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•GN PERMIT APPLICAT10410D { ©[ L1V111) <br /> CITY OF EVERETT PERMIT SERVICES i pp <br /> E SUBMITTAL INSTRUCTIONS:Drop off hard copy paper application&plans to 2b CeBAstrea daflar Intak_!D1op Box. <br /> WASHINGTON CONTACT INFORMATION:(P)425-257-8810 i(E)PermitServices@everettwa.gov I(W)everettwa.govipermits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION 1Y OF F �= <br /> 6crvi,:a <br /> PROJECT SITE ADDRESS: STREET 2712 HEWITT AVENUE PARCEL#: 005936-693-003-0U <br /> cr, EVERETT STATE WA zte 98201 <br /> SUITE/UNIT#: ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential):BGG ENTERPRISE, LLC <br /> CONTACT INFORMATION <br /> OWNER NAME:CLOBODYNE INDUSTRIES <br /> OWNER MAILING ADDRESS: STREET 3007 EVERETT AVE <br /> CITY EVERETT STATE WA ZIP 98201 <br /> OWNER PHONE:425-879-3437 OWNER EMAIL:brianbodge@msa.com <br /> CONTRACTOR CONTACT NAME:OWNER <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> PRIMARY CONTACT: O OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-879-3437 <br /> Brian CONTACT EMAIL:brianbodge@msn.com <br /> SIGN PERMIT INFORMATION <br /> VALUATION OF WORK:$1 1,000 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:Repair lighted sign per regular maintenance; repair or replace any damaged components as needed. <br /> Legal Description: LOTS 3,4 AND 5, BLOCK 693, SWALWELLS 2ND ADDITION TO THE CITY OF <br /> EVERETT,ACCORDING TO THE PLAT THEREOF RECORDED IN VOLUME 3 OF PLATS, PAGE 11, RECORDS <br /> OF SNOHOMISH COUNTY,WASHINGTON.SITUATE IN THE COUNTY OF SNOHOMISH, STATE OF <br /> WASHINGTON. <br /> • <br /> SIGN DIMENSIONS: <br /> Sign 1: Width:8' Height:4' Square Feet: 32 <br /> Sign 2: Width: Height: Square Feet: <br /> Sign 3: Width: Height: Square Feet: <br /> SIGN TYPE&QUANTITY: ❑Wall Mounted-Qty: ®Awning-Qty: ❑Canopy-Qty: ❑Window-Qty: <br /> DElectronic Changing Message-Qty: OProjecting-Qty:1 ❑Freestanding-Qty: -Type(monument,etc.): <br /> SIGN LIGHTING: ®Non-Illuminated ✓Clllluminated-Type(backlit cabinei,etc.):cabinet *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.1 am the owner,or 1 am authorized by the owner of this property to perform the work for which application is made, <br /> and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAG. <br /> 7-1 <br /> } City of Everett Official Use Only <br /> PERMIT# <br /> .,(2) LV27 2,62 1:3 <br /> Owner/Authorized Agct Signature Date (Revised 1118f2022) <br />