1130 SE EVERETT MALL WAY CONTACTS&EYEGLASSES AMERICA'S BEST CONTACTS & EYEGLASSES 2025-12-12

SIGN PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT SUBMITTAL INSTRUCTIONS: Drop off hard copy paper application&plans to 3200 Cedar Street 2nd Floor Intake Drop Box. WASHINGTON CONTACT INFORMATION: (P)425.257.8810 1 (E)everetteps@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1402 SE EVERETT MALL WAY PARCEL M CITY EVERETT STATE WA zip 98208 SUITE/UNIT#: 4154 ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential): CONTACT INFORMATION OWNER NAME:AMERICAS BEST CONTACTS OWNER MAILING ADDRESS: STREET 1402 SE EVERETT MALL WAY CITY EVERETT STATEWA zip 98208 OWNER PHONE: OWNER EMAIL: CONTRACTOR CONTACT NAME:STEVE ZAMBERLIN WA STATE CONTRACTOR LICENSE#(REQUIRED):NATICISC166MS ICITY OF EVERETT BUSINESS LICENSE#(REQUIRED): CONTRACTOR ADDRESS: ITREET1541 S 92nd Place, Suite B CITY SEATTLE STATE WA zip 98108 CONTRACTOR PHONE:206-282-0700 CONTRACTOR EMAIL:STEVEZ@NATIONALSIGNCORP.COM PRIMARY CONTACT: ❑OWNER KI CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-380-2854 STEVE ZAMBERLIN CONTACT EMAIL:STEVEZ@NATIONALSIGNCORP.COM SIGN PERMIT INFORMATION VALUATION OF WORK: $4950 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 SINGLE FACE ILLUMINATED WALL SIGN SIGN DIMENSIONS: Sign 1: Width:20' Height:41 Square Feet:68.3 Sign 2: Width: Height: Square Feet: Sign 3: Width: Height: Square Feet: SIGN TYPE&QUANTITY: ❑Wall/Awning/Canopy-Qty: 1 ❑Window-Qty: El Electronic Changing Message-Qty: ❑Projecting-Qty: ❑Freestanding-Qty: -Type(monument,etc.): SIGN LIGHTING: ❑Non-Iluminated k1l1luminated-Type(backlit cabinet,etc.): *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.l 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 PERMIT# STEVE ZAMBERLIN 7/10/24 Owner/Authorized Agent Signature Date (Revised 21812021)