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MINN <br /> OGN 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 1500 Industry St PARCEL#: ZSuLFULUULI-u uuki CITY Cverett STATE wa ZIP VLui <br /> SUITE/UNIT#: ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential):C.M Heating <br /> Giacomi <br /> INFORMATION <br /> OWNER NAME:John Giacomi <br /> OWNER MAILING ADDRESS: STREET 1500 industry St t 7-( <br /> CITY tverett STATE wa ZIP ZSLU..1 <br /> OWNER PHONE:425) 259-6666 OWNER EMAIL:iohn(^cmheatina.com <br /> CONTRACTOR CONTACT NAME: Fastsians Everett <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):Fasts**832J K CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 604-026 <br /> CONTRACTOR ADDRESS: STREET 2802 Colby Ave Cl t verett STATE wa ZIP JVL}}.{�%-J <br /> UI <br /> CONTRACTOR PHONE:4254389350 CONTRACTOR EMAIL:harminnie.beraerOfastsians.c <br /> PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:4254389350 <br /> Harminnie Berger CONTACT EMAIL:harminnie.beraer( fastsians.com <br /> SIGN PERMIT INFORMATION <br /> VALUATION OF WORK: $31 82.40 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 /> Dimensional letterings attached w/silicone adhesive of company <br /> logo and name <br /> SIGN DIMENSIONS: <br /> Sign 1: Width: I OZ•3 Height: 4I •y Square Feet: DO•GL <br /> Sign 2: Width: Height: Square Feet: <br /> Sign 3: Width: Height: Square Feet: <br /> SIGN TYPE&QUANTITY: ❑✓Wall/Awning/Canopy-Qty: 1 ❑Window-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.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 /> PERMIT#U4/ I b/ 22OW1 ` 006 <br /> I <br /> Owner/Authorized Agent Signature Date (Revised 2/8/2021) <br />