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SIGN PERMIT APPLICATIA <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 3726 BROADWAY PARCEL#: 01060600000200 <br /> c,n EVERETT STATE WA ZIP 98201 <br /> SUITE/UNIT#: ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential):HEAR USA <br /> CONTACT INFORMATION <br /> OWNER NAME:K&AW LLC <br /> OWNER MAILING ADDRESS: STREET 3726 BROADWAY <br /> CITY EVERETT STATE WA ZIP 98201 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR CONTACT NAME:STEVE ZAMBERLIN <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):NATIOSC133MS CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> CONTRACTOR ADDRESS: STREET 1541 S 92ND PL STE B <br /> CITY SEATTLE 5747E WA ZIP 98108 <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> PRIMARY CONTACT: ❑OWNER EXCONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:2063802854 <br /> STEVE ZAMBERLIN CONTACT EMAIL:STEVEZ@NATIONALSIGNCORP.COM <br /> SIGN PERMIT INFORMATION <br /> VALUATION OF WORK:$3600 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: REMOVE EXISTING WALL SIGN AND EXISTING HEAR USA PANELS ON <br /> MONUMENT SIGN AND REPLACE WITH NEW ILLUMINATED WALL SIGN IN SAME <br /> LOCATION AS PREVOUS AND REPLACE THE PANELS WITH NEW BRANDING <br /> PANLES IN THE SAME LOCATION. <br /> SIGN DIMENSIONS: <br /> Sign 1: Width: 1 0' Height: 1'3 7/16" Square Feet 13 <br /> Sign 2: Width: 3'10 3/4" Height: 1'4" Square Feet: 5.1 <br /> Sign 3: Width: 3'10 3/4" Height: 1'4" Square Feet: 5.1 <br /> SIGN TYPE&QUANTITY: Wall/Awning/Canopy-Qty: 1 ❑Window-Qty: ❑Electronic Changing Message-Qty: <br /> Projecting-Qty: ❑Freestanding-Qty: -Type(monument,etc.): EXISTING MONUMENT PANELS <br /> SIGN LIGHTING: ❑Non-Iluminated 21111uminated-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 />' PERMIT# <br /> 7/1/22 �Z2L 1 —D02, <br /> Owner/Authorized Agent Signature Date (Revised 2/8/2021) <br /> i <br />