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1GN PERMIT APPLICATIC <br /> EVERETT SUBMITTAL INSTRUCTIONS: <br /> OF EVERETT PERMIT SERVICES <br /> 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 6623 Evergreen Way PARCEL#: 003929005005001 <br /> clry Everett STATE WA ZIP 98203 <br /> SUITE/UNIT#: ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential):US Bank <br /> CONTACT INFORMATION <br /> OWNER NAME:Union Bank NA <br /> OWNER MAILING ADDRESS: STREET 445 S Figueroa STE G12-300 <br /> CITY LA STATE CA ZIP 90071 <br /> OWNER PHONE:213-236-7700 OWNER EMML:customer.service@unionbankph.com <br /> CONTRACTOR CONTACT NAME:Advanced Signs <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):ADVANSL923DP CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 53901 <br /> CONTRACTOR ADDRESS: STREETI 37th St NW Unit C <br /> CITY Auburn STATE WA "P 98001 <br /> CONTRACTOR PHONE:253-987-5909 1CONTRACTOR EMAIL:asl.permlt@gmall.com <br /> PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:253-987-5909 <br /> Jason Taylor CONTACT EMAIL:asl.permit@gmail.com <br /> SIGN PERMIT INFORMATION <br /> VALUATION OF WORK: $5000 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 (x2) LED wall signs to existing circuits <br /> SIGN DIMENSIONS: <br /> Sign 1: Width: 9'-10 7/16" Height: 2'-10" Square Feet: 43.7 <br /> Sign 2: Width: 9'-10 7/16" Height: 2'-10" Square Feet: 43.7 <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-Qly: -Type(monument,etc.): <br /> SIGN LIGHTING: []Non-Iluminated ❑✓Illuminated-Type(backlit cabinet,etc.):Internal 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 1 compl with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> Owner/ uthorized Agent Signature Date (Revised 412112022) <br />