10121 EVERGREEN WAY WHAT THE FLUFF 2021-11-02

Isim ItIGN PERMIT APPLICATIOP 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 10121 Evergreen Way PARCEL#: 28042400200100 cITY Everett STATE WA ZIP 98024 SUITE/UNIT#: 5 ADDITIONAL LOCATION INFORMATION:TENANT/BUSINESS NAME(if non-residential):What The Fluff Dog Grooming CONTACT INFORMATION OWNER NAME:Cody Nilsson OWNER MAILING ADDRESS: STREET 14205 SE 36th Street, Suite 215 CITY Bellevue STATE WA ZIP 98006 OWNER PHONE:425-990-6200 OWNER EMAIL:codvc paadvisors.com CONTRACTOR CONTACT NAME:Crossroad SIGN Cp2o l�l' WA STATE CONTRACTOR LICENSE#(REQUIRED):l Rio CC*?Ill Mt CITY OF EVERETT BUSINESS LICENSE 63050. CONTRACTOR ADDRESS: STREET 16406 7th PL W CITY Lynnwood STATE WA ZIP 98037 CONTRACTOR PHONE:425-481-9411 CONTRACTOR EMAIL:ryana,crossroadsign.com PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-481-9411 Rva n S h rov CONTACT EMAIL:ryan(a crossroadsig n.com SIGN PERMIT INFORMATION VALUATION OF WORK:$4,000 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: r t 1 V61 NA- .00c-_ �l SIGN DIMENSIONS: ft Sign 1: Width: .I 1 1 Height: 2 ft Square Feet: 22 Sign 2: Width: Height: Square Feet: Sign 3: Width: Height: Square Feet: SIGN TYPE&QUANTITY: OWaIlIAwning/Canopy-Qty: I ❑Window-Qty: ❑Electronic Changing Message-Qty: ❑Projecting-Qty: ❑Freestanding-Qty: -Type(monument,etc.): SIGN LIGHTING: ❑Non-Iluminated ElIlluminated-Type(backlit cabinet,etc.):Internally lit *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 2— LI ite'Ll PERMIT# Owner/Authorized Agent Signature Date (Revised 2/8/2021) I