2002 MADISON ST JORDAN CROWN DESIGN 2022-05-24

N PERMIT APPLICATION 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 2002 MADISON ST PARCEL#: 00545001801800 cin EVERETT STATE WA ZIP 98203 SUITE/UNIT#: ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential):JORDAN CROWN DESIGN CONTACT INFORMATION OWNER NAME:SHARED CONSULTING LLC OWNER MAILING ADDRESS: STREET 11761 162ND AVE NE CITY REDMOND STATE WA zip 98052 OWNER PHONE: OWNER EMAIL: CONTRACTOR CONTACT NAME:ALICI WA STATE CONTRACTOR LICENSE#(REQUIRED):CCFASTS**832JK CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 056308 CONTRACTOR ADDRESS: STREET2802 COLBY AVE CITY EVERETT STATE WA zip 98201 CONTRACTOR PHONE:4255013930 CONTRACTOR EMAIL:ALICIA.KNABE@FASTSIGNS.COM PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME:AL I C IA KNAB E CONTACT PHONE:425.501.3930 CONTACT EMAIL:ALICIA.KNABE@FASTSIGNS.COM SIGN PERMIT INFORMATION VALUATION OF WORK: $2650.00 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: Fabricate and install non illuminated dimensional lettering onto facade of building. SIGN DIMENSIONS: Sign 1: Width: 120.00 Height: 28.04 Square Feet: 23'4.5" Sign 2: Width: Height: Square Feet: Sign 3: Width: Height: Square Feet: SIGN TYPE&QUANTITY: ❑✓Wall/Awning/Canopy-Qty:1 ❑Window-Qty: ❑Electronic Changing Message-Qty: ❑Projecting-Qty: ❑Freestanding-Qty: -Type(monument,etc.): SIGN LIGHTING: ❑✓Non-Iluminated ❑Illuminated-Type(backlit cabinet,etc.): *requires a separate electrical permit PLAN REVIEW REQUIREMENTS: Submit 2 hard copies of sign plans with permit application to Permit Intake Drop Box. ACKNOWLEDGEMENT.1 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 I 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 PERMIT# n D j� C1"""7'.4" Da iosigned.o 1O:z oo-aoa oa 01/04/2021 SS 2[� 1 1 b o Owner/Authorized Agent Signature Date (Revised 2/8/2021)