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• • <br /> SIGN PERMIT APPLICATION <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) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 11120 Evergreen Way PARCEL#: <br /> Everett STATE WA Z,P 98204 <br /> SUITE/UNIT#: Suite F ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential):SAIon Centric <br /> CONTACT INFORMATION <br /> OWNER NAME: Genesis Realty <br /> OWNER MAILING ADDRESS: STREET 18623 Highway 99, Ste 250 <br /> c„ Lynnwood STATE WA ZIP 98037 <br /> OWNER PHONE:206-949-1776 OWNER EMAIL:WbiCO@yahOO.COM <br /> CONTRACTOR CONTACT NAME: Sign-Tech Electric <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):SIGNTEL988BG CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 57755 <br /> CONTRACTOR ADDRESS: STREET5009 Pacific Highway, Suite 11 <br /> CITY Fife STATE WA ZIP 98424 <br /> CONTRACTOR PHONE:253-922-2146 CONTRACTOR EMAIL:ashleyc@signtechelectric.com <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑✓ OTHER(Please Specify) Agent <br /> CONTACT NAME: CONTACT PHONE:215-826-0880 x1460 <br /> Darlene Fenstermacher CONTACT EMAIL:Darlenef@ilind.com <br /> SIGN PERMIT INFORMATION <br /> VALUATION OF WORK:$4,000.00 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:Replace the existing wall sign with a new wall sign face lit channel letters on <br /> background. <br /> SIGN DIMENSIONS: <br /> Sign 1: Width: 11'8 1/2" Height: 2'2 1/2" Square Feet: 25.86 <br /> Sign 2: Width: Height: Square Feet: <br /> Sign 3: Width: Height: Square Feet: <br /> SIGN TYPE&QUANTITY: ZWall/Awning/Canopy-Qty: ❑Window-Qty: ❑Electronic Changing Message-Qty: <br /> ❑Projecting-Qty: ❑Freestanding-Qty: -Type(monument,etc.): <br /> SIGN LIGHTING: ❑Non-Iluminated ✓❑Illuminated-Type(backlit cabinet,etc.):face lit channel letters on background *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 /> City of Everett Official Use Only <br /> PERMIT# 5 11 O 06 I <br /> Owner/Authorized Agent Signature Date (Revised 2/8/2021) <br /> 1/z <br />