2510 COLBY AVE 2025-03-27 - Laserfiche WebLink

SIGN PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT WASHINGTON 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@everetlwa.gov I (W) everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 2510 Colby Ave PARCEL#: CITY Everett STATE WA zip 98201 SUITEIUNIT #: ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME (if non-residential): Sparkle 32 Family Dentistry CONTACT INFORMATION OWNER NAME: Frank Dearman OWNER MAILING ADDRESS: STREET 37590 U.S. Hwy 12 CITY Naches STATE WA zip 98937 OWNER PHONE: 425 387 6923 OWNER EMAIL: Katesgreekbreakfast@gmail.com CONTRACTOR CONTACT NAME: Cascade Signs and Graphics WA STATE CONTRACTOR LICENSE #(REQUIRED): CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): CONTRACTOR ADDRESS: STREET1065 12th Ave NW, Suite E2 CITY Issaquah STATE WA zip 98027 CONTRACTOR PHONE: 425-818-0672 CONTRACTOR EMAIL: laurie@cascadesg.com PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: Laurie Ruselowski CONTACT PHONE: 425-818-0672 CONTACT EMAIL:laurie@cascadesg.com1200 SIGN PERMIT INFORMATION VALUATION OF WORK: $ 1200 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: Installation of non -illuminated dimensional letters on a 10' black backer panel. SIGN DIMENSIONS: Sign 1: Width: 120 Height: 30 Square Feet: 24.82 Sign 2: Width: Height: Square Feet: Sign 3: Width: Height: Square Feet: SIGN TYPE & QUANTITY: ❑Wall Mounted - City: 1 []Awning - Qty: []Canopy - Qty: ❑Window- Qty: []Electronic Changing Message - Qty: ❑Projecting - Qty: []Freestanding- Qty: - Type (monument, etc.): SIGN LIGHTING: [Z]Non-Illuminated ❑Illuminated- Type(backnicab/net, 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/ 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. 1 am the owner, or 1 am authorized by the owner of this property to perform the work for which application is made, and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. L_� 2/17/2023 Owner/Authorized Agent Signature Date City of Everett Official Use Only PERMIT # (Revised 11/82022)