HomeMy WebLinkAboutALL DOCS - 13-00354 - 29 S 2nd E - Seasons Medical - SignSign Permit Applicqtio
City of
www.rexburg.org Phone: 208.359.3020
Fox: 208.359.3022
Fixed Signage
G35 N. lsr E.
Rexburg, lD 83440
Applicant lnformation
OWnerName: SeasonsMedical
Amc ri c a\ Faini$ ()otn m un ity
CITY OF URG
Site Address: 29 South 2nd East
Mailing Address:
Telephone:
228 E. Main St.City/State/Zip: Rexburs, lD 83440(2O8) 524-3840 Mobile:
Contractor lnformation
contracto/sName: YESCO
Contractor's Address:
Contractor's phone:
1530 W. Sunnyside City/State/Zip:fdaho Falls, lD 83402522-7558 Mobile: 58e-414e
Electricauspecialty contractor Information (For powered or righted signs)Contractor I nformation
COntraCtOr'S Name: Davis Etectric
ContractOr,S AddreSs: pO Box 886 City/State/Zip:Blackfoot, lDContractor,s phone: (20S)785-2363 Mobile:Contractor's Signature:Date:Sign Information
Sign Area sq. ft:
Sign Description:
Sign Height (from ground):12'
One double face internally illuminated Monument sign.
For a Sien Permit it is mandatorv tt at y-u haue tEGito*ing info;;ii6;
2 Sets of elevation drawings of a sign & (plot ptots if opplicobtelDrawn to scale with dimensions and complete.onrtrt,ation materialsFootings if applicable
Engineer stamped if required
FREE STANDING SIGN WAtt SIGNS
f] PLOT PLAN TO SCALE SHOWING tr A) SQ. FOOTAGE OF WALL (S/6ru O/V)EIA) BUILDING LoCArloN tr B) EXtslNc stGNS & AREAE] B) LOT SIZE tr C) NEW SIGN & AREAtrC) NEW SIGN LOCATIoN E D) LOcATtoN OF S;GN oN WALLE D) DlMENsloNs ro slGN FRoM PRoPERTY LINES tr E) ls slGN LTGHTED? yES (must meet stote etectrica! code)E E) PARKTNG LOT ENTRANCE S (sign must be in legal zone for tighting and type)E F) DISTANCE OF SIGN FROM RIGHT OF WAY
E G) EX|ST|NG SIGNS LOCATTON & AREA
tr H) ls slGN LIGHTED? YES (must meet stote electrical code) (sign must be in legat zone for lighting ond type)Fee: s100* - szs.oo refundable at time of final inspection and photo of completed sign.*An extra SG5.00 charge will be applied to any powered or lighted sign.
Signatureof Applicant: Justin Steadman Oate:
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 regulation information.
For Office Use Onlv:
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Receiptcodes:(Regurar)tJpz:$25.00 [ ] pzsD:$75.00 (ForElectricalAdd) t I ELEC:$40.00
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i;.1it44-D DATE
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CLAIMANT OR HIS AGENT SIGN HERE
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City of Rexburg
35 Northlst East
Rexburg, lD 83440
208-359€020
Extended Amounti
s75.0A',
b Transaction detail for payment to City of Rexburg.Date: 09/06/2013 - 2:10:03
Transaction N umbe r: 221 28253PT
Mastercard - XXXX-XXXX-XXXX-5434
Status: Successful
Billing Information
JUSTIN STEADMAN
,84109
Payment Service Provided By www.xpressbillpay.com
Copyright @ Xpress Bill Pay 2013 - All Rights Reserved
TOTAL:s165.0A
Transaction taken by: shellie
https://rrlr,uJ.xpressbi | | pay.com/com mon/paymentjprocess. ph p gl6lzou
fxpr.r, Bill pay - Transactiortetails
Details
TATAL:s-75.00
Billing Information
JUSTIN STEADMAN
, 84109
{
J. Transaction Notes: sign inspection passed refund deposit
Transaction taken by: marianna
Site Secured by - Starfield Technoiogies Inc.
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Transaction
_- Transaction Number: 23ll224gpTMastercard - XXXX.XXXX_XXXX-S434
https ://www'xpressbillpay. com/common/trans-details.php?hansid:MjU2MzItNjc%3D... t2/tg/2013
City of Rexburg Receipt#:442
Date:916f2013
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City of Rexburg
35 Northlst East
Rexburg, lD 83440
208€59-3020
$25.00
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TATAL:
Billing Information
JUSTIN STEADMAN
, 84109
Transaction taken by: shellie
payment Service provide d By www.xpressbillpay.c;; -
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Transaction detail for payment to City of Rexburg.Date: 09/06/2013 - 2:10:03 pM
Mastercard - XXXX-XXXX-XXXX-0434
Status: Successful
https://trrrr,r.r,.xpressbi | | pay. com/com mon/paymentJDrocess. p hp 91612ots
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Rec't Acknowledged
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