8702 7TH AVE SE 2024-04-12 - Laserfiche WebLink

Emi IIGN PERMIT APPLICATIOP izt 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)PermitServices@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET Z �I Ave SiL PARCEL_#: Z`a O5 I $OD Z O I (L/OO crry vCYe t"}- STATE �tv� zjp 6 2O SUITE/UNIT#: ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential): \ f'CYSOn .-1"C1YlCn-l-cn '- CONTACT INFORMATION OWNER NAME: ‘(Cvett SLYIOD\ Dist Z OWNER MAILING ADDRESS: STREET ;')0 0 tb(D Cl.Ci.V•.1 G.y CRY �V/C Vt / W,�y STATE 1 ZIP CICg 2-0 1 OWNER PHONE: OWNER EMAIL: Y1 I G1 CONTRACTOR CONTACT NAME: M e' ry S15Y' WA STATE CONTRACTOR LICENSE#(REQUIRED): I1 El E IZ S(.8 S'38 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 5-7 ?j I 0 CONTRACTOR ADDRESS: STREET Zlj 0S 01 d I-t-wy CO S • tt cny M•t-- V-e vn on STATE (A)Pr ZIP qO7.-7 3 CONTRACTOR PHONE: (3U 0) y7LI- I3 OS CONTRACTOR EMAIL: J O(I I n'1 by y c c n O )rr1A t 1. C. om PRIMARY CONTACT: ❑OWNER Xi CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: (Su b) cl L-I I - $IoSlo 770G1i 13oy6cn CONTACT EMAIL: TD4 j m L oN cI e n 0c )I nci f I • (c rr ` SIGN PERMIT INFORMATION VALUATION OF WORK:$ Z I ,00t7•DD 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: PrIpOSCcl CICUtr1)njt•,, Y'-eUCICv bock✓ci SIGN DIMENSIONS: Sign 1: Width: Ut cl tr Height: 2. 1 - 6 h Square Feet: I k9' S SF Sign 2: Width: Height: Square Feet: Sign 3: Width: Height: Square Feet: SIGN TYPE&QUANTITY: ❑Wall/Awning/Canopy-Qty: ❑Window-Qty: NElectronic Changing Message-Qty: ❑Projecting-Qty: ❑Freestanding-Qty: -Type(monument,etc.): SIGN LIGHTING: ❑Non-Iluminated Illuminated-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 (112Sl2 PERMIT# s. 121 - - 063 It7f Owner/A4thorized Agent Signature Date (Revised 4/21/2022)