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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 220 SE EVERETT MALL WAY PARCEL#: 00480201400200 <br /> CITY EVERETT STATE WA zip 98208 <br /> SUITE/UNIT#: ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential): <br /> CONTACT INFORMATION <br /> OWNER NAME:ONKAR INVESTMENT GROUP LLC <br /> OWNER MAILING ADDRESS: STREET 220 SE EVERETT MALL WAY <br /> CITY EVERETT STATE WA z,P 98208 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR CONTACT NAME:PROJECT CSI <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):604-221-772 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 622255 <br /> CONTRACTOR ADDRESS: STREET 12690 Ford Dr <br /> CITY FISHERS STATE IN z,P 46038 <br /> CONTRACTOR PHONE:317-833-6724 CONTRACTOR EMAIL:BRIDGET@PROJECTCSI <br /> PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:317-833-6724 <br /> BRIDGET BLACK WOLFE CONTACT EMAIL:BRIDGET@PROJECTCSI.COM <br /> SIGN PERMIT INFORMATION <br /> VALUATION OF WORK: $450.00 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 /> Remove existing Tx 8' wall signs on left and right of store front. Replace with (6) <br /> 30"x40" front loading Poster Grip Frame (3) on the left side (3) on the right side. <br /> Disconnect and cap existing electric on left and right side of building above wall signs. <br /> SIGN DIMENSIONS: <br /> Sign 1: Width: 30" Height: 40" Square Feet: 8.33 <br /> Sign 2: Width: Height: Square Feet: <br /> Sign 3: Width: Height: Square Feet: <br /> SIGN TYPE&QUANTITY: OWall Mounted-Qty:6 ❑Awning-Qty: ❑Canopy-Qty: ❑Window-Qty: <br /> El Electronic Changing Message-Qty: El Projecting-Qty: ❑Freestanding-Qty: -Type(monument,etc.): <br /> SIGN LIGHTING: EINon-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 /> 8244±LU)&/ 4/18/2024 <br /> Owner/AuthorizW Agent SignaWe Date (Revised 111812022) <br />