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MIMI "'SIGN PERMIT APPLICATIO <br /> LI <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVE R t 1 Sua i i j.INSTRUCTIONS:Drop off herd copy paper application&plans 10 3200 Cedar Street 2nd Floor Intake Drop Boy <br /> wAttfixrato, CONTACT INFORMATION:(P)425.257.8810 t(E)everetteps@everettwa40v i(W)evetettwa tri'permits <br /> !eh*or Black Ink Only PJease sx1'4' PROJECT snit INFORMATION U\1_ G 0 /1 3 0 G 3 <br /> P 3 <br /> ROJECT SITE ADDRESS:6 O 3 V 'F ct iel^Ef t-ee II �'� PARCEL li» <br /> apt g i e r e H- sr,, � �� 2c3 <br /> ,j arc 7 <br /> SUITENNIT S: ADDITIONAL LOCATION INFORMATION: <br /> ,TENANTRIUSINES$NAME(limn-residential): J(h 4 0p' TT.e k&ti ck; 0( A-c cAdP " n <br /> CONTACT INFORMATION <br /> r <br /> OWNER NMIE: S) IA,'o vv c ItI o <br /> OWNER MAIUNG ADDRESS: -'©a © Ok',h to ti t'r <br /> !rye � � _,, <br /> _'1 (Ak�.i . e G i �.-.d.- surf_, f 1--.. _ a. 7 Q -2 •72- f-' <br /> ,OWRIERI w: -e2 S CD 1 I./ 1 wO. NEREMAIL: .- P Vl 3 04611- /co 0 7144O. ('/f. <br /> CONTRACTOR CONTACT NAME: , Ai ' :jf' <br /> WA STATE CONTRACTOR UCENSE thAt ut-,-,.it ' ►4,20.65 j:4o:4-13)107Y OF EVERETT BUSINESS LICENSE I EctUIREDI: <br /> CONTRACTOR ADDRESS: swat /49/cue 1--}t *A <br /> , <br /> CONTRACTOR PHONE: - �-- ?/2 _CONTRACTOR EMAIL: x r . '.Tyy,� <br /> PRIMARY CONTACT: Q OWNER CTOR 0 OTHER(Please Specify) .. <br /> CONTACT NAME: CONTACT PHONE: - y' S- ..,2.;2 3 0 0 �/ .2_ <br /> � �.2 <br /> GWIR S nC C. CONTACT EMAIL: pef 5, <br /> SIGN PERMIT INFORMATION <br /> VALUATION OF WORK:$ i()()0- 00CIATED PERMIT�f applies <br /> � anal t the pronging 'air et at tabor,an rend �. weeded*�s room**tt» � 1a <br /> DESCRIPTION OF WORK: <br /> SIGN DIMENSIONS: <br /> Sign 1: WIdx: fan"' Height I. , _. Square Feet t <br /> Sir 2: Width: Height Square Feet <br /> Sign 3: Width: Height Square Feet <br /> SIGN TYPE&QUANTITY: ItWelliAwningiCanopy-Qty: DWind w Qly: 0Electronit Changing Message Qty: <br /> QProitecting-thy; OFreestandi - Type(monument etc: .. <br /> SION LIGHTING: ONon-liuminetedl i 1-urniriated•Type tt imbinot o -•rraeq a separate electrical permit <br /> PLAN REVIEW REQUIREMENTS:Subrnit 2 hard of sign Pane*Rh Permit application to Permit tree DNS Sox <br /> IIi <br /> AC :I ban rawdd MN •ndf confirm Mg inf*minion ronta wdtwai Is litre a oonesL WiA doeapagantK+Igorpenna inns( mliti <br /> cunwnt'fe rt.stint ette'boar hew.To owning of o penult only nothodzos vowel walk owl no dedationelherehom,Deviation*MEW tact be a h fg Iit rrr th e <br /> Oniiding War bafore b any atounttanwe I errs iAR owner,or i 4y the owrora tios to perform 0*worts for wit application.Is <br /> I complywilt M.Slate Cantr00 taw tS27 ROW and 2Pe.200AWAC <br /> tOw <br /> -- :e -- (3r/g�-2 j PERMIT S 210 S -oo 9 <br /> Agent S nature Date <br /> (Revised 24/021321) <br /> 'I? <br />