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SIGN PERMIT APPLICATION <br /> CITY OF EVERETF PERMIT SERVICES <br /> E V E R E T T 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 1(E)PermitServices@everetlwa,gov l(W)everetlwa.govfpermits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 305 SE Everett MALL Way PARCEL#; 28051800304300 <br /> cmTT Everett STATE WA ZIP 98208 <br /> SUITEIUNIT#: 19 ADDITIONAL LOCATION INFORMATION: <br /> TENANTIiBUSINESS NAME(if non-residentiai):Sally Beauty <br /> CONTACT INFORMATION - <br /> OWNER NAME:Greentree Plaza 18b & 18c LLC <br /> OWNER MAILING ADDRESS: STREET 12411 VENTURA BLVD <br /> clTr STUDIO CITY STATE CA ZIP 91604 <br /> OWNER PHONE:940-323-9681 OWNER EMAIL:LAUREN@ACFPM.COM <br /> CONTRACTOR CONTACT NAME:Berry Sign <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):BerryssWb7 ICITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 024786 <br /> CONTRACTOR ADDRESS: STREET5002 S Washington St <br /> crn Tacoma' STATE WA ztP 98409 <br /> CONTRACTOR PHONE:253 830-3600 CONTRACTOR EMAIL:mikel@berrysign.com <br /> PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:253 830-3600 X151 <br /> Mike Lee CONTACT EMAIL:mikel@berrysign.com <br /> SIGN PERMIT INFORMATION <br /> VALUATION OF WORK:$5000 1ASSOCIATED PERMIT# if applicable): <br /> (valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the worts,whether actually paid or not.) <br /> DESCRIPTION OF WORK:Install one illuminated wall sign on fascia <br /> SIGN DIMENSIONS: <br /> Sign 1: Width:3 Height: 11 Square Feet:48 <br /> Sign 2: Width: Height: Square Feet: <br /> Sign 3: Width: Height: Square Feet: <br /> SIGN TYPE&QUANTITY: ❑✓Wall/AwninglCanopy-Qty: ❑Window-Qty: ❑Electronic Changing Message-Qty: <br /> ❑Projecling-Qly: ❑Freestanding-Qty: -Type(monument,etc.): <br /> SIGN LIGHTING: ❑Non-liuminated ❑✓Illuminated-Type(backlrl cabinet,etc.):LED "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:t 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.t am the owner,or 1 am authorized by the owner of this property to perform the work for which application is made, <br /> and t comply with the State Contractors Law 18.27 RCW and 298.200A WAC. <br /> City of Everett Official Use Only <br /> 10.12.2022 PERMIT# <br /> 1 1 <br /> Owner/Authorized Agent Signature Date (Revised 4121/2022) <br />