11014 19TH AVE SE LA FITNESS 2025-02-03

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)everetteps@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 11014 19TH AVE SE STE 4 PARCEL#: 3005542 CITY Everett STATE WA ZIP 98208 SUITE/UNIT#: 4 ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential):LA Fitness CONTACT INFORMATION OWNER NAME:TEAM MUV FITNESS EVERETT LLC OWNER MAILING ADDRESS: STREET 11014 19TH AVE SE STE 4 CITY Everett STATE WA ZIP 98208 OWNER PHONE:n/a OWNER EMAIL:n/a CONTRACTOR CONTACT NAME:Meyer Sign WA STATE CONTRACTOR LICENSE#(REQUIRED):M EYE RSC83238 ICITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 57310 CONTRACTOR ADDRESS: ITREET2608 Od Hwy 99 S CITY Mount Vernon STATE WA ziP 98273 CONTRACTOR PHONE:(360) 424-1 325 1CONTRACTOR EMAIL:Jodimboyden@gmail.com PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:(360) 941-8656 Jodi Boyden CONTACT EMAIL:Jodimboyden@gmail.com SIGN PERMIT INFORMATION VALUATION OF WORK: $9132 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:Install one new illuminated channel letter set and two tenant panels in existing pole sign. SIGN DIMENSIONS: Sign 1: Width:37' Height: 4' Square Feet: 148 Sign 2: Width: 187" Height: 38.75" Square Feet: 51.26 Sign 3: Width: 187" Height: 38.75" Square Feet: 51.26 SIGN TYPE&QUANTITY: OWall/Awning/Canopy-Qty: ❑Window-Qty: El Electronic Changing Message-Qty: ❑Projecting-Qty: OFreestanding-Qty: -Type(monument,etc.): SIGN LIGHTING: ❑Non-Iluminated Dllluminated-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.•1 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.l am the owner,or 1 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 Official Use Only PERMIT# 6/28/24 Owner/Au o r Agent Signature Date (Revised 21812021)