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,i7 <br /> i.. <br /> �r.. <br /> C�7 C��] � . ,' <br /> ay everett , �=� f:..� <br /> �,y � � BILLIlOARD PSIAfIT APPLICAT'tON <br /> K " � Receipt No. _-_��J�y�1.M�9G) <br /> o x c, Biilboard Location: 3330 Evergreen Way Permit No. <br /> "��' "� Associated Nonconforming Hillboard Permit No. <br /> Vl H <br /> H <br /> � C Tl�e Nonconforming Billboard referenced in Permit No. must be <br /> �F� d demolished or brought into compliance prior to :ssuance of n Dillboard Permit. <br /> H � g Hes your company signed m agreement with the City designating the order in <br /> H� c� which your nonconforming billboerds will be brought into compliance? �s _ <br /> �7� Ackerley Communication 3601 - 6th Av S, Seattle 98134 682-3833 <br /> �y H H Bil.lboard Owner/User Mail Address City Zip Phone <br /> O y H yhomncon Prog . i .a r.�nr 97�9 3rd Fav NP Seattle 98115 524-2200 <br /> n d N Property Owner Mail Address City Zip ph ne <br /> �� t. .ckerley Communications 3601 6th �v S Seattle 9tf134 68�2-3833 j <br /> y y Coatructor Mail Address City Zip Phon� <br /> HOw <br /> " State License City License <br /> ACKERC �!245 JP. ;k34930 .. <br /> Valuation of Work (inc. lebor) F&BS <br /> $3500. 00 Fee <br /> Description of Work Billboard <br /> r:rect Double-faced billboard plan Check �' f�. <br /> ZC 1 35eiNht � �T� <br /> ft. <br /> ; � <br /> Size in Sq. Ft. Double-Side Single-Sided Setbacks from R.O.W. 's <br /> i ���j ' 9RA ca ft. (� � faces = SJG sa f'- 25 ft. <br /> .� <br /> i A COPY OF WRITTBN APPROVAL OF CBRTIFICATION <br /> � ,� HORI2�NTAL AND V6RTICAL CL6ARANC6 <br /> �s� FTiOM SNOUOMISH COUNTY P.U.D. AND I hereby certify that I <br /> i G.T.&. OF NORTDWBST HAS BEGN authorize the proposed billboard <br /> � SUBMITTRD BY TfIB APP AND IS construction on my property. <br /> ATTACI�D. Yes _ No _ <br /> Si�ature of Property Owner Date <br /> I �� X see attached lease authorization <br /> o'-' I AERF�Y CHRTIFY TAAT I AAVS RBAD AND BXAMINBU THIS APPLICATION AND HNOW Tfi6 <br /> SAME TO BB TRUS AND CORRECT. ALL PROVISIONS OF LAWS ANU ORDINANCfiS GOV6RNING <br /> T3I3 i'YFB OF WORK WILL ➢B COMPLISD WITfi WHBTIIEiR SP&CIFIfiD HBR&IN OR NOT. THB <br /> GRANTIHr, OF A PfiHMIT DOSS NOT PRSSpl� TO GIVE AUTHORITY TO VIOLATB OR CANC6L <br /> THB FROVISIONS OF ANY OTfIBR STATB OR LOCAL LAW REGULATING CONSTRUCTION OR Tf� <br /> """"�� PBRFOAMANC6 OF CONSTRUCTION. <br /> � Xign �L�f Co tractor _ut �nt 1 i' ��at9� <br /> Il� 7 <br /> \��t <br /> HOTICS: � Normal revicw procesa takes about 10 rrorking daye to co�plete. <br /> IY a permit ie not iseu� within 180 daYs of tha dnte of thie <br /> applicatioa, it will expire and plana �ri.11 be returaed to the <br /> billboard atner or des yed. <br /> APPROVED FOR Pfifa1IT ISSUANCS: y,/�,.t/�/_�/3'� � �$"'y� <br /> �iri}�}' rCSdr Date <br /> '�.ti�A1N6 'aNl.std., <br /> ..x. u . ., _.. . >N.: .a-.. . . . . .. . -�ct.Y�v t-...rab-:. . _ .. .. <br /> I <br />