116 4TH AVE N_Redacted11111111111111
14623
116 4TH AVE N
Message
Page 1 of 1
Harrison, Marie
From: Frank Yamamoto [frank@runninginmotion.com]
Sent: Tuesday, August 19, 2008 10:08 AM
To: Harrison, Marie
Subject: RE: 116 4th Avenue N
Marie,
Thank you......
FElate YaMu 4wto
Running In Motion
610 Main Street, Suite B
Edmonds, WA 98020
425-774-0637
From: Harrison, Marie [mailto:Harrison@ci.edmonds.wa.us]
Sent: Tuesday, August 19, 2008 7:34 AM
To: frank@runninginmotion.com
Subject: 116 4th Avenue N
Dear Frank: The Building Official, Ann Bullis, has determined no change of use
would be required for you to move your business to 116 4th Ave N. If you decide
to do improvements to the building, a tenant improvement permit would be
required.
Sincerely,
vawlr 'Wa"edea
'gwce lx ;VcnUldr 66Tduaataz
&� 0� 5-G%Jto-14' V'
8/20/2008
Telecom/ Telecom/CAT-5 Storage,
CAT-5 -a ' j 1 7elecom/CAT-5
k
Fax/Copier
_._ -►
Bathroom _. .
Hilda's Desk _ 3 • ••
-- {
Reserve Desk
i C
[IF- -
s=----- .
C�' _
:' Telecom/ , e - �
Closet r --r CAT-5 i t, k i �j KTelecom/
- - - CAT-5�
— /CA 7-5 i
i
Telecom
rXAI-
10,
Front Porch-
,i
I�l _
Client/Conference
i
Room Chris's Desk, 'CAT-5
3
Ubraiy
1 —L' i Dave Desk
Beeson House Floorplan ^_
Scale 1/4' = 1' X.
_Sefec6ni/CAT-S Telecom/C4T-5 1 .
YEAgOZ4
BUSINESS LICENSE RENEWAL DATE 07/09/04
CIty W Edmonds LICENSE
CIty clerk oiwslon - INSTRUCTIONS: NUMBER 6473
121 5th Avei N.
I'. Edmonds, WA 98020 y Please advise if license will not be renewed. _
Telephone'i775-2525 4 New license required if business changes address or ownership.
4 Please complete all particulars in full. Sign and return with fee.
4 Renewals received after February 15 must pay penalty In addition to fee. -
MAIN ST GALLERY RECEIVED RECEIVED
EDMONNDS, WPC 98020 JUL 15 ZW4 JUL 14 2004
DEVELOPMENT SERVICES CTFLEDMONDS CITY CLERK
CITY OF EDMONDS.-.
TYPE OF BUSINESB RENEWAL FEE AFTER FEBRUARY 15 �§ s rn� resx
❑A Home Occupation -ely $25.00 $/2.SD+$25.00 Renewal T✓ _I
-ElB Commercial $25.00 $12.50+$25.O0 Renswel=$37.50 " Ep
❑B Apartment House. $25.00 $12.50 + $25.00 Renswal=$37.50 1LEo
,ON Non -Profit Exempt
jIf
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UIaAH iss+t.MPs t1l+ V-4La-tJ-NOrt.>A..ew.+.x�..
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MAIN ST GALLERY
- 774-1813
l 2 600577022 .
E ASDALA, MAN I:sP r'
116 4TH. AV N
.. ........
zip aoIIe .+o < P c
76020/
as. -:- -
RETAIL ARTWORK CLOTH
533
dib cvrmrtcr
.... �,,,N r� W A
�7$0E® 1506
4 (S) SOLE PROPRIETORSHIP" ""`
--'
- -- - - - -' -
-' -
I.�..E KOENIG BARBARA
L P��
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/IG -�EiL YT1x,/<
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D-TE OW BINTAI KNA, Et or Neu,
425 ) 672 68,47
❑ )P) PARTNERSHIP'
Me .,anc.. s Eo .. _.API NU
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DANNE
is -HN-) --.- (M'wmH
LA AT NAM- AIN'T AND
A CRY
1I-A P- I.EI - NoTE err a- -
(C)CORPORATION
onsss ,'FaOMOPOPE.wLxonoE
V
EMERGENCY NOTIFACATION NAM'NAME KOENIG BARBARA L -
_,.FOR PREMISE,ACCESS -
S
:EVEAe.ru rowueER
iEtaB 'PIN ...
ONE NUM
425I) 672-6847,,
(APPLICANTS BUSINESS
SIGNATURE X ��-}LiJ�'�0.- TITLE O�IAI'W.p-�- DATE -7 {y e 41
MEMORANDUM
Date: May 6, 2002
To: Street File 116 / 118 4th Ave. N.
From: Star Campbell, Assistant Planner
Subject: 116 4th Ave. N. — Retail Use / Parking
The Planning Division recently reviewed a business license application for Main Street
Gallery to locate at 116 4th Ave. N, known historically as the Beeson House. Upon
considering the parking requirements for the business, the previous use of the space
came into question. The most recent use of this space was.a travel agency. This type
of business would require 1 space per 400 square feet of lease space. The site
contains only one off-street parking space. If the use does not change, however,
parking is considered to be 'grandfathered' in for the site. It has been established that,
for a number of years, this space was occupied by a retail use, Beeson House Antiques.
Retail uses require 1 parking space per 300 square feet of lease space. This use was
in existence, according to documentation in the street file, as recently as 2000. Taking
this into consideration, it has been determined that 116 4th Ave. N. may continue to
accommodate a retail use. The floor area of the space for business use is
approximately 1,000 square feet. This translates into the site having 3 parking spaces
grandfathered for retail use. NOTE: The retail space at this site is located on the first
floor of the Beeson House. It is addressed as 116 4th Ave. N. but in the past appears to
have been addressed as 118 4th Ave. N.
City of Edmonds cQ Planning Division
vT EET FILE APPLItotCATION
The City of Edmonds SIDE SEWIM& PERMT
EASEMENT No-- ......................................
NEW CONSTRUCTION C] REPAIRS 0
114-o1200
Gregory T. Wines
OWNER......................... .................................................................................... CONTRACTOR .................................................................................................. PERIM No..-- .... .....
ADDRESS ......116. 4th Ave. NLEGAL DESCRIPTION: LOT No ............................................... BLOCK No.........----......................
...... I ................................ .... .....................................................
NAMEOF ADDITION.........................................................................................................................................
Dye Tested On Sewer 1972
Approved:
DATE------------------------------------------------ BY ......................................................................
BEESON HOUSE ANTIQUES
119 4TH AV N
EDNONDSP WA 98020—
changes address or ownership:
Bull. Sign and return with lee:
y 15 mmuushruiirp�enalty, naddition to fee,
_ ;a0.
y'"'ii
'-EN'! 9Tffiashs1 �/'-'a'LMA
S LICENSE RENEWAL FEE
PENALTY
FOR RENEWAL
••
TYPE OF BUSINESS RENEWALFEE
AFTER FEBRUARY 15
CiAl YEAR UCENss FFF art WE PAID
❑A Home Occupeton $25.00
$12.50+$25.00 Renewal =$37.50
06 Commercial $25.00
$12.50+$25.00 Renewal =$.i'%.50
RECEIPT NUMBER FEE PAID PENALWPAD
❑B Apartment House $25.00
$12.M+$25.00 Renewal =$3T.50
ON MITI Exempt
MAILS of EraP
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,�EESON„HOUSE ANT,10UEa5
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0825 QI, C600282690.
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1 4TH`AV N
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STATE
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DATE OF EARN
n�-
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FICUMENUMIKER
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C
EMERGENCY NOTIFICATION -NAME -
-
- -FIRMS
MUMMA-
FOR PREMISE ACCESS
IN EMERGENCY' _ (2) THORSEN N ( POIA 1 9AP—POAC
'"JAPHLIGANT'S - BUSINESS
3 SIGNATURE X TITI F Hero
CITY OF EDMONDS
E
CIVIC CENTER _ EDMONDS, WA 98020 (206) 775 2525
s 9
t. 18
April 10, 1997
BARBARA FAHEY
MAYOR
Dear Business Owner:
The Edmonds City Clerk's Office is updating information on business licenses in the
city. We have noticed that the following information is needed to complete our data on
your business:
Square Footage offour Business _ \ t ZZD
At your convenience, would you please call our office at 775-2525 with this
information? Ask for Huda Olsen, Business License Division, and she will add this
information to'our computer data base.
Or, if you would prefer, please place a copy of this letter in the mail with the requested
info rmation,'.along with your business'name Our
mailing address is:, Edmonds City Clerk, 505 Bell Street, Edmonds, WA 980 .
Thank you for your time and assistance in updating our files.
Sincerely,
Sandra S. Chase, CIVIC -
Edmonds City Clerk
® Incorporated August 11, 1890
Sister Cities International — Hekinan, Japan
•
• F
No. B-3337 THE ;CITY OF yEDMONDS CLCASSNR. B-1994
BUST -MESS •L110ENSE
This license is issued in conformity with Ordinance No. 1828 and must be posted in a conspicuous place at the
location for which issued. No license issued under the provisions of this ordinance is transferable or. assignable.
EFFECTIVE t JANUARY '31 ICEMBER OF UCENSE•YEAR'
BY: ,✓ DATE ISSUED: 01/25/94
(CITY CLER IGNATLIRE) MO. DAY YR.,
BEESON H_OUSE_ANTTQUESI
'118 4th Ave. N
l Edmonds, WA 98020
.ir. MUST BE DISPLAYED ON LICENSED PREMISE
"CITY, bitSIN;ESS`
Y
.LICENSE'h,ENEWAL
DATE
,IA,ya
Civic Center,,Edmonds Washington 98020 3110.]
T =.
LICENSE
r t rj
Crry Clerk Phone ]]5 2525 :
r
NUMBER
Ft [ [ x7
r
P:
rL
trv� 1
BEESON HOUSE ANTIQUES
lie 4TH AV N
EDMONDS 'WA 98020
f IOR
NSTRUCTIONS:
TYPE OF BUSINESS
ANNUALFEE
P PR INSi
• Please advise li license will be
❑(A) HOMEOCCUPATION
AFrER FEB. 15
rnoted If
New license
$15.00
.$ 7. SO
business changes atltlress or ownership.
business address
-
o
• All items must be completed.
BUSINESS
El (B) EMPLOYEESITMf a
$20. 00
$10. 00 C1A65 YEAR UOENSEEF. DPTE OQE PAID
Sign and return renewal with fee.
❑(0) APARTMENT HOUSE
$20. 00.
$10400 RECOWNUMBER FEEPAID PEN&WMID
• Renewals received after February 15
❑(C) eU51NE33 WITHa -e
muss pay penalty IA addition to lee.
EMPLOYEES
$22.00
$11 . 00
El (D) BUSINESSWTH
OR MORE EMPLOYEES
$ V5 * 00
f 37 ..i0-
BUSINESS LICENSE RENEWAL - REVIEW INFORMATION BELOW, MAKE CORRECTIONS
rvAMEO FlVM .. _.,_-.-__.. ...�..
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FOR PREMISE ACCESS
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APPLICANT'S
BUSINESS
SIGNATIIRE_ a
Tin V
Wort
• city clerk Phone 775 2525
X890 a. 1 nt ,rr zn: ^ +L !jr -
,INSTRUCTIONS:
TYPE
OF BUSINESS
ANNUAL FEE
xKNUAL
- asa advise rf license will not
rerewetl. New license requietl ii
IAI
-
HOME OCCUPATON
$15,00
AFTER rE3 I'
$ 22.50
1
Fusee charges address or owrrership.
IBI
BUSINESS WITH 1- 3 -
EMPLOYEES
$20E00
$ 3O.OD
• All items must be completed.
_
Sign arel return application with fee.
IBI
AMRTMENT HOUSE
$20000
$ 30000
• Renewals recall after February 16
must pay penalty In addition to fee.
❑ ICI
BUSINESS WITH 4-I
EMPLOYEES
$22,00
$ 33400
SINESSESafter
• NEW BUJuly
Q(DI
ORSM1ORE
31 1/2 fee.applying
EMPLOYEES
$75AOD
$112450
DDF15gs Nd .... .. ... as ......rr..A
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RENEVdLL '
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DELETE
ISSUE CORRECTED UCENSE
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` EMERGENCY NOTIFICATION
FOR PREMISE ACCESS III. ..-. A -... _ ....._ _ ... ..-.¢. .........,._.........
-- - IN EMERGENCY 131 1 1.
LICENSE RENEWAL - REVIEW INFORMATION BELOW PRINT CHANGES IN APPLICATION SECTION ABOVE
z N«.GraN BEESON Ham ANTIDUES.
S ➢EALFR LIC M 04-91
a16RES9PMNlE 774-3431 xG.emoPEF,Eur.EEe
wsaTa vM ux. c6=W690
11S 4TH
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SECONIIIIIIIIIIND
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206774-5T40 12I THORSENN
-
^aRE 206542-2069
APPLICANTS �r
SIGNATURE Ty�%i �� —"4% /��'
BUSINESS s,'M�,f
TITLE Alu _
p_C
DATE
\
CITY USE ONLN
STAFF REVIEW: FILL IN LAND USE CODE, UFIR NUMBERS, ZONING, ETC. CHECK APPROVAL OR DISAPPROVAL, DATE AND
SIGN. IF DISAPPROVAL, PLEASE COMPLETE "COMMENT" SECTION. ROUTE TO NEXT DEPARTMENT ON LIST.
UTILITY BILLING. •
❑ APPROVE ❑ DISAPPROVE DATE, SIGNATURE
COMMENTS:
. I
{
PLANNING DEPARTMENT. i DATE LAND USE CODE ZONING CODE
❑ APPROVE ❑ DISAPPROVE SIGNATURE
I
CONDITIONAL USE PERMIT
COMMENTS: { m m
I
I
' I
I
I
I
I ,
BUILDING DEPARTMENT
DATE Building ❑ Hotel/Motel (L)
❑ APPROVE ❑ DISAPPROVE Permit
SIGNATURE ❑ Apt.
❑ Officea Bldg.
CAPACITY: (NO. UNITS, APTS., OFiICES, SEATS, BEDS, STUDENTS) Occupancy ElRestaurant (R)
Group ❑ Hosp/Nurs Home (H)
COMMENTS: m ❑ School (S)
{
POLICE DEPARTMENT.
❑ APPROVE ❑ DISAPPROVE
COMMENTS:
DATE SIGNATURE
I
I
I
I
I
I
I
I
I
RI F A.4;;F RF'T'1 I RM TO C'_I'T' V M F RIB
HE BEESON HOUSE
Lana Lally., Proprietor
Date Issued July cy , 1700
Expires December. 31 , 1986
This. license must be THE BEESON HOUSE -
posted .In a. conspic- Issued 1 O .. . ... ..... . . . ....... . . .
uous place at the Io- 118 4th Ave. N.-
cation for which Is- • ...... . ... . .. . .... • .... .. . • • • •
sued and Is not trans- Edmon.. ds , . WA 98020
feiable. ... .... .. .. .. . ... .. .
$80 ($20 credit for exist-
g ;�sess li'cens'e')
............. ..
JACQUELINE G. PARRETT, City Clerk
MUST BE DISPLAYED ON LICENSED. PREMISES
•
• -
OITY of EDM0NDS BUSINESS
LICENSE'APPLICATION
�r
-
"�('=
GVIC Centel • Etlmanas, Wasningto
City Clerk Phone 7752525
STREET FILE
LICENSE NO.
n
T�OFBUSINESS ANNUALFEE
AFTER'FEe.15
w
CLASS
YEM
LI . EFFEG. D4 gFASG.
LI . NO
SPE4
❑ (A) HOME OCCUPATION $15.00
$ 22.50
'N
I
Pg U) BUSINESSw1TH $20,00
$ 30.00
RECEIPT
NO.
CAE PAID
I TO G EMPLOYEES
-
r
PRINT M'
N SPEC. BOX
BUSINESSWITH $22.00
❑ Iq dT09EMPLOYEES
$ 33.00 -
/Y i
.. FEE PAID
PE)µ P pT
FDA ISSVE OF
CORRECTED
CORK
❑ (0) BUSINESS WITHO §7$,00
USMORE
§1125B
Il(p/,I•'/.v\)
WITH
OR EMPLOYEES
BI
LC ACTION.
NEW APPLICATION
(LA)
❑ RENEWAL
(LB)
❑ CHANGE
(LCf
PLEASE MAKE
ANY NECESSARY CHANGES) ❑ DELETE
ILDI
-A21G il'24rJ C'
MAILING ADDRESS_
P_C) l3GX iS<5
I I-QA q SG'36
BUSINESS ADDRESS
ivs - yi'` Ave
OWNERSNAME
MA)?tt i H .' lJRsir In
HOME PHONE
—145 -5`1 I G
EMERGENCY NOTIFICATION (1) NAMEB TELEPHONE
(PLEASE LIST TWO) (2) NAME E TELEPHONE I
WASHINGTON STATETAXNO.A�I L1tT)
.-rli-LL:EIVED
AATTUHE OF BUSINESS MAR 29 1083c
4.�e.�1 �_lv l�<-iFy$Mi01�6�IR14��PT�
o (S) = (P) o (C)
pis Iy -'-�3iD
IZ APPLICANT'S SIGNATURE
DO NOT WRITE BELOW THIS LINE
STAFF REVIEW: FILL IN LAND USE CODE. UFIR NUMBERS, ZONING, ETC. CHECK APPROVAL OR DISAPPROVAL, DATE, AND
SIGN. IF DISAPPROVAL. PLEASE COMPLETE "COMMENT" SECTION. ROUTETO NEXT DEPARTMENT ON LIST,
PLANNING DEPARTMENT
DATE
INIL APPROVE ❑ DISAPPROVE
LAND USE CODE
ZONING CODE
SIGNATUREn
CONDITIONAL
USE PERMIT
COMMENTS
E
m
BUffIl��DING DEPARTMENT DATE 3-Z8-S3
BPUeImng ❑
Bldg.
::'APPROVE ❑ DISAPPROVE
SIGNATURE I - �LPQUCS
Permit ❑Apt.
Apt.Hot
Bldg.
A)
(A)
® ❑
Office Bldg.
(0)
COMMENTS:
Occupancy ❑
Group ❑
Restaurant
Hosp/Nurs Home
(R)
(H)
® CAPACITY: (NO. UNITS, APTS. OFFICES, SEATS, BEDS, STUDENTS)
❑
School
(S)
lc ucrnn I An MINI DATE
APPROVE ❑ DISAPPROVE SIGNATURE
OW000 404N f. LALLY
POLIIPE DEPARTMENT
PROVE ❑ DISAPPROVE
k
ono nnn r.�n�
SIGNATURE
BLIC WORKS DEPARTMENT /J
APPROVE ❑ DISAPPROVE DATE, .�r3 SIGNATURE
COMMENTS:
PLEASE RETURN TO CITY CLERK
.1, .„dam_-.
DK � - ICENSE NO.
5/:>719,2—
PIr. 3 E CITY of EDMONDS BUSES LIC NSE APPLICATION
16
-<' City lenrer•EamonOe, 75-255 STREET FILPCly clew phon 752525
,eV TYPE OF BUSINESS ANNUAL FEE
J'X,
'ISTRUCTIONS:QL ��((\���
All Items must b@@ fompleted D1
or application w1Not b� O\p
cepled. pp P
Sign and return B6plication
with fee Renewals receivetl
after February 15 must pay
penalty in additiomto fee.
NEW BUSINESSES AFTER
CUB55
LIC. EFFEC. DATE
REASD. LID. NO
SPEC.
SEAR
REDEIVr NO.
DATE PAID
9
PRINT'%'
IN SPEC BOX
FOR ISLUE OF
CORRECTED
FEE PAID PENALTY PAIL
IO�
LICENSE WITH
D I
LC ACTION
❑ (A) HOMEOCCUPATION $15.00
18) BUSINESS WITH $20.00
I T00 EMPLOYEES
❑ IC) BUSINESSWITH $2200
J TO 9 EMPLOYEES
❑ D) BUSINESSWITHIO $75,00
OR MORE EMPLOYEES
AFTER FEB. 1y
$ 2.50%
$� $ 3.0
$112.50 \
Of, NEW APPLICATION ILA)
❑ RENEWAL (LB)
❑ CHANGE ft-C)
-74
n
SINESS ADDRESS rf�[T INDIVIDUAL PARTNERSHIP C^O ION
.Y _ �Yt.. VP o csl �P) .Rr\NIr ;;VQPT
n,
EMERGENCY NOTIFICATION (1) NAME a TELEPHONE 'YCA+ r, J -//.'� A^ / (J 0/O � 51 Z/ 2 1' �
(PLEASE LIST TWO) (2) NAME a TELEPHONE
2 U/
WASHINGTON STATE TAX NO.(� APPLICANT'S SIGNATUR
DO NOT WRITE BELOW THIS LINE
STAFF REVIEW: FILL IN LAND USE CODE, UFIR NUMBERS, ZONING, ETC. CHECK APPROVAL OR DISAPPROVAL, DATE, AND
SIGN. IF DISAPPROVAL, PLEASE COMPLETE "COMMENT" SECTION. ROUTE TO NEXT DEPARTMENT ON LIST.
I
PLANNING DEPARTMENT 'OLS L
DATE LAND USE CODE ZONING CODE
K..APPROVE ❑ DISAPPROVE
I SIGNATURE
CONDITIONAL USE PERMIT
COMMENTS 1 m
BUILgING DEPARTMENT DATE �- - �Z- Building "HotellMotel'"
PPROVE ❑ DISAPPROVE ❑
SIGNATURE �}.� Permit ❑Apt. Bldg.
L
O
(A)
® ❑ Office Bldg.
(0)
Occupancy ❑ Restaurant
(R)
COMMENTS: Group ❑ Hosp/Nuys Home
(H)
® CAPACITY: (NO. UNITS, APTS. OFFICES, SEATS, BEDS, STUDENTS) ❑ School
(S)
FIRE DEPARTMENT DATE 2 U.F.I.R.
-
1,1-4,pPPROVE I ❑ DISAPPROVE SIGNATURE
COMMENTS:
POPBE DEPARTMENT -
APPROVE ❑ DISAPPROVE DATE - ��� SIGNATURE ,
COMMENTS:
PUBLIC WORKS DEPARTMENT \ )
APPROVE ❑ DISAPPROVE DATE'S SIGNATUR� ^
STREET SILO 9
Memo to Architectural Design Board
November 26, 1980
Page 2
5. ADB-83-5.0 - (Cont'd)
44 feet is required beneath the building for parking
and back -out space. The southern -most stall is to be
marked for compacts only. Further details are required
on the support post location and sizes shown in parking
area. A drainage plan per.Ordinance # 1924 shall be
required in conjunction with building permit application.
Also, a right-of-way construction permit shall be required
in conjunction with the curb, gutter and sidewalk work to
be done. on Pine Street.
6. ADB-88-80 - Edmonds Park and Recreation - Review of Anderson Center
phitheatre and playground equipment at 700 Dayton St.
Engineering has no objection to this item.
7. ADB-89-80 - Dick Cassutt - Review of site, landscaping and elevations
for addition to Beauty Salon at 538 Main Street. (BC)
A detailed parking lot plan is required prior to Engineering
approval`of this project.
8. ADB-90-80 - Andy's Motel - Review of site and elevations for addition
of three units at 22201 Highway 99. (CG)
Engineering does not object to this action. The only
requirement is to pave the parking stalls in front of
the new units.
9. ADB-92-80 7-Lana Lally - Review of signs for Beeson House at
,_118 4th Avenue North. __(BC)
This sign shall not present a site hazard and therefore
Engineering does not object. A Street Use PerMit
shall be required.
I
..
!' ^�. CITY of EDMONDS BUSINOSMENSE APPLICATION DATER LICENSE NO. Y1. _
< CiticCenter, hone 7Washington 980f0 ANNUAL FE
Gry Clerk phone 77Fi2525 ❑ HOME OCCUPATION PENALTY AFTER FEB. 15
INSTRUCTIONS:
• All items must be completed
or application will not be aC-
cepted.
• Sign and return application
with fee. Renewals received
CLA33
WDATE
YEAR
LIQ EFFEC. A REASO.
UG. NO.
SPEC
RECEIPT NO.
PAID
PRINT'%'
IN SPEC. WE
FOR ISSUE OF
CORRECTED
FEf PAID PCNAL
LICENSE WITH
LC' ACTION.
// $10.00 _ (A) ADDITIONAL $5.00 ❑
SMALL BUSINESS
$15.00 (B) ADDITIONAL $7.50 ❑
❑ Business with 10 or
more employees ADDITIONAL $25.00 ❑
$50.00 (C)
after February 15 must pay
WNEW APPLICATION
(LA)
Penalty in addition to fee.
❑ RENEWAL
(LB)
NEW BUSINESSES AFTER
❑ CHANGE
(LC)
JULY 31, 112 FEE. (PLEASE MAKE ANY NECESSARY CHANGES)
❑ DELETE
(LD)
NAME OF FIRM
%H�
BUSINESS PHONE NO. OF EMPLOYEES
775l-fo /
f
Mi
MAILING ADDRESS
NATURE OF BUSINESS
BUSINESS ADDRESS
// f oG �. i1/ �7�ti/o v7J5
INDIyyIDUAL PARTNERSHIP CORPORATION
®(S) O (P) (C)
OWNERS NAME
FIVR NC- SPO.S!-T i
HOME ADDRESS
—
7Li p
T . . EZ7
.u7pt'
HO EPHONE
pq
p g
FMFRr.PNr1V Nr1TIPIr ATIr1N H\ \IALIC 2 TCI CDLJnK1C0*T
R Y•
_J.
(PLEASE LIST TWO) (2) NAME &TELEPHONE
WASHINGTON STATE TAX NO. r Ara^. -;�',.,)n-56�?APPLICANT'S SIGNATURE
DO NOT WRITE BELOW THIS LINE
STAFF REVIEW: FILL IN LAND USE CODE, UF1R NUMBERS, ZONING, ETC. CHECK APPROVAL OR
DISAPPROVAL, DATE, AND SIGN. IF DISAPPROVAL, PLEASE COMPLETE "COMMENT"
SECTION. ROUTE TO NEXT DEPARTMENT ON LIST.
KAPPP�ANNING DEPARTMENT DATE /� LAND USE CODE ZONING CODE
APPROVE ❑ DISAPPROVE
' - SIGNATUR
CONDITIONAL USE PERMIT
COMMENTS O O m
BUILDING DEPARTMENT DATE
Builtling
['APPROVE ❑ DISAPPROVE
SIGNATURE 12ExVrs
❑Hotel/Motel
Permit ❑
Apt. Bldg.
(L)
(A)
Q-FT711 ❑
Office Bldg.
(Of
COMMENTS:
Occupancy ❑
Restaurant
IN
Group ❑
HOSPlNurs Home
IN
® CAPACITY: (NO. UNITS. APTS., OFFICES, SEATS, BEDS, STUDENTS)
® ❑
School
(S)
FIRE DEPARTMENT DATE �L -3'B U.F.I.R.
`
BA'APPROVE ❑ DISAPPROVE SIGNATURE � 2� raS�'1
COMMENTS: 645- 04rO _ C? 29-
APPROVE ❑ DISAPPROVF DATE 77J1:4 / A " SIGNATURE
PUBLIC WURKS DEPARTMENT
❑ APPROVE ❑ DISAPPROVE DATE / Ifil SIGNATURE
PLEASE RETURN TO CITY CLERK
149ITY�
BUSINESS LICENSE APPLICATION DATE / /. 'LICENSE NO.
cone 77-252ton 88pa1STREET FI UAL Phone 775-2525 PENALTY AFTER FEB. 15
I i'$
�1 oCTIONS:
tems must be completed
or application will not be ac.
cepted. 11
• Sign and return application
with fee. Renewals received
after February 15 must pay
penalty in addition to fee.
NEW BUSINESSES AFTER
CU66 YEAp
LIG EFFEC. DATE pEA$G.
LID. NO
6PEC.
RECEIPT NO
DATE PAID
PAINT
N SPEE C Bo%
FOP ISSUE OF
CNECTED
FEE PAID
PENALTY AID
LICENSE WITH
LC ACTION
y/ $10.00 (A) ADDITIONAL $5.00 C
Jsl SMALL BUSINESS
$15.00 (B) ADDITIONAL $7.50 C
❑ Business with 10 or
more employees ADDITIONAL $25.00 C
$50.00 (C)
❑ NEW APPLICATION (LA)
0 RENEWAL (LB)
❑ CHANGE (LC)
JULY 31, 112 FEE. (PLEASE MAKE ANYNECESSARYCHANGES)
❑ DELETE (LD)
ME O F FIRM M/
BUSINESS PHONE NO'. OF EMPLOYEES
�. te _j 1 .flL
i
MAILING ADDRESS
P1�1771�'
���
'NATURE OF BUSINESS
��1�
�
0,7 f, tL, pdeei�
BUSINESS ADDRE S
INDIVIDUAL PARTNERSHIP CORPORATION
�OWRERS-Nfifi
HOME ADDRESS C
OME PHONE
S
EMERGENCY NOTIFI
c
(PLEASE LIST TWO) (2) NAME A TELEPHONE. „ ✓-�+�.q,
WASHINGTON STATE TAX NO. APPLICANT'S SIGNATURE L-eL'L6", / //Jf19ZP �ry7i
L =. DO NOT WRITE BELOW THIS LINE
STAFF REVIEW: FILL IN LAND USE CODE, UFIR NUMBERS, ZONING, ETC. CHECK APPROVAL OR
DISAPPROVAL, DATE, AND SIGN. IF DISAPPROVAL, PLEASE COMPLETE "COMMENT"
SECTION. ROUTE TO NEXT DEPARTMENT ON LIST.
w PLANNING DEPARTMENT DATE LAND USE CODE ZONING CODE
94PPROVE ❑ DISAPPROVE
Jai I
��,.�,q —SIGIN�ATUREi�L
- O /Mew �Ov ' Ov% :;t � t CONDITIONAL USE PERMIT
COMMENTS O�>t'0`tir`' 7No3 P/ -QI FQ,a..,�Q
OI.-LA'- 0 F= m
BUILDING DEPARTMENT Building ❑Hotel/Motel L9 APPROVE ❑ DISAPPROVE DATE i' �S. ' T (L)
SIGNATURE O< Permit ❑ Apt. Bldg. (A)
(�' Office Bldg. (0)
COMMENTS: Occupancy'LI Restaurant (R)
Group' ❑ HosplNurs Home (H)
® CAPACITY: (NO. UNITS, APTS., OFFICES, SEATS, REDS, STUDENTS) ❑ School (S)
rIMC UCrANIMtNI DATE '
❑ APPROVE 01( DISAPPROVE SIGNATURE r ® ® O
r-V t UtrAKI MENT DATE �' �' 7�%
ET APPROVE ❑ DISAPPROVE .SIGNATURE
COMMENTS:
PUBLIC WORKS DEPARTMENT
❑ APPROVE ❑ DISAPPROVE DATE SIGNATURE
PI FACE PCTIIPNI Tn r:ITV (:I CON
CITY of EDMONDS BUSINE#OLICENSE APPLICATION DATE / Y LICENSE NO.
STREET FILr
ai Ovic Center • Edmonds, Wazhinelod 9W20 NUAL $
city clerk Phone 775-2525 - PENALTY AFTER FEB. 15
INSTRUCTIONS:
P All Items must be completed
j or application will not be ao,
cepted.
• Sign and return application
I with fee. Renewals received
after February 15 must pay
penalty in addition to fee.
NEW BUSINESSES AFTER
❑ HOME OCCUPATION
GIAee YEAR
uc. OF REASS.
ua NO.
SPEC.
$10.00 (A)
ADDITIONAL$5.00
❑
BUSINESS
ff�SMALL
-AeCW NO.
, DAYS N
$,15.00 (B)
ADDITIONAL $7.50
❑
PRINT
IN SPEC SOX
❑ Business Wltil 10 Or
"Co
PEN 10
ISS OF
CORRECTED
more employees
ADDITIONAL$25.00
❑
WITH
$•510.2D (GI
1LICENSE
II
W ACTION,
NEW APPLICATION
(LA)
LIST TWO)
WASHINGTON STATE TAX
BUSINESS PHONE
NATURIiB BUSINESS
(2) NAME & TELEPHONE
DO NOT WRITE
APPLICANT'S
= m2plA -
1C)
STAFF REVIEW: FILL IN LAND USE CODE, UFIR NUMBERS, ZONING, ETC. CHECK APPROVAL OR
- DISAPPROVAL, DATE, AND SIGN. IF DISAPPROVAL, PLEASE COMPLETE "COMMENT"
SECTION. ROUTE TO NEXT DEPARTMENT ON LIST.
PLANNING DEPARTMENT
DATE / � ' 7
LAND USE CODE
ZONING CODE
"PPROVE ❑ DISAPPROVE
,�p�
.��/
SIGNATURE
"
CONDITIONAL
USE PERMIT
.COMMENTS
0
O
m
BUILDING DEPARTMENT
DATE 1'36-
Building ❑Hotel/Motel
(L)
PROVE ❑ DISAPPROVE
SIGNATURE
Permit ❑
Apt. Bldg.
(A)
®�
Office Bldg.
(0)
COMMENTS: OcGroupcupancy Restaurant (R)
❑ Hosp/Nurs Home (H)
® CAPACITY: (NO. UNITS, APTS., OFFICES, SEATS, BEDS, STUDENTS) ® ❑ School (S)
FIRE DEPARTMENT DATE _U. F.LR.
• ' ❑ APPROVE CR DISAPPROVE SIGNATURE''' if
1
-POOCE DEPARTMENT DATE a 5- SIGNATURE
APPROVE ❑ DISAPPROVE
COMMENTS: _
PUBLIC WORKS DEPARTMENT
❑ APPROVE ❑ DISAPPROVE DATE SIGNATURE
COMMENTS:
111 CA CC OCTI)OKI Tn rITV r1 COW
0 0
CITY OF EDMONDS
USE PERMIT
ZONE NUMBER 95641);
CONSTRUCTION PERMIT APPLICATION
/oB SUITE APTe
ADDRESS /% �ijb(„ C
OWNER NAME NAME OF BUSINESS
44 NA l ALL 1
LEGAL DESCRIPTION CHECK
se
SUBDIVISION NO
LID NO
MAILING ADDRESS
O
C
// �/N 'T!/t�'
a:
w
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING REOUIRED DEDICATION
PROPOSED
TESCP Approveo ❑
RW Permit Required ❑
Street Use Permit Req'd ❑
Inspeclion Required ❑
Sidewalk Required ❑
CITY ZIP
TELEPHONE NUMBER
��YY CC _
% n ' 0 F 7 Lj
w
NAME
/T �, i •
(,lJ/)/2/ils1�1 F>nl lam,/=�
METER SIZE
LINE SIZE
NO.OF FIXTURES
PRV REQUIRED
YES D NO ❑
ADDRESS j1 ^l'
Z ?J A/ iE �,
REMARK$
M.
Z
CITY 21P
TELEPHONE NUMBER
Of !
w
NAME
I
L L r"
ADDRESS
U
,
ENGINEERING MEMO DATED - REVIEWED BY
¢
I-
p
CITY ZIP
TELE HONE NUMBER
-"T•7 .. -FIRE
MEMO DATED REVIEWED By
STATE LICENSE NUMBER EXPIRATION DATE
I-L 6C , 3,
(.1
SIGN AREA
ALLOWEO PROPOSED
SEPAREVIEW
COMPLETE EXEMPT
...
E%P
,ADB NOF: 1
� ` / /
SHORELINES
z
O
Legal Description of Property -include all easements
if G�/ilDl'J f�S �/
C1 n/ 51 "IF L6T /0
VARIANCE OR CU
_...._.
PLANNING REVIEW
/ '' .� . . c_'1L
BY D E
lC i (i fir
N
SETBACKS —FEET HEIGHT
LOT C VERA E
o
.IOC ' l • _ G
(/
Z
z
O
FRONT SIDE REAR
<
6
Property
Tax Account
MARKS
Parcel No.
ElNEW ® RESIDENTIAL PLUMBING
ADDITION COMMERCIAL MECHANICAL
I�
REMODEL APT. BLDG. LJ SIGN
GRADING FENCE
REPAIR O CYOS. O I_K_FT)
CHECKED BY
TYPE OF CONSTRUCTION CODE
A/
C`
OCCUPANT
GR
<
POOL
DEMOLISH ❑ INSERT TOVE O HOT TUB SPA
GARAGE RETAINING WALL/
CARPORT ROCKERY RENEWAL
(TYPE OF USE. BUSINESS OR ACTIVITY( EXPL IN:
Mina %fie. Sf� /li it
s
m
SPECIAL
REQUIRED INSPECTORSWIM
❑YES
AREA
Z .
OCCUPANT
MARKS
PROGRESS INSPECTIONS PER UBC 305
00ae . �Du � o/c hw t�
W
O
to
O
•'
NUMBER NUMBER OF
OF 7 DWELLING we
STORIES r UNITS (�
CRITICAL
AREAS ��
NUMBER
DESCRIBE WORK TO BE DONE PLOT PLAN)
FINAL INSPECTION REQUIRED
`(ATTACH
/LO §76, C
VALUATION
FEE
PLAN CHECK FEE
BUILDINO
Z Z/ O
HEAT SOURCE:
GLAZING
0/'
PLUMBING
Plan Check No. ��— /
MECHANICAL
GRAOING/FILL
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewPlks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
S�
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work Is Started Within 180 Days
STORM DRAINAGE FEE
ENO. INSPECTION FEE
w
w
5
P
i
"Applicant. on behalf of his or her spouse, heirs, assigns and
successors in interest, agrees to indemnify, defend and hold
harmless the City of Edmonds, Washington, its officials,
employees, and agents from any and all claims for damages of
whatever nature. arising directly or indirectly from the issuance
of this permit. Issuance of this permit shall not be deemed t0
motlily, waive or reduce any requirement of any city ordinance
nor limit in any way the City's ability to enforce any ordinance
provision."�(_(-'/'
PLAN CHECK DET POSI
{
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the ATTENTION APPLICATION APPROVAL
Information given is Correct; and that I am the owner, or the duly
authorized agent of the owner. I agree to comply with city and THIS PERMIT This application is not a permit until
slate laws regulating construction; and in doing the work authoriz• AUTHORIZES
ed thereby, no person will be employed in violation of the Labor ONLY THE signed by the Building Official or his/her
Cotla of the State of Washington relating to Workmen's Compensa• WORK NOTED Deputy: and fees are paid, and receipt is
lion Insutance and RCW 18:27-1. INSPECTION acknowledged in space provided.
SIGN TU E (OWNER OR AGE TI '\ DATE SIGNED DEPARTMENT
` OFF 'S IG ATURE ATE
CALL FOR ELEASED,A3Y DATE
ATTENTION INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE 77l" -0,.11,.0
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ORIGINAL — File YELLOW — Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
�u+r�rn s i.l r � — PINK — 0.-.-n• GOLD — Assessor
U
STREET ADDRESS EI gBARA FAHEY
CITY OF EDMONDS MAYOR
PUBLIC WORKS DEPARTMENT • 7110 — 210TH ST. S.W. • EDMONDS, WA 98026
(425) 771.0235 • FAX (425) 744.6057 • E-MAIL: klein&i.edmonds.wa.us
In C. 1 g9� WEB SITE: www.d.edmonds.wa.us
April 27, 1999
Lana Lally
116 — 4`h Ave. N.
Edmonds, WA 98026
Subject: Water Leak Credit Account #1-10950
Dear Mrs.Lally:
I have reviewed your account and will allow a credit for the billing period between
January 27, 1999 through May 26, 1999 in accordance with our 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%
surcharge 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 Denise Burke, Utility Billing Clerk, at 771-0241.
Sincerely,
zwc—�
Jim Waite
Water/Sewer Supervisor
JW/lk
cc: Denise Burke
Utility Billing Clerk
wordata\water\credit99\# 110950
• Incorporated August 11, 1890 •
Sister Cities International — Hekinan, Japan
April 14, 1999
Public Works Dept.
Attn: Jim Waite
Re: Water leak 118 4t' Ave. North, Edmonds, account # 1-10950
The current water bill I received is almost three times the normal amount. After speaking
with the city of Edmonds water dept., they came and checked the meter. The city people
said there was a creeping leak. After searching for this leak yesterday we found a tiny
hose off a toilet in the little house that is used mainly for storage.
I hope you will be able to okay a leak adjustment. This matter has been fixed.
Thank You,
- -Lana L y --- -- -- - - — -- -- -- - ---
425-6700825
RECEIVED
APR 1 91999
PUBLIC WORKS t}-