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MEN ItIGN PERMIT APPLICATIO <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT SUBMITTAL 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)PermitServices@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) f ti PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET Riverfront Blvd IciIJ B PARCEL#: <br /> CITY Everett Y STATE WA Zip 98203 <br /> SUITE/UNIT#: ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential):Riverfront Meridian <br /> CONTACT INFORMATION <br /> OWNER NAME:Shelter Holdings LLC <br /> OWNER MAILING ADDRESS: STREET 11624 SE 5th St, Suite 210 <br /> CITY Bellevue STATE WA Zip 98005 <br /> OWNER PHONE: OWNER EMAIL:eric.evans@shelterholdings.com <br /> CONTRACTOR CONTACT NAME:Northwest Sign & Design <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):NWSIGS*84201 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 53882 <br /> CONTRACTOR ADDRESS: STREET17201 Beaton Rd SE <br /> CITY Monroe STATE WA ZIP 98272 <br /> CONTRACTOR PHONE:425-844-6415 CONTRACTOR EMAIL:amber@nwsigns.com <br /> PRIMARY CONTACT: ❑OWNER CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425 844 6415 <br /> Amber Eby CONTACT EMAIL:amber@nwsigns.com <br /> SIGN PERMIT INFORMATION <br /> VALUATION OF WORK: $11,293.10 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: <br /> Installing 2 sets of lit channel letters for the Meridian building. <br /> SIGN DIMENSIONS: <br /> Sign 1: Width: 35 1/4" Height: 352" Square Feet: 152 Sq/Ft <br /> Sign 2: Width: 35 1/4" Height: 352" Square Feet: 152 Sq/Ft <br /> Sign 3: Width: Height: Square Feet: <br /> SIGN TYPE&QUANTITY: ❑Wall/Awning/Canopy-Qty:2 ❑Window-Qty: ❑Electronic Changing Message-Qty: <br /> ❑Projecting-Qty: ❑Freestanding-Qty: -Type(monument,etc.): <br /> SIGN LIGHTING: ❑Non-Iluminated ❑Illuminated-Type(backlit cabinet,etc.):Halo Lit/LED *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 /> 4 L& 12/6/2022 PERMIT# S 2 2 I Z _ 004 <br /> Owner/Authorized Agent Signature Date (Revised 4/21/2022) <br /> /2. <br />