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• <br /> SIGN PERMIT APPLICATIO! <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)everetteps@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PR•JECT SITE INFORMATIONS <br /> PROJECT SITE ADDRESS: STREET 2802 Hoyt Avenue PARCEL#: 0110860001010 <br /> CITY Everett STATE WA ZIP 98203 <br /> SUITE/UNIT#: ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential):Elks Lodge <br /> CONTACT INFORMATION <br /> OWNER NAME:HOYT AVENUE PROPERTIES LLC, c/o Skotdal Real Estate <br /> OWNER MAILING ADDRESS: STREET 1604 Hewitt Ave, Suite 200 <br /> CITY Everett STATE WA ZIP 98201 <br /> OWNER PHONE:4252525400 OWNER EMAIL:dave.graef@skotdal.com <br /> CONTRACTOR CONTACT NAME:FASTSIGNS FAST *" 8 32,J iS <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 056308 <br /> CONTRACTOR ADDRESS: STREET2802 Colby Avenue <br /> crry Everett STATE WA ZIP 98201 <br /> CONTRACTOR PHONE:425-438-9350 CONTRACTOR EMAIL:miChael.biShOp@faStSigfS.COm <br /> PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-299-01 1 3 <br /> Michael Bishop CONTACT EMAIL:michael.bishop@fastsigns.com <br /> SIGN PERMIT INFORMATION <br /> VALUATION OF WORK: $4800.94 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:Creating and installing a double sided hanging sign for the Elk's Lodge. <br /> SIGN DIMENSIONS: <br /> Sign 1: Width: 38.4" Height: 24" Square Feet: 6.4 <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.):Hanging Sign Qty:1 <br /> SIGN LIGHTING: ❑✓Non-lluminated ❑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.: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 /> „ it) O l <br /> PERMIT#9(4.44.- �} ffJ-4/8/2021 C� - <br /> Owner/Authorized Agent Signature Date (Revised 2/8/2021) <br />