518 MADISON ST 2023-04-07 - Laserfiche WebLink

E •GN PERMIT APPLICATIO• CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS: Drop off hard copy paper application&plans to 3200 Cedar Street 2nd Floor Intake Drop Box. WASHINGTON CONTACT INFORMATION:(P)425-257-8810 1(E)PermitServices@everettwa.gov i(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 518 madison st PARCEL#: c„-y Everett STATE WA ZIP 98203 SUITE/UNIT#: ADDITIONAL LOCATION INFORMATION:;Madison Morgan City Park TENANT/BUSINESS NAME(if non-residential):City of Everett CONTACT INFORMATION OWNER NAME:City of Everett (project manager Lolly huggins) OWNER MAILING ADDRESS: STREET 802 East Mukilteo Blvd u,y Everett STATE WA ZIP 98203 OWNER PHONE:425-512-20557 OWNER EMAIL:lhuggins@everettwa.gov CONTRACTOR CONTACT NAME:Jeff Garner WA STATE CONTRACTOR LICENSE#(REQUIRED):garneniOl 7qc CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 64380 CONTRACTOR ADDRESS: sTREET13807 250th ave se CITY monroe STATE wa ZIP 98272 CONTRACTOR PHONE:425-239-3522 CONTRACTOR EMAIL:jeff@garnersnorthWest.COm PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-239-3522 jeff garner CONTACT EMAIL:jell@garnersnorthwest.com SIGN PERMIT INFORMATION VALUATION OF WORK:$8000 ASSOCIATED PERMIT#(if applicable): (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) DESCRIPTION OF WORK:Install a park sign at the madison morgan park with the name of the park and the park address. The park sign will be similar to other park signs throughout the city SIGN DIMENSIONS: Sign 1: Width:5' Height: 2' Square Feet: 10 sq.ft Sign 2: Width: Height: Square Feet: Sign 3: Width: Height: Square Feet: SIGN TYPE&QUANTITY: ❑Wall/Awning/Canopy-Qty: ❑Window-Qty: ❑Electronic Changing Message-Qty: ❑Projecting-Qty: ❑✓Freestanding-Qty:1 -Type(monument.etc.):manument SIGN LIGHTING: ❑✓Non-Iluminated ❑Illuminated-Type(backlit cabinet,etc.): `requires a separate electrical permit PLAN REVIEW REQUIREMENTS:Submit 2 hard copies of sign plans with permit application to Permit Intake Drop Box. 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 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 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, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# I // /cc 9"2, S 2ZB1— 0 � l Owner/ ut ze Agent Signature Date (Revised 4/21/2022) I/Z