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BLD2021-0903+Application+6.29.2021_2.40.53_PM+2270411CITY OF EDMONDS Sign Application #983169 - Park Dental Applicant First Name Last Name James Park MyBuildingPermit.com Company Name Speedy Signs Number Street Apartment or Suite Number E-mail Address 19106 Hwy 99 #A speedysigns1(ayahoo.com City State Zip Lynnwood WA 98036 Contractor Company Name Speedy Signs Number Street 19106 Hwy 99 City State Zip Lynnwood WA 98036 State License Number License Expiration Date UBI # SPEEDS*945JD 6/5/2022 600623201 Project Location Number Street 22727 HIGHWAY 99 Phone Number Extension (425) 771-1700 Apartment or Suite Number #A Phone Number Extension (425) 771-1700 425-273-0092 E-mail Address speedysigns1(cD_yahoo.com Floor Number Suite or Room Number 209 City Zip Code County Parcel Number EDMONDS 98026 27043000404400 Associated Building Permit Number Tenant Name Park Dental and Implant of Edmonds Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name * CHINESE GRACE EVANGELICAL FREE CHURCH Number Street Apartment or Suite Number 15306 57TH PL 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: 6/29/2021 Submitted By: James Park Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Sign Application #983169 - Park Dental Project Contact Company Name: Speedy Signs Name: James Park Email: speedysigns1 @yahoo.com Address: 19106 Hwy 99 #A Phone #: (425) 771-1700 Lynnwood WA 98036 Project Type Nonresidential Activity Type Permanent Sign Project Name: Park Dental Description of Work: Install 2 Dibond Panel signs on the wall Project Details Sign 1 Type Other Additional Project Information Total number of signs installed 2 Total number of signs removed 0 Scope of Work Wall or Building Page 2 of 2