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E !IGN PERMIT APPLICATIOI! <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 1(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 7601 Evergreen Way PARCEL#: 28050700306700 <br /> c,Ty Everett STATE WA ZIP 98203 <br /> SUITE/UNIT#: Suite C1 ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential):Aaron's <br /> CONTACT INFORMATION <br /> OWNER NAME:COLUMBIA CASCADE PLAZA LLC <br /> OWNER MAILING ADDRESS: STREET PO BOX 2539 <br /> crry SAN ANTONIO STATE TX zip 78299 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR CONTACT NAME:Culbertson Sign Service <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):CULBESS842N6 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 053695 <br /> CONTRACTOR ADDRESS: sTREET5209 122nd St E <br /> clrr Tacoma STATE WA zip 98446 <br /> CONTRACTOR PHONE:253-538-0752 CONTRACTOR EMAIL:csspermits©gmail.com <br /> PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:253-538-0752 <br /> Hans Visser CONTACT EMAIL:csspermits@gmail.com <br /> SIGN PERMIT INFORMATION <br /> VALUATION OF WORK:$3400 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: <br /> Install one internally illuminated wall sign on the tenant's main (west) exterior elevation. <br /> Replace tenant panels in existing multi-tenant freestanding sign. <br /> SIGN DIMENSIONS: <br /> Sign 1: Width: 15'-1 5/16" Height: 3'-0" Square Feet: 95.15 <br /> Sign 2: Width: 116 1/2" Height: 23 1/2" Square Feet: 20 <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: 1 -Type(monument,etc.): tenant panel reface only <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.l 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 /> PERMIT# <br /> -elC /Z,_ 09/29/2021 2l ( `� -�v <br /> Owner/Authorized Agent Signature Date (Revised 2/8/2021) <br /> 1/� <br />