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BLD2021-1664+Application+12.8.2021_11.51.19_AM+2560294CITY OF EDMONDS Sign Application #1061344 - Patty's Eggnest Applicant First Name Last Name Euqene Kim Number Street Apartment or Suite Number 2626 119th ST SW B1 City State Zip Everett WA 98204 Contractor Company Name WHITE USA INC Number Street 2626 119th ST SW City State Zip EVERETT WA 98204 State License Number License Expiration Date UBI # WHITEU1933BP 1/11/2023 601969398 Project Location Number Street 21940 HIGHWAY 99 City Zip Code County Parcel Number EDMONDS 98026 00580700004105 Associated Building Permit Number Tenant Name Patty's Eqqnest Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Number Street PO BOX 847 Last Name or Company Name MERLONE GEIER PARTNERS MyBuildingPermit.com Company Name WHITE USA INC E-mail Address whitesign007((_gmail.com Phone Number Extension 4257450706 Apartment or Suite Number STE B1 Phone Number Extension (425) 745-0706 E-mail Address whitesign007(d)_gmail.com Floor Number Suite or Room Number B Apartment or Suite Number City State Zip CARLSBAD CA 92018 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: 12/8/2021 Submitted By: Eugene Kim Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Sign Application #1061344 - Patty's Eggnest Project Contact Company Name: White Signs Name: Eugene Kim Email: info@whitesigns.net Address: 2626 119th ST SW B1 Phone #: 425 745 0760 Everett WA 98204 Project Type Nonresidential Activity Type Permanent Sign Project Name: Patty's Eggnest Description of Work: Install 4 Wall signs onto building. Project Details Sign 1 Type Channel Letters Additional Project Information Total number of signs installed 4 Total number of signs removed 0 Scope of Work Wall or Building Page 2 of 2