BLD2021-1504+Application+11.2.2021_8.10.26_PM+2498348CITY OF EDMONDS MyBuildingPermit.com
Sign Application #1044174 - Dusted Valley Wine Bar
Applicant
First Name Last Name Company Name
Brian Stoddard NW Siqn & Design
Number Street Apartment or Suite Number E-mail Address
17201 Beaton Road SE permits(�D_nwsigns.com
City State Zip Phone Number Extension
Monroe WA 98272 4258446415
Contractor
Company Name
NW WHOLESALE SIGNS
Number Street Apartment or Suite Number
17201 Beaton Rd SE
City State Zip Phone Number Extension
Monroe WA 98272 (425) 844-6415
State License Number License Expiration Date UBI # E-mail Address
NWSIGS*84201 10/7/2022 602156837 permits(a_)_nwsigns.com
Project Location
Number Street Floor Number Suite or Room Number
201 MAIN ST
City Zip Code County Parcel Number
EDMONDS 98020 00434400700700
Associated Building Permit Number Tenant Name
Dusted Valley Wine Bar
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
* EDMONDS 2020 LLC
Number Street Apartment or Suite Number
307 BELL ST
City State Zip
EDMONDS WA 98020
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: 11/2/2021 Submitted By: Brian Stoddard
Page 1 of 2
i
CITY OF EDMONDS MyBui[di ngPerrnit.com
Sign Application #1044174 - Dusted Valley Wine Bar
Project Contact
Company Name: NW Sign & Design
Name: Brian Stoddard Email: permits@nwsigns.com
Address: 17201 Beaton Road SE Phone #: 4258446415
Monroe WA 98272
Project Type
Nonresidential
Activity Type
Permanent Sign
Project Name: Dusted Valley Wine Bar
Description of Work: install 3 signs non -lit
Project Details
Sign 1 Type
Other
Additional Project Information
Total number of signs installed 3
Total number of signs removed 0
Scope of Work
Wall or Building
Page 2 of 2