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AIGN 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)PermitServices@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 3805 Rucker Avenue PARCEL#: 00411300400100 <br /> cm( Everett STATE Wa ZIP 98201 <br /> SUITE/UNIT#: ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential):TaCO Time <br /> CONTACT INFORMATION <br /> OWNER NAME:Everett TT LLC <br /> OWNER MAILING ADDRESS: STREET 3401 Lind Ave SW <br /> cm( Renton STATE Wa ZIP 98057 <br /> OWNER PHONE:4252266656 OWNER EMAIL:finanCe(a)taCOtimenW.com <br /> CONTRACTOR CONTACT NAME: Plumb Signs <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):PLUMBSI077QS CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 19715 <br /> CONTRACTOR ADDRESS: STREET909 S 28th St <br /> CITY Tacoma STATE WA ZIP 98409 <br /> CONTRACTOR PHONE:2534733323 CONTRACTOR EMAIL:ctaylor@plumbsigns.COm <br /> PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:2534733323 <br /> Carin Taylor CONTACTEMAIL:ctaylor@plumbsigns.com <br /> SIGN PERMIT INFORMATION <br /> VALUATION OF WORK: $7900 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:Fabricate and install 1 display and set of channel letters and logo <br /> SIGN DIMENSIONS: <br /> Sign 1: Width: 196" Height: 44" Square Feet: 60' <br /> Sign 2: Width: Height: Square Feet: <br /> Sign 3: Width: Height: Square Feet: <br /> SIGN TYPE&QUANTITY: ❑✓Wall/Awning/Canopy-Qty:1 ❑Window-Qty: ❑Electronic Changing Message-Qty: <br /> ❑Projecting-Qty: ❑Freestanding-Qty: -Type(monument,etc.): <br /> SIGN LIGHTING: ❑Non-Iluminated ❑✓Illuminated-Type(backlit cabinet,etc.):internal LEDs *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# <br /> (74-2,Owner Authorized A nt Signature Date (Revised 4/21/2022) <br />