HomeMy WebLinkAboutPermit 4690 - LaVista Estates - SignV' !MLM:.it!2.0i- Ct:I.l•Mtb'.f.40. o-Inleld.xs.'n.aitn V so li! w3t !i:�ri'.(�w. ".::.t'.1K`•VF'.C. w�....Ji
011-671-//
SIGN PERMIT
D PERMANENT
ci TEMPORARY
w rott .h.w,ma.nmHtS:.�H'_:r, ity; tier: !! is Y. l'fi' %fi171,11:41 N: ;lre.P: ^a,a}(
PI . IT NUMBER </ ago -s
CITY OF TUKWILA
6200 SOUTHCENTER BOULEVARD
TUKWILA, WASHINGTON 98188
DATE OF ISSUANCE
�- a- 811
EXPIRES
30 Days
FEE
I $25.00 1
RECEIPT 1
685/
LOCATION OF SIGN
5155 S. 152nd Tukwila
LEGAL
DESCR.
❑ SEE ATTACHED SHEET
SIGN OWNER
1aVista Estates
(Carol Nass)
246 -8657
ADDRESS
55 S. 152nd
Tukwila
1
HON
ZIP 98188
CONTRACTOR
N/A
ADDRESS
ZIP
LICENSE NO,
BLDG. FACE
TYPE
1 • SINGLE FACE • DOUBLE FACE •
WALL MOUNTED
•
FREE STANDING BANNER
SO. FT. OF ALL FACES
!SETBACKS
INFORMATION IS TRUE AND
CITY OF TUKWILA REQUIRE-
I AM AN AUTHORIZED AGENT
- '
APPROVED
BY: �.
I .0 i / A� , r('J
I CERTIFY4THAT THE ABOVE
CORRECT, THAT THE APPLICABLE
MENTS WILL BE MET, AND THAT
FOR THE PROJECT.
' A ' N. • ! ,T % T :UILDING OFFICIAL
FOR
INSPECTION
OK to pour
ooting
and /or
foundation
_ 434-1849
,
nt,� �
Al
�,a
Structure
completed
OWNS /AGEN - N 1 ' E
3 (
CITY of TUKWILA
'Iuildin9 Division
1200 Southeentar Boulevard
Tukwila, Washington 91111
(201) 433 -1145
SIGN PERMIT APPLICATION
Permanent El
Temporary �.
Site Address SSS' Sp ����
S
CONTROL#►
Suite# Floor#
Project Name /Tenant LAL1,_ 11 g +d Ej5,f4t4
Property Owner Li ; olte4 f Alktd342_.• Phone ii -p(e Oen
Address Y/ y QJ i , . y' Zip Qg/p
Applicant e_as...y.•L cm.gis Phone AY(; . 1(4$'7
Address ES 5'Z S O 1 Sit Zip
Contractor 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 _3)c, r 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: ❑ Combustible
❑ Noncombustible
❑ Electrical
❑ All on private property
❑ Overhanging setback line
0 On premise
all Ingle -face wall - mounted
❑ Single -face freestanding
ODouble-face freestanding
Other a e.,41r J
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 AND THAT I HAVE THE PROPERTY OWNER'S AUTHORIZATION TO INSTALL THE SIGN.
Applicant /Authorized Agent (signature) Date y,2. -110
(print name) AL
Contact Person (please print) Phone
OFFICE USE ONLY
FEES: Plan Check Fee (000/345.830) S - " Receipt# G k 4( Date Paid _2-J
Other ( ) Receipt #__ ___ Date Paid______..._
TOTAL 5 (OWES: S -�-- )
TRACKING
DEPT. -
DATE IN
DATE OUT -
CDMMlNTS
BLDG
'07
ti/a/9 7
Initials: onstruction Details: o Approved ❑ Not Approve(
PLNG
Initials:
❑ Application approved under the following conditions
II Application not approved