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BLD2024-1299+Application+10.3.2024_11.40.40_AM+4539534CITY OF EDMONDS Sign Application #1556746 - Kocochi Cafe Applicant First Name Last Name Tony Le i MyBuitdingPermit.com Company Name US SIGN 1 LLC Number Street Apartment or Suite Number E-mail Address 7808 River Rd East City State Zip Puyallup WA 98371 Contractor Company Name SPENCFAB Number Street 23425 53RD AVE SE City State Zip BOTHELL WA 98021 State License Number License Expiration Date UBI # SPENC**842KF 5/6/2026 603530344 Project Location Number Street 22315 HIGHWAY 99 ussignllc(.@_gmail.com Phone Number Extension (206) 468-3999 Apartment or Suite Number Phone Number Extension (425) 449-0277 E-mail Address ussignllc(aD_gmail.com City Zip Code County Parcel Number EDMONDS 98026 27042900302700 Associated Building Permit Number Tenant Name Kocochi Cafe Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name * Last Name or Company Name PACIFIC PLAZA LLC Floor Number Suite or Room Number Number Street Apartment or Suite Number 10120 NE 59TH ST City State Zip KIRKLAND WA 98033 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: 10/3/2024 Submitted By: Tony Le Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Sign Application #1556746 - Kocochi Cafe Project Contact Company Name: US SIGN 1 LLC Name: Tony Le Email: ussignllc@gmail.com Address: 7808 River Rd East Phone #: (206) 468-3999 Puyallup WA 98371 Project Type Nonresidential Activity Type Permanent Sign Scope of Work Wall or Building Project Name: Kocochi Cafe Description of Work: Install one set of channel letters on raceway to existing wall sign. Sign will be LED illuminated. Project Details Sign 1 Type Channel Letters Additional Project Information Total number of signs installed 1 Total number of signs removed 0 Page 2 of 2