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CITY OF FEDERAL WAY
SIGN PERMIT APPLICATION
this application must be-submitted to the Building Department, and a sign
permit must be issued prior to displaying any sign, except a political
sign, whether or not the proposed sign requires construction or structural
alteration.
WARNING: DO NOT CONSTRUCT OR ORDER A SIGN UNTIL A PERMIT HAS BEEN
ISSUED. THE INSTALLATION PERMIT WILL EXPIRE 180 DAYS AFTER
ISSUANCE
OWNER OF SIGN L t T ow•T L (t)" ' 2'14- PHONE 9927-4 I l6
ADDRESS �l � IWh Vc-t t c, ( LdA7 t)44- 11063
NAME AND TYPE OF BUSINESS WITH WHICH SIGN IS ASSOCIATED (Jena PG,*
ADDRESS OF IGN .b.(J• 3 (3 i c.T 4,3 v try< S. W
CONTRACTWN4 L PHONE 5dl-( I16
CONTRACTOR ADDRESS titck CONT. REG. NO. L+TOwC,1 tdt 6w
PROPERTY TAX ACCT. # EXP. DATE 1 94
Fap . Fo it, 1 L#- o-0o+5-sug
All signs must meet the requirements of the zoning and Building
Codes. Two sets of plans showing the location of sign(s) , size of
sign(s) (maximum plan size 24"x 36") and drawing of sign(s) must be
submitted with the Sign Permit application.
1 . ESTIMATED PROJECT COST $ a 5,DU 7D44
((a,T)
2 . TYPE OF SIGN: WALL MARQUEE PE ESTAL X MONUMENT
3 . ILLUMINATION: INTERNAL (CABINET) INTERNAL (LETTERS' ONLY)
EXTERNAL NON-ILLUMINATED �(
OTHER (describe) / `
4 . SIGN AREA (SQUARE FEET) 2 5y 0t- eicki ►ia,-, Cza ` b.
RECEIVED
, ' MAR 3 0 1993
� art(*FEDERAL WAY
r -
5 . SIGN DIMENSIONS ( 51(t "
6 . SUITE FRONTAGE S0t3 t`` L1 k4 PAW. S W
7 . STREET FRONTAGE OF ENTIRE PROPERTY (FT. ) Sao
8. NUMBER OF TENANTS, OR AVAILABLE BUSINESS SPACES, ON PROPERTY 0
9 . DOES THE PROPERTY HAVE A COMPREHENSIVE SIGN PLAN APPROVED BY THE
CITY? 1\4) IF YES, WHAT IS THE FILE NUMBER?
10. LIST TYPE AND SIZE OF ALL EXISTING SIGNS ASSOCIATED WITH THE BUSINESS:
NoN�
11 . LIST TYPE AND SIZE OF ALL OTHER EXISTING SIGNS ON THE PROPERTY:
Na,t
I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS
TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND FURTHER THAT I AM
AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR
WHICH THE APPLICATION IS MADE.
V,v1 �claw„TZ. DATE 310191q3
O E OR AGENT OWNER OR AGENT
S N TUR PRINT NAME
, 1
OFFICE USE ONLY
********************************** ****** *** �, , ***********************
),
PLANNING DEPARTMENT APPROVAL:* ► Jail ,/rir,Ul„ DATE 4 / -1 3
PARCEL FILE (IF APPLICABLE)
ZONE P5h7j7,0i SIGN CATEGORY 4
SIGN AREA PBRMITTBD SQ. FT. Allfri- )(249-4244# % 2-44/44":14
SIGN AREA PROPOSED 4., 6-0 SQ. FT.
CODE CITATION WHICH ALLOWS THIS SIGN 2 Z '4/6`GP
REMARKS
**************************************************************************
DEPARTMENT OF PUBLIC WORKS APPROVAL:* DATE
REMARKS
**************************************************************************
BUILDING DEPARTMENT APPROVAL: DATE
VALUATION $
PERMIT FEE $
PLAN CHECK FEE $
OTAL FEE $
tti444046`STA?E SURCHARGE 2�j-p p
^
REMARKS
* ANY DEPARTMENT INITIATING DISAPPROVAL IS TO CONTACT THE APPLICANT AND
BUILDING DEPARTMENT WITH 24 HOURS INDICATING THE REASONS FOR DISAPPROVAL.
b.:
DATE OF FORM
August 8, 1990
SIGNPER.APP/MSTRFORM, JJ\LS/tp
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SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE BY DATE BY _ DATE ________ BY __________
PLUMBING ROUGH IN WATER LINE O.K. MECHANICAL INSPECTION
DATE BY GAS PIPING O.K.__ DATE
O.K.TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE BY_ DATE BY DATE BY
FINAL O.K. TO OCCUPY
DCD PSD FD
DATE__ BY
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