1515 112TH ST SE CHEVRON 2024-05-06

E •GN 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. WASHINGTON CONTACT INFORMATION: (P)425.257.88101(E)everetteps@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1515 112-t-h St• SE PARCEL#: 2S O S)'I 0 0 y 0 18 0 D CITY 1;Ye STATE VI ZIP Gi 8 7 O p O SUITE/UNIT#: ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential): ChevYDf1 CONTACT INFORMATION OWNER NAME: 1bCl; Boyden 00 �'l ey ev Si�s l OWNER MAILING ADDRESS: STREET 26 08 d 1 d FflAi CITY NA+.V et�'n On STATE tAi 1�y ZIP OWNER PHONE: OWNER EMAIL: SOdi mb0ycl en 0 5'mad i om CONTRACTOR CONTACT NAME: -Jodi boy den - 1101.1 ex- S\. n C Q Vvt,p Ctm vJ WA STATE CONTRACTOR LICENSE#(REQUIRED):t(16� (ZSG2323S CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 13 3 J 0 CONTRACTOR ADDRESS: STREET 2, o U t fI NW j 6•1 S 2723 CITY IV)4• Veen�1� STATE wA ZIP 4 CONTRACTOR PHONE: CONTRACTOR EMAIL: j Od I m b 17y CI en 6()IA.' 1 • i om PRIMARY CONTACT: ❑OWNER LVGONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 1311 0) L4 Zu - 1 325- �6Gli Hoyden CONTACT EMAIL: OCII mlooy de( ? nmci 1 tom SIGN PERMIT INFORMATION VALUATION OF WORK:$ 11,ODD. 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: NCw i11tikm nti-j- c\ Chevwn I o New 111kmincit-i \ Cht;won Ie�ICvS 12eco.c o it Morn ' rovi--rd pnlc5ijn New pomp t'ppevs SIGN DIMENSIONS: Sign 1: Width: Z1,1.<j " Height: 22 I' Square Feet: Sign 2: Width: 1 1 Height: 2 I Square Feet: Sign 3: Width: Height: Square Feet: SIGN TYPE&QUANTITY: R'Vall/Awning/Canopy-Qty: 2 ❑Window-Qty: Electronic Changing Message-Qty: ,� (rl-Ftic� ❑Projecting-Qty: LJFreestandl -Qty: I -Type(monument,etc.): SIGN LIGHTING: ❑Non-Iluminated Rfluminated-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 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# cn� 110 ‘ 7z Zoo 1 — Dog Owner/A orized Agent Signature Date (Revised 2/8/2021) `I