1327 112TH ST SE DISCOVERY CHILD CARE 2025-01-14

MINN •GN PERMIT APPLICATIO• CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS:Drop off hard copy paper application&plans to 3200 Cedar Street 2nd Floor Intake Drop Box. WASHINGTON CONTACT INFORMATION:(P)425.257.8810 I(E)everetteps@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 327 i z PARCEL#:CITY STATE jat ZIP c l �6'Zc- SUITE/UNIT#: ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential): p CONTACT INFORMATION OWNER NAME: (,(hyrYA S 11(AI��ll� — p�-t'reaAev (11 rGa y - OWNER MAILING ADDRESS: STREET I ‘727 I i 2, y1 St t CITY 6(VL?3/[°' STATE ZIP 962 C 3 OWNER PHONE: 42 j , I —6I 76 OWNER EMAIL: Lk(,,(4.+69),,,; f33 6) w►� ,c�►.t CONTRACTOR CONTACT NAME: S' 7��f (yy..c WA STATE CONTRACTOR LICENSE#(REQUIRED):S rr-rj(,c'4 'CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): S�72_0 CONTRACTOR ADDRESS: STREET / O�04 14 L)y ' < A CITY L I,,�►t if 4 / STATE w ZIP 4c,34. CONTRACTOR PHONE: 4.2i—2-72 —ci(j92 CONTRACTOR EMAIL: sr s- S S e / L c) (Cyvi PRIMARY CONTACT: ❑OWNER L�(CONTRACTOR ❑OTHER(Please Specify) / CONTACT NAME: CONTACT PHONE: 4 2s � � cx.,7z Pei L CONTACT EMAIL: a r,..Ly�'1 t. 4 ))Gi�,[I�.� C,n1 SIGN PERMIT INFORMATION" VALUATION OF WORK:$ i(-je 0 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: SIGN DIMENSIONS: Sign 1: Width: Zs/� Height: Square Feet: .*S Sign 2: Width: 2 i/ Height: ' 3v% Square Feet: 22-.S Sign 3: Width: f Z I Height: el Square Feet: r ' SIGN TYPE&QUANTITY: C iVall/Awning/Canopy-Qty: DWindow-Qty: ElElectronic Changing Message-Qty: CI Projecting-Qty: ❑Freestanding-Qty:_ -Type(monument,etc.): SIGN LIGHTING: ❑Non-Iluminated Iluminated-Type(backlit cabinet,etc.): *requires a separate electrical permit PLAN REVIEW REQUIREMENTS:Submit 2 hard copies of sign plans with permit application to Permit Intake Drop Box. 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 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 I am authorized by the owner of this property to perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT#�t�n O I OO 5. Owner/Authorized Agent Signature Date (Revised 2/8/2021) 2--