905 MADISON ST MADISON PUB 2024-03-29

EVERETT WASHINGTON SIGN PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES SUBMITTAL INSTRUCTIONS: Drop off hard copy paper application & plans to 3200 Cedar Street 2nd Floor Intake Drop Box. 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 905 Madison st PARCEL #: 00393000006801 CITY Everett STATE WA ZIP 98203 SUITEIUNIT #: ADDITIONAL LOCATION INFORMATION: TENANTIBUSINESS NAME (if non-residential): Madison Avenue Pub CONTACT INFORMATION OWNER NAME: OLSON INVESTMENT & MANAGEMENT LLC OWNER MAILING ADDRESS: STREET 11506 TULARE WAY W CITY MARYSVILLE SrnTE WA ZIP 98271 r OWNER PHONE: OWNER EMAIL: CONTRACTOR CONTACT NAME: Crossroad SIGN WA STATE CONTRACTOR LICENSE #(REQUIRED): CROSSS" 894M 1 CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 62014 CONTRACTOR ADDRESS: STREET 16406 7th PL W CITY Lynnwood STATE WA Z,p 98037 CONTRACTOR PHONE: 425-481-9411 CONTRACTOR EMAIL: ryan@crossroadsign.com PRIMARY CONTACT: ❑ OWNER Z✓ CONTRACTOR D OTHER (Please Specify). CONTACT NAME: Ryan S h roy CONTACT PHONE: 425-481-9411 CONTACT EMAIL: ryan@crossroadsign.com SIGN PERMIT INFORMATION VALUATION OF WORK: $ 13400 ASSOCIATED PERMIT # (if applicable): Electric Permit TBD (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: Install lit, flush mounted channel letters on tenant's facade above front doors. SIGN DIMENSIONS: Sign 1: Width: 44 feet Height: 28 inches Square Feet: 102 Sign 2: Width: Height: Square Feet: Sign 3: Width: Height: Square Feet: SIGN TYPE & QUANTITY: ✓]Wall/Awning/Canopy - Qty: 1 ❑Window- Qty: ❑Electronic Changing Message - Qty: ❑Projecting - Qty: ❑Freestanding- Qty: - Type (monument. etc.):________ SIGN LIGHTING: [..JNon-Iluminated ❑✓ Illuminated - Type (backlit cabinet, etc ): Internal LED -_ -*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 / 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. Owne 7/07/2022 Date City of Everett Official Use Only PERMIT # (Revised 412112022)