Country Wide SP-04-040h7[RIDIfiN CITY 1' E IA
N EPA T ENT
660 E. Watertower Ln,, Ste. 200, Merldian, ID 83642 -Phone 887-2211 !Fax 887-1297
COMMERCIAL SIGN PERMIT APPLICATION
~`' ~
1. Legal Description; Lot J ,Block ,Subdivision ~~A;~ ,
2. Street Address (city r>>itl assign if Crew constr•uctr`orr): ~ ~ ~~~`t~. ,t_~ ~~ ~ G~fl~ ~ ~~' ~"~..
3. Owner: 1~(~`~ UJ~ C( ` ~ {~ ~ ~ ~ ~ S ~. ~. , (g, Phone: ~~~ ~ CI ~d~
4. Sign Contractor:,
Phone: r Fax: ~ Q
~v ,T--.--n-~-"--~ n r;~.s.,~ .ta t
5. Electrical Contractor (if different than sign contractor): ~-~'G~-°~dne:
Electrical Contractor must have m1 electtical license to hook-up/install any and all electrical signs.
6. Project Name:
I hereby submit this Commercial Sig1i Pelrnit Application to construct or install:
New commercial free-standing sign(s). Number of signs
I11un1u~ated (must obtain electrical permit) -Value of electrical portion only; $
New conunercial wall sign(s). Number of signs--~-
Illuminated (mast obtain electrical permit) - Vaue of electrical po1•tion only; $
Planned sign program. Number of signs
* Complete Planned Sign Program application form
8. Value of sign(s) $ ~ ~~(exclttding cost of installation)
Reduired Plans and Spec cations (Ptease subr»it hvo l2,Zco.~ies of the foltowing):
• 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)
• Conshttction materials
® Sign and Lettering colors- include color samples or paint chips
® Exact, scaled location of sign on property or building. Include building elevations, property lines & any
adjacent sidewalks, rights of way from center of streets, landscaputg, screening.
DECLARATION: I hereby certify that I have completed this application in a t and correct manner. All City of Meridian
ordinances will be complied with whether specified herein or not. The gran ' g of a pens' oe t presume to give authority to
violate or cancel and state or local law regulating construction.
r
Date: l ~ .~- ~'~~
igna re of Own or wners Authorize Agent
OFFICE USE ONLY
Sign Permit Fee; $ ,~ ,
Planning & Zoning Approval: .r ) -;~ ,~-'~ ~' ''' ,~ - Date: ~ _ r
Building Deparhnent Approval:
Date:
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