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ii <br />EVERETT <br />SIGN PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />SUBMITTAL INSTRUCTIONS: Drop off hard copy paper application & plans to 3200 Cedar Street 2nd Floor Intake Drop Box. <br />CONTACT INFORMATION: (P) 425-257-8810 1 (E) PermitServices@everettwa.gov i (W) everettwa.gov/permits <br />WASHINGTON <br />(Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: STREET 7725 Everegreen Way H 001 PARCEL #: 7601 28050700306700 <br />CITY Everett STATE WA zia 98203 <br />SUITE/UNIT #: H 001 ADDITIONAL LOCATION INFORMATION: <br />TENANT/BUSINESS NAME (if non-residential): Big Box outlet store <br />CONTACT INFORMATION <br />OWNER NAME: Mick Weed <br />OWNER MAILING ADDRESS: STREET 16761 146th Ave SE Unite 189 <br />CITY Monroe STATE WA z,, 98272 <br />OWNER PHONEA25 314 3457 <br />OWNER EMAIL:mweed@bigboxoutietstore.Com <br />CONTRACTOR CONTACT NAME: Mike Cole <br />WA STATE CONTRACTOR LICENSE #(REQUIRED)-mikesns033CR <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 35347 <br />CONTRACTOR ADDRESS: STREET2216 100th St SE <br />c,T,. Everett STATE wa ZIP 98208 <br />CONTRACTOR PHONEA257500824 <br />CONTRACTOR EMAIL:evercole@aol.COm <br />PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR El OTHER (Please Specify) Agent <br />CONTACT NAME: <br />Eric Stiemert <br />CONTACT PHONE:2068415175 <br />CONTACT EMAIL.eric@deksignco.com <br />SIGN PERMIT INFORMATION <br />VALUATION OF WORK: $24000 <br />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: Install Low voltage LED channel letter sign to existing sign circuit <br />SIGN DIMENSIONS: <br />Sign 1: Width: See drawigns Height: Square Feet: 90 <br />Sign 2: Width: Height: Square Feet: <br />Sign 3: Width: Height: Square Feet: <br />SIGN TYPE & QUANTITY: OWall Mounted - Qty: []Awning - Qty: ❑Canopy - Qty: ❑Window- Qty: <br />❑Electronic Changing Message - Qty: ❑Projecting - Qty: El Freestanding- Qty: - Type (monument, etc.): <br />SIGN LIGHTING: ❑Non -Illuminated ©Illuminated - Type (backlit cabinet, etc. ): LED channel letters *requires a separate electrical permit <br />LiiVIEW 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 />2/8/2023 <br />� <br />uthorized Agent Signature Date (Revised 11/8/2022) <br />