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HomeMy WebLinkAboutALL DOCS - 14-00183 - Teton Medical Group - SignFixed Signage $ite Addrels. 255 N. 3rd Easl Rexbury, lD 9*i4{ Mailing fidd;sss; Samq city/stare/zip:Rexburg, lD 83440 Teleohone: {208} 356-7585 Mobile: {208}351'9977 * Contractor lnformation Contractor's Name: YESCO Signs Contractor's Addressl 275 $. 5th Ave. Suite # 10S City/State/Zip: Pocatello. lD 83201 Contractor's Phone: {248t?34'2121 Mobile; i208| 317-73S8 tfectricaf/Specialty Contractor Information {!nr powered or lightrd stgnsJ Contra*or Information Contractor's Name: YESCO $tgns Contractor's Address; ?75 {i. 5th Ave. Suite # 100 City/State/Zip: Pocatello lD 8320'l Contractor's Phone: l2O8\ 2U'?1?1 Mobile: {20fi) 317-7398 Contracto/s Signatur€:psls; April30. 2014 5ign Information Sign Area 5q ft: 14 {Anow}/40 {Yall}150(monumenL 51gnHeight {fram sraun }: n'9i' (M9llTglt Sign Description:Oouble fased directional arrow mounled to sign, wall mounted l*tter$, monument sign For a $ign Ferm_[ it r, qlandqtorv th;t yorr h*ve the fnllowtng rntof n]Jlifin l. I Ssls of eiev;rtron drawrngt oi a srgn & {pJet*p&.$Jtgjgglgglkl I Dr*wn te Seale witfr drmensronn and tomplete qonftradlr$n m.lt€frale I Footrngr r{ applicable 4 f nE,neer ttamped r{ requ,red FRf E STANOING $Gil WAII SI6H5 'Alqr FLAN To scA,t sftowrf.l6: *6rq ioot*cr ot wAu trhor th{ srgR i.r on) 416f t?y'a) BurrDrnc rocATro* vt*l e xtsrrrrg srcrrs * AHEA {ryswrsnt !"ttN[wu$N&AB6a 2t, trL l''}'"t tT'&'n { 5fi } "/cl urwsr6NrocAroru w]ur,r:cnrrol.ror:sr6h,og.q"Li Wd>'i LiLrlf,nou'9JDrM€N5|ON5TOsr$NFR(")tvlptt0P!ft1'/liN[5 \,/t]l!$l6frrtl6HTtn? try(s,] NOfrnustmrelsroreeledrrcolcodel y't) PARKIN6 l-OT tllTRAN{[l fsrgn r*rrst ].r* in !rq*! xtne lar lirtht.'l^el n*d tyttci II DISTATICI OF 5l6fi' FftOM fi!6HI OF WAY Appficant Information 1u{art lvlociir-ai C:roccf ,. , Owner Name: Thstlas Jones \)Y Fe€: $100' - $75,00 refund*ble ai time of flnal inrpedlon and photo of compl€ted ritn. ,fl,,4tntltal\ lry Arr extr.l 56'1 Ofl t.nlrgr wrll tre applred to drrv tiowe/eil or trghteti srgn ,,//-'t -r'1:.)'l -.- --" -' 4 .5* -luVgignatur€ of Applicant: l'{ote:Ihrsdncumentrrforapp{icatronpr$polirsonly {thtl*ga! srgnperffiitfotffinrr,ifbeygnadbytttyalfittdtshelorcsignisapprovedl see Sign Ordinanc* 1027 at ;'14;.v r-rl-:il:j-\!l.lidi fr,'t resulatt|n rilf r)rmalron oI 1'ut$:' fI- ebD a5o2 F.l rrl F63,2EIF tlUFIFBIE{ln I Ll/ARrlr v o s-.i--y' r- \..l-'-+-:ri ) l-,JI I E@WN trsE SSF =HHS-HH - s: \rS!>JstrFtlr s:IJ qrr 'Jx c:F5= 6E p@ WN R F=EEFE \ o I q lffl'll -|-o- rr}-Eo 5 T E I- b Damz { n_nD 7m 1.,-."1 Q=?lFaoJc *fr6 3 q{ OnBin r..;o 'D€gq:oCrO+lct Bl 0JE 3B f0a: t'a 5 6'lod: <aI tb g-;g ru q, o, 6fit o-{c *';,6 cy$J cL+a;- Otr;'go:a l! o, nftE€O*n o6 €;IDJi dr0 f,3 d* 34, ='l0r rO,:t= i€;o5o-C hgfr' 6' fl CLAIM FORM VENDOR # VENDOR NAME 2nd LINE NAME ADDRESS CITY, STATE, ZIP Vut,tt;DATE DH APPROVAL CC APPROVAL / ./;l l 'q /20 /ry- b REXBIIRG Americai Family Community DESCRIPTION ACGT#ACCT DESCRIPTION AMOUNT ffor*i4 l'/(tt't83 -(ehr,,, ?u/tro( &t,rt &' c,6to t/_t 7o slf ,,t c/" "-L ?tt^-* uf*tnnnL [w'aL ln h &'urLt/ c'u'l- 2lotnlLt1n+ ' r-1 4' '{t /^'q y !,1 llltLl llL/rrlt I rj ; ! {V''zur ,1 U / r'^V / nutr,l L'',,*\{--'Y}l{7 -rt'[yp2a' 38'))c*aa O. 4,t .rY La" cc / tt(/+lt u^- Xnfess Bill.Pav - Transaction Details ht"w.xpressbillpay.com/utils/printerFriendly.phl Print - Close ilwwo City af Rexburg 35 Northlst East Rexburg, lD 83440 Transaction Details XBP Confirmation Number: 1042490 i:l I .1 I 1..1 J; RSX$UNG' - r:ry' '!,r:1 i taj: ]r;,i:: jl"1:',,}rr$i.rllli' jlTransaction detail for payment to City of Rexburg. Account # ltem PZ Sign Deposit Notes: 1400183 PZPlan Check Fee Notes:1400183 PZ Processing Fee Notes:1400183 Billing lnformation Malcom Malcom ' . .83204 Transaction N um ber: 26223852PT Visa XXXX-XXXX-XXXX-9237 sta111f-u.gces1/u{ QuantitY 1 AI 1 Date: 05/01/2014 - 2:35:51 PM Extended Amount s75.AA szs.0a s6s.aa TOTAL:s165.AO Transaction taken by: natalie tt"'nil;;;i $75.00 $25.00 $65.00 sl1/2014 2:36 PIt Xpress Bill Pay - Transaction Transaction Details '{: r :' 1: t,.! s REXSLIRG , ru*livl fi;*xt$ {la*wx*ip City of Rexburg 35 Northlst Eost kexburg, lD 83440 Page 1 ofl Datc:1111412014 - 3:34:54 PM $-75.00 Detail ) XBP Confirmation Number: 4745062 ) Transaction detail for Account # to City of Rexburg. Transaction Number: 305891 04PT Visa - XXXX-XXXX-XXXX-9237 Status: Refunded Quantity iPZ Sign Deposit TOTAL:s-75.A0 fTransaction Notes: SIGN PASTED INSPECTION PERMIT #'1400183 I,,, Billing Information Malcom Malcom .83204 mmalcom@yesco.com Transaction taken by: marianna Email: mmalcom@yesco.com https://www.xpressbillpay.com/common/trans_details.php?trans id:MzE3NjEwMTI%3... llll4l20l4 Xpress Bill Pay - Transaction Details ( | I 1 () | REXBLIRG t|| vww.xpressbillpay.com/utils/printerFriendly.php Print - Close City of Rexburg 35 Northlst East Rexburg, lD 83440 Transaction Details XBP Confi rmation Numbe r: 1042490 f lTransaction detail for payment to City of Rexburg.Date: 05/01/2014 - 2:35:51 PMI Tra nsaction N u m ber: 26223852PT Visa XXXX-XXXX-XXXX-9237 Status:Successful Account # ltem PZ Sign Deposit Notes: 1400183 PZPlan Check Fee Notes: 1400183 PZ Processing Fee Notes:1400183 Billing Information Malcom Malcom i ,83204 Quantity I 1 1 Item Amount $75.00 $25.00 $65.00 Extended Amount Szs.oo s25.00 s65.00 TOTAL:s165.00 Transaction taken by: natalie 5ll/2014 2:36 PIv SffiM'' citvofRexburg Tender Tvne / CREDIT- Credit Card Receipt#:1822 Date:5/l/2014 SICN-PERM- Sign Permit Fee SIGN-ELE- Sign Elechical Fee Sub Total: Total Amount Due: Total Payment: Code: REXBURG_Recptl922_l _5 2014_elainem r65.00 165.00 Page: I of IReceived Bv: elainem