1130 BROADWAY STE A EVERETT LAUNDRY 2021-11-01

E •'SIGN PERMIT APPLICATICe CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS: Drop off hard copy paper application&plans to 3200 Cedar Street 2nd Floor Intake Drop Box. WASHINGTON CONTACT INFORMATION: (P)425.257.8810 I(E)everetteps@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1130 Broadway PARCEL#: CITY Everett STATE WA ZIP 98201 SUITE/UNIT#: A ADDITIONAL LOCATION INFORMATION: TENANTIBUSINESS NAME(if non-residential):Everett Laundry CONTACT INFORMATION OWNER NAME:Dara Ouch OWNER MAILING ADDRESS: STREET 1130 Broadway Suite A CITY Everett . STATE WA ZIP 98201 OWNER PHONE: (OWNER EMAIL: CONTRACTOR CONTACT NAME:BB&T Sign Services WA STATE CONTRACTOR LICENSE#(REQUIRED):B BTS IS*990PQ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 055104 CONTRACTOR ADDRESS: STREET 16212 Bothell-Everett Hwy F239 CITY Mill Creek STATE WA ZIP 98012 CONTRACTOR PHONE:4253308160 CONTRACTOR EMAIL:bbtsigns msn.COM PRIMARY CONTACT: ❑OWNER l]CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425.330.8160 Frank CONTACT EMAIL:bbtsigns@msn.corn SIGN PERMIT INFORMATION VALUATION OF WORK: $2900 ASSOCIATED PERMIT#(if applicable): (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) DESCRIPTION OF WORK:Install (1) LED sign display SIGN DIMENSIONS: Sign 1: Width: 18' Height: 2' Square Feet: 36 Sign 2: Width: Height: Square Feet: Sign 3: Width: Height: Square Feet: SIGN TYPE&QUANTITY: ❑✓Wall/Awning/Canopy-Qty: 1 ❑Window-Qty: DElectronic Changing Message-Qty: ['Projecting-Qty: ❑Freestanding-Qty: -Type (monument,etc.): SIGN LIGHTING: ❑Non-Iluminated ❑✓Illuminated-Type(backlit cabinet,etc.):LED *requires a separate electrical permit PLAN REVIEW REQUIREMENTS: Submit 2 hard copies of sign plans with permit application to Permit Intake Drop Box. 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 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 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, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. r City of Everett Official Use Only � PERMIT# !� 06/22/21 6 Z l o(0 0 0 7 Own r/A on Agent Sign Date (Revised 2/8/2021)