HomeMy WebLinkAboutALL DOCS - 12-00161 - 901 N 2nd E - Falls Plumbing Supply Co. - SignCITY (}
Cor,.ipletlgn ij;rr*,
SC tv*"iA p pl i ca pt t rlQq;"4p ati o n
Own e r ltieim$l-Jln,qGr
site Addresi?itynr
Mailing Address:
Telephone:
Contractor Information
Contractor's Name:
Contractor's Address:
Contractor's Phone:
city/state/Zip: & I r4c
Mobile:
t^- citv/state/zip:
Mobile:
Electrical/specialty contractor Information (For powered or righted signs)Contractor Information
Contractor's Name:
Contractor's Address:
Contractor's Phone:
Sign Information
Sign Area sq. ft:
Sign Description:
City/State/Zip:
Mobile:Contracto/s Signature:Date:
Sign Height (from ground):
Sign PermitApplicolion
City of Rexburg
Phone: 208.359.3020l:'i i "1, t"- I:r;:i.., -.:1'. _;:-ild
ruh
For a sien permit it is mandatorv th.t yo, hiueihE?orro*inE i"to-ffiil
FREE STANDlNG SIGN
i ] PLOT PLAN TO SCALE SHOWING
f tA) BUtLDtNG LOCATTON
wAtt slcNS
ililTTJ,illffilffi:-,xl.l,iffiffifftf.ler a._ ( /+ st,. .frfft" s
Footings if applicable /,> t , J nEngineerstampedifrequired Zd/7r/.tr'SX+a-
1.
2.
3.
4.
ir B) LOT S|ZE
r c) NEW S|GN LOCATTON
! D) DIMENSTONS TO S|GN FROM pRopERTy LTNESi-r E) PARKING LOT ENTRANCES (sign must be in tegar zongfor tighting and type)r.r F) DTSTANCE OF S|GN FROM RTGHT OF WAy wu G) EXtSTtNc stGNS LOCATION & AREA
tJ A)SQ, FOOTAGE OF WALL (5/6N O/V)
t] B) EXtSTtNG STGNS & AREA
n c) NEW S|GN & AREA
Lr D) LOCATTON OF S|GN ON WALL
tr E) lS SIGN Lf GHTED? yES (must meet stote
Ll H) lS S|GN LTGHTED? yES (must meet
Fee: 5100* - $ZS.OO refundable at tLnq of final itAn extra 540.00
Signature of Applicant:Uu
Note: This document is for application proposes only (the legal sign permit form must be signed by city officials before sign is approved)see sign ordinance g0g at www.rexbure.ors for regurationlnformation.
For Office Use Onlv:
Receipt codes: (Regurar) ffirt: ti:lr ty' yzso=$75.00 (For Erectricar Add) [ ] ELp= $40.00
U\t/
2/t/tr
INSPECTION TICKB'
O Bldg.O Plumb.
lnsPction R'equest:
n.q siJAi$l
ld BY
L.trl ]L!U
O Re^s'
Fitc
. ,-.l
\ t,-
\
Project
Address
t-nx L-IN'AED DWGS
INSPECTOR'S ACTION
'!3nPPRoveo
/jco (FINAL)
ACTION REQUIRED:
N DISAPPROVED
NNOTAPPLICABLE
N HNAL
D DID NOT NSPECT
Rec'l Acknowledged
$,tdo - olicc cogy
F.f tF.co(n
Pil - h.9..lo.l@t
tt|os ' Job Co9Y
CLAI,ftd FORfVI
VENDOR #
fENDOR NAME
Znd LINE NAMF
q}DRTSS
]ITY, STATE, ZIP
\ i( .. 'f ( ,t,l,,r-, i,..,,, DATE , l /t / ; ,^ | ,
'" DH APPROVAL
7i lf ':, sli /lr,t- .
i'cr,, tl t(c,, li; CCAPPROVAL
I Jlt.r J ' Ir \ *... r./r,,r ll(. r {
I
ti i r; :i u i!
< it.._:i,.1,.,,1I
DESCRIPTION
1i
r ',{ [d i^"t..,f
+'(' '- r 1
I
AMOUNT
--F--"" - Ph
,{ (" t:"1 l\
,.ri ,.i1 iL"+ ,
, i I i-, ' - :,r, ( 1.,. "{r",j 1' ! {L'J\ 1 r\ '-
1 r: {i i-4 1{ I {' '';s- i u{'
, . ( J,,.;L.,;,ll( ,..
,I
i; i it. {. 1.. +-k*.
Gw* tu Pan
,) __ll ryl tL
tO ud cAue/z' -6Q'^
atlr-J,
(,r I ; ,/ t,it,tt I ti tli L.'.r. .*
CLAIMANT OR HIS AGENT SIGN HERE
p{L/tlncn 7L
r.li-,i5l-ii r!
.,, jii:l! . : , -.r.1!,., ,,. ,:.:-.::r"x.!tt- 1.- I \J
:'i'l'-' t'.:r ir : ri'
i'lll.:
'lir' ;il'r
i -iL . L;;,
(208) 359-3020
llllerchant City of Rexlurg-moto
35N1stE
Rexburg, lD 83440
US
Order Information
Desaiption:
Order Number:
Customer lD:
Billing Information
MICHAEL MALCOM
MasterCard XXXX4B6Z
Date/Time:
Transaction lD:
Trdnsaction Status:
Authorization Code:
Payment Method:
Shipping: 0.00
Tax: 0.00
Total: USD 140.00
\",,o
,,o*,r*(f,l* k*f a4--*,yx,-
. Invoice Number:
Shipping Informstion
21-Apr-2011 13:09:2i
3583944410
Captured/Pending Settlement
079894
Maslercard XXXX4862
I
Transaction Detail Page I of2
Feedback I Contact Us I Live Help I H
* 6y:h*€fi{ffi*x$Se*i
HomelToolslReports Search Account
Transaction DetailTransaction Delail
rla l saltj o l !,tl!i:ti cs
Returls.
QuickBooks Download
Transaction lD: 3583944410
Transaction Status: Settled Successfully
Settlement I nformation
Settlement Amount: USD 140.00
Settlement Date and Time: 22-Apr-2O11 00:17:02
Business D ay : 22- Apr-2O1 1
Batch lD: 152927010
Authorization I nformation
Authorization Amount: USD 140.00
Submit Date /Time: 21-Apn2011 13:09:27
Authorization Code: 079894
Reference Transaction lD: Not Applicable
Transaction Type: Authorization w/ Auto Capture
Address Verification Status: AVS Not Applicable (P)
Card Code Status: Matched
CAW Result Code: Not Applicable
Fraud Score Applied: Not Applicable
Recurring Billing Transaction: N
Partar captwe
::JH;
Not Appricabre
Payment Information
Card Type:
Card Number:
Expiration Date:
Total Amount:
MasterCard
XXXX4862
XXXX
usD 140.00
Order Information
Invoice #:
Description: SIGN PERMIT 1100127
Customer Billing lnformation
Name: MICHAEL MALCOM
Company:
Address:
City:
State/Province:
Zip Code:
https://account.authorize.rnet/Ullthemes/anet/transaction/transactiondetail.aspx?translD:35. .. 4l13l20l2
lJ
Transaction Detail Page2 of2
Country:
Phone:
Fax:
Email:
Customer lD:
Customer Type:
Customer TaxlD/SSN:
DL Number:
DL State:
DL DOB:
Shipping Information
Name:
Company:
Address:
City:
State/Province:
Zip Code:
Country:
Additional Details - Level 2 Data
Tax: 0.00
Freight: 0.00
Duty: 0.00
Tax Exempt: N
PO Number:
View Printable Receipt Back to Transaction Summary
T*
"o Xi ll,li; lXll: K li?i ;l.i,:?;"j?fi : :'3,"il3if ',
https://account.authorize.netUl/themes/anet/transaction/transactiondetail.aspx?translD:35... 4l13l20l2
oCLAIM FORM
VENDOR #
VENDOR NAME
2nd LINE NAME
ADDRESS
CITY, STATE, ZIP
.t I'lllSlTc'lt.
4ruDH APPROVAL
CC APPROVAL
CI'I'Y OF
REXBT]RG
America\ Family CommunitY
DESCRIPTION ACCT#ACCT DESCRIPTION AMOUNT
;1,, ',. tt', i l- t[ i "\ e' c i L-' I
'fr t (.,, Jl,,' 1 tiLtlltr:r'',', ffr' \('".,) rr.1 r L i y'i,,( it 7,,1,,t
;LX .1*V C(,!L; .''z
t-/
t-\-
J/
/ /, | .I'{ '}l,ll(1lut---
CLAIMANT OR HIS AGENT SIGN HERE
Receipt Number: lry!!X{,:iiir,;|
35 North 1st East / Rexburg, lD. 83440
Phone (208) 359-3020 / Fax (208) 359-3022
12 00161
12 00161
RPRXBCA01{ SignDeposit
RPRXBCA01{ Sign Permit
$75.00
$25.00
Total:
$75.00
$2s.00
$0.00
$0.00
$100.00
s 100.00
$100.00
i:TT iJF Ti-{FLiF:E
FAII: FY: f*LLi Flui{$iirti; ggpplt
it*TE: B4,j0t,iii
Tllit;18;.11:-It
.cfi T,r,ii4 [$,jli,lTF:
ftEliIFI ilil; I50i?i
[ti: i,lS: ii]t?
I tz FlAhli{ilq[ *;irH]ilfi rF:il :5.flc
2 Fi SIGi.l IrEt'[S:T ?5.f;s
[HE*i *]lilUliT iilil"i"ifi
F liYf Ei'lT i t[ " ijfi
[Hdiliii [ . firjI(
rrlLLS PLUiiFlil6 SIJPFLY
TliAl'lfi 'i0iJ AtJIr Hf1Ui * i,lift IrAY
genpmtrreceipts Page 1 of 1