2514 RAINIER AVE 2023-11-01 - Laserfiche WebLink

SIGN PERMIT APPLICATION EVERETT WASHINGTON CITY OF EVERETT PERMIT SERVICES SUBMITTAL INSTRUCTIONS: Drop off hard copy paper application & plans to 3200 Cedar Street 2nd Floor Intake Drop Box. 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 2514 Middle School PW PARCEL #: 00439154701700 CITY Everett STATE WA ZIP 98201 SUITE/UNIT #: ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME (if non-residential): North Middle School PW CONTACT INFORMATION OWNER NAME: Everett School Dist 2 OWNER MAILING ADDRESS: STREET 4730 Colby Ave CITY Everett STATE WA Zip 98203 OWNER PHONE: 253 215 0084 OWNER EMAIL: permits@permitpursuers.com CONTRACTOR CONTACT NAME: Plumb Signs Inc WA STATE CONTRACTOR LICENSE #(REQUIRED): PLUMBS1077QS CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 19715 CONTRACTOR ADDRESS: STREET909 s 28TH St CITY Tacoma STATE WA ZIP 98409 CONTRACTOR PHONE: 253 473 3323 CONTRACTOR EMAIL: danielle@plumbsigns.com PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR 0 OTHER (Please Specify) Agent CONTACT NAME: John We n d l a n d CONTACT PHONE: 253 215 0084 CONTACT EMAIL: permits@permitpursuers.com SIGN PERMIT INFORMATION VALUATION OF WORK: $11442 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 of Pole Sign SIGN DIMENSIONS: Sign 1: Width: 6'-9" Height: 10' Square Feet: @PW 23.63 Sign 2: Width: Height: Square Feet: Sign 3: Width: Height: Square Feet: SIGN TYPE & QUANTITY: ❑Wall/Awning/Canopy - Qty: ❑Window- Qty: El Electronic Changing Message - Qty: ❑Projecting - Qty: OFreestanding- Qty: 1 - Type (monument, etc.): Pole SIGN LIGHTING: ❑Non-Iluminated Dllluminated - Type (backlit cabinet, etc.): LED display board *requires a separate electrical permit PLAN REVIEW REQUIREMENTS: Submit 2 hard copies of sign plans with permit application to Permit Intake Drop Box. ACKNOWLEDGEMENT.• 1 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. l am the owner, or 1 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. 11.3.22 Owner/Authorized Agent Signature Date City of Everett Official Use Only PERMIT # (Revised 412112022)