15-103075 ---_.__s
r
RECEIVED ( 5 _t 03 °�j
CITY OF ` SIGN PERMIT
Federal W a TD
2 2015 APPLICATION
��
.. . . :L I :
■ PROPERTY INFORMATION
SITE ADDRESS 3 5 617) 7 I S4- Ave__ SW fQ.ol puro.) (41 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# Z 5 ` ( 03 _ co a Z ZONING DESIGNATION ..ir "KI
/ ill
PROJECT INFORMATION
TYPE OF PROJECT(Check all that apply): [7 NEW ❑ALTERATION ❑REFACE ❑EXEMPT
' ELECTRICAL(To attach to existing J-box—include on this permit) CIAC O te'{ �,
o ELECTRICAL (New/altered circuit&J-box added-separate permit is required)
NUMBER OF SIGNS APPLIED FOR WITH T - .• • - -=.11 : Wall Mounted: i Freestanding:
TOTAL ESTIMATED PROJECT COST: ' --5-00, C o 1 I
DETAILED PROJECT DESCRIPTION: /V, L.,,vi 2 h
i5 vf I VI (Atlit f'17/✓- +IQ A0/✓ ee_ o1 io
vv\e,!_o. l"1--t of S/h ' v- vl/� � to_Inc SS Pelt- 4 ,U/), o . 5i! VI ±c, JA t-t �
tlno,f
J .-tit / I,t J n, 1 r, 1[MY17
L2.+h� rs a jru c-,,,Cf r)-f-,a_ � o�i wm1nS%�, i az " X k �s. c� �J y n. d �° �t�c�I
BUSINESS NAME ON SIGN: 62- A-'I FA-
• PEOPLE INFORMATION
SIGN OWNER: NAME: PRIMARY PHONE
``l 1.1 Linvz (2 66 ) 7H7 -1278
MAILING ADDRESS(STREET ADDRESSCITY,STATE,ZIP): FAX NUMBER
2 E H 3 7 '.6 ' /hr . 3 FA eAre4 'A,, w4- y(vL 3 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: a E-MAIL ADDRESS
7a — )S - 1OI2-26 — ov L
CONTRACTOR: COMPANY NAME 'PLICANT NAME OFFICE PHONE
—A ID. 1 A ( z6, ) 7z - IL
MAILING ADORES'al DDR- S; �'���a�raV CELL PHONE
(U PA • S bleb _�ait/liIM •' o ( )
CITY OF FEDERA /FIAT W E• - - EXPIRATION DATE: FAX NUMBER
( )
4_, CONTRALTO•' TION NUMBER: EXPIRATION DATE: E-MAIL ADDRESS
APPLICANT COMPANY NAME APPLICANT NAME PRIMARY PHONE
/ O41EA- 11.' T� LI (?Db ) -Po '2 7c
r
MAILING CITY,STAIZIP
FAX NUMBER
550) 21 sfi Alio 5 w -F,Ioo^AI v,✓/ w 9sv7 3 ( ) -
RELATIONSHIP TO PROJECT " E-MAIL ADDRESS
❑ Contractor )4 Tenant ❑ Other
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS:
CONTACT -71-.0,1 Q ( Z� ) 7 t/ 1-2---7(
• SIGNATURE
I certify under penalty of perjury th t the information f shed by me is true and correct to the best of my knowledge,and
further,that I am authorized by the .caner of the a premises to perform the work for which the permit application is made
SIGNATURE DATE:
COMMUNITY DEVELOPMENT SERVICES•33325 BTI AVENUE SOUTH•FEDERAL WAY,WA 98003-6325•253-835-2607•FAX:253-835-2609
•
■ TYPE OF SIGN(S) (Indicate number of each)
PERMANENT FREE STANDING: MONUMENT PEDESTAL POLE TENANT DIRECTORY OTHER
OTHER(Describe)
PERMANENT BUILDING MOUNTED: AWNINGCABINET t CHANNEL LETTERS ) TENANT DIRECTORY
OTHER(Describe)
• DETAILED SIGN INFORMATION
FRES $TANDI► c SIGNS
SIGN TYPE SIGN • 'E'A(SQ.FT.) ILL HATED? REFACE? TOTAL HEIGHT BASE HEIGHT(FT),,
WIDTH x HEIG T x#OF FACES • /INT/EXT YES/NO (Fr)
A
x x
B
x —
C
x x
STREET FRONTAGE(LINE• ' FEET):
BUILDING'MOUNTED SIGNS
SIGN TYPE SIGN AREA(SQ.FT.) ILLUMINATED? BUILDING ELEVATION EXPOSED BUILDING FACE
WIDTH x HEIGHT x#OF FACES NO/INT/EXT (N,S,E1W) (SQ.PT.}
A L,I--4.07vi•-
x `z � XI= ( (~ Ni7 LICA
B
x x =
C
x x =
D
x x =
E
x x = _
LARGEST EXPOSED BUILDING FACE(SQUARE FEET): ) ���
**FOR OFFICE USE ON .
ZONING DESIGNATION: PROFILE: 0 HIGH 0 MEDIUM 0 LOW Il FREEWAY
BUILDING MOUNTED SIGN(S) FREE STANDING SIGN(S)
AREA PERMITTED: AREA PERMITTED:
AREA PROPOSED: AREA PROPOSED:
LARGEST BUILDING FACADE: STREET FRONTAGE:
NUMBER OF SIGNS ALLOWED: NUMBER OF SIGNS ALLOWED:
LAND USE APPROVAL BY: DATE: STRUCTURAL APPROVAL BY: DATE:
REGISTRATION NUMBER: REGISTRATION NUMBER:
REGISTRATION NUMBER: REGISTRATION NUMBER:
REGISTRATION NUMBER: REGISTRATION NUMBER:
•
Bulletin#102—January 1,2011 Page 2 of 4 k:/Handouts/Sign Permit Application
PERMIT #: 15-103075-00-SG
ADDRESS: 35501 21st Avenue SW
FFlL PROJECT: Channel Letter Sign
I GOATEA
DATE: 6/24/15
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