HomeMy WebLinkAboutALL DOCS - 14-00254 - 366 Grand Loop - Avantguard Monitoring Center - Sign35 N. lsr E.
Rexburg, lD 83440
Sign Permil Applicqtion
City of Rexburg
Phone: 208.359.3020
Fox: 208.359.3022
P I a n nin gl o nin g @rexb u rg. org
www.rexburg.org
Fixed SignageApplicant Information
Owner Name:
Site Address:
Mailing Address:
Telephone:
Contractor's Name:
Contractor's Address:
Contractor's Phone:
Contractor's Signature:
Sign Information
Sign Area sq ft:
Sign Description:
City/State/Zip:
Mobile: fuI - {3o- D\ST'.
Contractor I nformation
contractor/s Name: fgry= /,""rL.tu"+-" 6" . /-ila ;fig,->contractor'sAddress: gfTs p- {ct]ylsiaie/z,p,n ^ El/s w. rrorContractor's Phone: obile:*e.-,s-,E2,_ ZSgr ,
Electricaf/specialty contractor Informatio n (for powered or tighted signs)Contractor Information
lState/Zip: Ztr t- G//', %,O &J<at
Date: (, -,.2--i tj
SignHeight,(from ground):'77 fip
&znn
.J 'K 6.zy,
For a Sign Permit it is mandatorv that you have the foflowing information:
1. 2 Setsofefevation.drawingsof a sign & (plptgla*jI_Sppllcoble)
2' Drawn to scare with dimensions and comprete construction materiars3. Footings if applicable
4. Engineer stamped if required
FREE STANDTNG SIGNo'!olf,T,li,;g;';3;u,"u, ffi^,il Effifun B) LoT slzE - -/ L'r'J ' "!v J'\
D C) NEWSTGN &' fl C) NEW S|GN LOCATTON
:31313:::?TIg._sjgIIloMpRopERwLrNEs ; ;i,;;_;;;r p LocAroNoFi CONSIRUCLON
lnitials:LtL_.*An extra 565.00 charge will be powered or lighted sign.
Initials:_*Electrical inspection present to verify listing ard labeting within lnterior of the sign.
Signature of
n q PARKING Lor ENTRANCES (sign must be in legot zonefor tighting ond type,
GENEML CoNTRACTOR
! F) D|STANCE OF S|GN FROM RTGHT OF WAyD G) EXlsrlNG SIGNS LOCATTON & AREA 8575 N. 5th Eost
n H) ls stGN LTGHTED? yEs NO (must meet state etectrico! code) (sisn rA
ldoho Folls, lD 93402
Fee: 5100* - $il5.00 refundabre at time of finar inspection and photo of compr"t"a ,icn5
Mike Bowcuft
Owner
IIIPhone 208,52?,41A4
Fox2O8.529.4706
Cell 208.589.2830
dofob@qwestoffice.net
,/./oate: h z,t/)br/Note: rhis document is for appricationrc;irllllllY;lT'.!":I:?:::::'!!:,:-:::i,!::'y:"a w a( onlior, before sisn is opproved)see sisn ordinance 1027 at www.rexburs.org r.r r"uriJ,ion""iJ#.iilnl
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CLAIM FORM
VENDOR #
Dn m b 0 v"a'fu, tA ",*'DATE
DH APPROVAL %
Gr 4 i- ^' c-flr Ed) tJ lv' ' u'
WccAPPRoVAL
_t I4lH e2J:l_VENDOR NAME
2nd LINE NAME
ADDRESS
CITY, STATE, ZIP
{li'{'Y Oi'--
RE,XBURG
r\,r --. ''- '-_-
Am er i ctt\ F amilY Co mm unitY
879aa
Qg*-L F tqooaSq
Av*'nlg-ru'r!- '*t ef 4y*I" /rL/'r,tuL
',', r/V' /V ln ,,E,n ^Ls - [ {U'(/./14l---'*
CLAIMANT OR HIS AGENT SIGN HERE
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REXBTJRG
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Am e ri c ds Fa mily () o mntuni ty
Community Development Department
PO Box 280
Rexburg, lD 83440
Phone (208)359-3020 | Fax (208)359-3022
I nspection Hotline (208)37 2-2344
t
Date: 0611312014
Receipt #: 2110
Paid By:
ender Type:
Reference/ Check # :
Dafab Construction
CHECK
Avantguard Monitoring Center -
Sign
366 Grand Loop
Permit #: 14-00254
Permit Type: stclrt
SIGN-DEP
SIGN-ELE
SIGN-PERM
Sign Permit Deposit
Sign Electrical Fee
Sign Permit Fee
PZSD
ELP
PZ
75.00
65.00
25.00
lment at
about thisI
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24Hour Notice for inspections
Gall inspection hotline at
(2081372-2344
pted, but are subject lo a 3o/o convenience fee on payment amounts over $500***