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BLD2023-0936+Application+7.26.2023_10.08.05_AM+3689488CITY OF EDMONDS Sign Application #1353105 - Burger King Applicant First Name Last Name Renee Russell MyBuildingPermit.corn Company Name NW Siqn Crew LLC Number Street Apartment or Suite Number E-mail Address 13628 Reeder Road SW City State Zip Tenino WA 98589 Contractor Company Name NW Siqn Crew LLC Number Street 13628 REEEDER RD SW City State Zip Tenino WA 98589 State License Number License Expiration Date UBI # NWSIGSC797MR 7/19/2023 604769306 Project Location Number Street 7609 212TH ST SW City EDMONDS Associated Building Permit Number nwsigncrew(D_outlook.com Phone Number Extension (564) 204-8857 Apartment or Suite Number Phone Number Extension (564) 204-8857 E-mail Address nwsigncrew(cD_outlook.com Zip Code County Parcel Number 98026 00614300001605 Tenant Name Burqer Kinq Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Number Street PO BOX 16387 Floor Number 1 Last Name or Company Name PORTERFIELD MANAGEMENT CORP Suite or Room Number None Apartment or Suite Number City State Zip SEATTLE WA 98116 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: 7/26/2023 Submitted By: Renee Russell Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Sign Application #1353105 - Burger King Project Contact Company Name: NW Sign Crew LLC Name: Renee Russell Email: nwsigncrew@outlook.com Address: 13628 Reeder Road SW Phone #: (564) 204-8857 Tenino WA 98589 Project Type Nonresidential Activity Type Permanent Sign Scope of Work Wall or Building Project Name: Burger King Description of Work: Install (Qty 3) Wall Signs Install (Qty 1) Clearance Bar Install (Qty 2) Directional Signs Install (Qty 8) Canopies Project Details Sign 1 Type Building Mounted Additional Project Information Total number of signs installed 5 Total number of signs removed 4 Page 2 of 2