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SIGN PERMIT APPLICATION <br />EVERETT <br />WASHINGTON <br />CITY OF EVERETT PERMIT SERVICES <br />SUBMITTAL INSTRUCTIONS: Drop off hard copy paper application & plans to 3200 Cedar Street 2nd Floor Intake Drop Box. <br />CONTACT INFORMATION: (P) 425.257.8810 1 (E) everetteps@everettwa.gov I (W) everettwa.gov/permits <br />(Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: STREET 1302 SE EVERETT MALL WAY PARCEL #: 28051800402400 <br />c,n, EVERETT STATE WA zIR 98208 <br />SUITE/UNIT M ADDITIONAL LOCATION INFORMATION: <br />TENANT/BUSINESS NAME (if non-residential):At Home <br />CONTACT INFORMATION <br />OWNER NAME:BRIXTON EVERETT LLC <br />OWNER MAILING ADDRESS: STREET 120 S SIERRA AVENUE <br />c,T,. SOLANA BEACH STATE CA zla 92075 <br />OWNER PHONE: <br />OWNER EMAIL: <br />CONTRACTOR CONTACT NAME:SIgns Plus Inc. <br />WA STATE CONTRACTOR LICENSE #(REQUIRED):SIGNSPI952LW <br />ICITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 52728 <br />CONTRACTOR ADDRESS: STREET766 Marine Drive <br />ciTv Bellingham STATE WA z,, 98225 <br />CONTRACTOR PHONE:360-671-716rJ <br />CONTRACTOR EMAIL: permltS@slgnsplusnw.com <br />PRIMARY CONTACT: ❑ OWNER ❑✓ CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />Royce Sieving <br />CONTACT PHONE:360-671-7165 <br />CONTACT EMAIL: permits@Slgnsplusnw.COm <br />SIGN PERMIT INFORMATION <br />VALUATION OF WORK: $ 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: Install At Home sign package, seven (7) LED illuminated wall signs and reface existing <br />tennant signs. <br />SIGN DIMENSIONS: <br />Sign 1: Width: 28" Height: 30" Square Feet: 5.83 <br />Sign 2: Width: 28" Height: 30" Square Feet: 5.83 <br />Sign 3: Width: 28" Height: 30" Square Feet: 5.83 <br />SIGN TYPE & QUANTITY: ❑✓ Wall/Awning/Canopy - Qty:7 ❑Window- Qty: ❑Electronic Changing Message - Qty: <br />❑Projecting - Qty: ❑Freestanding- Qty: - Type (monument, etc.): <br />SIGN LIGHTING: ❑Non-Iluminated ✓❑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: / 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. 1 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 />OwnerlPrfj(horized Agent Signature <br />8/12/22 <br />Date <br />City of Everett Official Use Only <br />PERMIT # <br />Sao <br />(Revised 21812021) <br />PAS OF 9 <br />