BLD2022-0812+Application+6.22.2022_9.42.24_AM+2947066CITY OF EDMONDS MyBuildingPermit.com
Sign Application #1162652 - T-Mobile exterior sign refresh
Applicant
First Name Last Name Company Name
Hans Visser Culbertson Siqn Service
Number Street Apartment or Suite Number E-mail Address
5209 122nd Street East csspermits(@gmail.com
City State Zip Phone Number Extension
Tacoma WA 98446 (253) 538-0752
Contractor
Company Name
CULBERTSON SIGN SERVICE LLC
Number Street Apartment or Suite Number
5209 122nd Street East
City
State Zip
Phone Number Extension
Tacoma
WA 98446
(253) 538-0752
State License Number
License Expiration Date
UBI #
E-mail Address
CULBESS8421\16
8/26/2022
602043276
csspermits(D_gmail.com
Project Location
Number Street
Floor Number Suite or Room Number
23632 HIGHWAY 99
Suite K
City
Zip Code
County Parcel Number
EDMONDS
98026
00451900100401
Associated Building Permit Number
Tenant Name
T-Mobile
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
First Name Last Name or Company Name
FW WA -AURORA MARKETPLACE LLC
Number Street Apartment or Suite Number
PO BOX 2539
City State Zip
SAN ANTONIO TX 78299
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: 6/22/2022 Submitted By: Hans Visser
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Sign Application #1162652 - T-Mobile exterior sign refresh
Project Contact
Company Name: Culbertson Sign Service
Name: Hans Visser Email: csspermits@gmail.com
Address: 5209 122nd Street East Phone #: (253) 538-0752
Tacoma WA 98446
Project Type
Nonresidential
Activity Type
Permanent Sign
Scope of Work
Wall or Building
Project Name: T-Mobile exterior sign refresh
Description of Work: Install one internally illuminated wall sign on the tenant's main (south) exterior
facade.
Project Details
Sign 1 Type
Building Mounted
Additional Project Information
Total number of signs installed 1
Total number of signs removed 1
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