BLD2021-1535+Application+11.10.2021_4.13.20_PM+2513134CITY OF EDMONDS MyB�ildingPermit.com
Sign Application #1047904 - Non -illuminated Monument
Applicant
First Name Last Name Company Name
David Anderson Shine On Siqns and Graphics
Number Street Apartment or Suite Number E-mail Address
259 SW 41st ST David.Anderson(a�_shineonsigns.com
City State Zip Phone Number Extension
Renton WA 98057 2532437777
Contractor
Company Name
SHINE ON SIGNS AND GRAPHICS
Number Street Apartment or Suite Number
259 SW 41 st ST
City
Renton
State License Number
SHINESG801 NO
Project Location
Number Street
7918 236TH ST SW
City
EDMONDS
Associated Building Permit Number
State Zip Phone Number Extension
WA 98057 (253) 981-3270
License Expiration Date UBI # E-mail Address
8/6/2022 604595948 David.AndersonCa)-shineonsigns.com
Zip Code County Parcel Number
98026 00639000000100
Tenant Name
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
Floor Number Suite or Room Number
First Name Last Name or Company Name
WILLOWBROOK EDMONDS LLC
Number Street Apartment or Suite Number
10500 NE 8TH ST 301
City State Zip
BELLEVUE WA 98004
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: 11/10/2021 Submitted By: David Anderson
Page 1 of 2
i
o
CITY OF EDMONDS MyBuildingPerrnit.cm
„c
Sign Application #1047904 - Non -illuminated Monument
Project Contact
Company Name: Shine On Signs and
Graphics
Name: David Anderson Email: David.Anderson@shineonsigns.com
Address: 259 SW 41st ST Phone #: 2532437777
Renton WA 98057
Project Type
Nonresidential
Activity Type
Permanent Sign
Scope of Work
Freestanding
Project Name: Non -illuminated Monument
Description of Work: Erecting foam monument reinforced with metal posts and secured with cement.
Project Details
Sign 1 Type
Monument
Additional Project Information
Total number of signs installed 1
Total number of signs removed 1
Page 2 of 2