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ii <br />EVERETT <br />WAS14INGTOM <br />OIGN PERMIT APPLICATICS <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 (W) everettwa.gov/permits <br />(Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: STREET 2015 19th St. PARCEL #: 00437936401700 <br />CITY Everett STATE WA ZIP 98201 <br />SUITE/UNIT #: ADDITIONAL LOCATION INFORMATION: <br />TENANT/BUSINESS NAME (if non-residential): Angie's Nail Salon <br />CONTACT INFORMATION. <br />OWNER NAME: Angelina Elworth <br />OWNER MAILING ADDRESS: STREET 2015 19th St <br />CITY Everett STATE WA ZIP 9820 <br />OWNER PHONE: 425 760-1108 <br />OWNER EMAIL: Angelina Elworth <br />CONTRACTOR CONTACT NAME: Michael Bishop 1=A5i 5 S`'k 32jK <br />WA STATE CONTRACTOR LICENSE #(REQUIRED): 604-026-945 CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 056308 <br />CONTRACTOR ADDRESS: STREET2802 Colby Ave. <br />c,Tv Everett STATE WA zIP 98201 <br />CONTRACTOR PHONE:425-299-0113 <br />CONTRACTOR EMAIL: michael.bishop@fastsigns.com <br />PRIMARY CONTACT: ❑ OWNER ❑✓ CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: Michael Bishop <br />CONTACT PHONE: 425-299-0113 <br />CONTACT EMAIL: michael.bishop@fastsigns.com <br />SIGN PERMIT INFORMATION <br />VALUATION OF WORK: $ 2093.49 <br />1ASSOCIATED PERMIT # (if applicable): <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: Creation and installation of 40ft sq wall sign. <br />SIGN DIMENSIONS: <br />Sign 1: Width: 120" Height: 48" Square Feet: 40' <br />Sign 2: Width: Height: Square Feet: <br />Sign 3: Width: Height: Square Feet: <br />SIGN TYPE & QUANTITY: ❑✓ Wall/Awning/Canopy - City: 1 ❑Window- Qty: ❑Electronic Changing Message - Qty: <br />❑Projecting - Qty: ❑Freestanding- Qty: - Type (monument, etc.): <br />SIGN LIGHTING: ❑✓ Non-Iluminated ❑Illuminated - Type (backlit cabinet, etc.): *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: 1 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. I am 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 />04/21 /21 lJ <br />PERMIT # 2,C I — 0 I <br />Signature Date (Revised 21812021) <br />�z <br />