BLD2021-1165+Application+8.23.2021_5.53.33_PM+2371754CITY OF EDMONDS
MyBuildingPermit.com
Sign Application #1009629 - Reneew Medical
Applicant
First Name Last Name
Company Name
Douq Russell
RUSSELL SIGN COMPANY
Number Street Apartment or Suite Number
E-mail Address
21104 70th Ave W
info(.@_russellsignco.com
City State Zip
Phone Number Extension
Edmonds WA 98026 (425)775-7010
Contractor
Company Name
RUSSELL SIGN COMPANY
Number Street
Apartment or Suite Number
21104 70th Ave W
City State Zip
Phone Number Extension
EDMONDS WA 98026 (425)775-7010
State License Number License Expiration Date UBI #
E-mail Address
RUSSESCOOODF 8/19/2023 601518006
info(a)_russellsignco.com
Project Location
Number Street
Floor Number Suite or Room Number
190 W DAYTON ST
201
City Zip Code County Parcel Number
EDMONDS 98020 27032300406400
Associated Building Permit Number Tenant Name
Renewal Medical
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
Harbor Square PORT OF EDMONDS
Number Street Apartment or Suite Number
336 ADMIRAL WAY
City State Zip
EDMONDS WA 98020-7214
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: 8/23/2021 Submitted By: Doug Russell
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CITY OF EDMONDS MyBui[di ngPerrnit.com
Sign Application #1009629 - Reneew Medical
Project Contact
Company Name: RUSSELL SIGN COMPANY
Name: Doug Russell Email: info@russellsignco.com
Address: 21104 70th Ave W Phone #: (425)775-7010
Edmonds WA 98026
Project Type
Nonresidential
Activity Type
Permanent Sign
Scope of Work
Wall or Building
Project Name: Reneew Medical
Description of Work: Install new non electrical raised PVC letters and logo. Port of Edmonds will remove
existing HartCrowser sign prior.
Project Details
Sign 1 Type
Building Mounted
Additional Project Information
Total number of signs installed 1
Total number of signs removed 1
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