City of Washington Sign Permit Application
Inspection/Zoning Divisions                     P.O. Box 1988, Washington, NC 27889
252-975-9352 / 252-975-9304                                                                                  8:15 AM - 4:45 PM
Project Name:
Parcel #: Date:
Project Address: Property Owner's Name:
Sign Contractor: Address: Ph.#: Contract cost:
Electrical Contractor: Lic.#: Ph.#: Contract cost:
FREESTANDING:
Total new sign area:  ____Height____ x ____Width____ = ____Area____ Sq. ft.             Lighted:  (  ) Yes   (  ) No
Total height to top of sign:
_________ft.         ________in.		 Ground clearance under sign area:
_________ft.         ________in.
In sight distance triangle?:
(  ) Yes   (  ) No 		Distance behind Right-Of-Way line:
_________ft.         ________in.
Other than new sign, number of existing
freestanding signs:________________ 		Total square footage of all existing signs:
_____________Sq. ft.
ALL POLE SIGNS MUST BE DESIGNED TO MEET 100 MPH WINDLOAD
ATTACHED:
Total new sign area:   ____Height____ x ____Width____ = ____Area____ Sq. ft.              Lighted:  (  ) Yes   (  ) No
Projection from the building:
_________ft.         ________in.		 Ground clearance under sign area:
_________ft.         ________in.
Area of building wall:  ____Height____ x ____Width____ = ____Area____ Sq. ft.
Other than new sign, number of existing
signs attached to the building(s):________________ 		Total square footage of all existing signs:
_____________Sq. ft.
WINDOW OR DOOR:
Total new sign area:  ____Height____ x ____Width____ = ____Area____ Sq. ft.             Lighted:  (  ) Yes   (  ) No
Size of window:   ____Height____ x ____Width____ = ____Area____ Sq. ft.            Number of existing  attached signs:  __________
DRAWINGS (FOR EXAMPLES SEE SIGN PERMIT APPLICATION DIAGRAMS)
DRAW DIAGRAM OF LOT, SHOWING NEW AND EXISTING SIGNS, R/W'S, DRIVEWAYS, SIGHT DISTANCE TRIANGLES, ETC. DRAW DIAGRAM OF SIGN, GIVING EXACT DIMENSIONS
Permit expires if work or construction is not begun within 6 months, or if construction or work is suspended or abandoned for a period of 12 months at any time after work has begun.  I affirm that all information is true and correct, that I will complete all work, call for all inspections in a timely manner and comply with the requirements of all local, state and federal codes and regulations.
Signed: Date:
FOR OFFICIAL USE ONLY
Permit Fee: Zoning District:
Historic District: ___ Yes (attach COA)   ___ No Primary Fire District: ___ Yes   ___ No
Approved by: Date:
Comments:
Return to: [Home]  [Planning & Development]  [Permit Applications & Information]