HomeMy WebLinkAboutAPPLICATION - 17-00608 - Madison Memorial Hospital - Sign35 N.to
Rexburg,g, ID 83440
Sign Permit Application
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PlanningZoning@rexburg.org City ity of Rexburg
Phone: 208.372.2348 Fax:208.359.3022 Hotline: 208.372.2344 or Text: inspections®rexburg.t
Applicant Information
Owner Name: _Mo,
Site Address:
Mailing Address: t
Telephone:
Contractor Information
Contractor's Name: _
Contractor's Address:
Contractor's Phone: (fie) 52z- h55S
Fixed Signage
17 -ob oog
CITY OF
REXBURG
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America's Family (:amrnuniry
City/State/Zip: �exbg ry 8 3yH0
Mobile:
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_City/State/Zip: Td�1v fagsrtiD 83++01
Mobile:
Electrical/Specialty Contractor Information (for powered or lighted signs)
Contractor Information
Contractor's Name: AK S, yn S License#: SC (!o Exp Date: 60 3/ u17
Contractors Address: 34L. t • &(Jti City/State/Zip: 1401- F4115,LQ 3,TV-1
Contractor's Phone: y) Email: SLS- (e5.5SL&fet Sr . "S coy"
Contractor's Signature: [ Date: ( l- Z Zo l-7
Sign Information
Sign Area sq ft:f%7- Sign Height (from ground): I'll Aches
Sign Description: 5,hpi. . LED ,A"1,4 mnetusnasl
For a Sign Permit it is mandatory that you have the following information:
1. 2 Sets of elevation drawings of a sign & (plot slats if applicable
2. Drawn to scale with dimensions and complete construction materials
3. Footings if applicable
4. Engineer stamped If required
FREE STANDING SIGN WALL SIGNS
F1 PLOT PLAN TO SCALE SHOWING: A) SQ. FOOTAGE OF WALL (that the sign is on)
C A) BUILDING LOCATION 8) EXISTING SIGNS & AREA
C B) LOT SIZE C) NEW SIGN &AREA
C) NEW SIGN LOCATION D) LOCATION OF SIGN ON WALL
D) DIMENSIONS TO SIGN FROM PROPERTY LINES E) IS SIGN LIGHTED? YES NO (must meet state electrical code)
E) PARKING LOT ENTRANCES (sign must be In legal zone for lighting and type)
F) DISTANCE OF SIGN FROM RIGHT OF WAY
G) EXISTING SIGNS LOCATION & AREA
H) IS SIGN LIGHTED? YES NO (must meet state electrical code) (sign must be in legal zone for lighting and type)
Fee: $10/08 - $7S.00 refundable at time of final inspection and photo of completed sign.
Initials: L .� •An extra $65.00 charge will be applied to any powered or lighted sign.
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Initials: Ce- *Electrical Inspection of sign must be completed with sign contractor present to verify listing and labeling within Interior of the sign.
Signature of Applicant: (w,, ,.. id,, Date: &)!-� z, 1'7
Note: This document Is for application proposes only. (the legal sign permit form must be signed by city officials before sign is approved)
For Sign Ordinance see Chapter 10 of the Development Code at www.rexbura ore for regulation Information.
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MA
EMERGENCY
Main Entrance
Surgery
Laboratory
Radiology
4m
Maternity
Cancer Care
Specialty Clinics
Therapy Services
Shipping/Receiving
450
0.166" lexan faces
with cut vinyl
powder coated aluminum
cabinet frame
117 in
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MADISON
MEMORIAL ROSR ITAL
122 in
LED interior lit --
--UL listed