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!GN PERMIT APPLICATION° <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT SUBMITTAL INSTRUCTIONS: Drop off hard copy paper application&plans to 3200 Cedar Street 2nd Floor Intake Drop Box. <br /> WASHINGTON CONTACT INFORMATION: (P)425.257.8810 I(E)everetteps@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 2801 10th Street PARCEL#: 29051700102000 <br /> cin, Everett STATE WA zip 98201 <br /> SUITE/UNIT#: ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential):North South Behavioral Health Treatment Center <br /> CONTACT INFORMATION <br /> OWNER NAME:Snohomish County Property Management <br /> OWNER MAILING ADDRESS: STREET 3000 Rockefeller Ave M/S 404 <br /> CITY Everett STATE WA ZIP 98201 <br /> OWNER PHONE:425-388-3347 OWNER EMAIL:markthunberg@co.snohomish.wa.us <br /> CONTRACTOR CONTACT NAME:Vertical Visual Solutions <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):VERTIVS91 OCZ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 052132 <br /> CONTRACTOR ADDRESS: STREET7036 220th Street SW <br /> CITY Mountlake Terrace STATE WA ZIP 98021 <br /> CONTRACTOR PHONE:425-361-1562 CONTRACTOR EMAIL:alevenda@verticalvs.com <br /> PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-361-1562 <br /> Angela Levenda CONTACT EMAIL:alevenda@verticalvs.com <br /> SIGN PERMIT INFORMATION <br /> VALUATION OF WORK: $800.00 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: <br /> Installation of (1) ground mounted post and panel sign - single sided - non-illuminated. <br /> SIGN DIMENSIONS: <br /> Sign 1: Width: 67.50" Height: 60" Square Feet: 16 <br /> Sign 2: Width: Height: Square Feet: <br /> Sign 3: Width: Height: Square Feet: <br /> SIGN TYPE&QUANTITY: (Wall/Awning/Canopy-Qty: II Window-Qty: ❑Electronic Changing Message-Qty: <br /> ❑Projecting-Qty: ❑✓Freestanding-Qty: 1 -Type(monument,etc.): Post&Panel <br /> SIGN LIGHTING: ❑✓Non-Iluminated ❑Illuminated-Type(backlit cabinet,etc.): *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 from 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# r o z-- o D 3 <br /> J � <br /> Owner/Auth rized Agent Sig ature Da a (Revised 2/8/2021) <br />