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HomeMy WebLinkAboutALL DOCS - 14-00451 - Protection 1 - Sign$ign Permit Application Cifu of loxburg 4ppl icant I rtlirrrrr,rt lrrrr , .', , \., . Pr.,{cs-1"'c.r.- t (U"^;-t 1,: .,...,j:. ?S"3 $3rcn{"r;- tl- ,c\a ', tr8-4O3 -lfs-L {.*lrfrtt"trlr lrrfirrntltinn | :..: : . ..,,..,. Srgn-Works, lnc. dba Sign Fr9 . .. , . 17gA $ yellowstone Hwy ! , ,r I ., I 1,, , ,. 208-523-8540 .., ltlrctric;rllSprr:ialrr {,trrtr,letnr lnlirrllr;rrrqrrr r ldaho Fatts, lD 83402 208-681 -7446 ' '.'. !; '' I i,,,1,-,.i :.,'1,, ELE-SC-2926$ ldaho Falts. l0 83402 Fixrd "-$ign;rg* CAldoLe-r() Pertourt 1792 S Yell0wstofie Hwv {.lrrrtr.rr'{df 'q \if$.rt ttf r Sign Infi;rnr;rtiurr o.. i:. .,r ." ltrol gr.*r, a .'r i) '. tli | , Frorfr 208-52'f549 .2 208-681-7446 % /"/ry'/ i,,l}gil.jl*r.rjtr! : ..l1r;1.11{.111,'ry J-rttI sl-sls"rst*ln-rkdF.t tt*;. nl.*;,glr i,lr'.r ',1 '\ *- .t*.,...;!"ri'.],*.ir.. u,t" ljtu\l rtt tlrtir. t|t lttr,ri iNl\t1{.{ f!1.1 .1ti{l |1lirirtt ,rl ;*rry1p}gf1-11 -1g1i \\ )" {*- lc , x 11d.lX1 rrttrrrl"rhk i)relrfr* EIEIelo'A frE.rlE *rDil =[ 5Efl 5l lf oc\ go) tr o.o() t f ,,\7 ct) c!CDt\ x.E 6$@(.6 6lrc'€oAl (DcoGo- o$tr)co c.)6lta) ooGI o,g:o o3@d)(Oo, do@ ?m otco@ u-oc(! E 3T €@Eat=o:I g tE6:i l3I6.lalNItrtuJl6.:z !JozulI CLAIM FORM VENDOR # VENDOR NAME 2nd LINE NAME ADDRESS CITY, STATE, ZIP $rrr-. N ctl,.a DATE- DH APPROVAL ,, |.. L,rlu I lki,,Li- CC APPROVAL CITY OF REXBIJRG Ame r i ca\ Family Co mm un ity |a,*'ro,t.e l\ ttaqg 1 7tz'kuh-ny l 6 rtf,. oU.6t e.ur' t,rlt*.J- L:Yf, dt4' tg.,,rrtf,4i; liq t^" fr,,^^"',",,,,u,t^" 0k!'" ,,,,u," AU, ' ,LL' 9'&,-)Ilo"ac: CLAIMANT OR HIS AGENT SIGN HERE Kpress Bill tlay - payment processing https ://www. :'^ressbilloay.com/common/paymentjrocess.plI City of Rexburg 35 Northlst East Rexburg, lD 83440 208€59-3020 Date: 10/08/2014 - 1:59:4t pMi Transaction Number: 2g3g4gggpT Visa - XXXX-XXXX-XXXX-S828 Status: Successful Account # Notes:'14-00451 Notes: '14-00451 Notes: 14-00451 Billing Information Sign Pro David Whitehead ,83402 andrew@gosignpro.com Item PZ Sign Deposit PZPlan Check Fee PZ Processing Fee Quantity 1 1 1 Item Amount $75.00 $25.00 $65.00 TOTAL:s16s.00 Transaction taken by: natalie t0/8/20t4 Xptess Bill Pay - Transaction Delarilsa w XBP Confirmation Transaction Details RKX}3UKffi "rl*x;r'*xk fi*r*r'itr {:r,r*r*i;tlrg Number: 4327319 Transaction detail for payment to City of Rexburg. i I Transaction Notes: SIGN PASTED INSPECTION PERMIT #14 00451 Billing Information Sign Pro David Whitehead ,83402 andrew@gosignpro.com Transaction Number: 29896066PT Visa - XXXX-XXXX-XXXX-5828 Status: Refunded City of Rexburg 35 Narthlst East Rexburg, lD fi444 Page I of I Date:1012212014 - t:51:30 PM TATAL: S-75.A0 Transaction taken by: marianna Email: andrew@gosignpro.com https://www.xpressbillpay.com/common/trans_details.php?trans id:MzEzNTAyMzgo 3... Division of Building Safety 1090 E ll'atertorrer $t. $uite li0 I{endran ID. 8-16"tj I -800-95 5-i0-t1 ptrone 1-S:T-810-l$.10 fax Applicd Date: l0/l0n0t{ Entened B1': ECO Psmit]fo.: tlEBl{10-009. Licrnsc Io.: C:ELE-$C-!9: :5?3 Frontagc Dr t luspector..\8I:RG rn$actof ldrel*: s$e: t:!er. ldres$: orre. Srgn ll'orks Inr t?9: $ Tcllonsroar Enr IDAEO F.{LLS ID M{b: (308) sr3-E5{0 Descrrption of \\'crk: Instnllation of LED illuminatcd {:hanncl Lettrr Duectroas to Locatron: Building is loceted on Fronragc Rd. Flcing parlllcl to highwal. 20 ncrr to Rainbow Lakr I Fee Oe*criprion Paid Dcte cTRtc $tsNs - FER Stct\r 00 8101498 t&r10/mr4 )TAL FEES )TAL TEIS PAID }T.{L FEE$ DtE 565,00 $6-i 00 5S OCI This is 1'our ELECTRICA,T pernrit and *1\m81410-00949* ** Pcnnit Fccs nre ron-Refundable and ron-TransfrrrhF act | 3 Lau 'I&I,TIO},i OF PER.}unc,at*d ull*rrt on iff;kffffit:fffi tr lli:-.y -n-l $.,ryp!$ d,*t* of tlr* prnut or orre { li 1.car rfts the larr Permitting - Case Fees - Cityworks a Summary Address People Workflow DataGroup http : //cw.rexblur C.or g lcwPermit/UF/Case/Page/CUFfees. aspx?CaC.. Main Notes Flags Payment Rel Docs InspReq Case Type: SIGN Number: 14-00451 Status: ISSUE , Fees i- itl trcel-"i!_-_-:l l,lrr : .: * dF':s t I t i -v Size: i.) Fee Code SIGN-PERM SIGN-ELE SIGN-DEP REFUND I Fee Descriptbn Sign Permit Fee Sign Electrical Fee Sign Permit Deposit Refund l({E}x v Arnount 25.00 65.00 75.00 -65.00 EeA 25.00 0.00 75.00 0.00il: 10 ltd Re-Cakuhte Fees 100.oo 100.00 Displaying: 1 to 4 u View: Fees Fee Code Fee Description Facto r Rate Quantity Amount Comment Created By Date Created Modified By Date Modified Found:4 REFUND Refund 1.00 Auto Recalculate l'l -65.00 lnuo;."6 1: 1 l0lL3lL4 - The electrical permit was taken out through the state, so the City refunded the 65.00 ebctrical fee back to the credit card. elainem tolL3|2OL4 12:43:35 PM t{{>H Cancel I of I l0/13/20141:44 PM Xpress Bill Pay - Transactionstails Transaction Details w XBP Confirmation ) Transaction detail for payment to City of Rexburg. i1 Transaction Notes: THEy cor rHE ELECTRICAL pERMlr rHRoucH THE srATE Billing Information Sign Pro David Whiteheao ,83402 andrew@gosignpro.com Transaction taken by: shellie Email : andrew@gosignpro.com Page I ofl Date: 1011312014 - l:30:59 "---" "----- - --, $-65.00 l s-65.Aia {:.ttT {.}il TTgX-BLrtC {r{t. '--- ...'- - ,ri.tl*ar*! li.*;l&' Cts$$&*t,lr Number:4095888 City of Rexburg 35 Northlst East Rexburg, ,D fi44A Transaction Number: 29516809pTVisa - XXXX.XXXX-XXXX-S828 Status: Refunded rrem .euantity :ltem Amount ,PZ Processing Fee i 1 TOTAL: https://www.xpressbillpay.com/common/trans-details.php?trans id:MzExMjE0NTl%3D... l0ll3/20!4 Xpress Bill Pay - Payment processing httes //ww5ssbillpay.com / common/ paymentlrrocess.pt t__ Account ( I | 1 ar ll ITEXtsLIRC r ltrr t,r:,,rL,ri /,rr,rrir'{,1,r,.r:1,rlfl XBP Confirmation Number: 4024609 l Transaction detail for payment to City of Rexburg. City of Rexburg 35 Northlst East Rexburg, lD 83440 208-359-3020 Date: 10/08/2014 - 1:59:43 pM Item Amount $75.00 $25.00 $65.00 TOTAL: 5165.00 Transaction taken by: natalie Transaction Number: 29394999pT Visa - XXXX-XXXX-XXXX.S828 Status: Successful Notes: 14-00451 Notes: 14-00451 Notes: 14-00451 Billing Information Sign Pro David \l/hitehead ,83402 andrew@gosignpro.com Item PZ Sign Deposit PZPlan Check Fee PZ Processing Fee Quantity 1 1 1 10/8/20141:59 PM CITY REXBIJRG c\1, tlme ri aals Fa mily C rt m mu n i ty o OF Community Development Department PO Box 280 Rexburg, lD 83440 Phone (208)359-3020 | Fax (208)359-3022 Date: 'lolo8l2014 Receipt #: 3183 Paid By: Tender Type: Reference/ Check # : Protection 1 - Sign 2573 Frontage Permit #: 14-00451 Permit Tlpe: srcr.r SIGN-DEP SIGN-ELE SIGN-PERM 2822000 2832213 2832321