1010 SE EVERETT MALL WAY UNITED SEATTLE 2025-03-25

SIGN PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES R MAY 0 3 2023 EVERETT SUBMITTAL INSTRUCTIONS:Drop off hard copy paper application&plans to 3 a�Stre `2{�d Fz vlake Drop Box. WASHINGTON CONTACT INFORMATION: (P)425-257-88101(E)PermitServices@ever 41 o eV{{r�ty ,Ejj v permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION ' PROJECT SITE ADDRESS: STREET 1010 SE Everett Mall Way Ste 100,Everett,WA 98204 PARCEL#: 28051800306600 cnv Everett STATE WA z,a 98204 SUITE/UNIT M ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential):Un ited CONTACT INFORMATION OWNER NAME:EVERETT MALL OFFICE BUILDING LLC OWNER MAILING ADDRESS: STREET 1010 SE EVERETT MALL WAY STE 102 cIn Everett STATE WA ziP 98204 OWNER PHONE:425-478-2196 OWNER EMAIL:larisa@unitedseattle.com CONTRACTOR CONTACT NAME:Berry Sign WA STATE CONTRACTOR LICENSE#(REQUIRED):Berryss857b7 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 024786 CONTRACTOR ADDRESS: STREET5002 S Washington St CITY Tacoma' STATE WA zIP 98409 CONTRACTOR PHONE:253 830-3600 CONTRACTOR EMAIL:mikel@berrysign.com PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:253 830-3600 x151 M i ke Lee CONTACT EMAIL:mikel@berrysign.com SIGN PERMIT INFORMATION VALUATION OF WORK: $5000 1ASSOCIATED 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 illuminated wall sign SIGN DIMENSIONS: Sign 1: Width: 9' Height: 34" Square Feet:25.5 Sign 2: Width: Height: Square Feet: Sign 3: Width: Height: Square Feet: SIGN TYPE&QUANTITY: ❑✓Wall/Awning/Canopy-Qty:1 ❑Window-Qty: ❑Electronic Changing Message-Qty: ❑Projecting-Qty: ❑Freestanding-Qty: -Type(monument,etc.): SIGN LIGHTING: ❑Non-liuminated ❑✓Illuminated-Type(backlit cabinet,etc.):internal LED "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 few. 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.I am the owner,or I 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 RC W and 296.200A WAC. City of Everett Official Use Only 4.25.2023 PERMIT# c_;� O 5— 00 Owner/Authorized Agent Signature Date (Revised 412112022)