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R EC EDEPAE4e OF COMMUNITY DEVELOPMENT SERVICES
33530 First Way South
CITY OF �-
• Federal Way,WA 98003
E� app 011999 (206)661-4000
```` FlY Fax(206)661-4129
`'Y OF FtUERAL WAN,/
BUILDING DSICrN PERMIT# S &)3 1 v -Y z 2 ,1
TEMPORARY SIGN PERMIT APPLICATION
This application must be submitted to the Building Division and a sign permit must be issued prior to displaying 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 Sign a COQ-P T`s fZ��arts Phone Number ;25 -1 ^ 3 Ll C>
Owner Address
Name of Business COPvccri (ZS City of Federal Way Business Lic.# O 761
Business Address 3' 00 .. c.Ae..ow.reci cwe�, Business Phone# 7:f-'? — 6 3 U
Parcel Number H2O lOU — q/4 3 Single-Tenant U Multi-Tenant 411--
Contact C_h.r . Phone Ct —(v j y d
All signs must meet the requirements of the zoning, electrical(if applicable) and building codes.All Temporary
Sign Permit Applications must include 2 sets of drawings/sketches of the sign(s) and a plot plan with the location
of sign(s) clearly identified Scale and dimensions of all signs must included:
1. Type/Purpose of event ( O �i a3 Cj
2. Date sign is going up q /5 h4 3. Date temporary sign is coming down i 0/S �q8
4. Sign Type and Number: Banner l'�.x!c 1 Inflatable Sign
Portable Sign Search Light/Beacon
. .................................................
I certify,under penalty of perjury,that the ianformation furnished by me is true and correct to the best of
Tiny knowledge and further,that I am autho zed by the owner of the above premises•to perform the work
for wh ch:the application is made
1
Owner/Agent (Signature) Date /
(Print Name) ct-3-O L>Y r �Z.
OFFICIAL USE ONLY(Please do not write below this line.)
Land Use Section Approval: Date
Zone Remarks
RSE . 1/
REVISED 1 11/7/96 •
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