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BLD2021-1333+Application+9.29.2021_8.12.22_AM+2434328CITY OF EDMONDS MyBtaildingPermit.com Sign Application #1026998 - GRAPHITE Applicant First Name Last Name Company Name Tim Heyes SIGN ASSOCIATES Number Street Apartment or Suite Number E-mail Address 18358 Redmond Way timheyes(a_signassociatesinc.com City State Zip Phone Number Extension Redmond WA 98052 4254170072 Contractor Company Name SIGN ASSOCIATES INC Number Street Apartment or Suite Number 18358 Redmond Way City State Zip Phone Number Extension Redmond WA 98052 4254170072 State License Number License Expiration Date UBI # E-mail Address SIGNAI*099MB 6/28/2022 600315125 timheyes(cD_signassociatesinc.com Project Location Number Street Floor Number Suite or Room Number 202 MAIN ST City Zip Code County Parcel Number EDMONDS 98020 00454800101300 Associated Building Permit Number Tenant Name GRAPHITE Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name Mary Olson Number Street Apartment or Suite Number 221 2ND AVE N City State Zip EDMONDS WA 98020-3103 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: 9/29/2021 Submitted By: Tim Heyes Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Sign Application #1026998 - GRAPHITE Project Contact Company Name: SIGN ASSOCIATES Name: Tim Heyes Email: timheyes@signassociatesinc.com Address: 18358 Redmond Way Phone #: 4254170072 Redmond WA 98052 Project Type Nonresidential Activity Type Permanent Sign Project Name: GRAPHITE Description of Work: Install (1) wall channel letter sign for GRAPHITE Project Details Sign 1 Type Channel Letters Additional Project Information Total number of signs installed 1 Total number of signs removed 0 Scope of Work Wall or Building Page 2 of 2