BLD2021-1458+Application+10.22.2021_11.15.20_AM+2478182CITY OF EDMONDS
Sign Application #1039100 - STATE FARM
Applicant
First Name Last Name
Brian Brosnan
Number Street Apartment or Suite Numb
2710 104th St.CT S.
City State
Zip
Lakewood WA
98499
Contractor
Company Name
RAMSAY SIGNS
Number Street
727 S. 96th St.
City
State Zip
Seattle
WA 98108
State License Number
License Expiration Date UBI #
HEATHN1981JE
3/30/2022 602195548
Project Location
Number Street
22618 HIGHWAY 99
MyBuildingPermit.com
Company Name
Heath Northwest
er E-mail Address
bbrosnan(a_heath northwest. com
Phone Number Extension
(253)495-7091 401
Apartment or Suite Number
Phone Number Extension
(206) 623-3100
E-mail Address
bbrosnan(aD_heathnorthwest. com
City Zip Code County Parcel Number
EDMONDS 98026 27043000403500
Associated Building Permit Number Tenant Name
State Farm
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
Floor Number Suite or Room Number
1 113
First Name Last Name or Company Name
BOO HAN PLAZA III LLC
Number Street Apartment or Suite Number
3880 STEILACOOM BLVD
City State Zip
LAKEWOOD WA 98499
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: 10/22/2021 Submitted By: Brian Brosnan
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CITY OF EDMONDS MyBui[di ngPerrnit.com
Sign Application #1039100 - STATE FARM
Project Contact
Company Name: Heath Northwest
Name: Brian Brosnan Email: bbrosnan@heathnorthwest.com
Address: 2710 104th St.CT S. Phone #: (253)495-7091 401
Lakewood WA 98499
Project Type
Nonresidential
Activity Type
Permanent Sign
Scope of Work
Wall or Building
Project Name: STATE FARM
Description of Work: INSTALL (1) ILLUMINATED SET OF CHANNEL LETTERS ON A RACEWY
READING: STATE FARM"
Project Details
Sign 1 Type
Channel Letters
Additional Project Information
Total number of signs installed 1
Total number of signs removed 0
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