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• 4110 <br /> SIGN PERMIT APPLICATION <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 1(E)everetteps@everettwa.gov 1(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 811 SE Everett Mall Way PARCEL#: 28051800307400 <br /> clry Everett STATE WA ZIP 98208 <br /> SUITE/UNIT#: ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential):Olympic Hot Tub <br /> CONTACT INFORMATION <br /> OWNER NAME:Olympic Hot Tub C/O Don Riling <br /> OWNER MAILING ADDRESS: STREET 811 SE Everett Mall Way <br /> cITY' Everett STATE WA zip 98208 <br /> OWNER PHONE:206-286-0700 x3021 OWNER EMAIL:don@olympichottub.com <br /> CONTRACTOR CONTACT NAME:City Lites Neon <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):CITYLNI099DG CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 41415 <br /> CONTRACTOR ADDRESS: STREET902 NW 49th St <br /> CITY Seattle STATE WA ZIP 98107 <br /> CONTRACTOR PHONE:206-789-4747 CONTRACTOR EMAIL:sarah@citylightssign.com <br /> PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-789-4747 <br /> Sarah Terry CONTACT EMAIL:sarah@citylightssign.com <br /> SIGN PERMIT INFORMATION <br /> VALUATION OF WORK:$18,000 ASSOCIATED 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: <br /> install and maintain (1) S/F illuminated channel letter wall sign and reface (1) existing <br /> D/F illuminated pylon sign for Olympic Hot Tub <br /> SIGN DIMENSIONS: <br /> Sign 1: Width: 18'6" Height: 5'4-1/2" Square Feet: 99.4 SF <br /> Sign 2: Width: 8'7" Height: 2'11" Square Feet: 25.1 SF <br /> Sign 3: Width: Height: Square Feet: <br /> SIGN TYPE&QUANTITY: ©Wall/Awning/Canopy-Qty: CI Window-Qty: ❑Electronic Changing Message-Qty: <br /> ❑Projecting-Qty: ©Freestanding-Qty:1 -Type(monument,etc.): pylon <br /> SIGN LIGHTING: ❑Non-Iluminated ✓❑Illuminated-Type(backlit cabinet,etc.):channel letters *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.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 /> 3/4/21 <br /> PERMIT# S2\V3 ^ 0O(0 <br /> V <br /> Owner/Authorized Agent Sign t e Date (Revised 2/8/2021) <br /> 11 Z <br />