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SIGN PERMIT APPLICATION SOF TIC A R D Date -April 9 _, 19__._. No.
The applicant hereby appli,s for a permit for the work indicated or as shown in the accompanying plans and
specifications.
SIGN LOCATION ADDRESS: j27�05t�S-11 ..11tu.L
APPLICANT: OwnerLess,,:, _. Authorized Representative
NAME/COMPANY �— Tel.
PROPOSED SIGN: Freestanding Wall _ Projecting __Other
SIGN DIMENSIONS _ AREA ,.'Q y •HEIGHT . WALL AREA
"Rr1PERTY FRONTAGE _ COST ZONING DISTRICT ILLUMINATION suOtlight
MATERIAL .. "'IL � WILL" � _ COLOR Lr,-wtt a,11d Y111vt v _
COPY _.` . Mt. Shop �N DRB_
EXISTING SIGHS: Freestanding -- Walt Projecting __ Other
CJMMENTS:
All sign permits :-conipanied by a scale drawing and plot
plan. If work authorized under a sign permit has not been completed
withi,i ninety days after the �suance of the permit, the permit shall
PLANNING DEPARTMENT _ become null and void.
Permit Fee '10
+Approved N.L. Applicant's Signature T ��
Receipt No.
Rdnewal Date Address Te•:ephone
r " CITY $eXltJ�trlber ;) ,tf`_.
BUILDING PERMIT APPLICATION OF TI �4RU OATS . Ig----
THE UNDERSIGNED HEREBY APPLIES FOR APERMIT. FOR THE WORK HEREIN INDICATED BUILDUP.PHONE-
OR
HONEOR AS SHOWN AND APPROVED IN THF ACCOIVPANYi"St, PLANS AND SPECIFICATIONS. 4" tPHONE__-�
Northwest House 12110.► 6WY liar-11 blVd. LOT NO. —
OWNER JOB ADDRESS, HOME ADDRESS
iArj► A. CrrxgB®af1 ARCHITECT
ENGINEER
DUI LDER ADDRESS DESIGNER
STRUCTURE ❑NEW _y REMODEL _ _ CJADDITION ❑REPAIR [:]RENEWAL _urIRE DAMAGE ❑i)F_IAOLIT;JN
❑ RESIDENCE LICOMN, L-.IEDUCATIONAL OGOV'T ❑RELIGIOU._1ATIO ❑CARPORT QGARAGE ❑STORAGE IJSLAB [:]FENCE
L:..LBOND OMOVING QCONDITIONA'_USE ❑DESIGN REVIEW QCOUNCIL APPROVED hSIGNS
OCCUPANCY_LAND USE ZONE —.BLDG.TYPE FIRE ZONE_ PLAN CHECK BY _ _ HEAT_
40Nh C-3 FRAME ;' x 6' Oval Sign 4' x 3'
�— -1`111; - e W00ff_--CDLUR XlittUrftl t51168 w-TiTte-aod red pr u
�— 24 sq' $50..00
OCC.LOAD F-LQQR LOAD
BUILDING DEPARTMENT SET BACKS FRONT NEAR LEFT SIDE RIGHT SIDE
Permit
THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING
Plan Check REGULATIONS AND At L APPLICABLE CODES AND ORDINONCES, AND IT IS HEREB`/ AGREED THAT THE
-- WORK WILL.BE DONE IN ACCORDANCE WITH THF PLANS A'JO SPECIFICATIONS AND:N COMPLIANCE VITH
Sub-total ALL APPLICABLE. CODES Ar'D ORDINANCES T:4F '�SUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRIU7IVE COVENANTS. CONT-..AL OR AND S'JP CONTRACTORS TO HAVE CURREiJT CITY BUSINESS
State Tax LICENSE. SEPARATE PERMITS AEOUIRED FOR SE"Eq, PI.UMNING AND HEATING.
Total
B
T.E.
y - - --- -
,_ APPI.Ii_IN1 nP ACIFN t
Approved Receipt No. I fd.-2 1
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Addree0/.1�D!i �•L- --
Permit No.
Name of Occupant Permit charge_
Connection
Paid by_
Date connected
Type of Building GSC c Inspection fee _
Service Bate
Paid by
Contractor Assessment
(.�; lQ—.Paid
Size of connection
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