1019 PACIFIC AVE 2023-04-07 - Laserfiche WebLink

SIGN PERMIT AP • APPLICATION 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 I(E)everetteps@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1019 Pacific Ave PARCEL#: 00437572301600 C„, Everett STATE WA Zip 98201 SUITE/UNIT#: ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential): PUGET SOUND KIDNEY CENTER CONTACT INFORMATION OWNER NAME: PUGET SOUND KIDNEY CENTER OWNER MAILING ADDRESS: STREET 1019 Pacific Ave dry Everett STATE WA ZIP 98201 OWNER PHONE:425-740-2063 Ext. 1121 OWNER EmAIL:JaneN@pskc.net CONTRACTOR CONTACT NAME:SigfS Plus Inc. WA STATE CONTRACTOR LICENSE#(REQUIRED):SIGNSPI952LW CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 52728 CONTRACTOR ADDRESS: sTREET766 Marine Drive CITY Bellingham STATE WA ZIP 98225 CONTRACTOR PHONE:360-671-7165 CONTRACTOR EMAIL:permits@signspiusnw.com PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:360-671-7165 Royce Sieving CONTACT EMAIL:permits@signsplusnw.com SIGN PERMIT INFORMATION VALUATION OF WORK:$5,273 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:Replace the existing non-illuminated dimensional letter wall sign with the new non-illuminated dimensional logo and letters. SIGN DIMENSIONS: Sign 1: Width: 15'-10" Height: 44" Square Feet: 22.10 Sign 2: Width: Height: Square Feet: Sign 3: Width: Height: Square Feet: SIGN TYPE&QUANTITY: ❑✓Wall/Awning/Canopy-Qty:1 ❑Window-Qty:2 ❑Electronic Changing Message-Qty: EProjecting-Qty: ❑Freestanding-Qty: -Type(monument,etc.): 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. Digitally signed by Royce City of Everett Official Use Only Royce Sieving Sieving PERMIT# 004 Date:2022.02.24 11:44:39-08'00' S Z e Owner/Authorized Agent Signature Date (Revised 2/8/2021)