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BLD2021-0103+Application+1.26.2021_2.43.46_PM+2011021CITY OF EDMONDS MyBuildingPermit.com Sign Application #913868 - Berkshire Hathaway Home Services Applicant First Name Last Name Company Name Mike Lee Berry Siqn Number Street Apartment or Suite Number E-mail Address 5002 South Washinqton St mikel(c�berrysign.com City State Zip Phone Number Extension Tacoma WA 98409 2538303600 151 Contractor Company Name Berry Siqn Systems Number Street Apartment or Suite Number 5002 S Washington St City State Zip Phone Number Extension Tacoma WA 98409 253 232-5620 State License Number License Expiration Date UBI # E-mail Address BERRYSS857137 1/27/2023 603454590 mikel(D_berrysign.com Project Location Number Street Floor Number Suite or Room Number 505 5TH AVE S 101 City Zip Code County Parcel Number EDMONDS 98020 01070900000100 Associated Building Permit Number Tenant Name Berkshire Hathaway Home Services Additional Information (i.e. equipment location or special instructions). Work Location Property Owner First Name Last Name or Company Name PARAGEN PROPERTIES II LLC Number Street Apartment or Suite Number 23929 W WOODWAY LN City State Zip WOODWAY WA 98020-5229 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: 1/26/2021 Submitted By: Mike Lee Page 1 of 2 CITY OF EDMONDS M BuildingPerrnit.cam Sign Application #913868 - Berkshire Hathaway Home Services Project Contact Company Name: Berry Sign Name: Mike Lee Email: mikel@berrysign.com Address: 5002 South Washington St Phone #: 2538303600 151 Tacoma WA 98409 Project Type Nonresidential Activity Type Permanent Sign Project Name: Berkshire Hathaway Home Services Description of Work: Install one illuminated wall sign Project Details Sign 1 Type Building Mounted Additional Project Information Total number of signs installed 1 Total number of signs removed 0 Scope of Work Wall or Building Page 2 of 2