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PERMITSIGN APPLICATION <br />EVERETT <br />WASH I NGI'ON <br />CITY OF EVERETT PERMIT SERVICES <br />SUBMITTAL INSTRUCTIONS: Drop off hard copy paper application & plans to 3200 Cedar Street 2nd Floor Intake Drop Box. <br />CONTACT INFORMATION: (P) 425,257.8810 1 (E) everetteps@everettwa.gov I (N) everettwa.gov/permits <br />(Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: srkEET 2803 Colby Ave PARCEL#: 00439166700300 <br />CITY Everett STATE WA z,, 98201 <br />SUITEIUNIT it ADDITIONAL LOCATION INFORMATION: <br />TENANT/BUSINESS NAME (if non-residential): otarl Ramen it1 ar <br />CONTACT ONFORMAT1ON <br />OWNERNAME:SKOTDAL FAMILY �®EP-AE_NTS LLC <br />OWNER MAILING ADDRESS: STRET 2707 COLBY AVE STE 1200 <br />CITY Everett STATE WA ZIP 98201 <br />OWNER PHONE: <br />OWNER EMAIL: <br />CONTRACTOR CONTACT NAME!- <br />WA STATE CONTRACTOR LICENSE #(REQUIREDy ! �j jr� r( ���J+�L, <br />(� <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 055104 <br />CONTRACTOR ADDRESS: STREET,16212 Bothell Everett Hwy F239 <br />CITY M111 Creek STATE WA 7I, 98012 <br />CONTRACTOR PHONE:42533081 60 <br />CONTRACTOR EMAIL: bbtSig ns6( r sn. Goal <br />PRIMARY CONTACT: ❑ OWNER CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: CONTACT PHONE:426 330,81 60 <br />Frank CONTACT EMAIL:bbtsiqns(@_msn.com <br />.� <br />SIGN PERMIT INFORM ATIONS <br />VALUATION OF WORK: $ 1 800 1ASSOCIATED PERMIT # (if applicable):` _ <br />(Valuatron shall include the preva:liny flair market vahe of all labor, materials, and equipment needed to cornp!ete, the work, whether actually paid or not) <br />DESCRIPTION OF WORK: <br />SIGN DIMENSIONS: <br />Sign 1: Width: 120" Height: 24rr Square Feet: 12.92 <br />Sign 2: bUidth: Height: Square Feet: <br />Sign 3: Width: Height: Square Feet: <br />SIGN TYPE & QUANTITY: ZVl!all/Awning/Canopy - Qty: 1 ❑Window- Qty: ❑Electronic Changing Message - Qty: <br />❑Projecting - Qty: ❑Freestanding- Qty: - Type pner,;;rr, r,;, etc): <br />SIGN LIGHTING: ❑Non-lluminated✓ZIlluminated-Type (backirtcabinet, etc.):LED internal "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 l have reiieKc-d ti?is application and confirm tare information covta.rnerl herein is tn!e and correct Work done pursuant to this pemait must con?ply witl? <br />cunent federaf, slate, and local law The granting of a permit only authorizes approved work and no deviations therefrom. Deviations most first be authorized in miling from the <br />Building Official before being authorized under any circumstance. I am the owner, or am authorized by the owner of this property to perform the work for which application is made. <br />and I con?ply with the State Contractors Law 18.27 RCW and 29b200A WAC. <br />03/30/2' <br />ler/Autnorized Age " Signaturei Date <br />City of Everett Official Use Only <br />PERMIT 4 <br />521��t - 6D V <br />(Revised 248170271 <br />