SGN1995-00164 .
Permit No . ` 94/ _ 0/6'Y
CI'T'Y OF TIGARD
SIGN PERMIT APPLICATION
The applicant hereby applies for a permit for the work indicated or as shown in the
accompanying plans and specifications. �nJ
SIGN LOCATION ADDRESS: ___Z (9�., a. -// /Z 6(/e. G: C .-j
NAME OF BUSINESS: '- "i 1 7
APPLICANT/ AGENT: COMPANY: L =a,W 6/4S PHONE: .9:3 40
The City of Tigard imposes an annual Business Tax which must be kept current on all
persons doi9.15 business in the City. Do you esentl ve a current business tax?
YES (t4 NO ( ) U.L. Label # ,4 (� c
PROPOSED SIGN: (Check as y as apply)
TEMPORARY ( ) (� ELECTRONIC (k4
OTHER ( ) BILLBOARD ( ) BALLOON ( )
// /
SIGN DIMENSIONS: /� /E EXPIRATION DATE:
TOTAL SIGN AREA (Sq. Ft. :
WAIL AREA (Sq. Ft.) : l 3( /ln
WALL FACE: //
HEIGHT (Ft) : /6
PROJECTION F al WAIL: f 4
ILLUMINATION: YES (1,4" NO ( ) TYPE:
COPY: •' e/ 2 SE
MATERIALS: �_.or . /J,;,W//'
EXISTING SIGNS: ----
ADMINISTRATIVE EXCEPTION: N/A ( ) APPROVED ( ) HOW MUCH %
AREA ( ) HEIGHT ( )
COMMENTS:
PLANNING DEPARTMENT All sign permits must be accompanied by a scale
Permit Fee: IS " - drawing and plot plan. If work authorized under
Receipt No: }. QO ei S - -3. & a sign permit has not been completed within ninety
Approved By: days after the issuance of the permit, the permit
Date: / / -i3' shall became null and void.
ELECTRICAL PERMIT/ I .+�•+ ,i. I % i • Da''ED OWNER OF THE
REQUIRED: YES ( ✓ ✓) NO ( ) PROPplo OR 2; . ,a , •• 'BY THE OWNER.
BUILDING PERMIT F
REQUIRED: YES ( ) NO ...lican S L� i ture
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For or�1 n Ap "rove
Y t' e work a s de scribed in —
PERMIT NO. Sh
O0 4Q'ICYPS 86-
Date:11�
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a =t; EXPE /S E LETTERS:
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SHEA EXPERTIS
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THIS ORIGINAL DESIGN AND SPECIEIC:a,iIONS ARE THE PROPERTY
OF SECURITY SIGNS. INC. AND ITS
• i S i l ANY 1NAY OTHER THAN y ; �
AUTHORIZED IS STRICTLY FORBIDDErd