HomeMy WebLinkAboutALL DOCS - 14-00110 - Family Maternity Center - SignSign Permil Applicotion
City of Rexburg
Phone: 208.359.3020
Fox: 208.359.3022
Fixed Signage
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www.rexourg.org
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35 N. lsr E.
Rexburg, lD 83440
REXBURG
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Applicant Information Fttnrt\./\xQ; ruOwner Name:\\
Telephone: 208-359-6534 Mobile:
te/Zip: Rexburq, lD 83440
Contractor Information l\, i i..Contractor's Name: Nathan Smith
Contractor's Address: 340 E Elva CitV/State/Zip: tdaho Falls, tD 83401Contractor'sPhone: 2Og-522-135s
Electricaf/specialty contractor Information (for powered or tighted signs)Contractor Information
Contractor's Name: Kenny Marshall 'il'L-
Contractor's Address: ZZg+ Ionu Rcontractor'sphone: 208-s24-44s8 -Jj:11til:iT;t@
Contracto/s Signature: -- Date:
Sign Area sq ft: 42.5 sq. ft.Sign Height (from ground): 1l
Sign Description:
For a sign Permit it is mandatorv that you have the foilowing information:
1. 2 Sets of ef evafion drawings of a sign A bM plats-jt_Sppllcobte)
2. Drawn to scale with dimensions and comprete construction materiars3. Footings if applicable
4. Engineer stamped if required
FREE STANDING SIGN
! PLOT PLAN TO SCALE SHOWING:
! A) BUtLDtNG LOCATTON
I B) LOT S|ZE
! C) NEW SIGN LOCATION r D) LOCATTON OF S;GN ON WALL! D) Df MENsloNs ro stGN FRoM PRoPERTY LINES r E) ls slGN LIGHTED? YEs No (must meet stote electricol code)! E) PARKTNG Lor ENTRANCES (sign must be in rega! zone for righting ond type)! F) DTSTANCE OF S|GN FROM RTGHT OF WAy
! G) EX|ST|NG STGNS LOCATTON & AREA
tr H) ls slGN LIGHTED? YEs No (must meet stote electrico! code) (sign must be in lego! zone for tighting and type)
Fee: s100* - s75.00 refundable at time of final inspection and photo of completed sign.
Initials: BL *An extra $65.00 charge wiil be appried to any powered or righted sign.
Initials: Rl *Electrical inspection of sign must be completed with sign contractor present to verlfu listing and labellng wlthin interior of the sign.
Signature of Applicant:Date: O3/13/14
Note: This document is for application proposes only. (the legat sign permit fotm must be signed by city oficials before sign is approved)see sign ordinance 1027 at www.rexbure.ore for reguration information.
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r A) SQ. FOOTAGE OF WALL (fhof the sign is on)
t B) EX|ST|NG STGNS & AREA
r C) NEW SIGN & AREA
Sign Information
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CLAIMANT OR HIS AGENT SIGN HERE
Xpress Bill Pay - Transactionpetailsr
City af Rexburg
35 Norfhlsf Easf
Rexburg, tD ffi444
Pagel of 1
Date: 08/29/2014 - 3:31:48 PM i
Transaction Details
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XBP Confirmation Number: 3291421
ir Transaction detail for to City of
Transaction Num ber: 28549624PI
Visa - XDfi-XXXX-XXXX'8784
Status: Refunded
Oriqinal Transaction: 25561 045PT''; *
Account # :ltem Quantity Item Amount
TATAL:
$ 15:00
5-15.00
PZ Sign DePosit
i Transaction Notes: Refund sign deposit - sign completed
Billing Information
BRYTON LOCRIDGE
, 83401
552@FASTSIGNS.COM
Transaction taken bY: deborah
Email: 552@FASTSIGNS.COM
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.d 20{13 - 2014 Xpres* Bill PaY
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Transaction Details
XBP Confirmation Number: 589305
D"t"r 06/25/2014 -'t238:32 PM
575.A0t
TOTAL: St 65.A0
Transaction taken by: marianna
lTransaction detail for payment to City of
Billing Information
BRYTON LOCRIDGE {o^d' St{rt"r
.83401
Transaction Number: 25561 045PT
Visa X[X-XXXX-XXXX-8784
Status:Successfuf
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City of Rexburg
Total Amount Due:
Total PaYment:
Code: REXBURG-Recptl6l2Js -3 2014-elainem
Receipt#: 1612
Date:3/25/2014
Amount
it E'pa 100.00
65.00
JI(JI\-DLD- DrBrrlNW
Sub Total:165.00
Received By: elainem