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BLD2021-0251+Application+2.12.2021_4.32.10_PM+2046583CITY OF EDMONDS Sign Application #922521 - Dairy Queen Applicant First Name Last Name Jenny Guffie Number Street Apartment or Suite Number 2608 Hwy 99 South City State Zip Mount Vernon WA 98273 Contractor Company Name MEYER SIGN COMPANY INC Number Street 2608 HWY 99 SO City State Zip MOUNT VERNON WA 98273 State License Number License Expiration Date UBI # MEYERSC83238 7/1 /2021 604095054 Project Location Number Street 7530 212TH ST SW MyBuildingPermit.com Company Name Meyer Siqn Company E-mail Address permits(�D_meyersign.com Phone Number Extension 3604241325 Apartment or Suite Number Phone Number Extension (360) 424-1325 E-mail Address permits(cD_meyersign.com City Zip Code County Parcel Number EDMONDS 98026 00450400000201 Associated Building Permit Number Tenant Name Dairy Queen Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Floor Number Suite or Room Number First Name Last Name or Company Name AZRA LLC Number Street Apartment or Suite Number 13449 88TH PL NE City State Zip KIRKLAND WA 98034 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work requires a licensed contractor to perform the work, the information will be provided prior to permit issuance. Date Submitted: 2/12/2021 Submitted By: Jenny Guffie Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Sign Application #922521 - Dairy Queen Project Contact Company Name: Meyer Sign Company Name: Jenny Guffie Email: permits@meyersign.com Address: 2608 Hwy 99 South Phone #: 3604241325 Mount Vernon WA 98273 Project Type Activity Type Scope of Work Nonresidential Permanent Sign Wall or Building Project Name: Dairy Queen Description of Work: Install one new single face internally illuminated Led Wall sign Project Details Sign 1 Type Building Mounted Additional Project Information Total number of signs installed 1 Total number of signs removed 0 Page 2 of 2