6500 EVERGREEN WAY CENTRAL BODY WORKS 2023-02-07

Eliz •IGN PERMIT APPLICATION EVERETT SUBMITTAL CITY OF EVERETT PERMIT SERVICES 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 6500 Evergreen Way Ste B-101 PARCEL#: 00393000001200 CITY Everett STATE WA ZIP 98203 SUITE/UNIT#: B-101 ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential):Central Body Works CONTACT INFORMATION OWNER NAME:AGE Investments INC OWNER MAILING ADDRESS: STREET 1101 AVE D STE D-201 cITY Snohomish STATE WA ZIP 98290 OWNER PHONE:425 754-6982 OWNER EMAIL:mhagen© centralbodyworks.com CONTRACTOR CONTACT NAME:Berry Sign WA STATE CONTRACTOR LICENSE#(REQUIRED):Berryss857b7 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 024786 CONTRACTOR ADDRESS: STREET5002 S Washington St cry Tacoma' STATE WA ZIP 98409 CONTRACTOR PHONE:253 830-3600 CONTRACTOR EMAIL:mikel@berrysign.com PRIMARY CONTACT: ❑OWNER 1=1 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:253 830-3600 x151 Mike Lee CONTACT EMAIL:mikel@berrysign.com SIGN PERMIT INFORMATION VALUATION OF WORK: $9000 ASSOCIATED PERMIT#(if applicable): (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) DESCRIPTION OF WORK: Install one illuminated wall sign - reface one portion of existing D/F freestanding sign cabinet SIGN DIMENSIONS: Sign 1: Width: 16 Height: 4 Square Feet: 64 Sign 2: Width: Height: Square Feet: Sign 3: Width: Height: Square Feet: SIGN TYPE&QUANTITY: ✓❑Wall/Awning/Canopy-Qty: ❑Window-Qty: ❑Electronic Changing Message-Qty: ❑Projecting-Qty: ❑Freestanding-Qty: -Type(monument,etc.): SIGN LIGHTING: ❑Non-Iluminated ❑✓Illuminated-Type(backlit cabinet,etc.): *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,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 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, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only —.../.--",11,7-.-- 10.11.2022 PERMIT# L).,,9. j (9 - Opp Owner/Authorized Agent Signature Date (Revised 4/21/2022) //2_.