1700 13TH ST 2023-07-31 - Laserfiche WebLink

SIGN PERMIT APPLICATIc CITY OF EVERETT PERMIT SERVICES EVERETT 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 1(E)everetteps@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1700 13TH ST PARCEL#: 00438524702102 crrY EVERETT STATE WA Z,P 98201 SUITE/UNIT#: ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential):PROVIDENCE REGIONAL MEDICAL CENTER CONTACT INFORMATION OWNER NAME:PROVIDENCE HEALTH & SERVICES-WASHINGTON OWNER MAILING ADDRESS: STREET 1801 LIND AVE SW #9016 ciT'RENTON STATE WA ZIP 98057 OWNER PHONE: OWNER EMAIL: CONTRACTOR CONTACT NAME:THE SIGN POST WA STATE CONTRACTOR LICENSE#(REQUIRED):SIGNPI*065MM CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 51 261 CONTRACTOR ADDRESS: STREET2019 E. BAKERVIEW RD. cry BELLINGHAM STATE WA ZIP 98226 CONTRACTOR PHONE:360-671-1343 CONTRACTOR EMAIL:BRENNA@THE-SIGNPOST.COM PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:360-671-1343 LORI E BLUNT CONTACT EMAIL:LORIE@THE-SIGNPOST.COM SIGN PERMIT INFORMATION VALUATION OF WORK:$25,000 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:INSTALLING (8) NON-ILLUMINATED REPLACEMENT DIRECTIONAL SIGNS. (14) ILLUMINATED DIRECTORY FACE CHANGES (FACE CHANGE ONLY) SIGN DIMENSIONS: Sign 1: Width: Height: Square Feet: Sign 2: Width: Height: Square Feet: Sign 3: Width: Height: Square Feet: SIGN TYPE&QUANTITY: ❑Wall/Awning/Canopy-Qty: ❑Window-Qty: ❑Electronic Changing Message-Qty: ❑Projecting-Qty: El Freestanding-Qty: -Type(monument,etc.): SIGN LIGHTING: ❑✓Non-Iluminated [Illuminated-Type(backlit cabinet,etc.): `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.a 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 ROW and 296.200A WAC. City of Everett Official Use Only PERMIT# Ow r t orized Age Signat ate (Revised 21812021) 11,