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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 2615 W Casino Rd PARCEL#: 28041400201600 <br /> CITY Everett STATE Washington ZIP 98204 <br /> SUITE/UNIT#: N/A ADDITIONAL LOCATION INFORMATION:Monument sign reface at street <br /> TENANT/BUSINESS NAME(if non-residential):Paine Field Business Park <br /> CONTACT INFORMATION <br /> OWNER NAME:SN Investment Properties LLC c/o Schnitzer Properties <br /> OWNER MAILING ADDRESS: STREET 1121 SE Salmon St <br /> CITY Portland STATE OR Zip 97205 <br /> OWNER PHONE:425-974-3203 (Betsy) OWNER EMAIL:betsys@schnitzerproperties.com <br /> CONTRACTOR CONTACT NAME:Evergreen Sign Company I Danielle Holt <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):EVERGSC854C0 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 56558 <br /> CONTRACTOR ADDRESS: STREET 1513 Central Ave S Suite 1 <br /> CITY Kent STATE WA ZIP 98032 <br /> CONTRACTOR PHONE:253-852-1354 CONTRACTOR EMAIL:danlelleh@evergreenslgn.com <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:253-852-1354 <br /> Danielle Holt CONTACT EMAIL:danielleh@evergreensign.com <br /> SIGN PERMIT INFORMATION <br /> VALUATION OF WORK: $2000 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 /> Reface/paint Monument. Painted edges and top of the sign and affix new aluminum <br /> panel to face and back of monument, to reface/refresh the look (old sign is from <br /> 1980's). No structural changes made to the sign. <br /> SIGN DIMENSIONS: <br /> Sign 1: Width: 120 Height: 48 Square Feet: 40 <br /> Sign 2: Width: Height: Square Feet: <br /> Sign 3: Width: Height: Square Feet: <br /> SIGN TYPE&QUANTITY: ❑Wall/Awning/Canopy-Qty: ❑Window-Qty: El Electronic Changing Message-Qty: <br /> ❑Projecting-Qty: OFreestanding-Qty: 1 -Type(monument,etc.): Monument reface <br /> SIGN LIGHTING: FINon-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.•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 /> 8/10/23 <br /> Owner/Authorized Agent Signature Date (Revised 2/8/2021) <br />