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SIGN PERMIT APPLICATIOO <br />CITY OF EVERETT PERMIT SERVICES <br />EVERETT <br />WASHINGTON <br />SUBMITTAL INSTRUCTIONS: Drop off hard copy paper application & plans to 3200 Cedar Street 2nd Floor Intake Drop Box. <br />CONTACT INFORMATION: (P) 425-257-8810 1 (E) Permit5ervices@everettwa.gov I (W) everettwa.gov/permits <br />(Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: STREET 10312 Evergreen Way PARCEL #: 00535200001001 <br />clTy Everett STATE WA ZIP 98204 <br />SUITE/UNIT #: ADDITIONAL LOCATION INFORMATION: <br />TENANT/BUSINESS NAME (if non-residential):SOnic <br />CONTACT INFORMATION <br />OWNER NAME:S R KLEIN FISH -ON INVESTMENTS LLC <br />OWNER MAILING ADDRESS: STREET PO BOX 3830, EVERETT <br />clTy Everett STATE YE�Al <br />A ZIP 98213 <br />OWNER PHONE: (425) 355-7500 <br />OWNER EMAIL: <br />CONTRACTOR CONTACT NAME:City Lights Sign Co T& C k;' AL 'V' <br />WA STATE CONTRACTOR LICENSE #(REQUIRED):CITYLNT099DG ICITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 41415 <br />CONTRACTOR ADDRESS: STHEET902 NW 49th St <br />clTy Seattle STATE WA zip 98107 <br />CONTRACTOR PHONE:206-789-4747 <br />1CONTRACTOR EMML:sarah@citylightssign.com <br />PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR R1 OTHER (Please Specify) Agent <br />CONTACT NAME: <br />Sarah Terry <br />CONTACT PHONE:206_789-4747 <br />CONTACT EMAIL:sarah@citylightssign.com <br />SIGN PERMIT INFORMATION <br />VALUATION OF WORK: $8,000 <br />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: Install (2) set of flush mounted internally illuminated LED channel letters w/ remote power supply. Install <br />(1) flush mounted halo lit LED logo cabinet w/ remote power supply. Install (1) flush mounted halo lit LED <br />cherry logo w/ remote power supply. <br />Reface (2) existing faces on pylon sign w/ new faces. Install (1) each internally illuminated directional <br />'Enter' & 'Exit' signs <br />SIGN DIMENSIONS: <br />Sign 1: Width: 7'4 5/8" Height: V-8" Square Feet: 12.86 <br />Sign 2: Width: 10'-0" Height: 5'-3 3/16" Square Feet: 52.67 <br />Sign 3: Width: 6'4 5/8" Height: 8'-5 3/4" Square Feet: 54.19 <br />SIGN TYPE & QUANTITY: ❑✓ Wall/Awning/Canopy - Qty:4 ❑Window- Qty-.❑Electronic Changing Message - Qty-. <br />❑Projecting - Qty.-❑Freestanding- Qty.-- Type (monument, etc.): <br />SIGN LIGHTING: ❑Non-Iluminated ❑✓ Illuminated - Type (backlitcabinet, etc.): Channel letters & logos *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: / 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. 1 am the owner, or i am authorized by the owner of this property to perform the work for which application is made, <br />and / comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />- 08/25/22 <br />Owner/Authorized Agent Signature Date <br />City of Everett Official Use Only <br />PERMIT # S Q 0� <br />f f <br />(Revised 412112022) <br />i�f <br />