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BLD2021-0726+Application+5.26.2021_4.45.37_PM+2219231CITY OF EDMONDS MyBuildingPermit.com Sign Application #969302 - BRIGIDS BOTTLE SHOP Applicant First Name Last Name Company Name Steve Zamberlin National Siqn Corporation Number Street Apartment or Suite Number E-mail Address 1255 Westlake Ave N stevez(�D_nationalsigncorp.com City State Zip Phone Number Extension Seattle WA 98109 2062820700 Contractor Company Name National Siqn Corporation Number Street Apartment or Suite Number 1255 Westlake Ave N City State Zip Phone Number Extension Seattle WA 98109 (206) 282-0700 State License Number License Expiration Date UBI # E-mail Address NATIOSCO31 M3 7/23/2021 578048524 stevez(a)_nationalsigncorp.com Project Location Number Street Floor Number Suite or Room Number 150 SUNSET AVE S City Zip Code County Parcel Number EDMONDS 98020 27032300104500 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name SALISH CROSSING LLC Number Street Apartment or Suite Number 14205 SE 36TH ST 215 City State Zip BELLEVUE WA 98006 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: 5/26/2021 Submitted By: Steve Zamberlin Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Sign Application #969302 - BRIGIDS BOTTLE SHOP Project Contact Company Name: National Sign Corporation Name: Steve Zamberlin Email: stevez@nationalsigncorp.com Address: 1255 Westlake Ave N Phone #: 2062820700 Seattle WA 98109 Project Type Nonresidential Activity Type Permanent Sign Scope of Work Wall or Building Project Name: BRIGIDS BOTTLE SHOP Description of Work: INSTALL SINGLE FACE ILLUMINATED BUILDING SIGN FOR BRIGIDS BOTTLE SHOP 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