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BLD2023-1075+Application+8.29.2023_7.46.26_AM+3742173CITY OF EDMONDS Sign Application #1366444 - Cline Jewelers Applicant First Name Last Name Tracie Skiles MyBoildingPermit.com Company Name NW Siqn & Design Number Street Apartment or Suite Number E-mail Address 17201 Beaton Rd SE City State Zip Monroe WA 98272 Contractor Company Name NW WHOLESALE SIGNS Number Street 17201 Beaton Rd SE City State Zip Monroe WA 98272 State License Number License Expiration Date UBI # NWSIGS*84201 10/7/2024 602156837 Project Location Number Street 100 5TH AVE N City Zip Code County Parcel Number EDMONDS 98020 00434202103100 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions). Work Location Property Owner permits(�D_nwsigns.com Phone Number Extension (425) 844-6415 Apartment or Suite Number Phone Number Extension (425) 844-6415 E-mail Address permits(cD_nwsigns.com Floor Number Suite or Room Number First Name Last Name or Company Name * CAMWEST INC Number Street Apartment or Suite Number 1404 GOAT TRAIL LOOP RD City State Zip MUKILTEO WA 98275 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: 8/29/2023 Submitted By: Tracie Skiles Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Sign Application #1366444 - Cline Jewelers Project Contact Company Name: NW Sign & Design Name: Tracie Skiles Email: permits@nwsigns.com Address: 17201 Beaton Rd SE Phone #: (425) 844-6415 Monroe WA 98272 Project Type Nonresidential Activity Type Permanent Sign Project Name: Cline Jewelers Description of Work: We are installing 3 wall signs. Project Details Sign 1 Type Building Mounted Additional Project Information Total number of signs installed 3 Scope of Work Wall or Building Page 2 of 2