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BLD2023-1172+Application+9.15.2023_8.32.32_AM+3784748CITY OF EDMONDS MyBtaildingPermit.com Sign Application #1376315 - COPPER ROSE Applicant First Name Last Name Company Name Steve Zamberlin National Siqn Corporation Number Street Apartment or Suite Number E-mail Address 1541 S 92ND PL B stevez(�D_nationalsigncorp.com City State Zip Phone Number Extension Seattle WA 98108 (206) 282-0700 Contractor Company Name National Siqn Corporation Number Street Apartment or Suite Number 1541 S 92ND ST City State Zip Phone Number Extension Seattle WA 98109 (206) 282-0700 State License Number License Expiration Date UBI # E-mail Address NATIOSCO31 M3 7/23/2025 578048524 stevez(a)_nationalsigncorp.com Project Location Number Street Floor Number Suite or Room Number 550 MAIN ST City Zip Code County Parcel Number EDMONDS 98020 00434212001500 Associated Building Permit Number Tenant Name COPPER ROSE Additional Information (i.e. equipment location or special instructions). Work Location Property Owner 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: 9/15/2023 Submitted By: Steve Zamberlin Page 1 of 2 i CITY OF EDMONDS MyBui[di ngPerrnit.com Sign Application #1376315 - COPPER ROSE Project Contact Company Name: National Sign Corporation Name: Steve Zamberlin Email: stevez@nationalsigncorp.com Address: 1541 S 92ND PL B Phone #: (206) 282-0700 Seattle WA 98108 Project Type Nonresidential Activity Type Permanent Sign Project Name: COPPER ROSE Description of Work: INSTALL SINGLE FACE ILLUMINATED WALL SIGN Project Details Sign 1 Type Building Mounted Additional Project Information Total number of signs installed 1 Scope of Work Wall or Building Page 2 of 2