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SIGN PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />EVERETT SUBMITTAL INSTRUCTIONS: Drop off ham copy Paper application & plans b 3200 Cetler Street 2nd Floor III Drop Box. <br />CONTACT INFORMATION: (P) 42S257 88101(E) PermitSeMcesQeveretlwe.gov I (W) everetlwa govlpetmiN <br />(Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS zi 1216 Broadway, Everen 93201 PARCEL#: 00397223902400 <br />city Everen STAMINA r 98201 <br />SUITEIUNIT9 ADDITIONAL LOCATION INFORMATION: <br />TENANTIBUSINESS NAME IT non-rasiffi l): Everett Community College <br />CONTACT INFORMATION <br />OWNER NAME: Everett community College <br />OWNER MAILING ADDRESS: STREU2000 Tower St, <br />Clin Everen oTAI, We ZIP NMI <br />OWNER PHONE: 253 215 0084 <br />OWNER EMAIL: caylongplumbsignscom <br />CONTRACTOR CONTACT NAME: Plumb Signs INC <br />WA STATE CONTRACTOR LICENSE IANEWIRED): PLUMBS10770S <br />CITY OF EVERETT BUSINESS LICENSE QREQUIREDS 19715 <br />CONTRACTOR ADDRESS: STREET909 S 28M St <br />ry Tacoma dTAtz WA zip 98409 <br />CONTRACTOR PHONE: 253 473 3323 <br />CONTRACTOR EMAIL: CtaylortaplumbsignSCOm <br />PRIMARY CONTACT: DOWNER El CONTRACTOR RI OTHER (Please Speedily) exposer <br />CONTACT NAME: <br />John Wendland <br />CONTACT PHONE:253 215 0084 <br />COHTACT EMML: pe mits Bpermitpursuem. om <br />SIGN PERMIT INFOR TION <br />VALUATION OF WORK: 120000 ASSOCIATED PERMIT FTapplicable); <br />a4atgn ¢nalintludatlyrotational maMelylue Mtll YWrrrybnak. anOMurynentre¢dMbpm Y4tM wrk wTedwryNYl w wnM <br />DESCRIPTION OF WORK: <br />Install of Non -illuminated Directional monument sign <br />SIGN DIMENSIONS: <br />Sign 1: Width 2151 Ha' ht W Square Fast 9A <br />Sign Y: Width: Hught Square Feet <br />SI n3: Width: Xe Id: Square Fret <br />SIGN TYPE & OUANTRY: ❑Wal#AwningrCanopy-Cry: FlYinchavi ❑ElBctrook Changing Message-0ty: <br />OProlecting-Oly._ D+FreesfatMing-Oty.1 -Type (nmwmaR arc): Monument <br />SIGNUGHTING: ONon-lluminatetl Dllluminatetl-Type(neaw®I.,.o as ): 'reWlmawpareN elMtlol permit <br />PLAN REVIEW REQUIREMENTS: Submu 2 hard copies match pans wM wrmlt AKlia lion to Permit Intake Drop Box, <br />ACNNGWIEDGEAIENT I have nawawN INS apdn'ake, and cmrnm the iM flm"Dead herein is hue and cared Work card punuaR to hawdermY moat mryly aM <br />inment HM/N, state, end ki law The 91 If epormd oMy widened, aPpoved wan, end no tlevrstmns Meretmm. De Nations aaatfict be exceeded withe M1ar tlN <br />ewb'ng Office ore beugauXmmdunderanyctrtwwlmm)wn tManmer, or l amauthansed by the owner o/INspmpedyfa perform the xwk(w wMtlr ppNss%n a mNda <br />add l amropry wan the stale Contaamr¢ Law 1e.2T RCwand 295.2" WAc. <br />_ � 1 C.iyolEsw&lOfiuiat Uaa Omy <br />q.W>..Iv,I` 10.17.22 PERMIT # <br />OwnerlAWbodxed Agent Signature Date (ReWaetl M21/1022f <br />