06-100297City of Federal Way
Community DevelopmentServioes Agri Permit #: 06-100297-00-SG
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: i253> a3s-2so7 Fax: iz3i sus zss Inspection Request Line: (253) 835-3050
Project Name: BERGER ABAM ENGINEERS
Project Address: 33301 9TH AV E S Suite 200
Parcel Number: 926501 0130
Project Description: (1) New HD foam dimensional letters attached to existing wall with VHB tape and silicone.
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Owner Applicant Contractor
SPIEKER PROPERTIES L P EVERGREEN SIGN CO
1150 114TH AVE SE EVERGREEN SIGN CO
1513 S CENTRAL r�,�D.
BELLEVUE WA
98004-6914 <
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3NTRAL
A 98032
>ign Face Sign Face Building
Vidth (Ft.) Height (Ft.) Elevation
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•,.,,—, Lily Li oal laoC dUL)VU I r ation is correct and that the construction on the above describedproperty and
the occupancy and the s r e in acc ce .ith the laws, rules and regulations of the State of Washington
d of Federal Way.
Owner or agent:�J —
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Date;
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-SIGN P � TIO
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f=iY 1� 'TAN NUMBER: ` = R
**The following is required information —Please print (in ink) or type** .BAN 2 0 2006
SITE ADDRESS: , �,
ASSESSOR'S TAX/PARCEL #: oln
TYPE OF PROJECT (Check all that apply): PERMANENT oTEMPORARY kNEW ❑ALTERATION ❑REFACE ❑EXEMPT
❑ ELECTRICAL (To attach to existing J-box) ❑ ELECTRICAL (New/altered circuit & j-box added)
(Separate permit is required)
NUMBER OF SIGNS APPLIED FOR WITH THIS APPLICATION:
PROJECT DESCRIPTION (Provide detailed description): AID ,
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BUSINESS/TENANT NAME:
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CONTRACTOR: ... NAME:
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DAYTIME
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PHONE:
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MAILING iaDD aTREI;T ADti Se ,STATE, ZIP . _... _
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PHONE:
(EVENING
CITY OT EE EtillL S�±AY N jL10EiJ5E NJIiBER•
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FAX NUMBER:
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CONTRACTOR'S REGISTRATION NUM13ER:
(Copy required)066
EXPIRA`TION DATE:. ,
06
APPLICANT:
DAYTIME PHONE:
[MAIeES
�ENINGPHOte�5L
I,I (STREETASiDR"x'S; CITY', S'TATE`,"ZIP).
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CONTACT FOR THIS PROJECT:
FAX NUMBER:
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❑ PROPERTY OWNER APPLICANT CONTRACTOR
E #IAdLADDRESS:
TYPE/PURPOSE OF -EVEN .
DATE OF INSTALLATION: ATE OF REMOVAL:
TEMPORARY SIGN TYPE: BANNER ❑INFLATABLE ❑ PORTABLE ❑ SEAR S/BEACON
NUMBER OFEAC
PROPOSED NUMBER OF PROPOSED NUMBER OF i
TOTALr PROJECT COST:0
PERMANENT FREE STANDING: ❑ mot ENT ❑ OTHER ❑ PEDESTAL ❑ _E ❑ TENANT DIRECTO"ZY
NUMBER OF EACH -TYPE.
PERMANENT BUILDING MOUNTED: ❑ AWNING ❑ CABINET ❑ CANOPY ❑ CENTER IDENTIFICATION (CID) CHANNEL LETTERS
NUMBER OF EACH TYPE:
❑ MARQUEE ❑ OTHER ❑ PROJECTING ❑ TENANT DIRECTORY
NUMBER OF EACH TYPE:
FREESTANDING SIGN SIGN AREA (SQ. FT.) ILLUMINATED?: REFACE? PART OF CID TOTAL SIGNBASE
TYPE WIDTH X HEIGHT X # OF FACES NO/INT/EXT YES/NO SIGN? HEIGHT FTC HEIGHT (1
A
B
C
STREET FRONTAGE (FT): ,
I certify under peel of perju, 'that e information furnished by me is true and correct to the best of my knowledge, and
further, that I am auth ritey the bo p m ses to perform the work for which the permit application is made
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NAME/TITLE: ' DATE: f
O E r
NAME (Print)
PINT
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH -P.O. BOX 9718 • FEDERAL WAY, WA 98063-9718 •253-661-4115 • FAX: 253-661-4129
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