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•GN PERMIT APPLICATIOS <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 t , c <br /> PROJECT SITE ADDRESS: STREET 10315 I/ /``l *+-+ j i RCEL#:28051800308300 <br /> Everett STATE WA ZIP 98208 <br /> SUITE/UNIT#: ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME (if non-residential): Coldwell Banker Danforth <br /> CONTACT INFORMATION <br /> OWNER NAME: Dave Danforth <br /> OWNER MAILING ADDRESS: STREET 1031Everett Mall Wa SE to 100 <br /> CITY Everett STATE WA ZIP 98208 <br /> OWNER PHONE: 206 595-7238 OWNER EMAIL: davedanforth@cbdanforth.com <br /> CONTRACTOR CONTACT NAME: Berry Sign ' • <br /> .. 36 <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED): BERRYSS857B7 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 80- <br /> CONTRACTOR ADDRESS: STREET 5002 S. Washington St <br /> CITY Tacoma STATE WA ZIP 98409 <br /> CONTRACTOR PHONE: 253-830-3600 CONTRACTOR EMAIL: mikel@berrysign.com <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 253-232-5620 <br /> Mike Lee CONTACT EMAIL: mikel@berrysign.com <br /> SIGN PERMIT INFORMATION <br /> VALUATION OF WORK: $ 9,000 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: 1. Fabricate and install One (1) internally illuminated wall sign, <br /> 2. Install Two (2) new tenant faces for One (1) existing internally illuminated monument <br /> sign. <br /> SIGN DIMENSIONS: <br /> Sign 1: Width:16' - 0" Height: 2' - 7" Square Feet:22.1 <br /> Sign 2: Width: 1 0' - 1 1/2" Height:2' - 3 1/4" Square Feet:23 <br /> Sign 3: Width: Height: Square Feet: <br /> SIGN TYPE&QUANTITY: 0Wall/Awning/Canopy-Qty:1 ❑Window-Qty: El Electronic Changing Message-Qty: <br /> El Projecting-Qty: ID Freestanding-Qty:1 -Type (monument,etc.): <br /> SIGN LIGHTING: ❑Non-Iluminated Dhlluminated-Type(backlit cabinet,etc.):halo lit wall sign, backli -"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# 5Z ZO( (�- yA4-6 <br /> 06-23-22 <br /> Owner/Authorized Agent Signature Date (Revised 2/8/2021) <br />