1816 112TH ST SE 2024-04-15 - Laserfiche WebLink

IGN PERMIT APPLICATION • CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS: Drop off hard copy paper application&plans to 3200 Cedar Street 2nd Floor Intake Drop Box. WA$HINGTON 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 1816 112th St SE PARCEL#: 00494200400200 CITY Everett STATE WA ZIP 98208 SUITE/UNIT#: ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential):Silver Lake 76 CONTACT INFORMATION OWNER NAME:Foster Oil LLC OWNER.MAILING ADDRESS: STREET 1816 112th St SE ciiv Everett STATE WA zip 98208 OWNER PHONE:425-917-2109 OWNER EMAIL:jack@insigniasign.com CONTRACTOR CONTACT NAME:Insignia Sign & Re-Imaging WA STATE CONTRACTOR LICENSE#(REQUIRED):INSIGSR813QA CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 63283 CONTRACTOR ADDRESS: STREET325 Burnett Ave N CITY Renton STATE WA ZIP 98057 CONTRACTOR PHONE:425-917-2109 CONTRACTOR EMAIL:jack@insigniasign.com PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-917-2109 Jack Rosenstrom CONTACT EMAIL:jack@insigniasign.com ,,,, SIGN PERMIT INFORMATION VALUATION OF WORK:$6,000.00 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: (N1): Replace message faces in existing monument like for like (REFACE ONLY): (N2): Install & wire (3) new 24"x96" illuminated wall signs: SIGN DIMENSIONS: 'Sign 1: Width: 6'-1" Height: 10'-11" Square Feet: 66.43(REFACE) W..,.=-gifdbr 2: Width: 8'-0" Height: 2'-0" Square Feet: 16.00 EACH SIGN Sign 3: Width: Height: Square Feet: SIGN TYPE&QUANTITY: OWall/Awning/Canopy-Qty:3 ❑Window-Qty: ❑Electronic Changing Message-Qty: ❑Projecting-Qty: ✓❑Freestanding-Qty:1 -Type(monument,etc.): MONUMENT SIGN LIGHTING: ❑Non-Iluminated ❑✓Illuminated-Type(backlit cabinet,etc.):LED Illumination *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# ® / -Digitallygnedby I Date:2021.03.2323:38:32-07'00' 04/12/22 Owner/Authorized Agent Signature Date (Revised 2/8/2021) (2-