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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)PermitServices@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 1523 132ND St PARCEL#: 28053000406300 <br /> CITY EVERETT STATE WA ZIP 98208 <br /> SUITE/UNIT#: B2 ADDITIONAL LOCATION INFORMATION:n/a <br /> TENANT/BUSINESS NAME(if non-residential):Fatbee Coffee & Tea <br /> CONTACT INFORMATION <br /> OWNER NAME:Fatbee Coffee & Tea <br /> OWNER MAILING ADDRESS: STREET 1523 132ND St, Suite B2 <br /> C,n Everett STATE WA ZIP 98208 <br /> OWNER PHONE:425-345-6787 OWNER EMAIL:fatbeeeverett@gmall.com <br /> CONTRACTOR CONTACT NAME:Shawn Spencer <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):SPENCSM903L9 ICITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> CONTRACTOR ADDRESS: STREET23425 53rd AVE. SE <br /> CITY Bothell STATE WA ZIP 98021 <br /> CONTRACTOR PHONE:425-449-0277 CONTRACTOR EMAIL:spencfab@gmall.com <br /> PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR 0 OTHER(Please Specify) Contractor agent <br /> CONTACT NAME: CONTACT PHONE:206-468-3999 <br /> Tony Le CONTACT EMAIL:usslgnllc@gmall.com <br /> SIGN PERMIT INFORMATION <br /> VALUATION OF WORK: $4050 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:Install of one set channel letters and attached to wall. <br /> Sign will be LED illumination. <br /> SIGN DIMENSIONS: <br /> Sign 1: Width: 10.6 sq.ft Height: 2.5 sq.ft Square Feet: 20.9 sq.ft <br /> Sign 2: Width: Height: Square Feet: <br /> Sign 3: Width: Height: Square Feet: <br /> SIGN TYPE&QUANTITY: OWall Mounted-Qty:1 ❑Awning-Qty: ❑Canopy-Qty: ❑Window-Qty: <br /> El Electronic Changing Message-Qty: El Projecting-Qty: ❑Freestanding-Qty: -Type(monument,etc.): <br /> SIGN LIGHTING: ❑Non-Illuminated El Illuminated-Type(backlit cabinet,etc.):channel letters *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.I 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 /> 08/10/23 <br /> Owner/Authorized A 06nt Signature Date (Revised 11/8/2022) <br />