HomeMy WebLinkAboutPermit 4407 - Luckys - Permit(J) -t (0'
SIGN PERMIT
, 'PERMANENT
❑ TEMPORARY
''AIT NUMBER 111107-6 —S
CITY OF TUKWILA
6200 SOUTHCENTER BOULEVARD
TUKWILA, WASHINGTON 98188
DATE OF ISS E
I EXPIRES 1
FEE
25.00
RECEIPT N
( 2406
LOCAt1ON OF SIGN
845 Southcenter Mall
LEGAL (
DESCR.
❑ SEE ATTACHED SHEET
SIGN OWNER (r
J
( PHONE
t �'j
ZIP G'� li
ADDRESS SG /r t� 0j,�/I11CX../ L-�.(1, • /r a. L1( Tic izw 1 /a
`
<.� O
CONTRACTOR
Heath NW, Inc.
(PHONE 623 -380
ADDRESS
11805 NE 116th Seattle, WA
ZIP
I 98034
LICENSE NO. BLDG, FACE
HeathN *330RJ
TYPE
SIGN
14 SINGLE FACE MI DOUBLE FACE IA WALL MOUNTED
FREE STANDING
SO. FT. OF ALL FACES
(SETBACKS
1 CERTIFY THAT THE ABOVE E CITY OF U I TRUE AND
CORRECT, THAT THE APPLICABLE CITY OF TUKWILA REQUIRE-
MENTS WILL BE MET, AND THAT I AM AN AUTHORIZED AGENT
FOR THE PROJECT.
/ /�� � GZ _
X/iJfp
APPROVED BY:
PLANNING DIRECTOR /BUILDING OFFICIAL
FOR
INSPECTION
OK to pour
footing
foundation
foundation
CALL 4331849
Structure
completed
OWNER /AGENT SIGNATURE
�
SIGN PERMIT
.PERMANENT
❑ TEMPORARY
PLCIT NUMBER L1t/0715 --g
CITY OF TUKWILA
6200 SOUTHCENTER BOULEVARD
TUKWILA, WASHINGTON 98188
DATE OF Is3� E
EXPIRES
FEE
25.00 �
RECEIPT •
2406
d)�(
A ION I N 845 Southcenter Mall
LEGAL
DESCR.
❑ SEE ATTACHED SHEET
SIGN OWN R
PHONE
..:.: 51413 . Dial /a Ztee'`l%Cil I64.eal /a, 740 0
4 .
CONTRACTOR
Heath NW, Inc.
I PHONE 23
6-3290
ADDRESS 11805 NE 116th S e WA - 1 98034
attl i
LICENSE NO. DG FACE
HeathN *330RJ
SIGN
1.4 SINGLE FACE
❑ DOUBLE FACE III WALL MOUNTED ❑ FREE STANDING
SO. F7. OF ALL FACES
SETBACKS
I CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND
CORRECT, THAT THE APPLICABLE CITY OF TUKWILA REQUIRE-
MENTS WILL BE MET, AND THAT I AM AN AUTHORIZED AGENT
FOR THE PROJECT.
y�
APPROVED
BY:
PLANNING DIRECTOR/ ILDING OF ICIA
FOR INSPECTION CALL 433.184E
OK to pour
footing
and /or
foundation
Structure
completed
R/A NT SICiNA
CITY OF TUKWILA
Building 0ivision
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1849
INSPECT )N RECORD
PERMIT # yy07- S
Date 02-7g7
Type of Inspectio
Site Address ?Y,5 c€ iie
Requestor
9
Special Instructions
Date Wanted 0a,87
Project 2cieveys
Phone #
a.m. p.m.
Inspection Results /Comments:
Inspector
7t47-1 2-ed,7
Date
C
EF
—an9
JUI_ 25 19$5
. MM.ws.w.wr.+.. �r �...
cii1�l' Ur 1;41 LA
PLAt4NING -OAP4 -- --
L V ~ / ! 2. "_
690cul.siDeL.Lhzs
A ed io/adeZ
(0
0
11")
—J
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11.1
C.I")
'CITY OF TUKWILA
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1845
SIGN PERMIT APPLICATION
CONTROL# 0`07,R �
Site Address ''u55 000444,e41--W MD./ Suite# Floor#
Project Name /Tenant 4,,e___(1 /(y*
Property Owner Phone
Address Zip
Applicant tc? 7e, /j' C. , e Phone
Address //(- 5 /L //6 Zip c-.),3 '/
Contractor P-#fr-lcrz 7P.*: /, _2 j eg License # / /;IV �/� /f/ 3)o Phone 6'Z -3/00
Address // �_s �,e� /�/ /6-6,2_ Zip
Electrical Contractor/66,A, ./,_. License # Phone
Address Zip
Setbacks (from property lines to building): Front Side Side Rear
Sq. ft. of each sign face Total sq. ft. of sign Height of sign
Sq. ft. of exposed building face (see definition on the back of this application)
Please check the applicable boxes: ❑ C mbustible
Noncombustible
❑ Electrical
E11 on private property
❑ changing setback line
n premise
Two (2) sets of plans are required. See plan submittal requirements are on the reverse side of
this application.
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND
CORRECT.
Applicant /Authorized Agent (signature) / / /!J //,'/X./ce-, Date -27r- 7/e 'C
(print name) %� �� /t /a l/
Contact Person (please print ) `/F dIV � Phone z / G
FEES: Plan Check Fee
Other
RACKING
OFFICE USE ONLY
(000/345.830) $ aG' 00 Receipt# A17106 Date Paid 7-/7-84,
( ) Receipt# Date Paid
TOTAL (OWES: $ )
DEPT. DATE IN DATE OUT
BLDG
c74546,
*A,
O�� 1-.1'" PLNG ,
COMMENTS
Initials: pj Construction Details: Approved [] Not Approved
Initials:
0 Application approved under the following conditions
[] Application not approved
RECEIVED
CITY OF TUKWILA
UL 1 7 1986
NUM arr.