1425 SE EVERETT MALL WAY GAME ON NW 2023-09-26

SIGN PERMIT APPLICATIOP 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 I(E)everetteps@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) g/(/ PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 14254Everett Mall Way PARCEL#:28051800404600 CITY Everett STATE WA ZIP 98208 SUITE/UNIT#: ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential):High Trek Ventures LLC CONTACT INFORMATION OWNER NAME:Luke Goff OWNER MAILING ADDRESS: STREET 11928 Beverly Park Rd city Everett STATE WA ZIP 98204 OWNER PHONE:(425) 770-6608 OWNER EmAiLluke@hightrekventures.com hightrekVentUres.COm CONTRACTOR CONTACT NAME:Fastsigns Everett -ro- 1 83 IL 54,205 WA STATE CONTRACTOR LICENSE#(REQUIRED):1 2' 2 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 6945 CONTRACTOR ADDRESS: sTREET28O2 Colby Ave CITY Everett STATE Wa ZIP 98201 CONTRACTOR PHONE:4254389350 CONTRACTOR EMAIL:harminnie.berger@fastsigns.com PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR ©OTHER(Please Specify)Outside Sales Rep CONTACT NAME: CONTACT PHONE42529901 13 Michael Bishop CONTACT EMAIL:michael.bishop@fastsigns.com SIGN PERMIT INFORMATION VALUATION OF WORK:$13080 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:Channel Lettering gi( Oti SIGN DIMENSIONS: Sign 1: Width:188.77 Height: 54.00 Square Feet:70.78 Sign 2: Width: 167.80 Height:48.00 Square Feet:56 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.): *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.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. City of Everett Official Use Only � — - - PERMIT# s2203- no Owner/Authorized Agent Signature Date (Revised 2/8/2021) /Z