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OIGN PERMIT APPLICATIC* <br />EVERETT <br />WASHINGTON <br />CITY OF EVERETT PERMIT SERVICES <br />SUBMITTAL INSTRUCTIONS: Drop off hard copy paper application & plans to 3200 Cedar Street 2nd Floor Intake Drop Box. <br />CONTACT INFORMATION: (P) 425.257.8810 1 (E) everetteps@everettwa.gov I (W) everettwa.gov/permits <br />(Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: s.REET 1402 SE Everett Mall Way #103 PARCEL M 0172155 <br />CITY Everett STATE WA ZIP 98208 <br />SUITE/UNIT #: ADDITIONAL LOCATION INFORMATION: <br />TENANT/BUSINESS NAME (if non-residential):T-Mobile <br />CONTACT INFORMATION <br />OWNER NAME:The Sign Post <br />OWNER MAILING ADDRESS: sTREET 2019 E Bakerview Rd <br />clTv Bellingham STATE WA zIP 98226 <br />OWNER PHONE: 360-671-1 343 <br />1OWNER EMAIL: Lorle@the-slgnpost.com <br />CONTRACTOR CONTACT NAME:The Sign Post, Inc <br />WA STATE CONTRACTOR LICENSE #(REQUIRED):SIGNPI*065MM <br />ICITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 051261 <br />CONTRACTOR ADDRESS: sTREET2019 E Bakerview Rd <br />cITY Bellingham STATE WA zIP 98226 <br />CONTRACTOR PHONE: 360-671-1 343 <br />CONTRACTOR EMAIL: Lorle@the-signpost.com <br />PRIMARY CONTACT: ❑ OWNER ❑✓ CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />Lorie Blunt <br />CONTACT PHONE: 360-671 -1 343 <br />CONTACT EMAIL:Lorie@the-signpost.com <br />SIGN PERMIT INFORMATION <br />VALUATION OF WORK: $5000.00 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: Replace existing wall sign with new sign <br />SIGN DIMENSIONS: <br />Sign 1: Width: 14'4" Height: 3' Square Feet: 43.1 <br />Sign 2: Width: Height: Square Feet: <br />Sign 3: Width: Height: Square Feet: <br />SIGN TYPE & QUANTITY: ❑✓ Wall/Awning/Canopy - Qty:1 ❑Window- Qty: ❑Electronic Changing Message - Qty: <br />[-]Projecting - Qty: El Freestanding- Qty: - Type (monument, etc.): <br />SIGN LIGHTING: ❑Non-Iluminated 011luminated - Type (backlit cabinet, etc.): Face lit Channel letters -"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 frorn 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 />PERMIT# 6,0000 r <br />(Revised 21812021) <br />