HomeMy WebLinkAboutALL DOCS - 13-00077 - 24 S 1st W - Tami's Salon - SignSign Permif Applicqfion
City of Rexburg
Phone: 208.359.3020
Fox: 208.359.3022
1,t : ( lt- lut '"
CITY OF
35 N. lsr E.
Rexburg, lD 83440 www.rexburg.org
Applicant
Owner Name:
Site Address:
Mailing Address:
Telephone:
Contractor I nformation
Contractor's Name:
Contractor's Address:
Contractor's Phone:
Contractor's Name:
Contractor's Address:
Contractor's Phone: V,)(.*A17O
Contractor's Signature:
BURG
c5r -''
Community
Fixed Signage
City/State
City/State/Zip:
Electrical/specialty contractor tnformation (For powered or righted signs)Contractor Information
Mobile:
Mobile:
i,11" L.,li4''( "t
,t3
City/State/zip:
Date: 1'Sign Information
Sign Area sq. ft:
Sign Description:
Sign Height (from ground):
,4,
Forasienpermititismandatorvthatyout'ffi
,,y,rr, ffi1. 2 Sets of elevation drawings of a sign &.(pleplegjLepfus4d lTli!:fl*.i*,,2' Drawn to scale with dimensions and complete construction materials [':,.;;t . r'' ' '.
\^ . ,rnA fL(3. Footinssifapplicable { \4vlA\\\lll'_"n*-
4. Engineer stamped if required !
--]t
\ O\f\\(l'IltFREE STANDING SlcN WAISIGNS .\_._.
E plor 'LAN To scALE sHowrNG tr A) se. FoorAGE oF *ALL olh olvr - "
EA) BUILDING LoCATIoN E B) EX;ST;NG stcNs & AREA
(4,
E B) Lor slzE tr c) NEW stGN & AREAEIC)NEWSIGNLOCATIoN tr D)LOCATTONOFSTGNoNWALL
tr D) DlMENsloNs ro slGN FROM PROPERTY LINES E E) ls slGN LIGHTED? yEs (must meet stote erectricat code)tr E) PARKING LOT ENTRANCES (sign must be in lego! zone for tighting ond type)E F) DISTANCE OF SIGN FROM RIGHT OF WAY
EG) EX|ST|NG stcNs LocATtoN & AREA
E H) ls slcN LIGHTED? YES (must meet stote electricot code) (sign must be in legol zone for lighting and type)Fee: s100* - s75.00 refundable aF,time of final inspection and photo of iompleted sign.*An extra 565.00 chargywill be applied tolany nowered or lighted sign.
Signature of o^r", '1 -1 - l?
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 1027 at www.rexburs.ors for reguration information.
For Office Use Onlv:
2/r/tr Receiptcodes:(Regular)t lPZ:$25.00 t I pzsD:$75.00 (ForElectricalAdd) t I ELEC:$40.00
INSPECTION TI
tr BHg. tr phmb. I Ehcr.A Mech. O Firc
o'" Ii '7-?- \1rInspction Reguest: Rec'd By
Req. By Phone No. Zt\t"- lcTli",
Perrnir No. f ), c t -{ l._}l\*
Address .l*\\\\\ -rri
\*
Inspection Type
INSPECTED ITEMS CONFORM TO APPROVED DWGS DV Dtr
B DISAPPROVED
NNOTAPPLICABLE
D HNAL
DDTDNOT|NSPECT
ACTTON REQUTRED:
Rec't Ackmrwledged
Ulnil. . Oilacr Copt
F-FtF.cdt3
ltlor ' Job Copy Pl* - h?.ctrloet
Inspector's RepoA
CLAIM FORM
VENDOR #
VENDOR NAME
2nd LINE NAME
ADDRESS
CITY, STATE, ZIP
' {:n',:'u \-l "t'' r tt'uu DATE
DH APPROVAL
CC APPROVAL
.-i.,t:, lPttl17
)q S'te{ t'r,
CITY OF
REXBI.IRG
Am er i ca\ Family C o mmunity
DESCRIPTION ACCT#ACCT DESCRIPTION AMOUNT
0rrrr,"r # tiooc''1 1
- "'l' ct ,'t, '', l; I o- (i ,,. 4 , ,,, , i
t'\i icstl u{t"r."
, ,&' "- --
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/7).1 -'14,
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I ( ; . rttt / I'.r_/.((,\.\ 1 tre(2 t.LtCU
CLAIMANT OR HIS AGENT SIGN HERE
@ Department of Community Development Receipt Number:19{qgi .; ":
35 North 1st East / Rexburg, lD. 83440
Phone (208) 359-3020 I Fax(208) 359-3022
RPRru(Bl04C Sign Deposit
RPRRXB104C Sign permit
Total:
$75.00
$25.00
$100.00
Payment Ghock
Method Number
N/A $ 100.00
$100.00
MAR 'i 7 ?ti13
CITY OF FIEXBURG
genpmtrreceipts Page 1 of 1