Laserfiche WebLink
4PIGN PERMIT AP'P L(CAT( • <br /> C3 <br /> `t OF EVERETT PERMIT SERVICES <br /> V E R E T T SUBMITTAL INSTRUCTIONS:Drop off hard copy paper application&plans to 3200 Cedar Street 2nd Floor Intake Drop Box. <br /> ,4StitNGTON .:ONTACT INFORMATION: (P)425.257.8810 I(E)everetteps@everettwa.gov I(W)everettwa.gov/permits <br /> !/Qb.sn ni Qhsi itni(Ugh/Otaawrnl Oft"NCO"!Orr Orr= IYCAQIAATiP., <br /> PROJECT SITE ADDRESS: STREET /p 3/.2Fl/e,?G,QeeA,/ 6j,4 PARCEL#:Ind 5 J5 .DOD v/OG <br /> In'^ �� .y ? � <br /> CITY E 4)4 i p g 3 Dd 3 STATE tJ� Zr ✓Q(/'(�j� <br /> SUITE/UNIT#: ADDITIONAL LOCATION INFORMATION: 1 <br /> TENANT/BUSINESS NAME(if non-residential); 4/A)-- etv) <br /> CONTACT INFORMATION <br /> 'OWNER NAME: S it tT/v �i 51/-oil m/442.577frle..itirs <br /> OWNER MAILING ADDRESS: STREET A, 40x 3 D 3 of ! / �. //6: ,d-1 1 l it 4 - <br /> CITY El/War STATE O /9( ZIP 3 <br /> OWNER PHONE: 4/g5-- 3 SS"- ?SD o OWNER EMAIL: Ga j r�d@i kie/)fi AJ 0/(Jf5.-♦♦♦C Orn <br /> CONTRACTOR CONTACT NAME: �'JJ,J Jn)9A.r <br /> ?if..... _, : .+ � :- .- (J ,t)mi ;max, .. <br /> CONTRACTOR ADDRESS: STREET /5 J`i��/ I'l//I Fieee GL'n'' n <br /> CITY rei AJV STATE�/T ZIP ? 3 <br /> CONTRACTOR PHONE: .340-- 4/t2g 4 D I . CONTRACTOR EMAIL:(1„Ar S/g,wjj�j272esi9,cd vv-j <br /> PRIMARY CONTACT: ❑OWNER ieCONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: 'CONTACT PHONE:127- a$ .. <br /> (CONTACT EMAIL: /Afj,t7---- S i r <br /> 9 / . s• <br /> SIGN PERMIT INFORMATION <br /> VALUATION OF WORK:$ lJ/ .7 ASSOCIATED PERMIT#(if applicable): <br /> (Valuation shall include the prevailing fair rket value of I labor,materials,and eqw ment needed to complete the work,whether actually paid or not.) <br /> DESCRIPTION OF WORK: erivs��(L;N �1 o &e— Sib_eb /90 4e SJ 4/ et) —4 65 <br /> b A. o,o i c s J2essQw7 e d e,v"Th ' <br /> L'o Fv ivbn'ri oA) <br /> SIGN DIMENSIONS: 2 5 1'C'l <br /> / <br /> jl <br /> Sign 1: Width: Height: /- Square Feet: J2 4/ !j Sign 2: Width: HeightFeet: J Square <br /> Sign 3: Width: Height: Square Feet: <br /> SIGN TYPE&QUANTITY: ❑Wall/Awning/Canopy-Qty: ❑Window-Qty: lectronic Changing Message-Qty0b014.136- <br /> 5;,)41D <br /> ❑Projecting-Qty: ,Veestanding-Qty: -Type(monument,etc.): <br /> SIGN LIGHTING: ❑Non-Iluminated j&Kuminated-Type(backlit cabinet,etc.): „C..e,_2) -*requires a separate electrical permit <br /> PLAN REVIEW REQUIREMENTS:Submit 2 hard copies of sign clans 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 t amply with the State Contractors Law 18.27 RCWand 296_200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# S2lO - OO <br /> o�Q �o �/ <br /> Owner/Authorized Agent Signature Date (Revised 2/8/2021) <br />