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BLD2023-0909+Application+7.20.2023_11.58.39_AM+3679157CITY OF EDMONDS MyBuildingPermit.com Sign Application #1350991 - Young's Art Gallery Applicant First Name Last Name Company Name Mike Lee Berry Siqn Number Street Apartment or Suite Number E-mail Address 5002 South Washinqton St mikel(c�berrysign.com City State Zip Phone Number Extension Tacoma WA 98499 (253) 830-3600 151 Contractor Company Name Berry Siqn Systems Number Street Apartment or Suite Number 9402 39th Ave Ct SW City State Zip Phone Number Extension Lakewood WA 98499 (253) 833-3600 (253) 232-5620 State License Number License Expiration Date UBI # E-mail Address BERRYSS857137 1/27/2025 603454590 mikel(�i)_berrysign.com Project Location Number Street Floor Number Suite or Room Number 218 MAIN ST 1 None City Zip Code County Parcel Number EDMONDS 98020 00454800101100 Associated Building Permit Number Tenant Name Younq's Art Gallery Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name Tin T & Le Trinh T & Diem Q & Van Nquyen Number Street Apartment or Suite Number 6711 202 ST SW City State Zip LYNNWOOD WA 98036 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: 7/20/2023 Submitted By: Mike Lee Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Sign Application #1350991 - Young's Art Gallery Project Contact Company Name: Berry Sign Name: Mike Lee Email: mikel@berrysign.com Address: 9402 39th Ave Ct SW Phone #: (253) 830-3600 151 Lakewood WA 98499 Project Type Nonresidential Activity Type Permanent Sign Project Name: Young's Art Gallery Description of Work: Install one blade sign and one wall sign Project Details Sign 1 Type Building Mounted Additional Project Information Total number of signs installed 2 Total number of signs removed 0 Scope of Work Wall or Building Page 2 of 2