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NMI <br /> in SIGN PERMIT APPLICATI• <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)PermitServices@everettwa.gov I (W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET /'�L- :7 Z ��U' k�V CEL#: CC CICC 4 G.CC'?, <br /> CITY F.-\,K.t..(L, c . TATE VL/ zip cV 204_ <br /> SUITE/UNIT#: ADDITIONAL LOCATION INFORMATION: pp <br /> TENANT/BUSINESS NAME(if non-residential): j k,,,;1 L`�_ - \%,:)i1� y)a SP `ter-( i2-t- r rr;cl <br /> CONTACT INFORMATION <br /> OWNER NAME: K.11GcI LL <br /> OWNER MAILING ADDRESS: STREET 1), '1;;.7? w,u+ ‘--.1 -,', <br /> CITY -vc, r C, l+ ,' ii"� STATE \k, ZIP `''I SS 2. — <br /> .i <br /> C 4 <br /> OWNER PHONE: 11�4 - %(��: - 3C�1U OWNER EMAIL: jjun,V 6e ( CIti1c:ii I ('en-1 <br /> CONTRACTOR CONTACT NAME: - 11(i t.,I l `-f;I),0 1CC I <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED): j I L ( ?( 1 IN/ A CITY OF EVERETT BUSINESS LICENSE#(REQUIRED qso 3 t <br /> CONTRACTOR ADDRESS: STREET 2'1+2 i 6 iS /5/ `?Ei <br /> CITY ( )Cis lrlia. STATE w'A ZIP gswi <br /> CONTRACTOR PHONE: 4-7 5- 44+CI - C'Z H CONTRACTOR EMAIL: ei -;p')C {rt� �,l (-1(,f . (Lys <br /> PRIMARY CONTACT: ❑OWNER N'CONTRACTOR ❑OTHER(Please Specify) 'J <br /> CONTACT NAME: j C l--i L CONTACT PHONE: .)2C6 - 7I/$ ^ 7 Ci C+ ci <br /> CONTACT EMAIL: ,{,t - ;cC.G1': C 5/Y-)at I • crY1 <br /> SIGN PERMIT INFORMATION <br /> VALUATION OF WORK: $ I{-,0,56 . ('C 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 /> in C m ( I ' .7)12i 1(P C N.( J;±fsQ 17 Coen rR ,�a�W • to 14,c,�,t,( �j11d2 . <br /> +c wi(t bil LET) J(,i.+ml net-flcrt nil(I ccnh\QCf to `Y 1G xi�1- .`3 an, CiA,cu.+i . <br /> 6 <br /> cJ <br /> SIGN DIMENSIONS: <br /> Sign 1: Width: ( 3 ( Height: ;). J -`,f Square Feet: OC, i5(^ ;�,� <br /> Sign 2: Width: Height: Square Feet: <br /> Sign 3: Width: Height: Square Feet: <br /> SIGN TYPE&QUANTITY: Wall/Awning/Canopy-Qty: 4 El Window-Qty: ❑Electronic Changing Message-Qty: <br /> ❑Projecting-Qty: ❑Freestanding-Qty: -Type(monument,etc.): <br /> SIGN LIGHTING: ❑Non-Iluminated Illuminated-Type(backlit cabinet,etc.): l ltrt-` Li" -*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 /> —1� 6�'' P TZ7 OCO Op k <br /> Ovine Authorifed Ag nt Signature ate �I (Revised 4/21/2022) <br />