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• <br /> imm SIGN PERMIT APPLICATIO <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)everetteps@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) f 0 3 is PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET1 Evergreen Way PARCEL#: 00535200001001 <br /> CITY Everett STATE WA ZIP <br /> SUITE/UNIT#: ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential):Woods Coffee <br /> CONTACT INFORMATION <br /> OWNER NAME:S R KLEIN FISH-ON INVESTMENTS LLC <br /> OWNER MAILING ADDRESS: STREET PO BOX 3830 <br /> cln. EVERETT STATE WA ZIP 98213 <br /> OWNER PHONE:(425) 355-7500 OWNER EMAIL: <br /> CONTRACTOR CONTACT NAME:SignS Plus Inc. Royce Sieving <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):SIGNSPI952LW CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 52728 <br /> CONTRACTOR ADDRESS: STREET766 Marine Drive <br /> CITY Bellingham STATE WA ZIP 98225 <br /> CONTRACTOR PHONE:360-671-7165 CONTRACTOR EMAIL:permits@signsplusnW.col'1"1 <br /> PRIMARY CONTACT: ❑OWNER ✓❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:360-67 1-7 1 65 <br /> Royce Sieving CONTACT EMAIL:permits@signsplusnw.com <br /> SIGN PERMIT INFORMATION <br /> VALUATION OF WORK: $50,967 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 Woods Coffee Drive Thru & Sign Package <br /> SIGN DIMENSIONS: <br /> Sign 1: Width: 9'-2" Height: 5'- 10 1/4" Square Feet: 37.9 <br /> Sign 2: Width: 6'-7" Height: 10" Square Feet: 4.39 <br /> Sign 3: Width: 6'-9" Height: 6'-9" Square Feet: 35.78 <br /> SIGN TYPE&QUANTITY: ❑✓Wall/Awning/Canopy-Qty:3 ❑Window-Qty: ❑Electronic Changing Message-Qty: <br /> ❑Projecting-Qty: ❑Freestanding-Qty: -Type(monument,etc.): <br /> SIGN LIGHTING: ❑Non-Iluminated ❑✓Illuminated-Type(backlit cabinet,etc.):Internally Illuminated -*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 /> Digitally signed by Royce City of Everett Official Use Only <br /> Royce Sieving Sieving PERMIT# r- <br /> Date:2022.06.14 09:04:35 07'00' 2 Z. d Co d I 1- <br /> Owner/Authorized Agent Signature Date (Revised 2/8/2021) <br /> 1/� <br />