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SIGN PERMIT APPLICATION <br />EVERETT <br />WASHINGTON <br />CITY OF EVERETT PERMIT SERVICES <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) PermitServices@everettwa.gov i (W) everettwa.gov/permits <br />(Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: STREET 3201 Smith Avenue PARCEL #: 00439074401300 <br />CITY Everett STATE WA ZIP 98201 <br />SUITE/UNIT #: ADDITIONAL LOCATION INFORMATION: <br />TENANT/BUSINESS NAME (if non-residential): Bezos Academy <br />CONTACT INFORMATION <br />OWNER NAME: City of Everett <br />OWNER MAILING ADDRESS: STREET 2930 Wetmore Avenue, Suite 1 OA <br />CITY Everett STATE WA ZIP 98201 <br />OWNER PHONEA25-257-8700 <br />OWNER EMAIL: <br />CONTRACTOR CONTACT NAME: Rich Upton / CREO Industrial Arts <br />WA STATE CONTRACTOR LICENSE #(REQUIRED):CREOI IA9022E <br />ICITY OF EVERETT BUSINESS LICENSE #(REQUIRED): <br />CONTRACTOR ADDRESS: STREET8329 216th Street SE <br />CITY Woodinville STATE WA ZIP 98072 <br />CONTRACTOR PHONE:4255-7755-7444 <br />CONTRACTOR EMAIL: rupton@creo-la.com <br />PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />Rich Upton <br />CONTACT PHONE:206_661-2771 <br />CONTACT EMAIL:rupton@creo-ia.com <br />SIGN PERMIT INFORMATION <br />VALUATION OF WORK: $6,152.00 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: <br />A Tx 3' sign reading "Bezos Academy" installed onto brick facade on building. <br />SIGN DIMENSIONS: <br />Sign 1: Width: 3' Height: 3' Square Feet: 9 sq ft <br />Sign 2: Width: Height: Square Feet: <br />Sign 3: Width: Height: Square Feet: <br />SIGN TYPE & QUANTITY: ❑Wall/Awning/Canopy - Qty: ❑Window- Qty: El Electronic Changing Message - Qty: <br />❑Projecting - Qty: OFreestanding- Qty: 1 - Type (monument, etc.): Fence Sign - Monument <br />SIGN LIGHTING: ❑Non-Iluminated ❑Illuminated -Type (backlit cabinet, etc.): *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.• 1 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. l am the owner, or 1 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 />Digitally signed by Rich Upton <br />Rich Upton Date: 2023.04.27 09:33:58 4/27/23 <br />-07'00' <br />Owner/Authorized Agent Signature Date <br />City of Everett Official Use Only <br />PERMIT # <br />(Revised 412112022) <br />