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4110 a
RECEI\IEC)
Vv Permit # =iV 'J 1 p/2/
DEC 191995
33530 First Way South
Federal Way, WA 98003 CITY OF FEDERAL WAY
BUILDING DEPT.
Phone (206) 661-4000
SIGN PERMIT APPLICATION
This application must be submitted to the Building Section, 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:Al.1kR ISSUANC �:>:: :<:;:::>::: . ;:.: :>
D Geo � I1 Cti2S� a`�l g
Owner of Sign �� A4 i"/- E57 �. Phone
Address 6d/ PRA 6U/ 20, r (-- --4 , ,/i . g8/D/
Name and Type of Business With Which Sign is Associated ,lbli/G, 6D/t/
Address of Sign 9800 /°.1-/4/e-: .,er.-
Contractor 64`J 6 ,ti dfi• / 7±16, "Phone 2-0 .) "D20
Contractor Address / 7 3 Ai�/9D o r h 7G6 Cont. Reg. No. A
- �Property Tax Account# Exc 'lDte � 5 `f4il �[�o
- j.3 D Cen ;tcc4" )c e TAkolif?i-. 1"fU- ,,T .
All signs must meet the requirements of the zoning and building codes. Two'sets of plans
(maximum plan size 24"x36") showing the location and size of the sign(s), in addition to a
drawing of the sign(s), must be submitted with the Sign Permit Application.
I. Estimated Project Cost $
2. Type of Sign: 0 Wall 0 Marquee 0 Pedestal El, Monument t.
3. Illumination: 0. Internal (Cabinet) 0 Internal (Letters Only)
0 External ❑ Non-Illuminated
0 Other (Describe)
4. Sign Area (Square Feet) 69 4°g7". / z d'
5. Sign Dimensions 5—101/2"A) x i/r 9"(L4 � °
6. Suite Frontage 5 i ,
7. Street Frontage of Entire Property (Feet) /10(1 /62-1091/pvij) t- /961( Uvr?/ 3 j )�
8. Number of Tenants, or Available Business Spaces, on Property 4
• •
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:
l9 6 )1'-E: 11'lo,�IU1nQ�T�i
11. List type and size of all other existing signs on the property:
2"AS
T CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND
CORRECT TO THE BEST OF:MY KNOWLEDGE AND FURTHER,THAT T AM AUTHORIZED BY`.THE OWNER <.
, ::THE;WORK
O>`T.HE ABOVE PREMISES> RFORM ... ... . . ...... .. ......
Owner/Agent (signature) -01)! Date if
(Print Name) / - 1V1 (,k_
OFFICIAL USE ONLY(Please do not write below this line.)
Land Use Section Approval:* Date
Parcel File(If Applicable)
Zone Sign Category
Sign Area Permitted(sq. ft.) Sign Area Proposed (sq.ft.)
Code Citation Which Allows This Sign
Remarks
Department of Public Works Approval:* Date
Remarks •
Building Section Approval: Date t•
Valuation $
Permit Fee $
Plan Check Fee $
Total Fee $
Planning Surcharge $
Remarks
*ANY DEPARTMENT INITIATING DISAPPROVAL IS TO CONTACT THE APPLICANT AND BUILDING SECTION WITHIN 24
HOURS INDICATING THE REASONS FOR DISAPPROVAL.
SwNPea.AFF
RavIssa 1216/93
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