1010 SE EVERETT MALL WAY AMERICAN RED CROSS 2025-03-25

_ SIGN PERMIT APPLICATION p ECEOVE CITY OF EVERETT PERMIT SERVICES APR 2 7 2023 EVERETT SUBMITTAL INSTRUCTIONS:Drop off hard copy paper application&plans to 32U edar Street 2nd Floor Intake D Box. WASHINGTON CONTACT INFORMATION: (P)425-257-8810 1(E)PermitServices@everetlwzo¢T r tl a 'ls (Blue or Black Ink Only Please) PROJECT SITE INFORMATION Permit servirles PROJECT SITE ADDRESS: STREET 1010 SE Everett Mall Way PARCEL#: 28051800306600 cln. Everett STATE WA ZIP 98208 SUITEI Ne#: �� ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential):American Red Cross CONTACT INFORMATION OWNER NAME:CPMNW OWNER MAILING ADDRESS: STREET 1509 Bonneville Ave Ste A clTy Snohomish STATE WA ZIP 98290 OWNER PHONE:4255180529 OWNER EMAIL:miazeolla@cpmnw.com CONTRACTOR CONTACT NAME:Puget Sound Signs (-{(N r 161-1-5-12 WA STATE CONTRACTOR LICENSE#(REQUIRE1J'j:69459594_T' CITY OF EVERETT BUSINESS LICENSE#(REQUIRED),-60395946— CONTRACTOR ADDRESS: STREET259 SW 41 st St crry Renton STATE WA z,P 98058 CONTRACTOR PHONE:2532437777 CONTRACTOR EMAIL:Sam.OlmStead@pugetsoundsigns.COm PRIMARY CONTACT: ❑OWNER ❑✓ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:4255180529 Sam Olmstead CONTACT EMAIL:sam.olmstead@pugetsoundsigns.com SIGN PERMIT INFORMATION VALUATION OF WORK:$12000 ASSOCIATED PERMIT#(if applicable): (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether aclualty paid or not.) DESCRIPTION OF WORK: Illuminated sign cabinet for American Red Cross. SIGN DIMENSIONS: Sign 1: Width: 108" 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.): Cabinet SIGN LIGHTING: ❑Non-Iluminated ❑✓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 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.1 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 �C>✓rr, t�� 04/24/23 PERMIT# 5� 3��- cos Owner/Authorized Agent Signature Date (Revised 412112022)