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• • <br /> mow 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 1414 HEWITT AVE PARCEL#: 00439168103600 <br /> cm' EVERETT STATE WA ZIP 98201 <br /> SUITE/UNIT#: ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential): Irv_ 1l y ►na3 piy Pool 4 j3-eve'ratie Cerro p wri y <br /> CONTACT INFORMATION <br /> OWNER NAME:MILLER-HAMRE HOLDINGS LLCS <br /> OWNER MAILING ADDRESS: STREET 2205 WALL ST <br /> CITY EVERETT STATE WA ZIP 98201 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR CONTACT NAME:FASTSIGNS- EVERETT <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):CCFASTS**832JK CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 056308 <br /> CONTRACTOR ADDRESS: sTREET2802 COLBY AVE <br /> CITY EVERETT STATE WA ZIP 98201 <br /> CONTRACTOR PHONE:425.438.9350 CONTRACTOR EMAIL:471 @FASTSIGNS.COM <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) PROJECT MANAGER <br /> CONTACT NAME: CONTACT PHONE:4254389350 <br /> AL I C IA KNAB E CONTACT EMAIL:ALICIA.KNABE@FASTSIGNS.COM <br /> SIGN PERMIT INFORMATION <br /> VALUATION OF WORK:$1300 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 /> FABRICATING AND INTSALLING A NON ILLUMINATED SIGN <br /> SIGN DIMENSIONS: <br /> Sign 1: Width: 110" Height: 44.44" Square Feet: 33'11.4" <br /> Sign 2: Width: Height: Square Feet: <br /> Sign 3: Width: Height: Square Feet: <br /> SIGN TYPE&QUANTITY: ✓❑Wall/Awning/Canopy-Qty:1 ❑Window-Qty: ❑Electronic Changing Message-Qty: <br /> ❑Projecting-Qty: ❑Freestanding-Qty: -Type(monument,etc.): <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# C• t v1 ` 0 03 <br /> Alicia Knabe Digitally signed by Alicia Knabe <br /> Date:2021.07.0212:02:23-07'00' 07/02/2021 <br /> Owner/Authorized Agent Signature Date (Revised 2/8/2021) <br />