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BLD2021-1524+Application+11.9.2021_5.25.26_PM+2511989CITY OF EDMONDS MyBuildingPermit.com Sign Application #1047557 - Harvest Wonton Noodle Applicant First Name Last Name Company Name James Park Speedy Signs Number Street Apartment or Suite Number E-mail Address 19106 Hwy 99 #A speedysigns1 @yahoo.com City State Zip Phone Number Extension Lynnwood WA 98036 (425) 771-1700 Contractor Company Name Speedy Signs Number Street Apartment or Suite Number 19106 Hwy 99 #A City State Zip Phone Number Extension Lynnwood WA 98036 (425) 771-1700 425-273-0092 State License Number License Expiration Date UBI # E-mail Address SPEEDS*945JD 6/5/2022 600623201 speedysigns1 @yahoo.com Project Location Number Street Floor Number Suite or Room Number 22931 HIGHWAY 99 City Zip Code County Parcel Number EDMONDS 98026 00576700000205 Associated Building Permit Number Tenant Name Harvest Wonton Noodle Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name * FIVE CR LLC Number Street Apartment or Suite Number PO BOX 33548 City State Zip SEATTLE WA 98133-0548 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: 11/9/2021 Submitted By: James Park Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Sign Application #1047557 - Harvest Wonton Noodle 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: Harvest Wonton Noodle Description of Work: Install Box sign on the wall Project Details Sign 1 Type Cabinet Additional Project Information Total number of signs installed 1 Total number of signs removed 0 Scope of Work Wall or Building Page 2 of 2