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SET BACKS AND FOOTINGS
DATE BY _ ._ _ _
OX TO POUR FOUNDATION WALLS
DATE BY
PLUMBING GROUNDWORK
DATE
PLUMBING ROUGH IN
DATE BY
WATER LINE O.K. _
GAS PIPING O.K.__
MECHANICAL INSPECTION
DATE _BY
O.K. TO ENCLOSE FRAMING
DATE BY
INSULATION
DATE BY
WALL BOARD AND FIRE WALL
DATE
FINAL O.K. TO OCCUPY
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DATE _J �BY �G
DOD PsCi
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Permit #
CITY OF FEDERAL WAY
SIGN PERMIT APPLICATION
-his application must be submitted to the Building Department, and a sign
:ermit must be issued prior to displaying any sign, except a political
:ign, whether or not the proposed sign requires construction or structural
alteration.
s
WARNING: D❑ NOT CONSTRUCT OR ORDER A SIGN UNTIL A PERMIT HAS BEEN
ISSUED. THE INSTALLATION PERMIT WILL EXPIRE 180 DAYS AFTER ')
ISVANC$ 1, r
OWNER OF SIGN ow. PHONE " % - (�f,�-
ADDRESS 'vz'-D -5e •
NAME AND TYPE OF BUSINESS WITH WHICH SIGN IS ASSOCIATED
>.DDRESS OF SIGN
CONTRACTOR /7�/�- PHONE
CONTRACTOR ADDRESS f��' CONT. REG. NO.
PROPERTY TAX ACCT . # 9DEXP . DATE
1.
2.
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 3611) and drawing of sign(s) must be
submitted with the Sign Permit application.
c
ESTI1MATED PROJECT COST
/$
TYPE'OF SIGN: WALL ✓ MARQUEE
PEDESTAL MONUMENT
3. ILLUMINATION: INTERNAL (CABINET) INTERNAL (LETTERS ONLY)
EXTERNAL
OTHER (describe)
NON -ILLUMINATED I�
4. SIGN AREA ( SQUARE FEET) LJ /4Z 5l9
0 7 g6-57 �d
5 . SIGN DIMENSIONS
6. SUITE FRONTAGE
7. STREET FRONTAGE OF ENTIRE PROPERTY (FT.)
8. NUMBER OF TENANTS, OR AVAILABLE BUSINESS SPACES, ON PROPERTY
9. DOES THE PROPERTY HAVE A COMPREHENSIVE SIGN PLAN APPROVED BY THE
CITY?
IF YES, WHAT IS THE FILE NUMBER?
10. LIST TYPE AND SIZE OF ALL EXISTING SIGNS ASSOCIATED WITH THE BUSINESS:
AoIU
11. LIST TYPE AND SIZE OF ALL OTHER EXISTING SIGNS ON THE PROPERTY::
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.
OWNER--OR-AGENT
SIGNATURE
OWNER OR AGk�NT
PRINT NAME
DATE
OFFICE USE ONLY
**************************************************************************
PLANNING DEPARTMENT APPROVAL : * r�._- �� DATE l 1 b
PARCEL FILE (IF APPLICABLE)
ZONE C_C, SIGN CATEGORY
SIGN AREA PERMITTED
30 SQ. FT.
SIGN AREA PROPOSED 2(0 SQ. FT.
CODE CITATION WHICH ALLOWS THIS SIGN
REMARKS d ��
DEPARTMENT OF PUBLIC WORKS APPROVAL:* + DATE
REMARKS
**************************************************************************
BUILDING DEPARTMENT APPROVAL:r., DATE
VALUATION $ 0-0
PERMIT FEE $ S,
PLAN CHECK FEE $ 3,1-
TOTAL FEE $
STATE SURCHARGE
REMARKS
* ANY DEPARTMENT INITIATING DISAPPROVAL IS TO CONTACT THE APPLICANT AND
BUILDING DEPARTMENT WITH 24 HOURS INDICATING THE REASONS FOR DISAPPROVAL.
I�Ls DATE OF FORM
' August 8, 1990
SIGNPER.APP/MSTRFORM, JJ\LS/tP a '��FIs
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