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>• •IGN PERMIT APPLICATIOf <br /> EVERETT SUBMITTAL CITY OF EVERETT PERMIT SERVICES <br /> INSTRUCTIONS: Drop off hard copy paper application &plans to 3200 Cedar Street 2nd Floor Intake Drop Box. <br /> WASF11NpTON 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 4101 Rucker Ave PARCEL#: 283294 <br /> Everett <br /> WA ,,„ 98203 <br /> SUITE/UNIT#: ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME (if non-residential):CheVrOn Station <br /> CONTACT INFORMATION <br /> OWNER NAME:Forest Park Fuel <br /> OWNER MAILING ADDRESS: s RFF 4040 Irongate <br /> „. Bellingham <br /> s-ar_ WA zip 98226 <br /> OWNER PHONE:208-888-9505 !OWNER EMAIL:SCOtt.StOM©jackSonS.COM <br /> CONTRACTOR CONTACT NAME:YeSCO - David Kimmel <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):yeSCOI*900Ip !CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): sozeoaeSot;Utuoot <br /> CONTRACTOR ADDRESS: s-REET416 E 41 st <br /> Boise <br /> STATE I D zip 83714 <br /> CONTRACTOR PHONE:208-908-8847 CONTRACTOR EMAIL:dkimmel p©yesco.Corn <br /> PRIMARY CONTACT: OWNER ✓:. CONTRACTOR ❑OTHER (Please Specify) <br /> CONTACT NAME: CONTACT PHONE:208-908-8847 <br /> David Kimmel CONTACT EMAIL:dkimme!@yesco.com <br /> SIGN PERMIT INFORMATION <br /> VALUATION OF WORK: $4000 (ASSOCIATED PERMIT#(if applicable):E2102-146 <br /> (Valuation shall include the prevailirg fair market value of all labor materias,and equipment needed:a complete ice cork,whether act:.aily paid or not. <br /> DESCRIPTION OF WORK:Replace existing vinyl "Car Wash" letters with new vinyl, and replace "Food Mart' sign <br /> with "Extra Mile" sign. <br /> SIGN DIMENSIONS: <br /> Sign 1: Width: 8'4" Height: 1"5" Square Feet: 12.5 SF <br /> Sign 2: Width: 7'2" Heght: 3'3" Square Feet: 23.29SF <br /> Sign 3: Width: Height: Square Feet: <br /> SIGN TYPE&QUANTITY: L✓JWall/AwningiCanopy-Qty:2 IIWindow- Qty: ❑Electronic Changing Message-Qty: <br /> EProjecting-Qty: _Freestanding-Qty: -Type(monument,etc.): <br /> SIGN LIGHTING: i_1Non-Iluminated L✓jllluminated-Type(backlit cabinet.etc.I <br /> -'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.f am the owner,or I am authorized by the owner of this property to perform the work for which application is made, <br /> and t comply with the State Contractors Law i8.27 RCW and 296.200A WAC, <br /> / City of Everett Official Use Only <br /> /' /� PERMIT# <br /> jag/ (\ 2/22/21 I S 2-1 3 - 003 <br /> Owner/Authorized Agent Signature ' Date <br /> j Revises 2r8.%2021I <br />