Laserfiche WebLink
® 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:1425-257-8810 i(E)PermitServices@everettwa.gov (W)everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: STREET 7915 EVERGREEN WAY PARCEL#: <br /> CITY Everett STATE WA Zip 98208 <br /> SUITEIUNIT#. ADDITIONAL LOCATION INFORMATION: <br /> TENANTIBUSINESS NAME(if non-residential): <br /> CONTACT INFORMATION <br /> OWNER NAME:Chander Shekhar <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE:206-276-0226 OWNER EMAIL:sadgurmalik@gmail.com <br /> CONTRACTOR CONTACT NAME:Project CSI <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):6042217720010001 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 622255 <br /> CONTRACTOR ADDRESS: STREET 1411 Overlook Drive <br /> carr Fishers STATE IN ZIP 46037 <br /> CONTRACTOR PHONE:317-449-0645 CONTRACTOR EMAIL:matt@projectGsi.com <br /> PRIMARY CONTACT: ❑OWNER Z CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:317-449-0645 <br /> Matt Gray CONTACT EMAIL:matt@projectcsi.com <br /> SIGN PERMIT INFORMATION <br /> VALUATION OF WORK:$ 10,000 ASSOCIATED PERMIT#(if applicable): Z�J c tC Z lc <br /> (Valuatron 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 /> REMOVE EXISTING AMPM SIGN- INSTALL WOODGRAiN ACM (FRONT AND <br /> RIGHT ELEVATION, INSTALL NEW AMPM WALL SIGN ON FRONT ELEVATION <br /> AND RIGHT ELEVATION. PAINT EXISTING BUILDING <br /> SIGN DIMENSIONS: <br /> Sign 1: Width: 88' Height: 39" Square Feet: 23.83 <br /> Sign 2: Width: 180" 5 Hei ht: 32" 165.13 <br /> g Square Feet: <br /> Sign 3: Width: Height: Square Feet: <br /> SIGN TYPE&QUANTITY: ©Wall/Awning/Canopy-Qty: 1 ❑Window-Qty: ❑Electronic Changing Message-Qty: <br /> ❑Projecting-Qty: El Freestanding-Qty: -Type(monument,etc): <br /> SIGN LIGHTING: ❑Non-Iluminated ❑✓Illuminated-Type(backlit cabinet,etc.):pre existing internally illuminated '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:1 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 devtatlons 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 l comply with the State Contractors Law 18.27 RCWand 296_200A WAC. <br /> City of Everett Official Use Only <br /> 5/25/22 PERMIT# <br /> Owner/Authorized Agent Signature Date (Revised 412112022) <br />