SGN1995-00062 Permit No. W2
CIYOFTIGARD
SIGN PEr APPISCATICN
The applicant hereby applies for a permit for the work indicated or as stun in the
acccrapanying plans and specifications.
SIGN LOCATION ADDRESS: 15650 SW Upper Boones Ferry Rd. ZONING: CG
NAME OF BUSINESS: Burgerville USA
APPLICANT /AGENT: Ray Bra COMPANY: ES &A, Inc PHONE: 503/598 -7410
The City of Tigard imposes an annual Business Tax which must be kept current on all
persons doing business in the City. Do you presently have a current business tax?
YES ( X) NO ( ) U.L. Label I
PROPOSED SIGN: (Check as many as apply)
PERMANENT (X) FREES1ANIDING ( ) FREBRAY ( )
TEMPORARY ( ) WALL (X ) ELECTRONIC ( )
OTHER ( ) BILLBOARD ( ) BALLOON ( )
SIGN DIMENSIONS: 21" x 15FT EXPIRATION DATE:
TOTAL SIGN AREA (Sq. Ft.): 26.25
TALL AREA (Sq. Ft.):
WALL FACE: 500774-
inmar (Ft) : 16FT
PROJECTION FROM WALL: 5"
ILUR TION: YES ( X) NO ( ) TYPE: NEON
SPY: Burgervill USA
MATERIALS: Aluminum, Acrylic, Neon
EXISIr1NG SIGNS:
None on this elevation
EME TION: N/A ( ) API VED ( ) HOW MUCH
AREA ( ) HEIGHT ( )
ODM N`IS:
PLANNING DEPARTMENT All sign permits must be accompanied by a scale
Permit Fee: 25, CYO drawing' and plot plan. If work authorized under
Receipt No: °1 5 - Z6 L4 7 a sign permit has not been completed within ninety
Approved By: ), ■)-)4.e..L t days after the issuance of the permit, the permit
Date: L{ Z7 fir, shall became null and void.
ELECTRICAL PERMIT I CERTIFY ' r• I AM THE REC RDED OWNER OF THE
REWIRED: YES (V NO ( ) PROP D j O: • k A +' •RIZED BY THE MITER.
BUILDING PERMIT / /i / ei r
REQUIRED: YES ( ) NO (Vi • ..• icanT's Si• "tune
12725 SW 66th Ave Portland, OR97223 503/598 -7410
cP /BK"T'ERMT Address Telephone
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