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SIGN PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> EVERETT SUBMITTAL INSTRUCTIONS:Drop off hard copy paper application a plans to 3200 Cedar Street 2nd Floor Intake Drop Box <br /> WASII INa ION CONTACT INFORMATION:(P)425.257.88101(E)overelleps@everetlwa.(jov)(W)evereltwa gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET PARCEL M <br /> CITY STAIE <br /> SUITE/UNIT MI ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential): yoi,.1"ouan <br /> CONTACT INFORMATION' <br /> OWNER7NAME: �1 O it?�L <br /> OWNERESS: s1aEEr l 14— <br /> ve <br /> q�sl �nTr srAl( (�, <br /> OWNER PHONE: Cv <br /> C, _ OWNER EMAIL: c,�,16& U'1 <br /> CONTRACTOR CONTACT NAME: L_ <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED) CITY OF EVERETT BUSINESS LICENSE#(REQUIRED). <br /> CONTRACTOR ADDRESS: STREET LIU 0 W <br /> Nv <br /> CIIY SIATr <br /> CONTRACTOR PHONE: 1CONTRACTOR EMAIL: �q 1 . Y <br /> PRIMARY CONTACT: KOWNER ❑CONTRACTOR ❑OTHER(Please Specify)_. <br /> CONTACT NAME: C CONTACT PHONE: <br /> A At I CONTACT EMAIL: <br /> SIGN PERMIT INFORMATION <br /> VALUATION OF WORK:$ ASSOCIATED PERMIT#(if applicable): <br /> Va!ual on sha!1 include Iho prevai any fart market valuu of al labor,materials-and equ pment nee4ed to complete the xork.whether actu[allly pa'd or not.) <br /> DESCRIPTION OF WORK: A \�+ � f 0 rfbs(fit. ' 4-)I �( LA jl I� ap\i 11.o1 Vr � <br /> n 1CA <br /> La ur\DY Q. 1 ' <br /> SIGN DIMENSIONS: <br /> u It <br /> Si 1: Width:ft Height: .�V I t Square Feet <br /> Sign 2: Width: Haight: Square Fool. <br /> Sign 3: 1^lidlh: Haight: Square Feet. <br /> SIGN TYPE&QUANTITY: >Nall/Awning/Canopy-01y: ❑Window-Qly: ❑Electronic Changing Message-Oly: <br /> ❑Projecting-Qly: ❑Freestanding-Qly: -Type(morlunlertt.arc): <br /> SIGN LIGHTING: WNon-Ilurninated ❑Illuminated-Typu(backbt cabntot.etc) _ ____ __ -'requires a separate electrical permit <br /> PLAN REVIEW REQUIREMENTS:Submit 2 hard copies of sfgrt pi,ins Tvdh penaA application to Pornut Intake Drop Box. <br /> ACKNOWLL-VULMENI.1 have ruvwwed fhis applicafion and confirm the rnfunnabon contauledheroin Is live am!iollect t4'aA dor:a pursl.anl fa this perrtrt nose curt c y tt. t <br /> cvfrent tedkrat,stato,and bxal law the glant"19 of a permit only aulhonztls approved oak anal no doviahons therutrunt p,!riatcvls must list bs authonfed+n wrtivy hvn PM <br /> Budd✓jq Ofbub►botoru butng eulhonvud undur any crrcurrisfanca l ant fha owner,at I am aufhocomad by(he own&al Ws Pruperry to ppvfurm N•e OVA lu+All-ch apprrarun is mJde. <br /> and I c ovrp!y with file Slatu Confrrctors Law 18 21 RCW and 291,201tA WAC <br /> Gt y of Ev"err Orrc%w Liao(Nay <br /> q Y�� PERMIT it < T-00 <br /> Nnur/Aulh rizod Ayunl Slpn'luro Date (Nevuud 2.'&7021) I <br /> i <br /> 1 <br /> lZ <br />