a Detailed Description of Business Activities, Producis & Services): Retail cellular phone stare - change of ownership,of existing store No other than es being made. SPACE. ALTERATIONS TO 1341- MADE: YES,_„_NOx DESCRIPTION PREVIOUS BU SINESS, AT THIS ADDRESS Cellular phone store NUMBER OF EMPLOYEES 4 SQUARE FOOTAGE OF Be1SINESS SPACE 1;000 TYPE OF BUSINESS - PLEASE CHECK APPRU?RIATF'CATEGURY; CONSTRUCTION FINANCE, INSURANCE; REAL ESTATE_ I,ANDSCAPF, HORTICULTURAL MANUFACTURING NUM -PROFIT RETAIL SECONDHAND DEALER SERVICES WH^LESALE OTHER PROPOSED OPENING DATE:02i0112016 BUSINESS HOURS: 10am-8p (Mon. -Sat. 11am-7pm (Sun) DAYS OPEN: 6 SUNDAY 15WEDNESDAY MONDAY I* T'HURSDAY OJ TUES_ DAY rX FRIDAY tY SATURDAY AMUSEMENT DEVICES ON PREMISES? YES NO- X IF YES, TOTAL.NUMBER^—�---- -LIQUOR SOLD ON PREMISES? Y=S NO GAM3LING? YES NO X CIGARETTFS SOLD ON PREMISES? YES NC FLAMMABLE OR HAZARDOUS MATERIALS USED OR STOREO? YES. NO x_ IF YES,.PLF-45= PROVInE A I.IST OF MATF.RIAI,S AND QUANTITIES: PARKING SPACES ON SITE: -TOTAL SPACES oi-en Ire, ma CCESSIBLE SPACES FOR FIANDICAP PARKING. DOES THE BUSINESS CONTAIN'AN ENTRANCE ACCESSIBLE TO PERSONS' WITH DISABILITIES? YF$ X NC APPLIICANr NAME April Wittenwyler Pti ! d N8 8 ionature TITLE Authorizer gen DATE. 71,18116 OIL 7 �7 <Z::)�- SOLE PROPRIETORSKP NAME LAST FIRST h11DDLL INITIAL ADDRESS _ ___v_ _ STREET SUIICIAPTIUNIT tt CITYISTATE-ZIP CODE HOME PHON E� I URIVL"RS LICENSE OR ID IV& STATE DATE OF BIRTH CITYISTA Tt OIL UIRTIi COUNTRY OF BIRTH NAME LAST FIRST MIDDLE INITIAL ADDRESS STREET $U.,TE�APTAJNIT 4 C ITY.rSTATF, 71P COriF HOME PHONE( I DRIVERS LICENSE OR ID 4 & STATE. DATE OF BIRTH CTTYIST.ATE OF BIRTH COUNTRY OF BIRTH PARTMRSHP — PARTNER 2 NAME CAST FIRST MIDDLE INITIAL ADDRESS S I REEI SUITEIAPTIUNIT # a i'WSTa (E+LIP CODE HOME PHONE( I DRIVER S LICENSE OR 10 4 S STATE CORPORATION LLC or PLLC NAM=OFCORPORATION. ABC Phones Of North Carolina Inc. FEDERALTAXID4 56-2151684 CORP.ADDRESS 775 Prairie Center Dr. 420 Eden Prairie, MN 55344 (952 y 944; 6803 Street Suite. Apt, Unit 4 City. Stale ant Zip Code Phone Number r.ORPORATF O=FICERS: L<rsl Name SEE ATTACHED LIST FustNene MI Title Datanl8irlh DrIveft Llcense or Other 17A1$iate LOCAI CO>`'TACT Song Jong Store Manager Last Name FIrS:.Name MI Title Dateaf8ith 206 354-1213 BUILDING DEPT, 0 APPROVE = DISAPPROVE DATE SIGNATURE OCCUPANT LOAD BUI7.nING PERMIT OCCUPANCY GAOLIP: COMMENTS_ ENGINEERING Q APPROVE Q DISAPPROVL DATE SIGNATURE FIRE DEPT, 0 APPROVE Q DISAPPROVE DATE SIGNATURE 11,F. LR. COMMENT: PLANNING DEPT, Q APPROVE Q DISAPPROVE DATE SIGNATURE ZONING CODE CONDITIONAL USE PERMI l', COMMENTS POLICE DEPT. 0 APPROVE Q DISAPPROVE DATE SIGNATURE COMMENTS ABC Phones of North Carolina, Inc. List of Officers/Directors President / 775 Prairie Center Drive, Suite 420, Eden Prairie, MN Bryan Bevin CEO 952-944-6803 55344 1290 East Arlington Blvd, Suite B, Greenville, NC Richard Balot Secretary 252-317-0388 27858 Treasurer / 775 Prairie Center Drive, Suite 420, Eden Prairie, MN David Jordan CFO 952-944-6803 55344 Co -Chairman 1290 East Arlington Blvd, Suite B, Greenville, NC Richard Balot of the Board 952-944-6803 27858 605-221-0150 Co -Chairman Kevin Tupy of the Board 7511 S Louise Ave, Sioux Falls, SD 57108 f. .'LR2_,S, THOFLNWO DRIVE ROAJtOs<E MT8262 LrLASMOMS NONI x915-11;p 6i6D 0811104001M I CITY OF EDMONDS BUSINESS LICENSE APPLICATION- COMMERCIAL ' FEE: $125.00 121 5T' AVENUE NORTH, EDCITY CLERK'SCMONDS. WA 98020 PHON, BUSINESS -LICENSE DIVISION 4225 775.2525 ' U � r�l � OFFICE USE ONLY 8L Customer!! alo'1'1� ►3 Year CI SHD to Paid �zrr ts- TR# a'iIr-a�(9 Fee Pa� Ins Mailed Delete INSTRUCTIONS: Please complete the application in full and attach the required floor plan. Middle initial or name required of all parties concerned. if no middle name, please Indicate by writing NMN. Sign and return application with fee. Please advise of Any change In status. New license required If business changes location or ownership. Notification to City of Edmonds required Hbusiness closes. BUSINESS NAME 4 L1 W l r t? 1 Ss 1 Zn c.^ t Z b t B Nw -1 , I o Epti 11-00 7 w• 1 9U q, 6. BUSINESS ADDREssTb `��-'ci-t�rZi._ Sb"t p _, Suite No. zap Code MAILING cY NGADDRESS (�`�,-1 1 Re`�s�=l��(Z�i�SP..�r �yLo- CA ciaQ i% Street or PO Box Suite No. Clly, State and Zip Code BUSINESS PHONE NO. PA 9 WA STATE TAX ID NO. (UBI NO.) BUSINESS k LO • C.CNv, BUSINESS WEBSITE V,1 k1yn� -) 112lLq, e SS LD\r PROPERTY OWNER '$ 00 (1A,Z 1 i - `� .fi N F P'0 P1F9-1-) C Name % / Phone Number EMERGENCY NOTIFICATION (For Premise Acoess in Emergencyr - - O (00 NO WA� IL4 Last Name First Name NATURE OF BUSINESS aceebo�r-e5 �---1 re, lc, -4 j S56 - Phone No. NUMBER OF EMPLOYEES SQUARE FOOTAGE OF BUSINESS SPACE Off/ v TYPE OF BUSINESS - PLEASE CHECK THE APPROPRIATE CATEGORY: O OONRSTRUCTION ' O FINANCE, INSl1RAMCE, REAL ESTATE ' O LANDSCAPE, HORTICULTURAL O MANUFACTURING O NON-PROFIT AIL O, SK*NDHAND REALER O SERVICES O WHOLESALE (3.OTHER AMUSEMENT DEVICES•ONPREMISES? (J YEi NO . IF YES, TOTAL NUMBER LIQUOR SOLD ON PREMISES?: D YES, �ZKNO.: GAMBLING? O YES )KNO CIGARETTES SOL90N PREMISES? O YES )kNO FLAMMABLE OR HAZARDOUS MATERIALS USED OR STORED?: O YES A NO IF YES, PLEASE PROVIDE UST OF MATERIALS AND QUANTITIES: PROPOSED OPENING DAY -OF BUSINESS t o I' I �.O I BUSINESS HOURS GAYS OPEN �PSUNDAY ,t16ONDAY 4-RJESDAY WWEDNESDAY 9"URBDAY "DAY •PAATURDAY PARKING SPACES ON SITE: TOTAL ACCESSIBLE FOR PERSONS WITH DISABILITIES DOES THE BUSINESS CONTAIN AN ENTRANCE ACCESSIBLE TO PERSONS WITH DISABILITIES? O YES O NO PREVIOUS BUSINESS LOSE AT THIS ADDRESS tic SOLE r HOME PHONE NO. DATE OF State and Zip Cade FAO. (DRIVERS LICENSE NO.) OR OTHER ID NO, STATE OF BIRTH COUNTRY OF BIRTH PARTNERSHIP -PARTNER? NAME Last Ffret MI HOME PHONE NO.(DOL NO. (DRIVERS LICENSE NO.) OR OTHER ID DATE OF BIRTH CITY AND STATE OF BIRTH HOME PHONE DATE OF BIRT1 NAME CORP. - PARTNER 2' OF BERTH ,W.. anq. ire am 4w %.ow DOL NO. (DRIVERS LICENSE NO:) OR OTHER'10 NO. AND STATE OF BIRTH_ _ _ _ COUNTRY OF BIRTH PHONE NO.( : CORPORATE OFFICERS: Last Name 'MO IA-1 JA08-0 Fksst Name MI Title Date a Birth DOL No. (Drivers Lioense No.) or Other ID No. LOCAL CONTACT v Last Name First Name MI TtUe Phone No. DOL No. rs Lic. o. or Other 10 No. Title Date ' P :•ti�'i: i.' CIFYUSEQNLY:- ` PtgNMNGDE�+T: ' tT-APPROVE," .O-DISAPPkOVE' b&k, : SIGNAil1RE'c'." ;+ ZONBODE. CONDdlONAL USt= PERMIT CWMENTS BUq DING;t]EPT: O°APPROVE Cl DISAPPROVE GATE SIGNATURE . OCCUPANT LOAD' dOWUAENT'S BUILDING PERMIT • OCCUPANCY GROUP ' FIRE DEP.T. O APPROVE O DISAPPROVE DATE " SIGNATURE , COMMENTS ..• . POLICE DEPT. O•APPROVE COMMENTS O DISAPPROVE DATE SIGNATURE _ r `�i Or Ena,04'" Dave Earlin s City of Edmonds Mayor 121 FwTm AvENuE N. • Emoms, WA 98020 . 425.775-2525 AMC tS40 December 12, 2014 J J-&:�� I 11 vt �l 4G wireless 8871 Research Dr. C` v CCx+1-�,Cjzi� ( 1 I Irvine, CA 96218 Re: City of Edmonds Business License Application Dear Sir, Enclosed are your Commercial Business License Application and your check No. 504959 in the amount of $125. Per the application, 4G wireless does not have a physical business space in the City of Edmonds. if 4G wireless does have a commercial space within our City, please put that address in the business address line of the application. If 4G wireless plans to do business within Edmonds without a physical office space, then you would apply for a Non -Resident Business License. That application is also enclosed, if needed. The fee for Non -Resident is $50. Please return the completed application and the appropriate check, to the City of Edmonds so we may issue the 2015 license. Thank you. ASusa:Ou'an(Ig� Senior Office Specialist Enc: City of Edmonds Commercial Business License Application, partially completed City of Edmonds Non -Resident Business License Application, blank 4G wireless check No. 504959 City Clerk's Office SNOHOMISH CO. Serving Brier, Edmonds, and FIREMountlake Terrace STR., T www FireDistrict]. org LOCATION: 22618 HighwAy EM Suite 104 DM6 BUSINESS NAME: Cellular lawn 1242.5 Meridian Ave S Everett, WA 98208 Phone (425) 551-1200 Fax (425) 551-1272 PHONE: MAILING ADDRESS: 22fi18 1 lighway 99, SuRc 104, Edmonds, WA 9802n BUSINESS OWNER: HOME PHONE: FIRE PREVENTION INSPECTION REPORT ❑ EDMONDS ❑ BRIER ❑ MOUNTLAKE TERRACE ❑ UNINCORPORATED FREQUENCY STATION & SHIFT 2 Year 14 20-D 42oM4313C SCHEDULED Mar 21D14 DATE DUE UFIR491 EMERGENCY-1: Dark, Young Ju HOME PHONE: 20635fitl 5 CURRENT KEY ACCESS-2: HOME PHONE: CITY YES NO EMAIL: BUSINESS ❑ LICENSE INITIAL INSPECTION DATE PERSON CONTACTED: ; c /, /v t NAME OF INSPECTOR: r A �� 7xd v -�-�"� FIRE SYS ILMS: FES ILL( HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS 2 2 3 3 4 4 5 5 6 6 7 7 I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X In our continuing effort to promote fire safety and prevention within the community, your fire department conducts regularly scheduled "Fire Safety Survey Inspections" of all businesses and multi -family occupancies in the Cities covered by Snohomish County Fire District 1. You are to be congratulated on the relative good condition of your occupancy in regards to fire safety. Above you will find the item(s) that were noted during our inspection which require attention to bring them into compliance with the minimum standards adopted by the above jurisdictions. Any overlooked hazards or violations of the fire regulations does not imply approval of such conditions or violation. If you require additional information or to schedule a re -inspection for Edmonds or the Town of Woodway, call (425) 775-7720; for Mountlake Terrace or Brier, call (425) 754-0434. BUSINESS COPY CITY OF EDMONDS BUSINESS LICENSE APPLICATION— COMMERCIAL FEE: $125.00 CITY CLERK'S OFFICE, BUSINESS"LICENSE DIVISION In.,, 121_5" AVENUE-NORTH,-EDMONDS, WA-98020—P-HONE:--425.7-7-5.2525 OFFICE USE ONLY BL# CustomenY I Year C ss SHO Date Paid TR# Fee Paid D Mailed Delete Oh��5t�6 l �►3 AD14 � 6—ll_ILI rrAo5g-1a6 INSTRUCTIONS: Please complete the application in full and attach the required floor plan. Middle initial or name required of all partles concerned. If no middle name, please indicate by writing NMN. Sign and return application with fee. Please advise of any change in status. New license required if business changes location or ownership. Notification to City of Edmonds required if'business closes. BUSINESS NAME SfQa(Ar Bunn e( ron s IKti- DRAW Wireless. BUSINESS ADDRESS ZZ- 61 g jjwy q j (04 q kOZ6 ¢ l 1 Street ��T— Q ` }} Suite No. Zip Code MAILING ADDRESS O 4� Vat 4 V V4 I A7 an &V brief CA 91776 Street or PO Box !! Suite No. City, State and Zip Code BUSINESS PHONE NO. �-b _ I" D b 00 WA STATE TAX 10 NO. (USI NO.) 6b3 3 u oy I BUSINESS E-MAIL J (n�/jjj(' .- c e- . - 1 k.` S.` BUSINESS WEBSITE / q PROPERTY OWNER v__1 J]_�_�}L?MDer , /eS - (-7-0b 1 �I �I t " EMERGENCY NOTIFICATION (For Premise Access in Emergency): Last Name First Name MI Phone No. —�wi jwd� D 9a g — 301 Last NATURE OF BUSINESS /rP_fTi i/ .- NUMBER OF EMPLOYEES Z SQUARE FOOTAGE OF BUSINESS SPACE TYPE OF BUSINESS - PLEASE CHECK THE APPROPRIATE CATEGORY. O CONSTRUCTION O FINANCE, INSURANCE, REAL ESTATE O LANDSCAPE, HORTICULTURAL D MANUFACTURING D NOt RETAIL O SECONDHAND DEALER O SERVICES O WHOLESALE D.OTHER AMUSEMENT DEVICES•ON•PREMISES? * O YES D NO . IF YES, TOTAL NUMBER LIQUOR SOLD ON PREMISES?: ❑ YES. OVINO. GA(vIBI.ING? O YES [ J0 CIGARETTES SOLD- ON PREMISES? DYES FLAMMABLE OR HAZARDOUS MATERIALS USED OR STORED?: DYES D. NO IF YES, PLEASE PROVIDE LIST OF MATERIALS AND QUI PROPOSED OPENING DAY OF BUSINESS —/ ��rrr� BUSINESS HOURS MDN. /" 10. DAYS OPEN I.. SUNDAY i41 MONDgY 1i T�T UESDAY 1(WEDNESDAY HURSDAY _I FRIDAY PARKING SPACES ON SITE: TOTAL ACCESSIBLE FOR PERSONS WITH / DISABILITIES iJ DOES THE BUSINESS CONTAIN AN ENTRANCE ACCESSIBLE TO PERSONS WITH DISABILITIES? YES O NO PREVIOUS BUSINESS'USE AT rY SATURDAY 5A-r AID r SOLE PROPRIETORSHIP NAME Last First MI ADDRESS Street Apt. No., Unit No. City, State and Zip Code HOME PHONE NO. ( I DOL NO. (DRIVERS LICENSE NO.) OR OTHER ID NO, DATE OF BIRTH CITY AND STATE OF BIRTH COUNTRY OF BIRTH PARTNERSHIP • PARTNER 1 NAME Last First MI ADDRESS Street Apt. No., Unit No. City, State and Zip Colo HOME PHONE NOJ DOL NO. (DRIVERS LICENSE NO.) OR OTHER ID NO. DATE OF BIRTH CITY AND STATE OF BIRTH COUNTRY OF BIRTH PARTNERSHIP - PARTNER 2 NAME Last -First MI ADDRESS Street Apt. No.. Unit No. City. State and Zip Code HOME PHONE NO.( 1 DOL NO. (DRIVERS LICENSE NO.) OR OTHER ID NO. DATE OF BIRTH CITY AND STATE OF BIRTH COUNTRY OF BIRTH NAME CORP yo 01,9361o PHONE NO.((�) —P boa CORPORATE OFFICERS: Last Name First Name MI Title ple_ — Le-0 h vRCW 42.56.230(7)(a)• • • for DL or LOCALCONTACT JOS"k Last Name u First Namd MI Tttie r— Phone No. ' aPpuciu(,r. ' ��...r� � _ •i9ttc:�n�i�;j'�si"sj�►nf . 3c scY Name—Pdn d o S� `urea ``' Title Da7. te .CITY USE ONLY: PLANNING'OEPT: 'QAPPROVE ODISAPpRbVG bAYE.'` r GNATURE t• ZONING COQE'CONDRIONAL �' USRPERMIT • = BUILDING•DEPT. O APPROVE O DISAPPROVE DATE SIGNATURE . OCCUPANT LOAD' • BUILDING PERMIT OCCUPANCY GROUP'' COfu1MENTS FIRE DEPT. "O APPROVE O DISAPPROVE DATE ^SIGNATUFiE� ' U.F.I.R .. .COMMENTS POLICE DEPT. O•APPROVE : O DISAPPROVE DATE SIGNATURE Comm Fdxands wA DEED 0 lors 0 v a -f-6, it � : 4f swtso,,, FIRE PREVENTION Serving Brier„Edmonds 12425 Meridian Ave S INSPECTION REPORT SHOO. ❑ EDMONDS Mountlake Terrace,and Everett, WA 98208 ❑ BRIER the Town of Woodway ! /Phone (425) 551-1200 ❑ WOODWAY UR❑ MOUNTLAKE TERRACE www FireDistrict]. org Fax (425) 551-1272 ❑ UNINCORPORATED FREQUENCY STATION & SHIFT LOCATION: BUSINESS NAME: PHONE:/��yf j/'�' �_ SCHEDULED j DATE DUE 1 L t MAILING J '�� 1�/ l 1 UFIRPPP , ADDRESS: 1 BUSINESS OWNER: HOME PHONE: EMERGENCY 1 J © t k pJ HOME PHONE: - 5 CURRENT KEY ACCESS-2: ' � 1 . .Y HOME PHONE. t j 2 Z CITY YES -NO BUSINESS �� LICENSE PERSON CONTACTED: �K INITIAL INSPECTION DATE;, NAME OF INSPECTOR: 7- HAZARDS FOUND LOCATIONS / COMMUNICATIONS /AND 2 - 3 LJ 4 l � 5 7 7 l ^ 41 O DAYS I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT X .,/��,�---� --------- 1st RE -INSPECTION 2nd RE -INSPECTION 'EXTENSION FINAL RE -INSPECTION VIOLATIONS DATE DUE: DATE DUE: GRANTED TO: DATE DUE: CITED: PERSON PERSON PERSON w CONTACTED: CONTACTED: CONTACTED: 1 INSPECTOR: INSPECTOR: INSPECTOR: ; 2 DATE: DATE: DATE: 3 VIOLATIONS VIOLATIONS PRE -CITATION CITATION ISSUED 1 5 1 5 LETTER SENT NUMBER: 4 CODE 5 2 f 2 f DATE: SECTION: RETURN RECEIPT e 3 7 3 7 RECEIVED DISPOSITION: 4 18 4 8 DATE: LETTER NEEDED ❑ YES Cl NO LETTER NEEDED ❑ YES ❑ NO 8 FIRE DEPARTMENT COPY ti Kevin Zweber From: Kevin Zweber Sent: Tuesday, August 05, 2014 1:45 PM To: 'edmonds@jwwireless.com' Subject: Fire Inspection Could you please tell me the status of the corrections I required when I inspected at 22618 Hwy 99 Suite 104 over a month ago. I re -inspected last week and no corrections had been made. Kevin Zweber, CFI Captain/Deputy Fire Marshal Fire Prevention Services Snohomish County Fire District #1/ City of Edmonds Office 425-775-7720 Kevin Zweber From: JW Wireless Edmonds [edmonds@jwwireless.com] Sent: Monday, September 22, 2014 6:24 PM To: Kevin Zweber Cc: Calvin Chen; Linda Cheang Subject: Re: Business License (Edmonds WA) 09-22-2014 Attachments: 20140922_1747354pg; 20140922_174751.jpg; 20140922_174803 (1).jpg; 20140922_ 174803.jpg; 20140922_174823.jpg Importance: High Hello Kevin We already cleaned the exit pathway near the back door, and removed 2nd fire extinguisher. We replaced the emergency light (Center) and the exit signs (Front & Rear). Attached picture (Exit Pathway) Thank you for your help. Joseph Sung / Store Manager EdmondsBoohan JWwireless, Verizonwireless Premium Retailer 22618 Hwy 99 # 104 Edmonds, WA 98026 Store. (425)774-3130 Direct. (206)354-1213 From: Kevin Zweber <kZweber@fired istrictl.ore>. Sent: Monday, September 22, 2014 8:25 AM To: JW Wireless Edmonds Subject: Business License I am still waiting for verification that you have made the corrections to the fir inspections conducted on 5/1/14 and 7/2/14. I requested a response and have heard nothing. You are operating without a business license! Kevin Zweber, CFI Captain/Deputy Fire Marshal Fire Prevention Services Snohomish County Fire District #1/ City of Edmonds Office 425-775-7720 �i�/� s 1 000 16ce Adak CITY OF EDMONDS BUSINESS LICENSE APPLICATION -.COMMERCIAL EBF 121 CITY CLERK'S OPOCU$SINESS'0LICENSE DIVISION AVENUE NORTH. EDMONDS, WA 98026 PHONE:. 425.775.2525 PXCEIVED MAY 2 3 2012 EDMONDS CITY C1 OFFICE USE BL# Fee Paid Netted Delete INSTRUCTIONS: please 60nWI0t9 the application In full and attach the required floor plan. Middle Initial or name required of all parties coftimied. ff no nd"O 1?arns, 00m Indicate by Writing NMN. Sign and return application with fee. please advise of - any Change In st*m NOW Ucmse'reqWW if business changes location or ownership. If business tics". NotifIcition to City of Edmondi required BUSINESS NAME BUSINESS ADDRESS a Y- MAILING ADDRESS 16 BUSINESS PHONE NO. F717 Ll 0 WA STATE TAX 10 NO. (UBI NO.) 6 0-3 25FI BUSINESS EMAIL i n cJBUSINESS WESSITE PROPERTYOWNER EMERGENCY NOTIFICATION (For Pmwda Aooess In EmmUenayy 6 v3s 6 - 661 ml Phone No. NATURE OF BUSINESS f COMA, h' o As NUMBER OF EMPLOYEE§ 2_—SQUARE FOOTAGE OF BUSINESS SPACE TYPE OF PUMNES0- KEAK q4mc:nj6APi!R0PR1ATE. CATEGORY: DCONMUOmdW 4FINANCE; :IkSUhMCE,AE4iESYATE'* C!LANDSCAPE, 7 HORTICULTURAL (3 MANUFACTURING 13 NON-PROFIT .4ETA*'IL*' O SECONDHAND QifALER CISERVIQES (3wHqLE SALE• O.OTHER -'A'"B"T DE%qCkVO"REMISESi -CI YES WN0 - IF YES, TOTAL NUMBER LIQUOR GOLD ON PREMISES?, mYes GW.B,UN.'W' QYES JKN'O . CIGARETTES IiOLDONPREMISES? OYES ONO 'FLAMMABLE 011144i4RDOU*S MATEithij USED OR STORED?: UYES *0 IFYES, PLEASE PROVIDE LIST OF MATERIALS AND QUANTITIES:* PROPOSED OPENING bkOF BUSINESS 05J jL() ft— %. . .-.7 . —BUSINESS HOURS Sy d DAYS OPEN LQ SUNDAY 014ONDAY rUESOAY *VEDNESDAY ";DAY "DAY -"TUROAY PARKING SPACES ON SITE TOTAL —ACCESSIBLE FOR PERSONS WITH DISABILITIES DOES THE BUSINESS CONTAIN AN ENTRANCE ACCESSIBLE TO PERSONS WITH DISABILITIES?. VyES ONO PREVIOUS BUSINESSUSE ATTHISADDRESS *012j Ae W Ek I to SOLE NAME Last First m ADDMI Street Apt No.. UM Na City. State and Zip Code HOME PHONE NO. —VOL NO. (DRKIERS LICENSq NO.) OR . OTHER 10 No. OATEOF BIR711--CITY AND STATE OF BIRTH COUNTRY OF BIRTH�' Led. Fkd NU ADDRESS Street - AM No.. Unit Na qty. State and ZIP Code HOME PHOIqE NO.( 1----"--.POL NO. (DMVERS LICENSE NO.) OR OTHER 10 No. 13ATE OF BIRTHCRYAND STATE OF BIRTH - -COUNTRY OF BIRTH� PARTNERSHIP - PARTNER i NAME ' LEMI FIM ADDRESS Sheet Apt. No., Up t No. City, State and Zip Coda HOME PHQNENO-L—J--.--DMNO. ([)WERSLICENSE No.)*C'FiO.TH'.ERI'DN DATE OFBIRTH --CITY AND STATE OF BIRTH —uNTRYbF61RTH CORPORATION NAME OF CORPORATION Yle CAin —tEDERAL- UX ID NO. CORP. ADD WA PHONE N0.(fjKL2n .10 bW0.Apt. VMo- NCity. State end 27a code _Y-- . 2L CORPORATE OFFICERS: Last WN18 ft& Name MI TH16 p 1+ ILJ<— -Y-0 (41, RCW 42.56.230(7)(a) Personal information for DL or SSN Y= lu LOCAL CONTACT E LashFIrst Nam UO-1 No. (9clivers-Lic, No.) or Other ID -No. Phone No. Tit D..'" -aTYUSeqNLY,..- Z. M US9L:FPER SU UING:1 �EPTk 0 1AMPP64 CID&.PPROVE DAT'EL-- OCCL" LCLOL. �—�BUILDIWGPiRivt IT. OCCUPANCY GROUP' (50tJ1l1AENT5 'FIRE DqP.T. bAPPROVLz ODISAPPROVE DATE L-��. POLICE DEPT. DAPPROVE DISAPPROVE C"EkTi I f Serving Brief; Edmonds SNOHOMISH CO. FIRE 41W� Mountlake Terrace, and DISTR T the Town of Woodway www.FireDistrictl.org LOCATION: 22618 Hwy 99 BUSINESS NAME: Cellular Totem LLC . MAILING 22618 Hyw 99 # 104 ADDRESS: Edmonds BUSINESS OWNER: Kim, Flyupg EMERGENCY-1: 'fir _ KEY ACCESS-2: " *IYiQ YoJ I PERSON CONTACTED: �dqj/� - y ✓f2 NAME OF INSPECTOR: b_ Z /mile 19 1� n FIRE SYSTEMS: 12425 Meridian Ave S Everett, WA 98208 Phone (425) 551-1200 Fax (425) 551-1272 104 PHONE: 4258633670 98026 HOME PHONE: 4254579770 HOME PHONE: ' `0 CURRENT HOME PHONE: 2�?�-�1� _LC� CITY YES NO BUSINESS LICENSE INITIAL INSPECTION DATE FE =114 ANNUAL FIRE PREVENTION INSPECTION REPORT ❑ EDMONDS ❑ BRIER ❑ WOODWAY ❑ MOUNTLAKE TERRACE ❑ UNINCORPORATED FREQUENCY STATION & SHIFT 730 20 B SCHEDULED DATE DUE ► 03/01/12 UFIR ► 591 3 106 HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS 1 L 2 2 3 3 4 4 5 5 6 6 7 7 I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X 1st RE -INSPECTION DATE DUE: 2nd RE -INSPECTION DATE DUE: EXTENSION GRANTED TO: FINAL RE -INSPECTION DATE DUE: VIOLATIONS CITED: PERSON CONTACTED: PERSON CONTACTED: PERSON CONTACTED: 1 INSPECTOR: INSPECTOR: INSPECTOR: 2 DATES DATE: DATE: 3 VIOLATIONS 1 5 VIOLATIONS 1 5 PRE -CITATION LETTER SENT CITATION ISSUED NUMBER: ' 4 2 6 2 6 DATE: CODE SECTION: , 5 3 7 3 7 RETURN RECEIPT" RECEIVED --"' 6 4 18 4 8 DATE: DISPOSITION: 7 LETTER NEEDED ❑ YES ❑ NO LETTER NEEDED ❑ YES ❑ NO y 8 FIRE DEPARTMENT COPY