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BLD2021-1692+Application+12.14.2021_5.09.26_PM+2569182CITY OF EDMONDS MyBuildingPermit.com Sign Application #1059090 - Post and Panel Sign Applicant First Name Last Name Company Name Punita Bansal Seattle Siqn studio LLC dba Siqnarama Number Street Apartment or Suite Number E-mail Address 4210 196th St SW STE D punita(�D_signarama-lynnwood.com City State Zip Phone Number Extension Lynnwood WA 98036 (425)679-9109 Contractor Company Name SIGNARAMA LYNNWOOD Number Street Apartment or Suite Number 4210 196th St SW STE D STE D City State Zip Phone Number Extension Lynnwood WA 98036 (425)679-9109 (425)361-7452 State License Number License Expiration Date UBI # E-mail Address SIGNAL*794LM 5/17/2023 604578080 punita(a)_signarama-lynnwood.com Project Location Number Street Floor Number Suite or Room Number 20120 76TH AVE W 1 None City Zip Code County Parcel Number EDMONDS 98026 00407701000401 Associated Building Permit Number Tenant Name Dr. Maddie Allen Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name Brent Symes Number Street Apartment or Suite Number 20120 76TH AVE W 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: 12/14/2021 Submitted By: Punita Bansal Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Sign Application #1059090 - Post and Panel Sign Project Contact Company Name: Seattle Sign studio LLC dba Signarama Lynnwood Name: Punita Bansal Email: punita@signarama-lynnwood.com Address: 4210 196th St SW STE D Phone #: (425)679-9109 Lynnwood WA 98036 Project Type Nonresidential Activity Type Permanent Sign Scope of Work Freestanding Project Name: Post and Panel Sign Description of Work: Install a Post and panel Sign, free standing, 66 inches high from Ground level, size of sign is 60" x 24". Project Details Sign 1 Type Other Additional Project Information Total number of signs installed 1 Total number of signs removed 1 Page 2 of 2