HomeMy WebLinkAboutALL DOCS - 14-00099 - 12 S 2nd W - Maverik - SignSign Permit Appfication crll oI
35 /V. lsr F.
Rexburg, tD 83440
Pla nningZo ning @rexb urg. org
www.rexburg.org
City of Rexburg
Phone: 208.389.3020
Fax: 208 359.3022
Fixed Signage Zxts/,,rV ,ra6. (/a,tS-<-t
REXBURG
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Applicant Information
Owner Name:
Site Address: /.
Mailing Address:
Mobile:
city/state/zip: n ,\a].//al, /_/f py'osq
Contractor lnformation
Contractor's Name:
Efectrical/specialty contractor Information (for powered or tighted signs)Contractor Information
Contractor's Name:
Contractor's Address:
Contractor's phone:
Contractor's Signature:
Sign Information
cit'/state/zipt@
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For a sign permit it is mandatorv that you have the fortowing information:
J.. 2 Sets of elevation.drawings of a sign C (plglyblLitgpp|9Sug)2. Drawn to scale with dimensions and compFte construction materials3. Footings if applicable
4. Engineer stamped if required
FREE STANDING SIGN
r PLor PLAN ro scALE sHowrNG: y*-q
r A) BUTLDTN. LocATroN ! A' Jr'(' I
r B) LorstzE r B) Exlsr
. c) NEW srGN LocAroN : :l ):y^
-zG) EXtSTtNG STGNS LOC IIOAL& AREA
2 H) ls slGN LIGHTED? 'r-y) No (must meet stote electrical code) (sign must be in regor zone for tighting ond type)Fee: s100* - $75.00 refundabre at time of finar inspection and photo of compreted sign.
Initials: Da-
Initials: DL
"An extra 565.00 charge will be applied to any powered or lighted sign.
tElectrical inspection of sign must be completed with sign contractor present to verify risting and rabering within interior of the sign.
Signature of Applicant, D^t", LNote; This document is for application proposes only.-fhe legal sign permit form must be signed by city officials before sign ,, oor.ll-See Sign Ordinance 1027 at www.rexburs.org for regulation information,
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CLAIM FORM
VENDOR #
VENDOR NAME
2nd LINE NAME
ADDRESS
CITY, STATE, ZIP
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r12U(sDH APPROVAL
CC APPROVAL
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CLAIMANT OR HIS AGENT SIGN HERE
d-('Jan'ac
REXBTJITG
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Americo's Family Conmunity
Community Development Department
phone (208)359_3020
f nspection Hofl i n e: (2DglgZ 2-2344
INSPECTION
REPORT
CITY OF
Inspection Tvpe
ELECTRICAL
Buildinq Tvpe
SIGN Inspection
ELEFINAL-S
Permit Number:
14-00099
Address: 12 S. 2nd W.
Proiect:
Maverik S. 2nd W - Sign
Inspection Date
9t5t2014
Inspection Result: PASS
Sign itself is listed and labeled. 6003
Approved for a final.No inspec
installed addition-inspected from theground.
Insoector: Bret Stoddard
ffiM City of Rexburg
Sub Total:
keceipt#:1477
Drte:3/12/2014
r65.00
r6s.00
Page: I ofl
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rl".i;"i:i, ;:'i.iili.li i ;i lotal Amount Due:
Total Payment:
BURG_Recptl477_12_3 2014 elainem
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CHECK- Check
Fees:
SIGN-ELE- Sien EGAical