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SIGN PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> E V E R E T T 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 901 W CASINO RD PARCEL#: <br /> CITY Everett <br /> STATE WA ZIP 98204 <br /> SUITE/UNIT M ADDITIONAL LOCATION INFORMATION: <br /> TENANT/BUSINESS NAME(if non-residential):BP AM/PM <br /> CONTACT INFORMATION <br /> OWNER NAME:BP WEST COAST PRODUCTS LLC <br /> OWNER MAILING ADDRESS: STREET 4 Centerpointe Drive <br /> CITY La Palma STATE CA ZIP 90623 <br /> OWNER PHONE:310-549-6204 OWNER EMAIL: <br /> CONTRACTOR CONTACT NAME:Project CSI F <br /> WA STATE CONTRACTOR LICENSE#(REQUIRED):6042217720010001 - CITY OF EVERETr BUSINESS LICENSE#(REQUIRED): 62225 <br /> CONTRACTOR ADDRESS: STREET 1411 Overlook Drive <br /> CITY Fishers STATE Indiana ZIP 46037 <br /> CONTRACTOR PHONE:317-449-0645 CONTRACTOR EMAIL:matt@projectcsi.com <br /> PRIMARY CONTACT: ❑OWNER ❑✓ 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:$96,000 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 /> Remove old MID- replacing with new at new required setback/landscaping and foundation <br /> Removing and replacing the wall sign on the building <br /> Adding channel letters (ARCO)To three sides of the canopy with internal illumination <br /> SIGN DIMENSIONS: <br /> Sign 1: Width: 88" Height: 39" Square Feet: 23.83 <br /> Sign 2: Width: 4'6" Height: 15" Square Feet: 5.75 <br /> Sign 3: Width: 8' Height: 48.5" Square Feet: 32.33 <br /> SIGN TYPE&QUANTITY: ©Wall/Awning/Canopy-Qty:3 ❑Window-Qty: ❑Electronic Changing Message-Qty: <br /> ❑Projecting-Qty: ❑✓Freestanding-Qty:1 -Type(monument,etc.): monument <br /> SIGN LIGHTING: ❑Non-Iluminated ✓❑Illuminated-T a backitcabinet,etc. I"'° "y—"ePy,ivnu mt d—ntylginw xsl"a <br /> YP ( )� *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 We and correct. Work done pursuant to this permit must comply with <br /> current federal,state,and local law, The granting ofa 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 /> City of Everett Official Use Only <br /> I a4_ l�? � 5/19/22 PERMIT#52„_,1J _ 7 <br /> Owner/Authorized Agent Signature Date (Revised 412112022) "L)�i/`p <br /> 1/Z <br />