HomeMy WebLinkAboutALL DOCS - 14-00405 - Domino's Pizza - SignSign Permlt Applicslion
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CLAIM FORM
VENDOR #
VENDOR NAME
2nd LINE NAME
ADDRESS
CITY, STATE, ZIP
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'D,tnil, .,U r{r*.lnL i(, DH APPROVAL
CC APPROVAL
CITY OF
REXBIJRG
Am e r i ca's Familv C o mmuni tv
DESCRIPTION ACCT#ACCT DESCRIPTION AMOUNT
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CLAIMANT OR HIS AGENT SIGN HERE
"O:rt:
Bill Pay - Payment Processing https ://www.xpressbi llpay.com/common/paymentjrocess.phl
City of Rexburg
35 Northlst East
Rexburg, lD 83440
208-359-3020
Date: 09/08/2014 - 10:05:42 AM,
r .: ! I'i. :i) i-,r ltl r
:., 4 ', \. t t
Iff:f*!go"!il for_paymentto City of Rexburg.
XBP Gonfirmation Number: 3419785
Account # ltem
PZ Sign Deposit
Notes: Permit 14 00405
PZPlan Check Fee
Notes: Permit 14 0O4Os
PZ Processing Fee
Notes: Permit 1400405
Billing Information
Sign Works David \A/hitehead
,83402
208-523-8540
david@gosignpro.com
Transaction Nu mber: 2867 8201PT
Visa - XXXX-XXXX-XXXX-6492
Status: Successful
Quantity
1
Item Amount
$75.00
$25.00
$65.00
TOTAL:st65.O0
Transaction taken by: natalie
9/8/201410:05 AM
'Xpress Bill Pay - Transaction$tails
Transaction Details
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Page 1 of 1
City of Rexburg
35 Northlst East
Rexburg,lD ffi444
XBP Confirmation Number: 4829774
Transaction Number: 30731 891 PT
Visa - XXXX-XXXX-XXXX-6492
Status: Refunded
I Transaction detail for to City of Rexburg.
PZ Sign Deposit tl
Datc: 1111812014 - t :45:50
TOTAL:s-75.A0
I Transaction Notes: SIGN PASTED INSPECTION PERMIT #14-OO4O5 i
Billing Information
Sign Works David Whitehead
.83402
208-523-8540
david@gosignpro.com
Transaction taken by: marianna
Email: david@gosignpro.com
https://www.xpressbillpay.com/common/trans_details.php?trans id:MzE4NDQzMzA%3... llll8l20l4
CITY OF
REXBIJRG
Aneri ca\ fu nily C,omm u nity
Community Development Department
Phone (208)359-3020
Inspection Hotl i ne : (20Blt7 2-2344
INSPECTION
REPORT
Inspection Tvpe
ELECTRICAL
Buildinq Tvpe
SIGN
Inspection
ELEFINAL-S
Permit Number
14-00405
AddresS: 155 West Main
Proiect
Domino's Pizza - Sign
Inspection Date
11t14t2014
Inspection Result: PASS
Sign itself is listed and labeled. 600.3
Disconnecting means is installed on the
exterior of the siqn. 600.6
Branch circuit conductors are sized to
600.5
Overcurrent protection device is labeled in
panel or enclosure to indicate sign circuit.
408.
Sign power was existing or licensed
electrical contractor must wire ahead of
disconnect to source.
Approved for a final.
COMPLETED
COMPLETED
COMPLETED
COMPLETED
COMPLETED
COMPLETEDFor a conductors
were existing, met sign installers on site a
few weeks prior to this inspection.
Inspector: Bret Stoddard
Xpress Bill Pay - Payment Processing https ://www.xpressbillpay. com/common/paymentgocess.phpo
Account # ltem
PZ Sign Deposit
Notes: Permit 14 00405
PZPlan Check Fee
Notes: Permit 14 00405
PZ Processing Fee
Notes: Permit 14 00405
Billing Information
Sign Works David Whitehead
.83402
208-523-8540
david@gosignpro.com
Transaction Nu mber: 2867 8201PT
Visa - XXXX-XXXX-XXXX-6492
Status: Successful
Quantity
1
City of Rexburg
35 Northlst East
Rexburg, lD 83440
208-359-3020
Date: 09/08/2014 - 1O:05:42
Item Amount
$75.00
$25.00
$65.00
TOTAL:s165.00
Transaction taken by: natalie
a I I I' i) I
REXBURG
XBP Confirmation Number: 3419785
Transaction detail for payment to City of Rexburg.
I of2 9/8/201410:05 AM
CITY
o
OF
REXB(IRG
c\1,
Am e ri cai Fa mily C o m tn u n i ty
Community Development Department
PO Box 280
Rexburg, lD 83440
Phone (208)359-3020 | Fax (208)359-3022
Date: 0910812014
Receipt #: 2927
Paid By:
ender Type:
Reference/ Check # :
Domino's Pizza - Sign
155 West Main
Permit #: 14-00405
Permit Type: srcrrr
SIGN-DEP
SIGN-ELE
SIGN-PERM
2822000
2832213
2832321