SGN1997-00043 CITY OF TIGARD
A
A���, DEVELOPMENTW Hall Blvd., Tigard, O
SERVICES
TR 97223 (503)639-4171
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(,CIAO rvutAd
SIGN PERMIT APPLICATION
13125 SW.Hall Blvd.. Tigard. OR 97223(503) 639-4171 FAX:(503) 684-7297
CITY OF TIGARD
GENERAL INFORMATION {PLEASE FRUIT CLEASLY)
•
Sign Address/Location:JS 1 ,S'A) 7z/'%
FOR STAFF USE ONLY
Name of Tenant/Business:lio r-t-h 54 a.A.c-k,,,)()Li 10/.32 S
Address: / CCr c, ..t�J `7�/ )� Date Received: `� r
Applicant/Agent/Contact Person:
.0 t °a r� Received By: . . .
� Permit No.(s): —000
Sign Company: �'-t YS\\ (A)- Phoneme / --2a3
1)7)
Permit Fee: co
Address:a) / _S f, Gi--
ifi lw �. Receipt No.: `7"`��l 7 a7
City: $tate: Tip: 2.3 lel <..:.
Approved By: 'r?,.. aJl //WO
Sign Company C.C.S.* e"-freD.P.
Expiration Date:r') /i /ei 8 Expiration Date:
City of Tigard Business Tax* .
Zoning:
• •
:. .... .::..
(or) Expiration Date:
Metro Business License* /. . •
Expiration Date: �///l 9 S�
�Electrical Permit Required? Yes 0 No 0
Proposed Sign:" (check as many as applicable) Building Permit Required? Yes ❑. No 0
Permanent .Freestanding )gi Freeway 0 • • • . • Rev.12)27/9‘ Ocurpki‘rnasterstsoadoe
Temporary 0 Wan 0 Electronic 0
Other 0 Billboard 0 Balloon 0
Sign Dimensions: / /X C'O r r
Total Sign Areas(sq.ft.): '4U ,� -t" REQUIRED SUBMITTAL ELEMENTS
Total Wan Area(sq. ft.):
Direction Wall Faces: (cinwmtr) N S E W NE NW a SW Er Completed Application Form
Height(ft.): 4/9/r 0 Site/Plot Plan Drawn to Scale
Projection from Wall: (2 copies.3 if a building permit is required)
Illumination: YesiNo Type: Internal C2 --Elevations Drawn to Scale =
0 (,� yP 0 External ❑ (2 copies.3 it a budding permit is required) -
U.L. Label#:
p' Applicant's Statement
Copy: 1 o s-1-A►,3¢.s4 A ukf:,';7 r.3 f x,i l P,•-S o 4 Sem e B' Fee (Permanent Sign.any size) 550.00
Materials: (7...0��c-i e to �,o L1 c,-+)-. tea rp Cs e 0 Fee (Temporary Sign) 515.00
Are there any Existing Signs at this Location? Yes 0 No I certify that I am the recorded owner of the
Opts.an:tlbansloatlfineeNoss mast also Os ll) property or an agent authorized by-the r.
NOTE:* If work`-authorized under a sign permit has not been We
completed within ninety days after the issuance of the .
permit THE PERMIT SHALL BECOME NULL AND VOID. Applicant's Signa e
1
- _
CITY OF TIGARD
Approved 1v1
Conditionally Approved [
For only ti-i-..: ,, t' c as qscribed in:
PERMIT NO. J I]—00143
See Letter t.. , ilc.A/ 1 1
Job NoldrIss: _ 41S—6L-C) , '
--p-ifv-i-hy[ ]
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NORTHWEST AUCTION
GALLERIES, Inc.
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