HomeMy WebLinkAboutALL DOCS 2 - 08-00235 - Rexbug US Welding Supply - SignReceipt#108-0297
Receipt Date 0 5/7 32 0 05 $atom
CHECK
$100.00
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Casluer�LAINEM Notes? r
PayerlRecipientfinburg US Welding
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$100.00
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plication# Description Fee
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0800235 Sign Deposit
$75.00
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$0.00
$75.00 r r-
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0800235 Sig, Permit
08002-35
$25.00
$0.00
$25.00 9 r
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5100.00
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$100.00
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Permit Fees I
AppPlcant Fees
Qther Fees
a
Sign Permit Application
City of Rexburg
12 North Center Phone: 208.359.3020
Rexburg, ID 83440 www.rexburg.org Fox., 208.359.3022
Fixed Signage
Applicant Information
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Owner Name: Rexburg US Welding Supply, LLC ('N I .)i
Site Address: 208 West 1st North OF��
Mailing Address: PO BOX 1000 City/State/Zip; Rexburg, to 83440
Telephone: 208-360-7772 Mobile: 208-200-3006
Contractor Information
Contractor's Name: Premier Powder Coating & Custom Fabrication, LLC
Contractor's Address: 115 N 2nd West City/State/Zip: Rexburg ID 83440
Contractor's Telephone: 208-356-3263 Mobile: 208-200-3006
Electrical/Specialty Contractor Information (For powered or lighted signs)
Contractor's Name:
Contractor's Address:
Contractor's Telephone:
Contractor's Signature:
Sign Information
Sign area sq. fr. 25 on two walls
Contractor's License N
City/State/Trp:
Mobile:
Date:
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Sign Height (from ground): 14
Sign Descriptions: 48" x 76" mounted on a east facing wall and south facing wall
For a Sign Permit it is mandato that you have the following information:
2 sets of elevation drawings of a sign & (p/ot plats r4b/ieT blel
Drawn to scale with dimensions and complete construction materials
Footings if applicable
Engineer stamped if required
WALL SIGNS
MAY 1 3 2008
CITY OF
❑ Plot Plan to scale showing:
o a) Sq. footage of wall (sign on) 840sq ft and 560 sq It
o a) Building location
o b) Existing signs & area ^"^e
❑ b) Lot size
o c) New sign & arca 25 sq 0 on each wan
o c) New sign location
o d) Location of sign on wall see attached photo
o d) Dimensions to sign from property lines
o e) Is sign lighted? Yes (mrat noel stale eleaimnl rode) not lighted
o e) Parking lot entrances
(sign insist be in legal lone (or lrgbling and qpe)
o 0 Distance of sign from right of way
o g) Existing Signs location & area
o h) Is sign Lighted? Yes (must meet slate electrical rode) (sign mist be in legal nene for ligbling rmd ype)
Fee: $100.00* - $75.00 refundable at time of final inspection
and photo of completed sign.
*An extra $40.00 charge will be applied to any powered or lighted sign.
Signature of Applicant: A. -, Date t a !!v ZV8
Now: This document is for appfi ation purposes only (the Icgal sign permit form must be signed by city ofbcials berom sign is appmvcJ)
See Sign Ordinance (no. 908) atwww.rexburg,o for regulation information.
Building Safety Department , r
CRy of Rexburg
19 E. Main janellh®rexburg.org Phone: 208.359.3020 ext 326 -
Rexburg. ID 83440 www.rexburg.org Fax. 208.359.3024 -
Affidavit of Legal Interest
State of Idaho O'n O
County of Madison F�%' S�
1, Stan Colborn 36 North 3rd West RQ
Name Address
Rexburg Idaho
Cit, State
Being first duly sworn upon oath, depose and say:
(If Appucant is also Owner of Record, slip to B)
A. That I am the record owner of the property described on the attached, and I grant my
permission to: Rexburg US Welding Supply, LLC 208 West 1 st North, Suite A
Name Address
to submit the accompanying application pertaining to that property.
B. I agree to indemnify, defend and hold Rexburg City and its employees harmless from any
claim or liability resulting from any dispute as to the statements contained herin or as to the
ownership of the property which is the subject of the application.
Dated this day of
Signature
Subscribed and sworn to before me the day and year first above written.
My commission expires:�a
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