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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 8530 EVERGREEN WAY, PARCEL#: <br /> CITY EVERETT STATE WA zip 98208 <br /> SUITE/UNIT#: ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential):HAPPY LEMON <br /> CONTACT INFORMATION <br /> OWNER NAME:PRADSANEE TIPYASOTHI <br /> OWNER MAILING ADDRESS: STREET 8530 EVERGREEN WAY <br /> CITY EVERETT STATE WA zIP 98208 <br /> OWNER PHONE:425-260-2991 OWNER EMAIL:TOMTFI@YAHOO.COM <br /> CONTRACTOR CONTACT NAME: CROSSROAD SIGN CO <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):CRISSS*771 LM CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> CONTRACTOR ADDRESS: STREET 16406 7TH PL. W. <br /> CITY LYNNWOOD STATE WA zIP 98037 <br /> CONTRACTOR PHONE:425-481-9411 CONTRACTOR EMAIL:PETERARTLAI@AOL.COM <br /> PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACT NAME: PETER LAI CONTACT PHONE: 206-679-4806 <br /> CONTACT EMAIL: PETERARTLAI@AOL.COM <br /> SIGN PERMIT INFORMATION <br /> VALUATION OF WORK: $2000 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: <br /> INSTALLING ONE ILLUMINATED WIREWAY SIGN IN FRONT STORE <br /> SIGN DIMENSIONS: <br /> Sign 1: Width: 181-6" Height: 3' Square Feet: 36 SF' <br /> Sign 2: Width: Height: Square Feet: <br /> Sign 3: Width: Height: Square Feet: <br /> SIGN TYPE&QUANTITY: OWall Mounted-Qty: 1 ❑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.):LED CHANNEL LETTERS *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 /> 10/30/2024 <br /> Owner/Authorized Agent Signature Date (Revised 111812022) <br />