2102 BROADWAY SHELL STATION 2023-07-28

OBIGN PERMIT APPLICATH& EVERETT WASHINGTON CITY OF EVERETT PERMIT SERVICES SUBMITTAL INSTRUCTIONS: Drop off hard copy paper application & plans to 3200 Cedar Street 2nd Floor Intake Drop Box. CONTACT INFORMATION: (P) 425-257-8810 1 (E) PermitServices@everettwa.gov I (W) everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 2102 N. Broadway PARCEL M clTv Everett STATE WA zip 98201 SUITE/UNIT #: ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME (if non-residential): Shell CONTACT INFORMATION OWNER NAME:United Pacific LLC OWNER MAILING ADDRESS: STREET 4130 Cover Dr. ,IT, Long Beach STATE CA Z,p 90805 OWNER PHONE: 31 0-323-3992 1OWNER EMAIL:ben.ramsey@unitedpaclfic.com CONTRACTOR CONTACT NAME:Adyanced Electric Signs - Woody WA STATE CONTRACTOR LICENSE #(REQUIRED):ADVANCES071 C6 CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): CONTRACTOR ADDRESS: STREET1550 Down River Dr c,TY Woodland STATE WA zip 98674 CONTRACTOR PHONE:360-225-6826 CONTRACTOR EMAIL:woody@advancedelectricsign.com PRIMARY CONTACT: ❑ OWNER ✓❑ CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: Woody CONTACT PHONE:360-225-6826 CONTACT EMAIL:woody@advancedelectricsign.com SIGN PERMIT INFORMATION VALUATION OF WORK: $4,000.00 ASSOCIATED PERMIT # (if applicable): (Valuation shall include the prevailing fair market value of all labor, materials, and equipment needed to complete the work, whether actually paid or not.) DESCRIPTION OF WORK: Replace illuminated logos on existing gas canopy structure SIGN DIMENSIONS: Sign 1: Width: 48" Height: 48" Square Feet: 16 Sign 2: Width: 48" Height: 48" Square Feet: 16 Sign 3: Width: Height: Square Feet: SIGN TYPE & QUANTITY: ❑✓ Wall/Awning/Canopy - Qty:2 _ ❑Window- Qty: ❑Electronic Changing Message - Qty: ❑Projecting - Qty: ❑Freestanding- Qty: - Type (monument, etc.): SIGN LIGHTING: ❑Non-Iluminated ✓❑Illuminated - Type (backlit cabinet, etc.): Backlit 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: 1 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. I am the owner, or I am 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. Agent Signature Date City of Everett Official Use Only PERMIT # (Revised 412112022)