Laserfiche WebLink
SIG N PERM ff APPLICATIO N <br />EVERETT <br />WASHINGTON <br />CITY O FEVERETT PERM IT SERVICES <br />SUBM ITTAL INSTRUCTIO N3: Drop off hard copy paper application & plans to 3200 Cedar Street 2nd Floor Intake Drop Box. <br />CO NrACT INFO RN ATIO N (P) 425-257-8810 1 (E) Perm IServices@everettwa.gov I (W) everettwa.gov/perm Is <br />(Blue or Black Ink O d1y Please) PRO .EC TSITE IN F O R M ArD N <br />PRO XCT SITE ADDRESS: STREET 2215 Pine St PARCEL #: 00515746600000 <br />CITY Everett STATE WA ZIP 98201 <br />SUITE/UNIT #: NA ADDITIO WIL LO CATIO NINFO IN ATIO N <br />TENANT/BUSINESS NAM E(if non-residential):G afield Elem Entary School <br />C0NTAC11HF0RMArDN <br />O W PER NAM E Everett School District 2 <br />O W FER M WILING ADDRESS: STREET 4730 Colby Ave <br />CITY Everett STATE WA ZIP 98203 <br />O W HER PHO NE:253 215 0084 <br />1OWIER EM WL:perm is@perm tpursuers.com <br />CO NrRACTO RCO NrACT NAM E: Plumb Signs Inc <br />WA STATE CO NrRACTO RLICENSE #(REQ URED):PLUM M 1077QS <br />I CITY O FEVERETT BUSINESS LICENSE #(REQ URED): 19715 <br />CO NrRACTO RADDRESS: STREET909 S 28th <br />CITY Tacom a STATE WA Zip 98409 <br />CO NrRACTO RPHO NE:253 473 3323 <br />ICO NfRACTO REM WL:danielle@plumbslgns.COm <br />PRIMARY CO NfACT: ❑ O W ff£R ❑ CO NFRACTO R ❑✓ O 7HER (Please Specify) Applicant <br />CO NrACT NAM E <br />John W en d I a n d <br />CO NrACT PHO NE:253 215 0084 <br />CO NfACT EM AL: perm Is@perm Ipursuers.com <br />SIGNPERMT INFORMAIDN <br />VALUATIO NO FWO R(: $9000 ASSO GATED PERM IT # (if applicable): <br />(Valuation shall include the prevailing fair m arket value of all labor, m aterials, and equipment needed to corn Clete the work, whether actually paid or not.) <br />DESCRIPTIO NOF WORK: Install Of M cnum eft sign <br />SIG NDIM ENSIO N3: <br />Sign 1: Width: 6.75' Height: 6' Square Feet: 40.5 sq ft <br />Sign 2: Width: Height: Square Feet: <br />Sign 3: Width: Height: Square Feet: <br />SIG NTYPE & Q U4NTITY: ❑Wall/Awning/Canopy - Q ty: ❑Window- Q ty: El Electronic Changing M essage - Q ty: <br />El Projecting - Q ty: ❑✓ Freestanding- Q ty: - Type (manume t, etc.): M cnum Ent <br />SIG NLIG KING : ❑Non-Ilum hated ❑✓ Illum hated - Type (backlit cabinet, etc. ): Electronic Message Center *requires a separate electrical permit <br />PLAN REVIEW REQ UREM ENTS: Subm 12 hard copies of sign plans with perm I application to Perm I Intake Drop Box. <br />ACKNO W EDG Bvl ENT.- I have reviewed this application and confirm the inform aion contained herein is true and correct. Work done pursuant to this perm t m ist com py with <br />current federal, state, and local law. The granting of a perm t only authorizes approved work and no deviations therefrom. Deviations m Lst first be authorized in writing from the <br />Building O ficial before being authorized under any circum.4ance. I am the owner, or 1 am authorized by the owner of this property to perform the work for which application is m ale, <br />and I com py with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />q�W <br />li§w4, <br />0 w or/Authorized Agent Signature Date <br />City of Everett O ficial Use O dy <br />PERM IT # <br />(Revised 412112022) <br />