102 3RD AVE S STE B_Redacted4� i ,C FIRE PREVENTION
Serving Brier, Edmonas, and 12425 Meridian Ave S INSPECTION
S MorCvpsON REPORT
Mountlake Terrace EverettRlu w, WA 98208 ❑ BRIER
FIRE6: Phone (425) 551-1200 ❑ MOUNTLAKE TERRACE
Dl% L. www.FireDistrictl.org Fax (425) 551-1272 ❑UNINCORPORATED
102 3 rd Avenue S Suite B 98020
LOCATION:
Zinc Art and Interiors 2066177378
BUSINESS NAME: PHONE:
MAILING 102 3rd Avenue S, Suite B, Edmonds, WA 98020
ADDRESS:
Zeck, Laura
F'pa?6ENCY STAf FrX SHIFT
SCHEDULED Dec 2016
DATE DUE
UFIR /
BUSINESS OWNER: HOME PHONE:
Doguilo, Jesse 2062261626
EMERGENCY 1: HOME PHONE: CURRENT
KEY ACCESS-2: HOME PHONE: CITY YES NO
EMAIL: BUSINESS r�] El LICENSE
PERSON CONTACTED: �J�/L �'G(i INITIAL INSPECTION DATE
NAME OF INSPECTOR: „� Ui f ��/�
r
Date Last Serviced: 1>
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HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS
1 00 V io R. /--, UV ,
3
4
3
4
5
5
6
6
7
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I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X
1st RE -INSPECTION
2nd RE -INSPECTION
;FINAL RE -INSPECTION
EXTENSION I VIOLATIONS
DATE DUE:
DATE DUE.
GRANTEDTO. j DATE DUE: CITED:
PERSON
PERSON
PERSON
CONTACTED:
CONTACTED:
;CONTACTED:
INSPECTOR:
INSPECTOR.
INSPECTOR: 2
DATE:
DATE'
DATE: ` 3
VIOLATIONS
VIOLATIONS _
PRE -CITATION f CITATION ISSUED j
1 5
..
1 5 ..
LETTER SENT NUMBER 4
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- CODE z 5
2 6
2 6
DATE* SECTION -- -
RETURN RECEIPT-
3 . 7
3 . 7
RECEIVED 6
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< DISPOSITION.
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4
4
DATE
LETTER NEEDED ❑ YES ❑ NO
LETTER NEEDED ❑ YES ❑ NO
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CITY OF EDMONDS
BUSINESS LICENSE APPLICATION— COMMERCIAL
FEE: $125.00
CITY CLERICS OFFICE, BUSINESS LICENSE DIVISION
10C. 189° 121 5' AVENUE NORTH, EDMONDS, WA 98020 PHONE: 425.775.2525
OFFICE USE ONLY
BL# Customer# SIC I Year Class SHO Date Paid TR# Fee Pai 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
If business closes.
BUSINESS NAME
BUSINESS ADDRESS
Suite No. Zip
MAILING ADDRESS I d 1/ '�YVOV iR rAwais &N, ^ rl
IVY,
Street or PO Box Suite No. City, State and Zip Code
BUSINESS PHONE NO. ( O., )_� & 1 -7— 7J-73 WA STATE TAX ID NO. (UBI NO.) --&) J
BUSINESS E-MAIL _I.GIUVGt.(a7 (iGUi✓a.ZCC . CQyN BUSINESS WEBSITE _k1liprgT"Cn-t-P.
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PROPERTY OWNER
EMERGENCY NOTIFICATION (For Premise Access in Emergency):
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Last Name First Name MII Phone No.
Last Narnv Fast Name ZIP
/ MI Phone No.
NATURE OF BUSINESS
NUMBER OF EMPLOYEES _ - CJ ea[_ -4fv%V SQUARE FOOTAGE OF BUSINESS SPACE
TYPE OF BUSINESS - PLEASE CHECK THE APPROPRIATE CATEGORY:
O CONSTRUCTION O FINANCE, INSURANCE, REAL ESTATE O LANDSCAPE, HORTICULTURAL ❑ MANUFACTURING O NON-PROFIT
041'AIL O SECONDHAND DEALER (1SERVICES� O WHOLESALE 316THER
AMUSEMENT DEVICES'ON PREMISES? OYESS o'NO IF YES, TOTAL NUMBER V
LIQUOR SOLD ON PREMISES?: O YES t4Y ON GAMBLING? O YES ::0 CIGARETTES SOLD ON PREMISES? O YES 3446
FLAMMABLE OR HAZARDOUS MATERIALS USED OR STORED?: Ef YES O NO IF YES, PLEASE PROVIDE UST OF MATERIALS AND QUANTITIES:
PROPOSED OPENING DAY OF BUSINESS & BUSINZHURSDAY
URS
DAYS OPEN O SUNDAY O MONDAY UESOAY EDNESOAY qOR/IDAY W6ATURDAY
PARKING SPACES ON SITE: TOTAL ACCESSIBLE FOR PERSONS WITH DISABILITIES
DOES THE BUSINESS CONTAIN AN ENTRANCE ACCESSIBLE TO PERSONS WITH DISABILITIES? 0- ES O NO
PREVIOUS BUSINESS USE AT THIS ADDRESS 1AX, 4�-r' 1/1A ,11foj L •✓ ,/., L.. I
SOLE PROPRIETORSHIP
NAME
Last First MI
ADDRESS
Street Apt No., Un1 No. City, State and Zip Code
HONE PHONE N0. —) DOL NO (DRIVERS LICENSE NO.) OR OTHER ID NO.
DATE OF BIRTH CITY AND STATE OF BIRTH COUNTRY OF BIRTH
PARTNERSHIP -PARTNER 9
Last First I'AI
ADDRESS
Street Apt. No.. Unit No. City. State and Zip Code
HONE PHONE NO L_) OOL NO. (DRIVERS LICENSE NO) OR OTHER 10 NO,
DATE OF BIRTH CITY AND STATE OF BIRTH COUNTRY OF BIRTH
PARTN RSHIP - 7A.RTWZR 2
NAME
Last First MI
ADDRESS
Street Apt. No., Unit No. City, State and Zip Code
HORSE PHONE NO.L---) DOL NO. (DRIVERS LICENSE NO.) OR OTHER ID NO.
DATE OF BIRTH CITY AND STATE Or' BIRTH COUNTRY OF BIRT
COnPPORATIOP! — — - -- - —
NAME OF CORPORATION p� FEDERAL TAX ID NO.
CORP. ADDRESS III /i�Q. �QINT ✓1 r %L�eL��iD S LUAU PHONE NO.(&. �17376
Ueet 5uit� Unit No. City, Stale and Zip Code
CORPORATF OFFICERS. _ 1
test
Name
I/ First `N/aam'er^/ �/j� MI Tide
��y� yJ/J Date or Birth DOL No. (Drivers License No.) or Other l0 No.
V vLily _ U L/ 1?4 4— J wr L�L3k_
LOCAL CONTACT Q W rTeAZ (2- 0 - (y f 'T _7 j / O 56OP-
Last Name First Name MI Title Phone No. DOL No. (Drivers Lic. No.) or Other ID No.
APPLICANT
Name —Printed Signature Title D to
PLANNING DEPT, O APPROVE O DISAPPROVE DATE SIGNATUR
ZONING CODE CONDITIONAL USE PERMIT
BUILDING DEPT. Q APPROVE O DISAPPROVE DATE SIGMA
OCCUPANT LOAD BU'LDING PERMIT
COMMENTS
FIRE DEPT. ❑ APPROVE O DISAPPROVE DATE SIGNATURE
U. F.I
POLICE DEPT. O APPROVE O DISAPPROVE DA
COMME
OCCUPANCY GROUP
Floorplan for
102 8 3rd Ave South
Edmonds, WA 98020
84.2346 Feet 2
Retail / Gallery
North
Qox
18'3 3/16"
Storage Closet
8' S 1/ "
513' 1�3/8"
/16"
—16' 4 1/2"
r
r
R."ric-
R&YL-
11 9/16"
16' 3 13/16"
—1117 1/ 1,
18' 4 3/8"
entrance L -
entrance
594.4325 Feet 2
ITS 11/16" Retail / Gallery
187.1084 Feet 2 , — 3rd Ave South
242.3164 Feet
Storage Space
180.2526 Feet 2
Mice
Desk
Cash Wrap 43'H x 5'W
Display Table 36'W x 101 x 30"H
Main Street "1