HomeMy WebLinkAboutPermit 4612 - Pacific Stereo - SignSIQNPERMIT
VO PERMANENT
RI TEMPORARY
Special Permit
PCr MIT NUMBER ‘1/,/ —S
CITY OF TUKWILA
6200 SOUTHCENTER BOULEVARD
TUKWILA, WASHINGTON 98188
DATE OF ISSUANCE 1
7-5....
EXPIRES , FEE I
1 in daSic) L9 15-- 8-71- soon
RECEIPT *
LOCATION OF SIGN
• 4 e 1 • I - •
LEGAL
DESCR.
0 SEE ATTACHED SHEET
SIGN OWNER , /
Pati-F76 &t_cre_
I PHONE
ADDRESS
.4 • I •I - • • . . • . • . i
ZIP
• :
: :
CONTRACTOR
Owner / Tenant
PHONE
ADDRESS
Same as above
I ZIP
LICENSE NO. !BLDG.
N/ I
FACE
N/A
TYPE 1
SIGN
III SINGLE FACE M DOUBLE FACE III WALL MOUNTED •
FREE STANDING Special Permit
SO. FT. 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 1 AM AN AUTHORIZED AGENT
FOR THE PROJECT. This permit is good for only 10
days and may not be renewed more than 3 times
Each ewal ,,,,euir,es $25.00 fee. TMC 19.12.1W
40 400Y
//' ,
APPROVED BY: I / /
. 4 L4411 41.4.,....
PLAN INGDIRE • BUILDING OFFICIAL
FOR, INSPECTION CALL 4311349
OK to pour
footing
and/or
foundation
Structure
completed
NER/AGENT SIGNATURE
■
CITY OF TUKWILA
Building thcentirnBoulevard SIGN PERMIT APPLICATION
Tukwila, Washington 98188
(206) 433 -1845 Permanent ❑ CONTROL# CM -8)7-0L/ 9'
/6' � f T�ypora ry (/ ° £ i 5 Site Address 1 , i�� ��� /C / /�,���y Suite# Floor#
Project Name /Tenant A(//L `'if -'/'ci 525. 0? 7 2
To vo vtnNnlcS (orrip. Phone ,575o j 26
4o
✓i She r
Property Owner
Address
Applicant
Address
Zip
Phone
Zip
Contractor iV /4 License # Phone
Address Zip
Electrical Contractor 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: 0 Combustible
❑ Noncombustible
❑ Electrical
❑✓ All on private property
❑ Overhanging setback line
On premise
Single -face wall- mounted
❑ Single -face freestanding
Double -face freestanding
Other/%'
Two (2) sets of plans are required. See plan submittal requirements are on the reverse side of i
this application.
1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND
CORRECT AND THAT I HAVE THE PROPERTY OWNER' /AUTHORI ION TO INSTALL THE SIGN.
? /��j> >
Applicant /Authorized Agent (signature) . (/" - ;AjWW. Date o? - S 7
(print name) ,,1( P;;/".W5,',"
Contact Person (please print) Phone
OFFICE USE ONLY
FEES: Plan Check Fee (000/345.830) $ s o .cD Receipt# s as . Date Paid a-s---
Other ( ) Receipt# Date Paid
TOTAL 1--D g.,, (OWES: E )
pt;`'-`- 4,05`) 3/10 (g7
TRACKING
DEPT.
DATE IN-
DATE OUT
BLDG
3-5 �7
-0
Initials:
COMMENTS
Construction Details: ❑ Approved ❑ Not Approve(
PLNG
Initials:
❑ Application approved under the following conditions
❑ Application not approved