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E IIGN 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 /> W ASHING TON 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 1327 112TH ST SE PARCEL#: 2756562 <br /> CITY Everett STATE WA ZIP 98208 <br /> SUITE/UNIT#: STE C ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential):Stuffington's Ceramics& More <br /> CONTACT INFORMATION <br /> OWNER NAME:Claire Bruining <br /> OWNER MAILING ADDRESS: STREET 1327 112th St SE, STE C <br /> CITY Everett STATE WA ZIP 98208 <br /> OWNER PHONE:(425) 337-6306 OWNER EMAIL:stuffingtonsemporium@gmail.com <br /> CONTRACTOR CONTACT NAME:Advance Signs LLC c 7`-I0 <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):ADVANSL923DP CITY OF EVERETT BUSINESS LICENSE#(REQUIRED);, .027 <br /> CONTRACTOR ADDRESS: STREET 37th St NW <br /> CITY Auburn STATE WA ZIP 98001 <br /> CONTRACTOR PHONE:253-981-3454 CONTRACTOR EMAIL:darrin.jones@pugetsoundsigns.com <br /> PRIMARY CONTACT: ❑OWNER [16 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:253 981 3454 <br /> Darrin Jones CONTACT EMAIL:darrin.jones©pugetsoundsigns.com <br /> SIGN PERMIT INFORMATION <br /> VALUATION OF WORK:$10,368.00 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 /> Illuminated exterior channel letter sign <br /> SIGN DIMENSIONS: <br /> Sign 1: Width: 185 Height: 26 Square Feet: 46.25 <br /> Sign 2: Width: Height: Square Feet: <br /> Sign 3: Width: Height: Square Feet: <br /> SIGN TYPE&QUANTITY: ❑✓Wall/Awning/Canopy-Qty: 1 L iWindow-Qty: ❑Electronic Changing Message-Qty: <br /> ❑Projecting-Qty: ❑Freestanding-Qty: -Type(monument,etc.): <br /> SIGN LIGHTING: ❑Non-Iluminated CIlluminated-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: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# <br /> Digitally signed by Darrin Jones 4/4/22 ���� -V OZ <br /> Date:2022.04.04 10:37:20-07'00' <br /> OwnerlAuthorized Agent Signature Date (Revised 2/8/2021) <br />