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BLD2023-0042+Application+1.11.2023_1.52.00_PM+3309514CITY OF EDMONDS Sign Application #1252667 - VIE & VIN Applicant First Name Last Name Steve Zamberlin MyBoildingPermit.com Company Name National Siqn Corporation Number Street Apartment or Suite Number E-mail Address 154 S 92ND PL B stevezannationalsigncorp.com City State Zip Seattle WA 98108 Contractor Company Name National Siqn Corporation Number Street 1541 S 92ND PL City State Zip Seattle WA 98108 State License Number License Expiration Date UBI # NATIOSCO31 M3 7/23/2023 578048524 Project Location Number Street 172 SUNSET AVE S Phone Number Extension (206) 282-0700 Apartment or Suite Number Phone Number Extension (206) 282-0700 E-mail Address stevez(a)_nationalsigncorp.com City Zip Code County Parcel Number EDMONDS 98020 27032300104500 Associated Building Permit Number Tenant Name VIE & VIN Additional Information (i.e. equipment location or special instructions). Work Location Property Owner Floor Number Suite or Room Number First Name Last Name or Company Name SALISH CROSSING GROUP LLC Number Street Apartment or Suite Number 923 POWELL AVE SW City State Zip RENTON WA 97057 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: 1/11/2023 Submitted By: Steve Zamberlin Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Sign Application #1252667 - VIE & VIN Project Contact Company Name: National Sign Corporation Name: Steve Zamberlin Email: stevez@nationalsigncorp.com Address: 1542 S 92ND PL B Phone #: (206) 282-0700 Seattle WA 98108 Project Type Nonresidential Activity Type Permanent Sign Project Name: VIE & VIN Description of Work: INSTALL SINGLE FACE ILLUMINATD SIGN Project Details Sign 1 Type Building Mounted Additional Project Information Total number of signs installed 1 Scope of Work Wall or Building Page 2 of 2