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SIGN PERMIT APPLICATIJ <br /> 1.2 <br /> EVERETT SUBMITTAL INSTRUCTIONS: <br /> OF EVERETT PERMIT SERVICES <br /> 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 /> (Blae pr Black ink On/y Pleast3) :PRQ,lECT SITE:IN FQRMATION <br /> PROJECT SITE ADDRESS: STREET J0 Sf4veaerr MALL. WAY PARCEL#: 0039690000 3 300 <br /> cITY EdERET r STATE WA ZIP I8208 <br /> SUITE/UNIT#: ADDITIONAL LOCATION INFORMATION: c <br /> TENANTIBUSINESS NAME(if non-residential): f/A9,l7-(r CA mv,,4 a IS <br /> OWNER NAME: EST I1OLD EVE12E77 RE,v74L LLL <br /> OWNER MAILING ADDRESS: STREET 3302 oAa.s Ave <br /> CITY ,4NA CO/.reS STATE NrvA ZIP 9B y2 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR CONTACT NAME: / 04 Ty NOR / )6.c7 <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):MA711-INX9b/ZTE CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):4 6/7 <br /> CONTRACTOR ADDRESS: STREET <br /> �27//D��/oy9T"' 57 Gr S. v�/(TA d �/ <br /> CITY ZAicELt oP STATE WA f- _L ZI.P ?&VP,' <br /> 99 <br /> CONTRACTOR PHONE: 253 y9'S 7091 CONTRACTOR EMAIL: bbrosr'?a►i1@_be hno/`- (,jeS r. COevl <br /> PRIMARY CONTACT: ❑OWNER CONTRACTOR E OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:253 4/96" )_70q <br /> $�IA <br /> N J3j AIc/// CONTACT EMAIL:b snoop kept 4.44,,./.4 <br /> ... __._ate-._w :,..,.-._.. _..,..,,..:.,.».,,;:��;:���::-;:. :�...::_..�. - - _ <br /> :.. _,,,..,. .,tip.:-__. .,�. _....�_. .�:._:...-_:.._- ._._._._.:,,r_.._:. - - - - - - - <br /> .. ............ <br /> _v._ _N._ if0 - - - - - <br /> _�...___.- E.R. IT... A'T. - - - <br /> �. �.�a 14� IN RNk �fON'�-`�=-- _���::v��` Uwe <br /> VALUATION OF WORK: $ 00 <br /> c_7�• 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: /, 5,-rftL1 0) S/F /LLL+M /NA7'Ep MPAL-4- SIGN IZAtiO',V6 <br /> CP'NAlAralS /r t RE,OLA-CE r,t6E d,v- ' Tb 6)crSrY'v(- POL-C SIGN /JO S-rAtIG?vAAL <br /> CHAMCES utn/G MIto( 'gb LE SI&A) CANINE?' <br /> SIGN DIMENSIONS: L' <br /> Sign 1: Width: 4 3 // Height: 3yg ' Square Feet: 106.5. s, <br /> Sign 2: Width: Height: Square Feet: <br /> Sign 3: Width: Height: Square Feet: <br /> SIGN TYPE &QUANTITY: Wall/Awning/Canopy-Qty: I EWindow-Qty: ❑Electronic Changing Message-Qty: <br /> ❑Projecting-Qty: ❑Freestanding-Qty: -Type(monument,etc.): <br /> SIGN LIGHTING: ❑Non-lluminated Xluminated-Type(backlit cabinet,etc.): '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)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 RCWand 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> 6. 1,2022-- - 0 ) (7 <br /> er zed Date (Revised 9/21/2022) <br />