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SIGN PERMIT APPLICATION <br /> EVERETT SUBMITTAL CITY OF EVERETT PERMIT SERVICES <br /> 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) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 9830 EVERGREEN WAY PARCEL#: <br /> cITY EVERETT STATE WA zIp 98204 <br /> SUITE/UNIT#: ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential):PUBLIC STORAGE <br /> CONTACT INFORMATION <br /> OWNER NAME:CHARLIANN SCHOONOVER <br /> OWNER MAILING ADDRESS: STREET 1145 S PINE ST <br /> crry KETTLE FALLS STATE WA Zip 99141 <br /> OWNER PHONE:804.859.0141 OWNER EMAIL:CHARLI@ETD.WEBSITE <br /> CONTRACTOR CONTACT NAME:RAMSAY HEATH NORTHWEST <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):HEATH NI981 JE CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 04-1617 <br /> CONTRACTOR ADDRESS: STREET9160B SE 74TH AVE <br /> ciTv PORTLAND STATE OR ZIP 97206 <br /> CONTRACTOR PHONE:503.777.4555 CONTRACTOR EMAIL:WENDY@RAMSAYSIGNS.COM <br /> PRIMARY CONTACT: ❑✓ OWNER ❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:804.859.0141 <br /> CHARLIANN SCHOONOVER CONTACT EMAIL:CHARLI@ETD.WEBSITE <br /> SIGN PERMIT INFORMATION <br /> VALUATION OF WORK:$6000 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: <br /> REFACING EXISTING POLE—SIGH AND ADDING NEW WALL SIGNS AND WINDOW <br /> SIGNS. <br /> l <br /> SIGN DIMENSIONS: <br /> Sign 1: Width: 19'-0" Height: 6'-0" Square Feet: 114 <br /> Sign 2: Width: 13'-1-1/8" Height: 2'-11" Square Feet: 23.3' <br /> Sign 3: Width: 4'-7-7/8" Height: 7" Square Feet: 2.7 <br /> SIGN TYPE&QUANTITY: ❑✓Wall/Awning/Canopy-Qty:2 ZWindow-Qty: 12 ❑Electronic Changing Message-Qty: <br /> ❑Projecting-Qty: ❑✓Freestanding-Qty: 1 -Type(monument,etc.): POLE Vb e.VAZVRSIN <br /> SIGN LIGHTING: ❑Non-Iluminated ElIlluminated-Type(backlit cabinet,etc.):LED POLE SIGN *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 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> (1 AA cQ/'Lt2� c�(' 19/Zdl/(Q/, 1/20/22 <br /> Owner/Authorized Agent Signature Date (Revised 2/8/2021) <br />