6101 EVERGREEN WAY 2024-10-11 - Laserfiche WebLink

SIGN 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)425-257-8810 1(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET ip 'F-V tVGSEF-Nl VVAJ PARCEL#: 100392900300101 CITY 'V' EWE-I-r STATE WA SUITE/UNIT#: ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential): cj W(r.�k R GAS "31A.1 10 N CONTACT INFORMATION OWNER NAME: V SD OWNER MAILING ADDRESS: STREET o �Vgy'�ffA A4AH CITYEAfAze' STATE V ' A zip 1 9 20 OWNER PHONE: 5-355-3822 OWNER EMAIL:0EA @ G&� s Cawk CONTRACTOR CONTACT NAME: t4i7--�TkJr NQ 7 -- eRiPAr) '?Qt NAN WA STATE CONTRACTOR LICENSE il��. q 8 t J E— CITY OF EVERETT BUSINESS LILICENSE#(REQUIRED): 41617 CONTRACTOR ADDRESS: STREET 5202\ V12 " c5 1, E: -I AC.! MA �I\sI 844(O 2 CITY -racwc�� STATE WA ZIP ,�1'°�s�•— CONTRACTOR PHONE:253 V y 9 5- ! O —t 1 CONTRACTOR EMAIL: B IBRO5NAN Q)RExTiA x^C CT y�r-.,7 i PRIMARY CONTACT: ❑ OWNER CONTRACTOR ❑OTHER(Please Specify) Lo CONTACT NAME: CONTACT PHONE:265•- H5j9 _1 Q q k , r 'g R 1 A t�1 �Ra S�tArJ CONTACT EMAIL:D5 F,051\1 W @ 4W \'46 Q11/N E.S I�0 A SIGN PERMIT INFORMATION VALUATION OF WORK: $ 9 3O 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: �N 5�A>� �tzL�l��5i�c..t_,n�►R 11 c��' S t�N.5 L3� Ct�NUP`"� SIGN DIMENSIONS: tt �\ �jiNCI�I R1I Sign 1: Width: 21 _`7 Height: > q Square Feet: 3 t. '5 ` Sign 2: Width: —7 -z Height: '31911 Square Feet: [ �' � � r V TF—2171 - , 911 Sign 3: Width: Height: 3 Square Feet: SIGN TYPE&QUANTITY: ❑Wall Mounted-Qty: ❑Awning-Qty: Canopy-Qty:'5 ❑Window-Qty: ❑Electronic Changing Message-Qty: 13 Projecting-Qty: *reestanding-Qty: RE-FACAE ONLY' F-A5j I 04—& SIGN LIGHTING: ❑Non-Illuminated )(111uminated-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 I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Oficial Use Only PERMIT# Owner/'AuVAorized Agent Signature Date (Revised 11/8/2022)