4813 EVERGREEN WAY T MOBILE 2026-01-02

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.govfpermits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 4813 EVERGREEN WAY PARCEL#:00581900000101 crry EVERETT STATE WA zip 98203 SUITEIUNIT M ADDITIONAL LOCATION INFORMATION: ,TENANT/BUSINESS NAME(if non-residential):T-MOBI LE CONTACT INFORMATION OWNER NAME:T-MOBILE OWNER MAILING ADDRESS: IT1EIT4813 EVERGREEN WAY My EVERETT STATE WA zip 9$203 OWNER PHONE: OWNER EMAIL CONTRACTOR CONTACT NAME:NATIONAL SIGN CORP TI N WA STATE CONTRACTOR LICENSE#(REQUIRED):NATIOSC 3 ICITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 3066 CONTRACTOR ADDRESS: STREET 1541 S 9211d Place, Suite B CITY SEATTLE STATE WA zip 98108 CONTRACTOR PHONE:206-282-0700 CONTRACTOR EMAIL:STEVEZ@NATIONALSIGNCORP.COM PRIMARY CONTACT: ❑OWNER [XCONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-282-0700 STEVE ZAMBERLIN CONTACT EMAIL:STEVEZ@NATIONALSIGNCORP.COM SIGN PERMIT INFORMATION VALUATION OF WORK:$8750 ASSOCIATED PERMIT#(if applicable): (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actualty paid or not.) DESCRIPTION of WORK: INSTALL SINGLE FACE ILLUMINATED WALL SIGN AND REPLACE EXISTING PANNELS ON EXISTING PYLON SIGN. SIGN DIMENSIONS: Sign1: Width: 17`6 5/8" Height: 416 3/411 Square Feet: 80.1 Sign 2: Width: Height: Square Feet: Sign 3: Width: Height: Square Feet: SIGN TYPE&QUANTITY: ❑Wall/Awning/Canopy-Qly:1 []Window-Qty: ❑Electronic Changing Message-City: ❑Projecting-Qty: ❑Freestanding-Qty: -Type(monument,etc.): EXISTING REFACE SIGN LIGHTING: ❑Non-Iluminaled Allluminated-Type(backlit cabinet,etc.): 4f e LM6 oN G`r"f * equires a separate electrical permit PLAN REVIEW REQUIREMENTS:Submit 2 hard copies of sign plans with permit application to Permit Intake Drop Box. 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 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.I am the owner,or I 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# 522d 5-40 4 ' L �-5-z2 OwnerlAuthorize I Agent Signature Date (Revised 218/202f) 112—