Moxie Java SP-03-053CITY OF MERIDIAN
BUILDING DEPARTMENT
660 E. Watertower Ln., Ste. 200, Meridian, ID 83642 -Phone 887-2211/Fa x 887-1297
COMMERCIAL SIGN PERMIT APPLICATION
1. Legal Description: Lot. Block , Subdivision
2. Street Address (city will assign if new cotzstruccti�jon):_ � , (` tA) C`� ` , 50, l e 16 (
3. Owner: J61141 -'S fu h t C[ c r��-6 72—
Phone:
4. Sign Contractor: Phone: -Z61 -5z 2 ax: ;,76- 36
Address: S�f6 4 �Ct
5. Electrical Contractor (ifdifferent than sign contractor): Phone: 9-78 -55-6
Electrical Conh-actor must have an electrical license to hook-up/install any and all electrical signs.
4. Project Name p low
7. I hereby submit this Commercial Sign Permit Application to construct or install:
New commercial free-standing sign(s). Number of signs
Illuminated (must obtain electricalpermit) – Value of electrical portion only: $
New commercial wall sign(s). Number of sips^
Illuminated (must obtain electrical permit) -Value of electrical portion only: $
Planned sign program. Number of signs
* Complete Planned Sign Program application form
8. Value of sign(s) $.0 61C
f (excluding cost of installation)
Reouired Plans and Specifications (Please submit nvo (2) conies ofthe ollowing)
• Complete text to appear on sign (business name, logo, sub -titles, etc.) including size & lettering style (font).
® Overall sign dimensions (including base, wall area, background area)
® Construction materials
® Sign and lettering colors — include color samples or paint chips
® Exact, scaled location of sign on property or building. Include building elevations, property litres & any
adjacent sidewalks, rights of way from center of streets, landscaping, screening.
DECLARATION: I hereby certify that I have completed this applicati and
ordinances will he complied with whether specified herein or not N4�ef
apviolate or cancel and state or local law regulating construction.
of
ect, anner. All City of Meridian
not presume to give authority to
Date:
Authorized Agent 44
Sign Permit Fee: $
Planning &Zoning Approval:_4,7/'4
Date:_h/ 9-03
Building Department Approval: Date: