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• • <br /> Illll� 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)PermitServices@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 1305 W Casino Rd PARCEL#: 00392200001901 <br /> CITY Everett STATE WA ZIP 98204 <br /> SUITE/UNIT#: ADDITIONAL LOCATION INFORMATION:Hacienda-Everett LLC <br /> TENANT/BUSINESS NAME(if non-residential):Hacienda-Everett LLC <br /> CONTACT INFORMATION <br /> OWNER NAME:Curtis Capital Group LLC <br /> OWNER MAILING ADDRESS: STREET 5918 Lake Washington Blvd NE <br /> cry Kirkland STATE WA ZIP 98033 <br /> OWNER PHONE:(425)214- 1085 OWNER EMAIL:Colin@curtiscaptialgroup.com <br /> CONTRACTOR CONTACT NAME:Puget Sound Signs&Graphics „ so i N e s c. c o p i N © <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):604-595-948 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> CONTRACTOR ADDRESS: sTREET259 SW 41st St <br /> crry Renton STATE WA ZIP 98057 <br /> CONTRACTOR PHONE:4255180529 CONTRACTOR EMAIL:sam.olmstead@pugetsoundsigns.com <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) Senior Project Manager <br /> CONTACT NAME: CONTACT PHONE:4255180529 <br /> Sam Olmstead CONTACT EMAIL:sam.olmstead@pugetsoundsigns.com <br /> SIGN PERMIT INFORMATION <br /> VALUATION OF WORK:$6000 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 /> Refacing of double sided monument sign to reflect the name change of the apartment <br /> complex. Installation of new post and panel sign. <br /> SIGN DIMENSIONS: <br /> Sign 1: Width: 96 Height: 24 Square Feet: 16 <br /> Sign 2: Width: 60 Height: 60 Square Feet: 25 <br /> Sign 3: Width: Height: Square Feet: <br /> SIGN TYPE&QUANTITY: ❑Wall/Awning/Canopy-Qty: ❑Window-Qty: ❑Electronic Changing Message-Qty: <br /> ❑Projecting-Qty: ❑✓Freestanding-Qty:2 -Type(monument,etc.): Monument/Post and Panel <br /> SIGN LIGHTING: ❑✓Non-lluminated ❑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 /> 3G-frn DElltde 06/10/2022 PERMIT# , /' — a 5 <br /> Owner/Authorized Agent Signature Date (Revised 4/21/2022) lWf1 <br />