BLD2020-1346+Application+12.9.2020_1.06.23_PMCITY OF EDMONDS MyB�ildingPermit.com
Sign Application #894882 - Edmonds Waterfront Center Sign
Applicant
First Name Last Name Company Name
clayton moss Forma
Number Street Apartment or Suite Number E-mail Address
PO Box 1751 cmoss(�D_formaseattle.com
City State Zip Phone Number Extension
Edmonds WA 98020 2069205912
Contractor
Company Name
Contractor Unknown
Number Street
City
State License Number
Project Location
State Zip
License Expiration Date UBI #
Number Street
220 RAILROAD AVE
City Zip Code County Parcel Number
EDMONDS 98020 27032300104200
Associated Building Permit Number Tenant Name
Additional Information (i.e. equipment location or special instructions).
Work Location
Property Owner
Apartment or Suite Number
Phone Number Extension
E-mail Address
Floor Number Suite or Room Number
First Name Last Name or Company Name
EDMONDS CITY OF
Number Street Apartment or Suite Number
250 5th Avenue S
City State Zip
EDMONDS WA 98020-3146
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: 12/9/2020 Submitted By: Clayton moss
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Sign Application #894882 - Edmonds Waterfront Center Sign
Project Contact
Company Name: Forma
Name: clayton moss Email: cmoss@formaseattle.com
Address: PO Box 1751 Phone #: 2069205912
Edmonds WA 98020
Project Type
Nonresidential
Activity Type
Permanent Sign
Project Name: Edmonds Waterfront Center Sign
Description of Work: Projecting Sign, one quantity, non illuminated
Project Details
Sign 1 Type
Building Mounted
Additional Project Information
Total number of signs installed 1
Total number of signs removed 0
Scope of Work
Wall or Building
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