Laserfiche WebLink
SIGN PERMIT APPLICATION <br /> EVERETT SUBMITTAL INSTRUCTIONS: <br /> OF EVERETT PERMIT SERVICES <br /> ONS: 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)PermitServices@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 15 Everett Mall Way PARCEL#: 00480201101400 <br /> c,r Everett <br /> STATEWA ZIP 98204 <br /> SUITE/UNIT#: ADDITIONAL LOCATION INFORMATION: <br /> TENANTlBUSINESS NAME(if non-residential): <br /> CONTACT INFORMATION <br /> OWNER NAME:Rosen Harbottle Commercial Real Estate <br /> OWNER MAILING ADDRESS: STREET 1800 112th Ave NE, Suite 310 <br /> cl„- Bellevue SIAT�_ WA <br /> Z,P 98004 <br /> OWNER PHONE:425.289.2234 OWNER EMAIL:amyf@rosenharbottle.com <br /> CONTRACTOR CONTACT NAME:Sharl Rust - New Image Creative Sign Inc. <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):NEWIMIC961 B9 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 57624 <br /> CONTRACTOR ADDRESS: STlEIT4549 125th Ave SE <br /> city Bellevue SLATE WA zi, 98006 <br /> CONTRACTOR PHONE:206-406-347 CONTRACTOR EMAIL:Shari@newimagecreative.com <br /> PRIMARY CONTACT: El OWNER l CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-406-3437 <br /> Shari Rust CONTACT EMAIL:shari@newimagecreative.com <br /> SIGN PERMIT INFORMATION <br /> VALUATION OF WORK: $4,500.00 ASSOCIATED PERMIT#(if applicable): <br /> (valuation shall include the prevailing fair market value cf all labor.materials.and equipment needed to complete the work.whether actually paid or not.} <br /> DESCRIPTION OF WORK:Manufacture and install (1) new illuminated channel letter set NOVEL EYES on <br /> raceway and logo <br /> SIGN DIMENSIONS: <br /> Sign 1: Width: 11'-6" Height: 3'-4" Square Feet: 38.33 sqft. <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 /> PSIGNHTING: ❑Non-Iluminated %Illuminated-Type(backrtcabinet,etc. f)� -'requires a separate electrical permit <br /> VIEW REQUIREMENTS: Submit 2 hard copies of sign plans with permit application to Permit Intake Drop Box. <br /> ACKNOWLEDGEMENT;l 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 authori un r 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 Co ctors La 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> 10/05/2022 PERMIT# <br /> Owner/Authoriz t Signature Dale (Revised 4/21/2022) <br />