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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 I(E)everetteps@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET I51S 13j n d- s}• SE PARCEL#: L�lei I/$S �j/� <br /> CITY EY c nit STAIR V." ZIP I U/ADO <br /> SUITE/UNIT#: ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential): CntGe <br /> CONTACT INFORMATION <br /> OWNER NAME: 14 Laa 0 int. I?°X <br /> OWNER MAILING ADDRESS: STREET J OI 5 I(VGSbi t1rJ (1 VA SVC• to l7 <br /> cITY Co NAMtvt.( J STATE Cr ZIP 1 0Uy 0 <br /> OWNER PHONE: V\ I OWNER EMAIL: V\I G1 <br /> CONTRACTOR CONTACT NAME: (1) e'.1er S1l�Y► <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):I ll Gy EZSL g32,32:, CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> CONTRACTOR ADDRESS: STREET 'G og 0\ s /� <br /> CITY M -}• VCrn on STATE 1Nft ZIP c16p <br /> CONTRACTOR PHONE: (' k0) 4'L4 I32S CONTRACTOR EMAIL: J Vctl In O a cno 5 ffa i 1- lonti <br /> PRIMARY CONTACT: ❑OWNER ,CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME:J CONTACT PHONE:("kt,0) 1.,,`L(,I- I325 <br /> :Atli 6014L1 CONTACT EMAIL: .CONTACT et Lr1 G g mai I. torn <br /> SIGN PERMIT INFORMATION <br /> VALUATION OF WORK: $ SO) I O' - OD 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 no EMEOVIE <br /> DESCRIPTION OF WORK: <br /> NLv., vvtil l Si 6nS c two,* st, 1 in ex 15th rnomtmcnt S►on• <br /> AUG 2 2 2023 <br /> CITY OF EVERETT <br /> Permit 8eivikes <br /> SIGN DIMENSIONS: /�^ <br /> Sign 1: Width: 84k I J 7 Height:5l I'��)1 SquareFeet 7 1.5 Si-- <br /> '2 <br /> Sign 2: Width: ILI I - Height: 114 Square Feet: S F X LI <br /> Sign 3: Width: Height: Square Feet: <br /> SIGN TYPE&QUANTITY: Wall/Awning/Canopy-Qty: L ❑Window-Qty: El Electronic Changing Message-Qty: <br /> ❑Projecting-Qty: Freestanding-Qty: 1 -Type(monument,etc.):intn11bmt n4" tt,f\Af14 <br /> SIGN LIGHTING: ❑Non-Iluminated XIlluminated-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 I 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 /> g1_ P3 PERMIT# <br /> II'`T'7. `)G,I <br /> Owner/Author ed Agent Signature Date (Revised 2/8/2021) <br />