1130 SE EVERETT MALL WAY HOME GOODS 2023-06-22

am in •GN PERMIT APPLICATIO• EVERETT CITY OF EVERETT PERMIT SERVICES SUBMITTAL INSTRUCTIONS:Drop off hard copy paper application&plans to 3200 Cedar Street 2nd Floor Intake Drop Box. WASHINGTON CONTACT INFORMATION:(P)425-257-8810 I(E)PermitServices©everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: sTREEr 1130 SE EVERETT MALL WAY UNIT D PARCEL#: 28051800405800 cnv Everett STATE WA ZIP 98208 SUITE/UNIT#: D ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential):HomeGoods CONTACT INFORMATION OWNER NAME:PAPF EVERETT LLC OWNER MAILING ADDRESS: STREET 770 TAMALPAIS DR#401 B cny CORTEMADERA STATE CA ZIp 94925 OWNER PHONE: (415) 721-7733 OWNER EMAIL: CONTRACTOR CONTACT NAME:Advanced Signs WA STATE CONTRACTOR LICENSE#(REQUIRED):ADVANSL923DP CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 053901 CONTRACTOR ADDRESS: STREETI 37th St NW Unit C cnv Auburn STATE WA ZIP 98001 CONTRACTOR PHONE:253-987-5909 CONTRACTOR EMAIL:asl.permit@gmail.Com PRIMARY CONTACT: ❑OWNER ID CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:253-987-5909 Jason Taylor CONTACT EMAIL:asl.permit@gmail.com SIGN PERMIT INFORMATION VALUATION OF WORK: $6000 ASSOCIATED PERMIT#(if applicable): (Valuation shall include the prevaling fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) DESCRIPTION OF WORK:Install (x1) LED Wall sign to existing circuit. Install (x1) LED Blade sign to existing circuit. SIGN DIMENSIONS: Sign 1: Width;29'-3 3/4" Height; 4'-6" Square Feet: 105.43 SF Sign 2: Width: 2'-6" Height: 1'-0" Square Feet: 2.5 SF Sign 3: Width: Height: Square Feet: SIGN TYPE&QUANTITY: ElWall/Awning/Canopy-Qty:1 OWindow-Qty: DElectronic Changing Message-Qty: ❑✓Projecting-Qty:1 ❑Freestanding-Qty: -Type(monument;etc.): SIGN LIGHTING: ❑Non-Iluminated ❑✓Illuminated-Type(backlit cabinet,etc.):LED ..requires a separate electrical permit PLAN REVIEW REQUIREMENTS:Submit 2 hard copies of sign plans with permit application to Permit Intake Drop Box. 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 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.lam the owner,or lam 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. g .---- City of Everett Official Use Only 12-06-22 PERMIT# 5 2 0 ! 0 10 K Own /Aut riz Agent Signature Date (Revised 4/21/2022)