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CITY OF FEDERAL WAY
SIGN PERMIT APPLICATION
Permit # ,SF��J`�2' 2024
This application must be submitted to the Building Department, 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 AFTER
ISSUANCE
OWNER OF SIGN �� �S CljiK PHONE�"'���
ADDRESS Z �Zl102
� S
NAME AND TYPE OF BUSINESS WITH WHICH SIGN IS ASSOCIATED
11� J4C e SC 4d0 _
ADDRESS OF SIGN
CONTRACTOR
%-, Z4 CZ7.
CONTRACTOR ADDRESSjfft29JCONT .
PROPERTY TAX ACCT. #
PHONE % 3'
REG . NO.
EXP. DATE
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 2411x 3611) and drawing of sign(s) must be
submitted with the Sign Permit application.
1 . ESTIMATED PROJECT COST $ 36 Co • 1,
0
2. TYPE OF SIGN: WALL MARQUEE PEDESTAL MONUMENT
3. ILLUMINATION: INTERNAL (CABINET) INTERNAL (LETTERS ONLY)
4.
EXTERNAL NON -ILLUMINATED
OTHER (describe)
SIGN AREA (SQUARE FEET)
5. SIGN DIMENSIONS Z f K Z- 5 ( Cam"..,% I-We'S
6. SUITE FRONTAGE t® ^
7. STREET FRONTAGE OF ENTIRE PROPERTY (FT.)
S. NUMBER OF TENANTS, OR AVAILABLE BUSINESS SPACES, ON PROPERTY
9. DOES THE PROPERTY HAVE A COMPREHENSIVE SIGN PLAN APPROVED BY THE /
CITY? -C�� IF YES, WHAT IS THE FILE NUMBER? � , 805-S- ile- 209
10. LIST TYPE AND SIZE OF ALL EXISTING SIGNS ASSOCIATED WITH THE BUSINESS:
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.
DATE Z�2
OWN ATE... OWNER OR AGENT
SIGNATURE PRINT NAME
OFFICE USE ONLY
PLANNING DEPARTMENT APPROVAL:* DATE
PARCEL FILE (IF APPLICABLE)
ZONE C C--, SIGN CATEGORY
SIGN AREA PERMITTED SQ. FT.
SIGN AREA PROPOSED 50 SQ. FT.
CODE CITATION WHICH ALLOWS THIS SIGN
REMARKS
**************************************************************************
DEPARTMENT OF PUBLIC WORKS APPROVAL:*
DATE
REMARKS
$UILDING DEPARTMENT APPROVAL: DATE L
VALUATION $ 3
PERMIT FEE
PLAN CHECK FEE
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.
DATE OF FORM
August 8, 1990
SIGNPER.APP/MSTRFORM, JJ\LS/tp
6
2-4 1
2�(
THERE ARE TO BE NO DEVIATIONS
TO THE APPROVED DRAWINGS
UNLESS OTHERWISE APPROVED BY
THE FEDERAL WAY BUILDING DEPT.
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UrMM'
1Y,40N 144 0-f, A5 AFaP, - jA�-017 7P A;�ro��P /�.A60WA)"
-46Epir. OF COMMUNITY REV •LOPMENT
PERMIT NUMBER_.L6//'?2- 2- t/
ADDRESS 17/5 A)
PLA,N'0 FOR
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TYPICAL CHAM LET
EXPOSED RACEWAY FLUSH WAt
.JSS PLAZA
Balcor
'operty Management, Inc.
1414 S. 324th Street
Suite B-203
Federal Way, WA 98003
(205) 941-3558
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LEGAL DESCRIPTION
LOT 7 AND 8, LOT 11, AS ADJUSTED BY LOT
LINE ADJUSTMENT RECORDED UNDER KING
COUNTY RECORDING No. 8010230726, AND
LOTS 12 AND 13, AI.L IN PLAT OF CENTURY,
ACCORDING TO THE PLAT RECORDED IN VOLITME
104 OF PI.ATS, PAGE: (,9 THROUGH 72,
INCLUSIVE, IN KING COUNTY, WASIIINGTON
Proper;+ Tax Numbers:
150050-0080-05
150050-0110-09
150050-0070-07
150050-0120-07
150050-0130-05
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