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•IGN PERMIT APPLICATICO <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 /> WASHINGTO 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: s-REET 1415 75th st SW PARCEL#: 28041100101000 <br /> CITY Everett STATE WA _,, 98203 <br /> SUITE/UNIT#: ADDITIONAL LOCATION INFORMATION:L12 (Light Industrial 2) Zone <br /> TENANT/BUSINESS NAME (if non-residential):Helton <br /> CONTACT INFORMATION <br /> OWNER NAME:Sabey Corporation (Joe Soeprajoegi) <br /> OWNER MAILING ADDRESS: STREET 12201 Tukwila Intl Blvd (4th floor) <br /> CITY Seattle ST �E WA air, 98168 <br /> OWNER PHONE:206.281.8700 OWNER EMAIL:joesoe@sabey.com <br /> CONTRACTOR CONTACT NAME:Ardor Printing <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):CC ARDORPL794C2 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> CONTRACTOR ADDRESS: STREET 12525 OLD Snohomish Monroe RD <br /> CITY SNOHOMISH Sr;; E WA 98290 <br /> CONTRACTOR PHONE:425.786.4361 CONTRACTOR EMAIL:Sarah@ardorprinting.com <br /> PRIMARY CONTACT: ill OWNER ❑CONTRACTOR t OTHER (Please Specify) Operations Manager <br /> CONTACT NAME:Sarah Titus CONTACT PHONE:206.669.8154 <br /> CONTACT EMAIL:sarah@ardorprinting.com <br /> SIGN PERMIT INFORMATION <br /> VALUATION OF WORK: $13,000 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:Sign Category B <br /> Sign #1 - Will be fabricated. out of adhesive vinyl (3M LX480Cv3) <br /> Sign #2 - Will be fabricated out of ACM (Aluminum coated material) - non-electrical <br /> SIGN DIMENSIONS: <br /> Sign 1: Width: 212" Height: 50" Square Feet: 73.6111 <br /> Sign 2: Width: 212" Height: 50" Square Feet: 73.6111 <br /> Sign 3: Width: Height: Square Feet: <br /> SIGN TYPE&QUANTITY: ✓❑Wall/Awning/Canopy-Qty:2 ❑Windo\w-Qty:_ ❑Electronic Changing Message-Qty: <br /> ❑Projecting-Qty: ❑Freestanding-Qty: -Type(monument.etc.): <br /> SIGN LIGHTING: ✓❑Non-Iluminated ❑Illuminated-Type(backlrrcabinet.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 /> PERMIT#1n _0G DD <br /> 1�"7i <br />