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E •GN PERMIT APPLICATION <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)everetteps@everettwa.gov I (W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please); PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 6301 36th Ave tiU. PARCEL#: 28040300401300 <br /> CITY Everett STATE WA ZIP 98203 <br /> SUITE/UNIT#: ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME (if non-residential):SUnbelt Rentals <br /> CONTACT INFORMATION <br /> OWNER NAME:Powdermill Phase 1, LLC <br /> OWNER MAILING ADDRESS: STREET 14900 Interurban Ave S Ste 130 <br /> CITY Tukwila STATE WA ZIP 98168 <br /> OWNER PHONE:n/a OWNER EMAIL:n/a <br /> CONTRACTOR CONTACT NAME:Meyer Sign <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):MEYERSC23832 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 57310 <br /> CONTRACTOR ADDRESS: sTREET2608 Old Hwy 99 S <br /> c,Ty Mount Vernon STATE WA ZIP 98273 <br /> CONTRACTOR PHONE:(360) 424-1325 CONTRACTOR EMAIL:JOdlmbOyden@gmail.COm <br /> PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:(360) 941-8656 <br /> Jodi Boyden CONTACT EMAIL:Jodimboyden@gmail.com <br /> SIGN PERMIT INFORMATION <br /> VALUATION OF WORK: $1800.00 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:One non illuminated wall sign <br /> SIGN DIMENSIONS: <br /> Sign 1: Width: 8' Height: 3' Square Feet: 24 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.): *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.I am the owner,or I 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 /> City of Everett Official Use Only <br /> PERM <br /> 10/25/2021 M 1 I I - O e <br /> OwnerlAuthoriz Agent Signa re Date (Revised 2/8/2021) <br /> J/� <br />