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BLD2024-0360+Application+3.14.2024_7.49.50_AM+4130167CITY OF E Sign Application #1457881 - Crow Applicant First Name Last Name Shari Rust Number Street 4549 125th Ave SE City State Zip Bellevue WA 98006 Contractor Company Name NEW IMAGE CREATIVE SIGN INC Number Street 4549 125th Ave SE City State Zip BELLEVUE WA 98006 State License Number License Expiration Date U NEWIMIC961 B9 3/22/2026 6 Project Location Number Street 105 5TH AVE S City Zip Code EDMONDS 98020 Associated Building Permit Number Additional Information (i.e. equipment location or special instructions). Work Location Property Owner DMONDS i MyBuitdingPermit.com Company Name New Imaqe Creative Siqn Inc. Apartment or Suite Number E-mail Address shari(cb,newimagecreative.com Phone Number Extension (206) 406-3437 BI # 02339833 Apartment or Suite Number Phone Number Extension (206) 909-6996 E-mail Address shari(cD_newimagecreative.com County Parcel Number 00434212000102 Tenant Name Floor Number Suite or Room Number First Name Last Name or Company Name Jonathan Mayo Number Street Apartment or Suite Number 8451 SE 68TH ST 200 City State Zip MERCER ISLAND WA 98040 Certification Statement - The applicant states: 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. 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: 3/14/2024 Submitted By: Shari Rust Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Sign Application #1457881 - Crow Project Contact Company Name: New Image Creative Sign Inc. Name: Shari Rust Email: shari@newimagecreative.com Address: 4549 125th Ave SE Phone #: (206) 406-3437 Bellevue WA 98006 Project Type Activity Type Scope of Work Nonresidential Permanent Sign Wall or Building Project Name: Crow Description of Work: Install (1) new wall sign and (1) new hanging blade sign Project Details Sign 1 Type Building Mounted Additional Project Information Total number of signs installed 2 Total number of signs removed 0 Page 2 of 2