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SIGN PERMIT APPLICATION <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 1 (E)everetteps@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 2802 Hewitt Ave PARCEL#: 00593669400500 <br /> CITY Everett STATE WA ZIP 98201 <br /> SUITE/UNIT#: ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential):Viking Mart Mobil <br /> CONTACT INFORMATION <br /> OWNER NAME:ROHEEN LLC <br /> OWNER MAILING ADDRESS: STREET 2802 Hewitt Ave <br /> CITY Everett STATE WA ziP 98201 <br /> OWNER PHONE:425-917-2109 OWNER EMAIL:Steven@insigniasign.com <br /> CONTRACTOR CONTACT NAME:Insignia Sign <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):INSIGSR813QA CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): FILELOCAL <br /> CONTRACTOR ADDRESS: STREET325 Burnett Ave N <br /> CITY Renton STATE WA ZIP 98057 <br /> CONTRACTOR PHONE:425-917-2109 CONTRACTOR EMAIL:Steven@insigniasign.com <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-917-2109 <br /> Steven Thomson CONTACT EMAIL:steven@insigniasign.com <br /> SIGN PERMIT INFORMATION <br /> VALUATION OF WORK: $10,000.00 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 /> (N1): Replace existing 76 pole sign faces with Mobil faces (REFACE ONLY): <br /> (N2 & N3): Install (2) illuminated Mobil canopy signs: <br /> SIGN DIMENSIONS: <br /> Sign 1: Width: 5'-1 3/8" Height: 14'-0" Square Feet: 71.54 REFACE ONLY <br /> Sign 2: Width: 11'-3" Height: 1'-6" Square Feet: 16.88 <br /> Sign 3: Width: 11'-3" Height: 1'-6" Square Feet: 16.88 <br /> SIGN TYPE&QUANTITY: OWall/Awning/Canopy-Qty:2 ❑Window-Qty: El Electronic Changing Message-Qty: <br /> ❑Projecting-Qty: OFreestanding-Qty: 1 -Type(monument,etc.): Freestanding(REFACE ONLY) <br /> SIGN LIGHTING: ❑Non-Iluminated '❑Illuminated-Type(backlit cabinet,etc.): Internal LED Illumination *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.•1 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 1 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 /> Steven Thomson Digitally signed by Steven Thomson <br /> Date:2021.03.23 23:38:32-07'00' 09/22/22 <br /> Owner/Authorized Agent Signature Date (Revised 2/8/2021) <br />