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• • <br /> 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 1(E)everetteps@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT-SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 11419 19th Ave SE PARCEL#:01105500000302 <br /> CITY Everett STATE WA ZIP 98201 <br /> SUITE/UNIT#: C101 ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential):Big Guy's Picture Framing <br /> , CONTACT INFORMATION <br /> OWNER NAME:Samuel Wynn <br /> OWNER MAILING ADDRESS: STREET 11419 19th Ave SE Ste c1 O1 <br /> cm,Everett STATE WA ZIP 98201 <br /> OWNER PHONE:7577688782 OWNER EMAIL:bigguyframing@gmail.cOm <br /> CONTRACTOR CONTACT NAME:FaStSignS Of Everett 6 30 <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):CC Fasts **832JK CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): •9'Sw i•At <br /> CONTRACTOR ADDRESS: sTREET28O2 Colby Ave <br /> ern Everett STATE WA ZIP 98201 <br /> CONTRACTOR PHONE:42529901 13 CONTRACTOR EMAIL:MiChael.bishop@fastsigns.com <br /> PRIMARY CONTACT: 0 OWNER m CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:42529901 13 <br /> Michael Bishop CONTACT EMAIL:Michael.bishop@fastsigns.com <br /> SIGN PERMIT INFORMATION <br /> VALUATION OF WORK:$2362.00 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 /> Exterior wall sign made of corten steel and dibond. <br /> SIGN DIMENSIONS: <br /> Sign 1: Width:96 Height:48 Square Feet:32 <br /> Sign 2: Width: Height: Square Feet: <br /> Sign 3: Width: Height: Square Feet: <br /> SIGN TYPE&QUANTITY: OWall/Awning/Canopy-Qty: ❑Window-Qty: ❑Electronic Changing Message-Qty: <br /> ❑Projecting-Qty: ❑Freestanding-Qty: -Type(monument,etc.): <br /> SIGN LIGHTING: ONon-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 /> PERT !!�� <br /> 11/8/2021 1(— ben <br /> Ownerer A tEiorized Agent Signature Date (Revised 2/8/2021) <br /> Vz_ <br />