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BLD2021-0323+Application+3.3.2021_6.03.45_PM+2074998CITY OF EDMONDS Sign Application #930220 - Flower & Weed Applicant First Name Last Name Ryan Shroy Number Street Apartment or Suite Number 16406 7th Place West City State Zip Lynnwood WA 98037 Contractor Company Name Crossroad SIGN Number Street 16406 7th PL W City State Zip Lynnwood WA 98037 State License Number License Expiration Date UBI # CROSSS*894M 1 7/21 /2021 602345041 Project Location Number Street 7215 212TH ST SW City Zip Code County Parcel Number EDMONDS 98026 00566900500400 Associated Building Permit Number Tenant Name Lindsey Banks Additional Information (i.e. equipment location or special instructions). Work Location Property Owner MyBuildingPermit.com Company Name Crossroad SIGN E-mail Address ryan(D_crossroadsign.com Phone Number Extension 4254819411 Apartment or Suite Number Phone Number Extension (425) 481-9411 E-mail Address ryan(a_crossroadsign.com Floor Number Suite or Room Number First Name Last Name or Company Name * NATION LAND COMPANY LLC Number Street Apartment or Suite Number 4300 STERILITE ST SE City State Zip MASSILLON OH 44646 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: 3/3/2021 Submitted By: Ryan Shroy Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Sign Application #930220 - Flower & Weed Project Contact Company Name: Crossroad SIGN Name: Ryan Shroy Email: ryan@crossroadsign.com Address: 16406 7th Place West Phone #: 4254819411 Lynnwood WA 98037 Project Type Activity Type Scope of Work Nonresidential Permanent Sign Wall or Building Project Name: Flower & Weed Description of Work: Install lit channel letter sign on raceway above tenants front door. Project Details Sign 1 Type Channel Letters Additional Project Information Total number of signs installed 1 Total number of signs removed 0 Page 2 of 2