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BLD2022-0960+Application+7.19.2022_12.17.53_PM+2970641CITY OF EDMONDS Sign Application #1168526 - HEAR USA Applicant First Name Last Name Steve Zamberlin MyBuildingPermit.com Company Name National Siqn Corporation Number Street Apartment or Suite Number E-mail Address 1255 Westlake Ave N City State Zip Seattle WA 98109 Contractor Company Name National Siqn Corporation Number Street 1255 Westlake Ave N City State Zip Seattle WA 98109 State License Number License Expiration Date UBI # NATIOSCO31 M3 7/23/2023 578048524 Project Location Number Street 21920 76TH AVE W City Zip Code County Parcel Number EDMONDS 98026 00461000202001 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions). Work Location Property Owner stevez(�D_nationalsigncorp.com Phone Number Extension (206) 282-0700 Apartment or Suite Number Phone Number Extension (206) 282-0700 E-mail Address stevez(a)_nationalsigncorp.com Floor Number Suite or Room Number First Name Last Name or Company Name NORTHWEST SOUND PROPERTIES LLC Number Street Apartment or Suite Number 21920 76TH AVE W 201 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: 7/19/2022 Submitted By: Steve Zamberlin Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Sign Application #1168526 - HEAR USA Project Contact Company Name: National Sign Corporation Name: Steve Zamberlin Email: stevez@nationalsigncorp.com Address: 1255 Westlake Ave N Phone #: (206) 282-0700 Seattle WA 98109 Project Type Nonresidential Activity Type Permanent Sign Scope of Work Wall or Building Project Name: HEAR USA Description of Work: REMOVE TWO EXISTING HEAR USA WALL SIGNS AND REPLACE WITH TWO SINGLE FACE NON -ILLUMINATED WALL SIGNS Project Details Sign 1 Type Building Mounted Additional Project Information Total number of signs installed 2 Total number of signs removed 2 Page 2 of 2