HomeMy WebLinkAboutALL DOCS - 08-00420 - Magic Suds Laundromat - SignSign Permit Application
City of Rexburg
12 North Center
Rexburg, ID 83440
Applicant Informa L*n
Owner Name:
Site Address: 412-
Phone: 208.359.3020
www.rexburg.org Fax: 208.359.3022
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Fixed Signage
Mailing Address: 22- � - 7 (--�, y 2 D Os City /State /Zip: 0- j
Telephone: Mobile:
Contractor
Contractor's Name:
Contractor's Address: 2-- Z 9' 7 W A D y 5 City/State /Zip: K.
Contractor's Telephone: 15 6 - 16 Y% Mobile: j 5 I ` / 6
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Electrical /Specialty Contractor Information (For powered or lighted signs)
Contractor's Name: Contractor's License Number:
Contractor's Address:
Contractor's Telephone:
Contractor's Signature:
Sign Information
Sign area sq. ft:
Sign Descriptions:
City/State /Zip:
Mobile:
Date:
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"� Sign Height (from ground): /
For a Sign Permit it is mandatory that you have the following information:
2 sets of elevation drawings of a sign & (>5lot Plats iLgW cable
Drawn to scale with dimensions and complete construction materials
Footings if applicable
Engineer stamped if required
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FREE STANDING SIGN W L SI NS
❑ Plot Plan to scale showing: a) Sq. footage of wall (sign on)
❑ a) Building location ❑ b) Existing signs & area
❑ b) Lot size P<New sign & area
❑ c) New sign location ❑ d) Location of sign on wall
❑ d) Dimensions to sign from property lines ❑ e) Is sign lighted? Yes (must meet state electrical code)
❑ e) Parking lot entrances (sign must be in legal done for lighting and type)
❑ f Distance of sign from right of way
❑ g) Existing Signs location & area
❑ h) Is sign Lighted? Yes (must meet state electrical code) (sign must be in legal done for lighting and type)
Fee: $100.00* - $75.00 refundable at time of final inspection and photo of completed sign.
*An extra $40.00 charge will be annhed to any powered or lighted sign.
Signature of Applicant: Date e ce
Note: This document is for application purposes only (the legal sign permit form must be signed by city officials before sign is approved)
See Sign Ordinance (no. 908) at www.fexburg.org for regulation information.
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Signature
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Other department approvals may be required
CLAIM FORM
VENDOR #
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VENDOR NAME C�t�,ca� DATE
2nd LINE NAME ga"n r -eve FED ID or SS#
ADDRESS d-,Z 0 Gy • Qoo S . TELEPHONE
Circle
CITY, STATE, ZIP , D 93 Q 1099 CODE:
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Corporation Product
Normal 1099 Rent
DESCRIPTION
CODE
AMOUNT
APPROVED
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CLAIMANT OR HIS AGENT SIGN HERE