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• <br /> SIGN PERMIT APPLICATIOR <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 /> WASHINGTOri 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 11611 AIRPORT RD PARCEL#: 00537900005300 <br /> clTy EVERETT STATE WA zip 98204 <br /> SUITE/UNIT#: 206 ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential):COMPASSION COUNSELING SERVICES <br /> CONTACT INFORMATION — <br /> OWNER NAME:MIETZNER BUSINESS PARK LLC <br /> OWNER MAILING ADDRESS: STREET 11611 AIRPORT RD SUITE B1 <br /> crry EVERETT STATE WA ZIP 98204 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR CONTACT NAME:ALICIA KNABE <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):CC FASTS**832JK CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 604-026-945 <br /> CONTRACTOR ADDRESS: sTREET2802 COLBY AVE <br /> CITY EVERETT STATE WA ZIP 98201 <br /> CONTRACTOR PHONE:425.438.9350 CONTRACTOR EMAIL:ALICIA.KNABE©FASTSIGNS.COM <br /> PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: <br /> CONTACT EMAIL: <br /> SIGN PERMIT INFORMATION • • <br /> VALUATION OF WORK:$$1500 ASSOCIATED PERMIT#(if applicable):S2105-001 <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 /> -'FABRICATING AND INSTALLING A FLAT NON ILLUMINATED SIGN TO SECOND <br /> STORY. (FIRST PERMIT APPLICATION HAD INCORRECT PLACEMENT, CLIENT <br /> WOULD LIKE THE SIGN INSTALLED ON SECOND STORY AAA, NOT FIRST) <br /> SIGN DIMENSIONS: <br /> Sign 1: Width: 95.75 Height: 35.75 Square Feet: 23.65 <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# <br /> Alicia Knabe Dabe <br /> Date:Ily signed 2021.0720y1A1:55:11licia n-0 00' 07.20.2021 <br /> Owner/Authorized Agent Signature Date (,Revised 2/8/2021) <br />