2821 RUCKER AVE 2022-07-27 - Laserfiche WebLink

E • SIGN PERMIT APPLICAN 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 1(E)everetteps©everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 2821 Rucker Ave PARCEL#: 00439166900800 CITY Everett STATE WA ZIP 98201 SUITE/UNIT#: ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential): CONTACT INFORMATION OWNER NAME:Howie Bargreen OWNER MAILING ADDRESS: STREET 2821 Rucker Ave CITY Everett STATE WA ZIP 98201 OWNER PHONE:425 252 3161 OWNER EMAIL:lynnette@bargreencoffee.com CONTRACTOR CONTACT NAME:Fastsigns of Everett tAtSei WA STATE CONTRACTOR LICENSE#(REQUIRED):604026945 "ICITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 056308 CONTRACTOR ADDRESS: STREET2802 Colby Ave CITY Everett STATE WA ZIP 98201 CONTRACTOR PHONE:4254389350 CONTRACTOR EMAIL:michael.bishop@fastsigns.com PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME:Michael Bishop CONTACT PHONE:4252990113 CONTACT EMAIL:michael.bishop@gmail.com SIGN PERMIT INFORMATION VALUATION OF WORK:$1426.18 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:Above awning sign mechanically mounted. SIGN DIMENSIONS: Sign 1: Width: 329" Height: 35.12" Square Feet: 44.6 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.): *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 pennit 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 lam 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 q a q 0_ 1 PERMIT# 2 l 01 ot Owner/Aut'► ture ate (Revised 2/8/2021) /1-