Public Works
14525 Main St NE
Duvall, WA 98019
(425) 788-3434 Fax: (425) 788-0311
Sign Permit Application
PERMIT #
Permit Name: Parcel No.
Permit Address: Contact phone #
Describe the scope of work in detail:
Building Owner/Developer
Contractor
Name:
Company Name:
Manager/Contact Person:
ID#:
Address:
Address:
City: ST/Zip:
City: ST/Zip:
Phone(s): Fax:
Phone(s): Fax:
Sign: (Scale 1” = 20’) 2 color & 2 copies, minimum size 8 ½” x 11”. Includes:
• Show view of sign, as it will appear on building.
• Show weight and dimensions.
• Provide cross section showing foundation, structural members (studs, beam, post, wall) and how
attached (bolts, screws, lags nails, welds) to building and into what framing member.
• Show what kind of material sign is made of, include color, whether lighted or not and all structural
components. (size included)
TOTAL CONSTRUCTION COST ESTIMATE: $
Applicant: OWNER OWNER’S AGENT CONTRACTOR CONTRACTOR’S AGENT
I have read this application and declare under penalty of perjury that the information contained herein is correct and complete. I agree to comply with
all City Ordinances and State Building Codes. I, hereby authorize representatives of this city to enter upon the above mentioned property for inspection
purposes. I am owner of said property, the Washington State registered contractor responsible for the work, or I represent the owner or contractor as
signified above and I am acting with the owner’s/contractor’s consent.
Print name Date
Signature Date
Application expires 180 days after submittal date.
OFFICE USE ONLY (Please do not write below this line)
PLANNING: Planning Approval Date
Conditions:
BUILDING: Permit fee Plan check fee Total fees $
Building Department Approval
Date
Conditions:
click to sign
signature
click to edit
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