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SIGN PERMIT APPLICATION <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 1(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 905 80TH ST SW PARCEL#: 28041200306000 <br /> CITY Everett STATE wa zip 98203 <br /> SUITE/UNIT#: ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential):Foremost Fuji <br /> CONTACT INFORMATION <br /> OWNER NAME:FFC-PACK LLC <br /> OWNER MAILING ADDRESS: STREET 19211 144TH AVE NE <br /> CITY Woodinville STATE WA ZIP 98072 <br /> OWNER PHONE:425-483-9090 OWNER EMAIL:maryf@formostfuji.com <br /> CONTRACTOR CONTACT NAME:Mike McNamara <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):MCNAMI*031 D4 ICITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 57050 <br /> CONTRACTOR ADDRESS: STREET 14058 Lake City Way NE <br /> CITY Seattle STATE WA Z,P 98125 <br /> CONTRACTOR PHONE:206-284-0809 CONTRACTOR EMAIL:mike@mcnamarasigns.com <br /> PRIMARY CONTACT: 0 OWNER ❑ CONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-284-0809 <br /> Mike McNamara CONTACT EMAIL:mike@mcnamarasigns.com <br /> SIGN PERMIT INFORMATION <br /> VALUATION OF WORK: $2950 1ASSOCIATED 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 /> Install 1 set of HDU Sign foam letters to building front using vhb & silicon <br /> SIGN DIMENSIONS: <br /> Sign 1: Width: 170 Height: 13 Square Feet: 15.34 <br /> Sign 2: Width: Height: Square Feet: <br /> Sign 3: Width: Height: Square Feet: <br /> SIGN TYPE&QUANTITY: OWall Mounted-Qty: 1 ❑Awning-Qty: ❑Canopy-Qty: ❑Window-Qty: <br /> El Electronic Changing Message-Qty: El Projecting-Qty: ❑Freestanding-Qty: -Type(monument,etc.): <br /> SIGN LIGHTING: ❑Non-Illuminated El Illuminated-Type(backlit cabinet,etc.): *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 1 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# <br /> ignedMike McNamara <br /> Mike McNamara Date:Digitally <br /> 023.07.201Y16:23:13 07'00' 7/21/23 <br /> Owner/Authorized Agent Signature Date (Revised 111812022) <br />