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Registration 9
DEPARTMENT of CommurnrY DEVELOPMENT5EtvtcEs
33530 Feist Way South
Federal Way, WA 98W3
(253) 661-4000
Fax (253) 661A 129
SIGN PERMIT If _ d
Registration #
Registration 9
SIGN PERMIT APPLICATION
This application must be submitted to the Building Division and a sign permit must be issued prior to displayi*ng
any sign, except as expressly allowed in Federal Way City Code Section 22-1599(c), Permit Exceptions, 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 Property �Phone 2400
Address 3 1z W 3 o a l t` �'� Cam` �'
Owner of Sign (if different than above) Phone
Address
Name of Business Business Lic_#
Parcel Number _ SingleTenant �` Multi -Tenant ❑
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Address of Sign'`''«- 0-116 04kT_V_Vt___
Sign Contractor • W ' �" �" • Phone S `�� ! 2-0 l l
Contractor's Address 306 G S r �->Ok •Registration#
Contact��-'�' Phone
1. Number of tenants, or available business spaces, on property'
2. Does the parcel have a comprehensive sign plan approved by the city?
If yes, what is the file number?
3. List type and size of all existing signs associated with the business (locate on plot plan).
4. List type and size of all other existing signs on the parcel.
5. Are any signs part of a Center Identification Sign? _ — --
Free Standing Sign
Type of Sign: ❑ Monument ❑ Pole
XPedestal ❑ Other
Illumination: YXIntemal (Cabinet)
❑ Internal (Letters Only)
❑ External
❑ Non -Illuminated
❑ Other (Describe)
Total Sign Area (Sq. Ft.) -34 G4-
Total Sign Area per Face 32-
Sign Height 8 Base Height
Sign Face Dimensions G, X C5 - 4"
Total Street Frontage g221
Landscape Area l2-0 +-R
Set Back from Property Line C�3 k
Building Mounted Sign
Type of Sign: ❑ Wall ❑ Projecting
❑ Marquee ❑ Other
Illumination: 0 Internal (Cabinet)
❑ Internal (Letters Only)
❑ External
Cl Non -Illuminated
❑ Other (Descri
Building Facade(a)
Proposed Sign Area(a)
Building Facade(b)
Proposed Siy
Building Fa
Proposed Si
'Note: Sign Diction, & Bldg. Facade must be
shown on the a
Total Estimated Project Cost �� 000
A
I certify, under pmaiLy.of perjury, that the information furnished by rqc: is true and correct to the best of
my knowledge. - I.a ther.ccrtify, under penalty of per ury, that.l am the owner of the sign andlor the above
premises, and in consideration of participation in the.Sign Removal Incentive Program, that I will comply
with and will not assert the invalidity of any provision of the Federal Way Sign Code (FWCC 22-335 and
Property Owner (Required)(signature)
(Print Name)
Sign Owner (Required if different than
Date
Date
(Print Name)
Agent (Optional) (Signature) ll-Date 2—
(Print Name)l�
OFFICIAL USE ONLY (Please do not write below this line.)
Land Use Section Approval
Date
Building Mounted - Sign Area Permitted (sq. ft.) -, Sign Area Proposed (sq. ft.)
Largest Building Facade Number of Building Mounted Signs Allowed
Stdc- _ 1�
Free Standing - SignA� (a Permitted (sq. ft.) (Sign Area Proposed (sq. ft-) '�
Street Frontage Number of Free Standing Signs Allowed. f
Citation Which Allows This Sign ❑ HPS ❑ MPS ❑ LPS ❑ FWCC Zone
Remarks:
Building Section Approval Date
Valuation $ Total Fee S -
Permit Fee $ Planning Surcharge S
Plan Check Fee $
Remarks
'Any department initiating disapproval is to contact the applicant and building section within 24 hours
indicating the reasons fnr disapproval. s,ONPER .A." aE.,sovz0M
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FEDEPT. OF CO'd3Ti i7r:cL,i3?1�11°
ERMIT NUMBER
'ADDRESS 0
NS FOR
lATEAPPR®VED , 00
APPR0 gy
FILE
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