505 SE EVERETT MALL WAY UBREAKIFIX 2023-11-29

SIGN PERMIT APPLICATION EVERETT WASHINGTON CITY OF EVERETT PERMIT SERVICES SUBMITTAL INSTRUCTIONS: Drop off hard copy paper application & plans to 3200 Cedar Street 2nd Floor Intake Drop Box. CONTACT INFORMATION: (P) 425-257-8810 1 (E) PermitServices@everettwa.gov I (W) everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 505 SE Everett Mall Way Ste. 7 PARCEL #: 28051800304800 CITY Everett STATE WA zip 98208 SUITE/UNIT #: 7 ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME (if non-residential): Ubreaklflx CONTACT INFORMATION OWNER NAME: Everett 2022 LLC OWNER MAILING ADDRESS: STREET 1717 Woodstead Court, Ste 298 CITY The Woodlands STATE TX ZIP 77380 OWNER PHONE: OWNER EMAIL: CONTRACTOR CONTACT NAME: Berry Sign WA STATE CONTRACTOR LICENSE #(REQUIRED): BERRSS857B7 CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 24786 CONTRACTOR ADDRESS: STIEET9402 39th Ave. Ct. SW CITY Lakewood STATE WA ZIP 98499 CONTRACTOR PHONE: 253.830.3600 CONTRACTOR EMAIL: sharl@berryslgn.com PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: Shari H e I be rg CONTACT PHONE:253.830.3600 CONTACT EMAIL: Shari@berryslgn.Com SIGN PERMIT INFORMATION VALUATION OF WORK: $ 6000.00 ASSOCIATED PERMIT # (if applicable): (Valuation shall include the prevailing fair market value of all labor, materials, and equipment needed to complete the work, whether actually paid or not.) DESCRIPTION OF WORK: Install (2) raceway mounted "Ubreakifix" cloud signs, one each on S and E corners of suite. SIGN DIMENSIONS: Sign 1: Width: 10' 7-13/16" Height: 1'9" & 3' 0-7/8" Square Feet: 34.2 Sign 2: Width: 10' 7-13/16" Height: 1'9" & 3' 0-7/8" Square Feet: 34.2 Sign 3: Width: Height: Square Feet: SIGN TYPE & QUANTITY: OWall Mounted - Qty: 2 ❑Awning - Qty: ❑Canopy - Qty: ❑Window- Qty: El Electronic Changing Message - Qty: El Projecting - Qty: ❑Freestanding- Qty: - Type (monument, etc.): SIGN LIGHTING: ❑Non -Illuminated El Illuminated -Type (backlit cabinet, etc.): Internal LED illumination *requires a separate electrical permit PLAN REVIEW REQUIREMENTS: Submit 2 hard copies of sign plans with permit application to Permit Intake Drop Box. 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 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 Building Official before being authorized under any circumstance. I am the owner, or 1 am authorized by the owner of this property to perform the work for which application is made, and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT # 9/7/23 ature Date (Revised 111812022)