15 SW EVERETT MALL WAY MASSAGE ENVY 2022-08-11

• • SIGN 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)PermitServices@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please)- PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 15 SW EVERETT MALL WAY PARCEL#: 00480201101400 crTr EVERETT STATE EA ZIP 98204 SUITE/UNIT#: K ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential):MASSAGE ENVY CONTACT INFORMATION OWNER NAME:ROSEN BEL KIRK ASSOC OWNER MAILING ADDRESS: STREET PO BOX 5003 cry BELLEVUE STATE WA ZIP 98009 OWNER PHONE:425.289.2230 OWNER EMAIL:DARYLR@ROSENHARBOTTLE.COM CONTRACTOR CONTACT NAME:SIGN ASSOCIATES WA STATE CONTRACTOR LICENSE#(REQUIRED):signal*060P6 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 30054 CONTRACTOR ADDRESS: STREET 18358 Redmond Way crii Redmond STATE WA ZIP 98052 CONTRACTOR PHONE:425-417-0072 CONTRACTOR EMAIL:timheyes@signassociatesinc.com PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-417-0072 Tim Heyes CONTACT EMAIL:timheyes@signassociatesinc.com SIGN PERMIT INFORMATION VALUATION OF WORK:$9,300.00 ASSOCIATED PERMIT#(if applicable): (Valuation shall include the prevaiing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) DESCRIPTION OF WORK: Install (1) channel letter wall sign - LED illumination SIGN DIMENSIONS: Sign 1: Width: 197" Height: 36" Square Feet: 49.3 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-lluminated ©illuminated-Type(backlit cabinet etc.):LED-internal *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 permit must comply with current federal(slate,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 befwe 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 Me State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only /lhP,y//e 4/26/22 PERMIT#S22 �f, `UI D ori Owner/Authorized Ag t Signature Date (Revised 4/21/2022) /Z