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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 1130 SE EVERETT MALL WAY PARCEL#: 28051800405800 <br /> CITY EVERETT STATE WA zip 98208 <br /> SUITE/UNIT#: ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential):TJ Maxx <br /> CONTACT INFORMATION <br /> OWNER NAME:PAPF Everett, LLC and Redbird Everett Village LLC <br /> OWNER MAILING ADDRESS: STREET Argonaut Investments, 101 Larkspur Landing Circle, Ste. 120 <br /> CITY Larkspur STATE CA zIP 9439 <br /> OWNER PHONE:415-945-2470 OWNER EMAIL:sconway@argoinvest.com <br /> CONTRACTOR CONTACT NAME:Wholesale Signs <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):WHOLESL813CF CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 604372988 <br /> CONTRACTOR ADDRESS: STREET 10422 224th St E <br /> CITY Graham STATE WA zIP 98338 <br /> CONTRACTOR PHONE:253-433-4764 CONTRACTOR EMAIL:darrin.jones@fastslgns.com <br /> PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-391-3010 <br /> Darrin Jones CONTACT EMAIL:darrin.jones@fastSlgns.com <br /> SIGN PERMIT INFORMATION <br /> VALUATION OF WORK: $3,000 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 /> Installation of Illuminated Channel Sign <br /> SIGN DIMENSIONS: <br /> Sign 1: Width: 30ft 7.5in Height: Eft bin Square Feet: 202 <br /> Sign 2: Width: Height: Square Feet: <br /> Sign 3: Width: Height: Square Feet: <br /> SIGN TYPE&QUANTITY: E]Wall Mounted-Qty: ❑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.):Channel Letters *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 /> Darrin Jones Digitallya : s4.03.2igned YDa'"n Jones <br /> 3/27/24 <br /> Date:2024.03.27 17:06:17-07'00' <br /> Owner/Authorized Agent Signature Date (Revised 111812022) <br />