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LI •GN PERMIT APPLICATIc <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)PermitServices©everettwa.gov 1(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: sTREET 1519 132nd St SE PARCEL#: 28053000406400 <br /> cm, Everett STATE Wa zip 98208 <br /> SUITE/UNIT#: Suite D ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential):Fixology h in et 4 —j'yy`ripx. <br /> CONTACT INFORMATION <br /> OWNER NAME:ALGEM II <br /> OWNER MAILING ADDRESS: STREET 15815 NE 49TH ST <br /> cry Redmond STATE Wa Zip 98052 <br /> OWNER PHONE: 425-417-1077 OWNER EMAIL: <br /> CONTRACTOR CONTACT NAME:AdVanCed Signs <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):ADVANSL923DP CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 053901 <br /> CONTRACTOR ADDRESS: sTREETI- 37th St NW Unit C <br /> cn-y Auburn STATE Wa zip 98001 <br /> CONTRACTOR PHONE:253-987-5909 CONTRACTOR EMAIL:asl.permit@gmail.com <br /> PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:253-987-5909 <br /> Jeff Hirsch CONTACT EMAIL:asl.permit@gmail.com <br /> SIGN PERMIT INFORMATION <br /> VALUATION OF WORK: $3500 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 (x1) LED wall sign to existing circuit. <br /> SIGN DIMENSIONS: <br /> Sign 1: Width: 155" Height: 18" Square Feet: 19.3 SF <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: ❑Freestanding-Qty: -Type(monument,etc.): <br /> SIGN LIGHTING: ❑Non-Iluminated ❑✓Illuminated-Type(backlit cabinet,etc.):channel letters on raceway ..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 co ly with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> it I r City of Everett Official Use Only <br /> r <br /> 1\11 �� 07-24-22PERMI_Tin2os✓ ©,LOwnf/Ath.�rid A ,nt Signature Date (Revised�4/211//22022) % <br /> I/ <br />