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Sign Permil Appllcolion
Clfy of Rcxburg
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Applicant lntbrmation
Fixed Signage
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Srtr .\.j.lrsr.: 485 N 2nd E Suite 10S,lD..:-. S&.r'tt_-L , xi,r/- St r...tr,t
\l.ril:ng .\ririru.: 485 N 2nQ E*Suite 105 (,jir' {r.,t.',{ip' Rel(Qlllg,-l,D
Trtr. ni:, rnr: 208:qq1:09_9 1
Contractor lnformarion
\lr,\rr".. 208-881-0991
('i inrrirri ir'\ 1.,,r.,, sigrt.-wotlp, -Fg qq*gl9n lro_ _('rinrr:r.[i,r'r.\ciiirrrs. 17925 Yellowstone Hwy .._.( In. \r"i:f 7,n. lclaho F"llr, lD;;
( . r rnrr:lr'ri,r'{' i'cicpir61q,1 _-208-523-8540 "\l,rhrtc 208-681-7446
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F'ee: $rrx)'00* - $?5'm refrrndabre ar rirrre of iinar inspecfinn nrrcr phoro 'r'c.mpreted sign.'.\ilf\tf.i$.{(i,tircirrrqr$":lllt,rFFir,,i
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Sec Sign Ordinence (no. 90g; ,t \l!\\ t-{.\}rr.L.,,rg rh..*grtori.n infrrrmrdon,
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w 800-939-8540 toil free 208-523{540 phone 208-523{948 fax 1792 S. Yellowstone Hwy ldaho
P I o n ni n gZo ni n g @r exb u r g. or g
www.rexburg.org
Sign Permil Applicqlion
City ol Rexburg
Phone: 208.359.3020
Fox: 208.359.3022
Fixed Signage
(f S ru . Jr,-c(E.
CITY OF
REXBURG35 N. lsr E.
Rexburg, lD 83440
Applicant Information
OWner Name: Ail Star Wiretess
Mailing Address: same
Tef ephone : Q08) 589-7'172
Contractor Information
ContraCtor's Name: Sign pro
Contracto/s Address: 1792 S. Yellowstone Hwy
Contractor,s phone: (208)523_8540 City/State/Zip:fdhao Falls, ld 83402
Mobile:
Electricaf/specialty contractor Information (for powered or righted signs)Contractor Information
Contractor's Name: Sign pro
Contracto/s Address: 1792s. Yettowstone Hwy City/State/Zip:fdaho Falls, td. B34OzContractor's Phone:Mobile:Contracto/s Signature:
Sign Information
Sign Area sq ft: 36 Sign Height ffrom grounfll 12
For a si'n Permit it is mandatorv that you have the foilowing information:
1. 2 Sets of elevation drawings of a sign & (ful2lats;if_Sp2\cabh)
2. Drawn to scare with dimensions and comprete construction materiars3. Footings if applicable
4. Engineer stamped if required
FREE STANDING SIGN WALL SIGNS! PLOT PLAN TO SCALE SHOWTNG: t: A) Se. FOOTAGE OF WALL /rhof the sign is on)! A) BUtLDtNG LOCATTON
u B) LOT SIZE
/LA! rvrr U B) EXISTING SIGNS & AREA
! c) NEW srGN LocATroN
! c) NEW slGN & AREA
n D) DIMENST.NS ro slGN FR.M PR.PERT LrNEs = 3i,tt"tt'31':'htfr'J:- "TrY^"n, o (must meet stote electricot code)! E) PARKTNG LOT ENTRANCES (sign must be in legol zone for tighting ond type)N F) DISTANCE OF SIGN FROM RIGHT OF WAY
I G) EX|ST|NG STGNS LOCATTON & AREA
! H) ls slGN LIGHTED? YEs No (must meet stote electrico! code) (sign must be in legot zone for tighting ond type)Fee: $100* - s7s.o0 refundable at time of final inspection and photo of completed sign.
Initials: sh *An extra s65.00 charge wiil be appried to any powered or righted sign.
Initials:-*Electrical inspection of sign must be completed with sign contractor present to verifo listing and labeling within interior of the sign.
Signature of Applicantt Steveftand:y p21s; Aprit15,2014
D3tg3 April25,2014
Sign Descripfiop; Back Lit wall sign
Note: This document is for application proposes only' (the legol sign permit form must be signed by city officials before sign is opproved)see sign ordinance 1027 at www.rexburs.ore for reguration information.
BrxF{JRG
A me ri ca\ Family Co mmun i ty
Community Development Department
phone (208)359_3020
f nspection Hoili ne: (2}glg7 2-2944
INSPECTION
REPORT
CITY OF
Inspection Tvpe
ELECTRICAL
Buildinq Tvpe
SIGN
Inspection
ELEFINAL-S
Permit Number:
14-00169
Address: 485 North 2nd East
Proiect:
Boost Mobile - Sign
Inspection Date
8t29t2014
Inspection Result: PASS
Must be onlhelnGTlEE
Door locked to inspect.
Sign itself is listed and labeled. 600.t
Discon necting means-s instlliffiilE,d
exterior of the siqn. 600.6
overcurrentprotffi
panel or enclosure to indicate sign circuit.
408
Approved for a final.
COMPLETED
COMPLETED
COMPLETED
COMPLETED
Inspector: Bret Stoddard
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Transaction detail for to City of Rexburs.
Transaction Aelails
XBP Gonfirmation Number: 9996g$
Transaction Number: 2Ol 64553pTVisa XXXX-XXXX-XXXX-6492
S-tatus:Success/ul
DaE:0412812014 - 1i:04:48 AM
$75.00
t1
Billing Information
DAVID WHITEHEAD
,83402
https : //www. xpressbillpay. corn/util s/printerFriendly.php 4/28/2014
ffiM'City of Rexburg Receipt#: 1789
Date:4/29/2014
Total Amount Due:
Total payment:
Code : RE)G URG_Re cptlT 89 ]9 _4 ]0 I 4_elainem
r6s.00
165.00
CREDIT- Credit Card
SIGN-PERM- Sign permit Fee
SlSt l_ElEdign Electrical Fee
Received By: elainem
Page: I of I
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CI-AIM FORM
VENDOR #
VENDOR NAME
2nd LINE NAME
ADDRESS
CITY, STATE, ZtP
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unj<--z DATE?,a
KEXE{JF.G
Art e r i c ai Fan ily Co mm u n ity
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DH APPROVAL
Cc appRovAL
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CLAIMANT OR HIS AGENT SIGN HERE
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XBP Confirnration Number: 9996g5
Transaction Number: 26164SO3PTVisa XXXX-XXXX,XXXX{492
Date:0412812014 - 11:04:48 AM
Status:Successful
I
f7,5:
s25.
_i
TOTAL: S t 65.AA
Transaction taken by: shellie
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, I pZ processing Fee ;1 ;SOS.OO
lNotes:1400169
Billing Information
DAVID WHITEHEAD
.83402
https ://www.xpressbillpay. com/utilslprinterFri endly.php 4/28/2014
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Transaction Details
Transaction detail for
t
I Transaction Notes: SIGN PAST |NSPECTION pERMtT #1400169
Billing lnformation
DAVID IA/FIITEHEAD
,83402
david@gosignpro.com
Page I ofl
City of Rexburg
35 Northlst East
Rexburg, lD 93440
Date: O812912O14 . 11 :06:05
TATAL: S-r5.A0
1)
Transaction taken by: marianna
Email: david@gosignpro.com
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XBP Confirmation Number: 3ZBZS42
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