HomeMy WebLinkAboutALL DOCS - 14-00116 - Idaho Central Credit Union - SignCLAIM FORM
VENDOR #
VENDOR NAME
2nd LINE NAME
ADDRESS
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CLAIMANT OR HIS AGENT SIGN HERE
.Xpress Bill pay - Transaction Details
I
Billing Information
KIM MOORE
,83714
Page I of1
Print - CloseTransactian Details
XBP Confirmation Number: 590426
TOTAL: 5165.00
Transaction taken by: marianna
FTransaction detail for r
-_---.."'.......--..-.-.-.-...-_ ___. . _. payment to City of Rexburg.Date: 03t2't2Ott _ z:iise putTransaction Number: 2OS6 237 SpTvisa XXXX-XXXX-XXXX-901 5
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3/25/2014
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Transaction Detaits
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City of Rexburg
35 Northlst East
Rexburg, ID 8J440
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TOTAL:
_9ft99
s-75.0A
I
f Transaction Notes: S|GN PASTED INSPECT|ON #1400116
Billing Information
KIM MOORE
,83714
KMOORE@GOLDENWESTStc NS. cOM
Transaction taken by: marianna
Email: KMOORE@GOLDENWESTS|GNS.COM
XBP Confirmation Number: 3443450
IPZ Sign Deposit
) Transaction detail for payment to City of Reiburg.
Transaction Number: 2gZ O1Z 16pTVisa - XXXX-XXXX-XXXX-9018
Status: Refunded
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CITY OF
REXBIJRG
ctt, _ _
America\ Family Communi g
Community Development Department
Phone (208)359-3020
f nspection Hotline: (208137 2-2344
INSPECTION
REPORT
Inspection Tvpe
ELECTRICAL
Buildinq Tvpe
SIGN
Inspection
ELE-FINAL
Permit Number:
14-00116
Address: 673 North 2nd East
Proiect:
ldaho Central Credit Union - Sign
Inspection Date
9t5t2014
Inspection Result: PASS
Additional Inspector Comments
Approved for a final-sign only-UL labeled and listed with disconnecting means installed.
Inspector: Bret Stoddard
Sign Permil Applicqlion
Clty of Rexburg
Phone:208.359.3020
Fox:2A8359.3022
Fixed Signage
Applicant Inforrnation DOwner Name:
Site Address:
Mailing Address:
Telephone: fa.1ff;Mobile:
Contractor Information
Contractorrs Name:
Contractor's Address:
Contractor's Phone:
EfectricaUspecialty Contractor Information (for powered or lighted signs)
Contractor lnformatlon c .4Lo3- ^sContractor's Name: \
Contractor's Address:
Contractor's Phone:
Contracto/s Signature:
CITY OF
35 N. lsl F. PlonningToning@rexburg.org
Rexburg, lD 83440 www.rexbutg.otg
REXBURG
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Ame ri cals krnd ly C.onnnuni ly
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city/state/Z ip, curttl$lr'V- lD' t 3LtL
Slgn Information
;;;;il'qt, 11.05
Sign Description:
For a Slnn Permlt it is @ddglt that you have the following information:
1. 2 Sets of elevation drawings of a sign & (p!ptn!Sg-it-SBP!!cob!9)
2. Orawn to scale with dimensions and complete construction materials
3. Footings if applicable I
4, Engineer stamped if required
FRIE STANDING SIGN
PLOT PIAN TO SCALE SHOWING:
A) EUlrDrNG LOCATION
Bl LOT S|ZE
cl NEW SIGN LOCATION
D) DIMENSIONS TO SIGN FROM PROPERTY LINES
Signature of Appllcant:
(from ground):+|1'Lo +^
WALLSIGNS
Al 5Q. FOOTACE OF WALL (thot the sign is on)
B} EXISTING SIGNS & AREA
CI NEW SIGN & AREA
D) LOCATION OF SIGN ON WALL
El lS SIGN LIGHTED? YES NO (must meet state electrlcol ade)
E) PARKING LOT ENTRANCES (sign must be in legol zone lor lighting ond type)
F) DISTANCE OF SIGN FROM RIGHT OF WAY
G) EXISTING SIGNS LOCATION & AREA
Hl fS S|GN IIGHTED? dqs1 NO (musf meet stote electricot code) (sign must be in legal zone for lighting ond type)
refundable at tlme of flnal lnspectlon and photo of completed slgn.
extra 565.00 charge will be applied to any povvered or lighted sign.
of slgn r.dth $Bn contrector pr.sont t0 y!flfu lbtllg'ind hba||fig l,',{tHil Intarlor of th3 qlani
.l
o.rc, ? lhllf
o lV. fthe legol sign pemit lotm must be signed by clty olliciols before sign ls opproved)
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Note: This document is for
Ordlnrnce 1027 at www.rexburx.orq for regulation information.
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Account #
pZ Sign Deposit
Notes: Permit #14-00116
pZplan Check Fee
Notes: pennit #14-00116
$7s.00
$25.00
$65.00
TOTAL:St cs.oo
Transaction taken by: natalie
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City of Rexburg
35 Northtst East
Rexburg, ID A3440
Transaction Details
XBP Confirmation Number: i65g347
Transaction Number: 26g0g332pT
Visa XXXX-XXXX-XXXX-2905
Status:Success/ul
)Transaction detail for payment to City of nexOurg.Date: 06/09/2014 - 2:i8:46 pM
Notes: Permit #14-0011
6/9/2014 2:19 pM
Xpress Bill Pay - Transacti
)Transaction detail for
Billing Information
KIM MOORE
.83714
Transactian Details
XBP Confirmation Number: 590426
on Details
O_ 1;
Pagelofl
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Date: 031251201 4 - 2:21 :56
Transaction taken by: marianna
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ffi1ffi**ef City of Rexburg Receipt#:1624
Date:3/27/2014
165.00
r65.00
Page: I of I
Total Amount Due:
Total Payment:
Code: REXBURG_R ecptl624 ]7 3 20 l4_elainem
Fee Codes/
Received By: elainem