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BLD2024-0979+Application+7.29.2024_10.03.55_AM+4406447CITY OF EDMONDS MyBuitdingPermit.com Sign Application #1524626 - Langer Building Applicant First Name Last Name Company Name Jorden Weiner Division 10 Signs Number Street Apartment or Suite Number E-mail Address 19410 Hwy 99 A225 Jordenw(Ddivision10sign.com City State Zip Phone Number Extension Lynnwood WA 98036 (425) 563-9599 Contractor Company Name Division 10 Signs Number Street Apartment or Suite Number 19410 Hwy 99 A225 City State Zip Phone Number Extension LYNNWOOD WA 98036 (425) 563-9599 State License Number License Expiration Date UBI # E-mail Address DIVIS1S854QC 11/3/2025 603417626 Jordenw(a_division10sign.com Project Location Number Street Floor Number Suite or Room Number 21600 HIGHWAY 99 City Zip Code County Parcel Number EDMONDS 98026 00580700002900 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name PUBLIC HOSPITAL DISTRICT 2 SNOHOMISH CO Number Street Apartment or Suite Number 4710 196TH ST SW City State Zip LYNNWOOD WA 98036-5517 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: 7/29/2024 Submitted By: Jorden Weiner Page 1 of 2 i CITY OF EDMONDS MyBuildingPermit.com Sign Application #1524626 - Langer Building Project Contact Company Name: Division 10 Signs Name: Jorden Weiner Email: Jordenw@division10sign.com Address: 19410 Hwy 99 A225 Phone #: (425) 563-9599 Lynnwood WA 98036 Project Type Activity Type Scope of Work Nonresidential Permanent Sign Freestanding Project Name: Langer Building Description of Work: Provide new free-standing and wall -mounted illuminated signs. Project Details Sign 1 Type Monument Additional Project Information Total number of signs installed 3 Total number of signs removed 0 Page 2 of 2