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*SIGN 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 7 d2©7 -0-v (),5 0-Li PARCEL#: ?..I p 573 7 C o;203 70 <br /> are EA/ STATE (,,3J 4 ZIP q-zog <br /> SUITE/UNIT#: ADDITIONAL LOCATION INFORMATION: -- <br /> TENANT/BUSINESS NAME(if non-residential): E.o a nn l-e r ( Me t rec+ Ct)c (COCc <br /> AI <br /> CONTACT INFORMATION <br /> OWNER NAME: 14...ct.ti -i--) cryie_rri c;c <br /> OWNER MAILING ADDRESS: STREET 7 .,.01 E,v-i t` y-eeb lAir Cx�1 /� Q c� �� <br /> CITY t V- � __STAATE l/V A— ZIP U 0 03 <br /> OWNER PHONE: "T - (..J y (13 2,2,... OWNER EMAIL: Kew.. rf o re rn v <br /> CONTRACTOR CONTACT NAME: lT ctjieg_ UU..ty\ c „()it) V C,V\ <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED): St� citA € 17 &OF EVERETT BUSINESS UCENSE#(REQUIRED): 6 Qg 7.2 <br /> CONTRACTOR ADDRESS: STREET <br /> /gd� �spu l:�v ern.� USA 7 o.�Si C9.) � i S c�J`�le (t-P/is- <br /> CITY l T Ve STATE (,.,' 4- ZIP Cr'qzo ez <br /> CONTRACTOR PHONE: C f,2-5-- /-c?-3 (, CONTRACTOR EMAIL: U(te ID S t`TUl a v et.AAA - ekeU <br /> PRIMARY CONTACT: DOWNER �r:ONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 14 2 c — c( _®a 3 c <br /> I v t C&ATeC bouctAit ceiek4irk v OtmCONTACT EMAIL: 4.44 o v e,t, e S 1`c 1 rcti,Vv,c. -e 0„ • al, <br /> GP/'PERMIT INFORMATION <br /> VALUATION OF WORK:$ 6/C 0 ASSOCIATED PERMIT#(if applicable): ~— <br /> (Valuation shaU 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 /> it ( -P (`rk4- IA V1 - i ( f U VVl4( VI - bus vt e ss <br /> 1/4 <br /> I A eA.04-1` Pi-ckt-A--(1'-e-v, 5 11/4"-CTIA C (CI C-(-- ?` 3 ---(--) 0 s I` ftb vv‘a-e4 <br /> 1a v ze Ge s a 51-z3 l' X 3 I r (0:. scAre-cu s 0 vt s(Op i n1- 11^'('6blf r boP P. <br /> SIGN DIMENSIONS:Sign 1: Width: I b Height: 3 -'P ' Square Feet: 3 0 S r <br /> Sign 2: Width: Height: Square Feet: <br /> Sign 3: Width: Height: Square Feet: <br /> SIGN TYPE&QUANTITY: t Wall/Awning/Canopy-Qty: l [Window-Qty: ❑Electronic Changing Message-Qty: <br /> OProjecting-Qty: ❑Freestanding-Qty: -Type(monument,etc.): <br /> SIGN LIGHTING: ►`Ron-iluminated 011luminated-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 tare 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 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> I PERMIT# <br /> r�3t / 22— SZZ�Z 0� I <br /> 0 er/Authorized Agent Signature Date (Revised 2/8/2021) <br /> l/_ <br />