11014 19TH AVE SE APPLAUSE DANCE STUDIO 2022-03-04

E OIGN PERMIT APPLICATICO 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 11014 19th Ave SE#23 PARCEL#: CITY Everett STATE WA ZIP 98208 SUITE/UNIT#: 23 ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME (if non-residential):ApplaUse Dance Studio CONTACT INFORMATION OWNER NAME:Applause Dance Studio OWNER MAILING ADDRESS: STREET 11014 19th Ave SE CITY Everett STATE WA ZIP 98208 OWNER PHONE: OWNER EMAIL: CONTRACTOR CONTACT NAME:NW Signs - Tracie Skiles WA STATE CONTRACTOR LICENSE#(REQUIRED):NWWHOS*929M9 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):53Z— CONTRACTOR ADDRESS: STREET17201 Beaton Rd SE CITY Monroe STATE WA zip 98272 CONTRACTOR PHONE:4258446415 CONTRACTOR EMAIL:tracie@nWSIgnS.Com PRIMARY CONTACT: ❑✓ OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425844641 5 Tracie Skiles CONTACT EMAIL:tracie@nwsigns.com SIGN PERMIT INFORMATION VALUATION OF WORK: $14746.43 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:install one lit wall sign SIGN DIMENSIONS: Sign 1: Width: 119.5" Height: 30" Square Feet: 24.89 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: -Type(monument,etc.): SIGN LIGHTING: ❑Non-Iluminated ❑✓Illuminated-Type(backlit cabinet,etc.):channel letters *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 1 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 572 PERMIT# 9/17/21 S i r o - 006 Owuthorized Agent Signature Date (Revised 2/8/2021) ! t ®1Z)