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BLD2021-0983+Application+7.15.2021_11.48.54_AM+2302478CITY OF EDMONDS Sign Application #986898 - TACO BELL SIGNS Applicant First Name Last Name AMBER SMITH Number Street Apartment or Suite Numbe 6487 HILLIARD DR City State Zip CANAL OH 43110 Contractor Company Name Contractor Unknown Number Street City State Zip State License Number License Expiration Date UBI # Project Location Number Street 10119 EDMONDS WAY City Zip Code County Parcel Number EDMONDS 98020 00610600300700 Associated Building Permit Number Tenant Name TACO BELL Additional Information (i.e. equipment location or special instructions). Work Location Property Owner MyBuildingPermit.com Company Name E-mail Address AMBER(u-ETD.WEBSITE Phone Number Extension 5096857109 Apartment or Suite Number Phone Number Extension E-mail Address Floor Number Suite or Room Number First Name Last Name or Company Name 9323 LLC Number Street Apartment or Suite Number 111 W 39TH ST City State Zip VANCOUVER WA 98660 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: 7/15/2021 Submitted By: AMBER SMITH Page 1 of 2 CITY OF EDMONDS MyBuildingPerrnit.com Sign Application #986898 - TACO BELL SIGNS Project Contact Company Name: Name: AMBER SMITH Email: AMBER@ETD.WEBSITE Address: 6487 HILLIARD DR Phone #: 5096857109 CANAL WINCHESTER OH 43110 Project Type Activity Type Scope of Work Nonresidential Permanent Sign Wall or Building Project Name: TACO BELL SIGNS REMOVE/REPLACE EXISTING SIGNS. INSTALLING (4) WALL SIGNS, (1) DRIVE THRU Description of CANOPY, (1) DRIVE THRU CLEARANCE BAR, (1) DRIVE THRU ORDER POINT CANOPY, Work: (1) DIGITAL MENU BOARD, (2) DIRECTIONAL SIGN HEAD REPLACEMENTS, AND COVE LIGHTING. Project Details Sign 1 Type Other Additional Project Information Total number of signs installed 10 Total number of signs removed 7 Page 2 of 2