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SIGN PERMIT APPLICATION <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 1(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 1502 Wall St PARCEL#: <br /> CITY Everett STATE WA Z,P 98201 <br /> SUITE/UNIT#: ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential): imagine Children's Museum <br /> CONTACT INFORMATION <br /> OWNER NAME:Warren Wissmer <br /> OWNER MAILING ADDRESS: STREET 9402 39th Ave CT SW <br /> CITY Lakewood STATE WA Z,P 98499 <br /> OWNER PHONE:4257768835 OWNER EMAIL:permits@berrysign.com <br /> CONTRACTOR CONTACT NAME:Berry Sign Systems <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):BERRYSS857137 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 02876 <br /> CONTRACTOR ADDRESS: ST1EET9402 39th Ave Ct Sw <br /> CITY Lakewood STATE WA Z,P 98499 <br /> CONTRACTOR PHONE:4257768835 CONTRACTOR EMAIL:permits@berryslgn.com <br /> PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:4257768835 <br /> Warren Wissmer CONTACT EMAIL:permits@berrysign.com <br /> SIGN PERMIT INFORMATION <br /> VALUATION OF WORK: $8000 1ASSOCIATED 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: replace 2 modules - north and west elevation - 10.8 each (same size as existing) <br /> 22nx5'2n <br /> replace logo - west elevation - 58.3 sqft - 11 x7.5 <br /> replace wall sign - south elevation - 136 sqft 10'9" x 27' <br /> SIGN DIMENSIONS: <br /> Sign 1: Width: see aboce Height: Square Feet: <br /> Sign 2: Width: Height: Square Feet: <br /> Sign 3: Width: Height: Square Feet: <br /> SIGN TYPE&QUANTITY: OWall Mounted-Qty:4 ❑Awning-Qty: ❑Canopy-Qty: ❑Window-Qty: <br /> El Electronic Changing Message-Qty: El Projecting-Qty: ❑Freestanding-Qty: -Type(monument,etc.): <br /> SIGN LIGHTING: ❑Non-Illuminated El Illuminated-Type(backlit cabinet,etc.):internal LED *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 1 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 /> U)a,� U)LJ � 0826/24 <br /> Owner/Authorized Agent Signature Date (Revised 111812022) <br />