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SIGN PERMIT <<.
❑ PERMANENT
"D TEMPORARY
CIMIT NUMBER 41 ! cis)`3—S
CITY OF TUKWILA
6200 SOUTHCENTER BOULEVARD
TUKWILA, WASHINGTON 98188
GATE OF ISSUANCE 1EXPIRES
9/15/87 10 Days
FEE
1 $25.00 l
RECEIPT •
9354
LOCATION OF SIGN
16425 Southcenter Py
LEGAL
DESCR.
❑ SEE ATTACHED SHEET
SIGN OWN A
Sees Candies
I PHONE
ADDRESS 16425 Southcenter Py
Tukwila 111P
l 98188
CONTRACTOR
'PHONE
ADDRESS
ZIP
Li EN'ENO.
. .r
I$IS
❑ SINGLE FACE
❑ DOUBLE FACE •
WALL MOUNTED ❑ FREE STANDING Free- Floating
OF ALL FACES 100 s . f .
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.
I
III° �` •
• - - �►- •�
APPROVED
SY:
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•LA I r • a •; / L•INr • Fl IAL
FOR
INSPECTJON
OK to pour
footing
and /or
foundation
CAL�,�1 3.1849
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f co,
v1
lStructure
completed
cr R /Ar i_�rr A l
CITY Of TUKWILA
Building Division
6200 Southcenter Boulevard
Tukwila, Washington 98188
(206) 433 -1845
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SIGN PERMIT APPLICATION
Permanent El
Temporary
Site Address \ (_01--M5 ��,l��t�(�rc�co'`►F`� sA kv,(4\L
Project Name /Tenant e-N
Property Owner 'Cg W.Avoot‘ir c
Address ZiV.L \Lie. ,cwc4
Appl 1 cant `'4`,4' CSawlxt "1 Zh>c_ -
Address 4 \C9 4'�, r4\v \V o R`• t -, c :,. �'
Contractor
Address
Suite#
CONTROL#
Phone
Floor#
C N 62 W. a ,[- L V\
\=7:-A t l` 10 , ON
License #
Zip
Phone 1-Ak5 ;=,` -
Zip (At- t(fc;O
Phone
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 \pp g,F Height of sign we
Sq. ft. of exposed building face (see definition on the back of this application)
Please check the applicable boxes: 0 Combustible
0 Noncombustible
0 Electrical
All on private property
0 Overhanging setback line
(] On premise
❑Single -face wall- mounted
l Single -face freestanding
D Double -face freestanding
Other - W\S - (F�s.,ktc ..
Two (2) sets of plans are required.
this application.
See plan submittal requirements are on the reverse side of
I HEREBY CERTIFY THAT I HAVE READ AND EXAM NED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND
CORRECT AND THAT I HAVE THE PROPERTY OWNERS AUTHORIZATION TO IN ALL THE SIGN.
Applicant /Authorized Agent (signature)
(print name) ifs, `2 4. kh\Nl
Contact Person (please print) Z)NL, ('NN Oixt0,(1,1,W:?,
Date q -16-V)
Phone 1.-\15 - ;;42>- c aka
OFFICE USE ONLY
FEES: Plan Check Fee (000/345.830) $ 2 'S Receipt# 9 S ^`� Date
Other ( ) Receipt# Date
Paid 9-/J47
Paid
TOTAL sasC " (OWES: $
^ s+..,,,..,... ..4..
VVni1.1 VVIr 1V11 ....YM • 1
�^_J ,.;,prove
of pprove
PLNG
Initials:
El Application approved under the following conditions
E] Application not approved