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BLD2021-1358+Application+10.4.2021_1.49.03_PM+2443216CITY OF EDMONDS Sign Application #1029371 - Chicken Prince Applicant First Name Last Name Roy Myunq Number Street Apartment or Suite Number 15111 HWY 99 City State Zip Lynnwood WA 98087 Contractor Company Name WHITE USA INC Number Street 15111 highway 99 City State Zip Lynnwood WA 98087 State License Number License Expiration Date UBI # WHITEU1976CJ 2/11/2023 601969398 Project Location Number Street 23830 HIGHWAY 99 MyBuildingPermit.com Company Name WHITE USA INC E-mail Address whitesign007((_gmail.com Phone Number Extension 4257450706 Apartment or Suite Number highway 99 Phone Number Extension (425) 745-0706 E-mail Address whitesign007(d)_gmail.com City Zip Code County Parcel Number EDMONDS 98026 00451900200700 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Floor Number Suite or Room Number 121 First Name Last Name or Company Name UNI PROPERTY LLC Number Street Apartment or Suite Number 23830 HIGHWAY 99 201 City State Zip EDMONDS WA 98026 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: 10/4/2021 Submitted By: Roy Myung Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Sign Application #1029371 - Chicken Prince Project Contact Company Name: White Signs Name: Eugene Kim Email: info@whitesigns.net Address: 2626 119th ST SW suite B1 Phone #: 4257450760 Everett WA 98204 Project Type Activity Type Scope of Work Nonresidential Permanent Sign Wall or Building Project Name: Chicken Prince Description of Work: Install two new cloud signs onto building. (Front of building and rear.) Project Details Sign 1 Type Other Additional Project Information Total number of signs installed 2 Total number of signs removed 1 Page 2 of 2