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INN 411kIGN PERMIT APPLICATI <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT SUBMITTAL INSTRUCTIONS:Drop off hard copy paper application&plans to 3200 Cedar Street 2nd Floor Intake Drop Box. <br /> WASHINGTON CONTACT INFORMATION:(P)425-257-8810 I(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 2526 Colby Ave PARCEL#: 00562456101900 <br /> CITY Everett STATE WA ZIP 98201 <br /> SUITE/UNIT#: ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential):Screen Printing Northwest <br /> CONTACT INFORMATION <br /> OWNER NAME:Jerry Barhanovich <br /> OWNER MAILING ADDRESS: STREET 4727 Mermont Dr <br /> CITY Everett STATE Wa ZIP 98203 <br /> OWNER PHONE:(425)870-9028 OWNER EMAIL:Jerb.je@live.com <br /> CONTRACTOR CONTACT NAME:Crossroad SIGN <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):CROSSS*894M1 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 62014 <br /> CONTRACTOR ADDRESS: STREET 16406 7th PL W <br /> CITY Lynnwood STATE WA ZIP 98037 <br /> CONTRACTOR PHONE:425-481-9411 CONTRACTOR EMAIL:ryan@crossroadsign.com <br /> PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-481-9411 <br /> Ryan S h roy CONTACT EMAIL:ryan@crossroadsign.com <br /> SIGN PERMIT INFORMATION <br /> VALUATION OF WORK:$10,290 ASSOCIATED PERMIT#(if applicable):Electric Permit TBD E 22.oci_23 I <br /> (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) <br /> DESCRIPTION OF WORK: Install lit channel letter sign above tenants front door <br /> SIGN DIMENSIONS: <br /> Sign 1: Width: 22ft Height: 4.16ft Square Feet: 85 <br /> Sign 2: Width: Height: Square Feet: <br /> Sign 3: Width: Height: Square Feet: <br /> SIGN TYPE&QUANTITY: ✓❑Wall/Awning/Canopy-Qty: ❑Window-Qty: ❑Electronic Changing Message-Qty: <br /> ❑Projecting-Qty: ❑Freestanding-Qty: -Type(monument,etc.): <br /> SIGN LIGHTING: ONon-lluminated IJIlluminated-Type(backlit cabinet,etc.):Internal illumination ..requires a separate electrical permit <br /> PLAN REVIEW REQUIREMENTS:Submit 2 hard copies of sign plans with permit application to Permit Intake Drop Box. <br /> ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct.Work done pursuant to this permit must comply with <br /> current federal,state,and local law.The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the <br /> Building Official before being authorized under any circumstance.lam the owner,or I am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# �� <br /> tJ 5/26/22 n6I00Owner/Aut4-ht4.7 <br /> gent Signa Date (Revised 4/21/2022) <br /> y2- <br />