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A • <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 909 SE Everett Mall Way PARCEL#: 28051800300400 <br /> CITY Everett STATE WA zip 98208 <br /> SUITE/UNIT#: ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential):Blazing Crawfish /Tahana <br /> CONTACT INFORMATION <br /> OWNER NAME:909 BUSINESS CENTER LLC <br /> OWNER MAILING ADDRESS: STREET 2010 156TH AVE NE STE 100 <br /> clr' BELLEVUE STATE WA ZIP 98007 <br /> OWNER PHONE:425-455-1950 OWNER EMAIL:patrickb@suhrco.com <br /> CONTRACTOR CONTACT NAME:Crossroad SIGN <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):CROSSS*894M 1 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 62014 <br /> CONTRACTOR ADDRESS: STREET 16406 7th PL W <br /> CITY Lynnwood STATE WA ZIP 98037 <br /> CONTRACTOR PHONE:425-481-9411 CONTRACTOR EMAIL:ryanacrossroadsign.com <br /> PRIMARY CONTACT: ❑OWNER ©CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-481-9411 <br /> Ryan S h rov CONTACT EMAIL:ryani7a crossroadsign.com <br /> SIGN PERMIT INFORMATION <br /> r <br /> VALUATION OF WORK:$3200 ASSOCIATED PERMIT#(if applicable): 2.101 1 <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:Installing a lit channel logo on a raceway sign above tenants front door. <br /> SIGN DIMENSIONS: <br /> Sign 1: Width: 14.41 ft Height: 23 inches Square Feet: 27.62 square feet <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: El Freestanding-Qty: -Type(monument,etc.): <br /> SIGN LIGHTING: ❑Non-Iluminated ©Illuminated-Type(backlit cabinet,etc.):Internally lit shaped channel logo *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.lam 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 /> 00RyaPERMIT#�`^L� 1/� <br /> n Shroy reite0 .03d1b8a3sm00, <br /> 3/18 1 <br /> Owner/Authorize gent Signature Date (Revised 2/8/2021) <br /> 1;.. <br />