3105 BROADWAY BROADWAY MARATHON 2021-11-01

E SIGN PERMIT APPLICATION• 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 3105 Broadway PARCEL#: 00439074200100 cm, Everett STATE WA zip 98201 SUITE/UNIT#: ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential):Broadway Marathon CONTACT INFORMATION OWNER NAME:TSYH Corporation OWNER MAILING ADDRESS: STREET 3105 Broadway cm( Everett STATE WA zip 98201 OWNER PHONE:425-917-2109 OWNER EMAIL:Steven@insigniasign.com CONTRACTOR CONTACT NAME:Insignia Sign & Re-Imaging WA STATE CONTRACTOR LICENSE#(REQUIRED):INSIGSR813QA CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): TBD FileLocal Site Down CONTRACTOR ADDRESS: sTREET325 Burnett Ave N ciTY Renton STATE WA ZIP 98057 CONTRACTOR PHONE:425-917-2109 CONTRACTOR EMAIL:Steven@insigniasign.com PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-917-2109 Steven Thomson CONTACT EMAIL:steven@insigniasign.com SIGN PERMIT INFORMATION VALUATION OF WORK:$6,000.00 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: (N1 Freestanding Sign): Replace existing 76 faces with new Marathon faces like for like (REFACE ONLY). SIGN DIMENSIONS: Sign 1: Width: 5'-7" Height: 14'-3" Square Feet: 79.56 REFACE ONLY Sign 2: Width: Height: Square Feet: Sign 3: Width: Height: Square Feet: SIGN TYPE&QUANTITY: ❑Wall/Awning/Canopy-Qty: ❑Window-Qty: ❑Electronic Changing Message-Qty: ❑Projecting-Qty: ❑✓Freestanding-Qty: 1 -Type(monument,etc.): Freestanding(REFACE ONLY) SIGN LIGHTING: ❑Non-Iluminated ❑✓Illuminated-Type(backlit cabinet,etc.): Internal LED Illumination *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. City of Everett Official Use Only PERMIT#Steven Thomson Digitally signed by Steven Thomson l Q 3- (�V I 3 Dale:2021.03.2323:38:32-07'00' 04/07/21 Owner/Authorized Agent Signature Date (Revised 2/8/2021)