H:\CED\Data\Forms-Templates\Self-Help Handouts\Building\Sign Permit ApplicaƟon Permanent.pdf Updated 4/26/18
<br />Development Services Division
<br />1055 S. Grady Way
<br />Renton, WA 98057
<br />(425) 430-7200
<br />SIGN PERMIT APPLICATION
<br />This application must be filled out completely in order to be submitted for review. We will not accept incomplete applications. Sign applications
<br />for permanent signage are good for one (1) year from the submittal date. Once issued, a Permanent Sign Permit is good for one (1) year from the
<br />issue date. A one-time extension of one (1) year can be requested at a cost of half the permit fee. Please see the Sign Regulations for more
<br />information. Please follow our Electronic File Standards for information on the electronic submittal requirement. This application must be a .pdf
<br />and be included in your electronic files submittal.
<br />FOR OFFICE USE ONLY:
<br />PERMIT NUMBER: _____________________ LAND USE NUMBER: ____________ CODE CASE NUMBER: ____________________
<br />1. LOCATION INFORMATION
<br />JOB ADDRESS: ____________________________________________________________ TENANT NAME: _______________________________
<br />VALUE OF WORK: (Fair market value for time + materials)_$________________________ BOEING JOB #(If applicable): ____________________
<br />2. OWNER INFORMATION
<br />PROPERTY OWNER NAME: __________________________________________________________ PHONE: ______________________________
<br />ADDRESS: ___________________________________________________________ CITY: ______________S TATE: _____ ZIP: ______________
<br />3. CONTACT INFORMATION
<br />CONTACT NAME: _______________________________________________________ PHONE: _____________________________
<br />EMAIL: _______________________________________________________________ FAX: ________________________________
<br />4. CONTRACTOR INFORMATION
<br />I AM DOING THE WORK AS THE BUILDING EOWNER. If yes, please fill out the Owner Affidavit and include it with this form.
<br />If you are not the owner, you must include written permission from the owner with this application.
<br /> I AM HIRING A LICENSED CONTRACTOR. Fill out the portion below:
<br />NAME: _________________________________________________________ PHONE: ___________________________________
<br />STATE OF WASHINGTON CONTACTOR’S LICENSE: __________________________________________________________________
<br />CITY OF RENTON BUSINESS LICENSE:
<br />I certify that the information on this application furnished by me is true and correct and that the applicable requirements of the City of Renton
<br />will be met. Certification is hereby rendered that no work is to be done except as described, and that all work shall conform to applicable codes.
<br />Work in public rights-of-way and/or utility easements are not authorized under this application. Fees to be paid at permit intake.
<br />APPLICANT SIGNATURE: ______________________________________________________ DATE: _________________________
<br />APPLICANT NAME PRINTED: _________________________________________________________________________________