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• <br /> SIGN PERMIT APPLICATIO. <br /> EVERETT SUBMITTAL CITY OF EVERETT PERMIT SERVICES <br /> INSTRUCTIONS: Drop off hard copy paper application&plans to 3200 Cedar Street 2nd Floor Intake Drop Box. <br /> WASHINGTON CONTACT INFORMATION: (P)425.257.8810 I (E)everetteps@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 3201 Smith Ave PARCEL#: 00439074401300 <br /> clTv Everett STATE WA ZIP 98201 <br /> SUITE/UNIT#: ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential):Everett Station <br /> CONTACT INFORMATION <br /> OWNER NAME: City of Everett <br /> OWNER MAILING ADDRESS: STREET 3200 Cedar St <br /> CITY Everett STATE WA zip 98201 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR CONTACT NAME:TBD <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: ❑OWNER ❑CONTRACTOR OTHER(Please Specify) Project contact <br /> CONTACT NAME: CONTACT PHONE:(206) 903-7142 <br /> Leah Logan CONTACT EMAIL:Ieah.logan@soundtransit.org <br /> SIGN PERMIT INFORMATION <br /> VALUATION OF WORK: $25,772 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:Install three (3) Passenger Information signs on overhead canopy <br /> SIGN DIMENSIONS: <br /> Sign 1: Width:43.5" Height: 17" Square Feet: 5.25 <br /> Sign 2: Width: 43.5" Height: 17" Square Feet: 5.25 <br /> Sign 3: Width: 43.5" Height: 17" Square Feet: 5.25 <br /> SIGN TYPE&QUANTITY: ❑Wall/Awning/Canopy-Qty: ❑Window-Qty: ❑✓Electronic Changing Message-Qty:3 <br /> CI Projecting-Qty: CI Freestanding-Qty:_ -Type (monument,etc.): <br /> SIGN LIGHTING: ❑Non-Iluminated ❑✓Illuminated-Type(backlit cabinet,etc.):LED Backlit *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.I am the owner,or I am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# (�Sri �0'7 I O 0 a. <br /> 7/1/2021 '�` <br /> ed A ntr(-7:4------ <br /> Date (Revised 2/8/2021) <br /> Z <br />