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BLD2023-0115+Application+1.27.2023_9.38.51_AM+3337171CITY OF EDMONDS MyBuildingPermit.com Sign Application #1260401 - New Monument Sign Applicant First Name Last Name Company Name Harminnie Berqer Fastsiqns Number Street Apartment or Suite Number E-mail Address 2902 Rucker ave harminnie.berger(D_fastsigns.com City State Zip Phone Number Extension Everett WA 98201 (425) 438-9350 Contractor Company Name FASTSIGNS Number Street Apartment or Suite Number 2902 Rucker Ave City State Zip Phone Number Extension Everett WA 98201 (425)438-9350 (360)572-7225 State License Number License Expiration Date UBI # E-mail Address FASTS**832JK 4/12/2023 604026945 harminnie.berger(a�_fastsigns.com Project Location Number Street Floor Number Suite or Room Number 23320 HIGHWAY 99 City Zip Code County Parcel Number EDMONDS 98026 00576700002003 Associated Building Permit Number Tenant Name Community Health Center of Snohomish County Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name * COMMUNITY HEALTH CENTER OF SNO CO Number Street Apartment or Suite Number 8609 EVERGREEN WAY City State Zip EVERETT WA 98208-2619 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: 1/27/2023 Submitted By: Harminnie Berger Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Sign Application #1260401 - New Monument Sign Project Contact Company Name: Fastsigns Name: Harminnie Berger Email: harminnie.berger@fastsigns.com Address: 2902 Rucker ave Phone #: (425) 438-9350 Everett WA 98201 Project Type Nonresidential Activity Type Permanent Sign Scope of Work Freestanding Project Name: New Monument Sign Description of Work: We are removing an existing sign per the cities request and installing another sign about 13 ft away Project Details Sign 1 Type Monument Additional Project Information Total number of signs installed 1 Total number of signs removed 1 Page 2 of 2