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BLD2022-1571+Application+11.15.2022_7.50.24_AM+3219754CITY OF EDMONDS Sign Application #1229350 - MOLLY MOON 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 98109 State License Number License Expiration Date UBI # NATIOSCO31 M3 7/23/2023 578048524 Project Location Number Street 558 MAIN ST 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 00434212001500 Associated Building Permit Number Tenant Name MOLLY MOON 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 SEATTLE-SNOHOMISH MILL COMPANY INC Number Street Apartment or Suite Number 9525 AIRPORT WAY City State Zip SNOHOMISH WA 98296 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: 11/15/2022 Submitted By: Steve Zamberlin Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Sign Application #1229350 - MOLLY MOON Project Contact Company Name: National Sign Corporation Name: Steve Zamberlin Email: stevez@nationalsigncorp.com Address: 154 S 92ND PL B Phone #: (206) 282-0700 Seattle WA 98108 Project Type Nonresidential Activity Type Permanent Sign Scope of Work Wall or Building Project Name: MOLLY MOON Description of Work: INSTALL TWO SINGLE FACE ILLUMINATED WALL SIGNS AND ONE DOUBLE FACE ILLUMINATED UNDER CANOPY SIGN Project Details Sign 1 Type Building Mounted Additional Project Information Total number of signs installed 3 Total number of signs removed 0 Page 2 of 2