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3N 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 4405 Rucker Ave PARCEL#: 00407800500300 <br /> cny Everett STATE WA zip 98203 <br /> SUITE/UNIT#: ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential):THE MILK HOUSE COFFEE CO. <br /> CONTACT INFORMATION <br /> OWNER NAME:WALLACE FAMILY LLC <br /> OWNER MAILING ADDRESS: STREET 5101 WILMINGTON AVE <br /> crry EVERETT STATE WA zip 98203 <br /> OWNER PHONE: OWNER EMAIL:mwally24@yahoo.com <br /> CONTRACTOR CONTACT NAME:Michael Wallace <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 62369 <br /> CONTRACTOR ADDRESS: STREET5101 Wilmington Ave <br /> c,T,- Everett STATE WA zip 98203 <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> PRIMARY CONTACT: E OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME:Michael Wallace CONTACT PHONE:425-210-1004 <br /> CONTACT EMAIL:mwally24@yahoo.com <br /> SIGN PERMIT INFORMATION <br /> VALUATION OF WORK:$250 ASSOCIATED PERMIT#(if applicable):B2009-025 <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: Install 20" white acrylic letters across canopy. THE MILK HOUSE COFFEE CO. <br /> SIGN 2. 8'X8' LOGO on garage door. Hand painted. <br /> SIGN 3. 35'X4' an arrow with wording about Milk House Drive Through possibly an <br /> arrow with lettering. Hand Painted. <br /> SIGN DIMENSIONS: <br /> Sign 1: Width: 43' Height 20"M Square Feet 86 <br /> Sign 2: Width: 8' Height 8' Square Feet 64 <br /> Sign 3: Width: 35' Height 4' Square Feet: 140 <br /> SIGN TYPE&QUANTITY: I:Wall/Awning/Canopy-Qty: DWindow-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.lam the owner,or/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# <br /> Z//4z/ S Z I a 2 - 0 5 <br /> OwneriAuthoriz ant Signature Date (Revised 241/2021) <br />