HomeMy WebLinkAboutESGN2011-4020DATE OF ISSUANCE:
PERMIT # :;
SIGN PERMIT APPLICA'T'ION
JOB ADDRESS: 1 EI � ' 10} /
iTE #�
LOT: BLOCK: SUBDIVISION:
NAME OF BUSINESS: '516, 0,d �N f)
PHONE NUMBER:
SIGN CONTRACTOR (company name):
(OR ELECTRICAL SIGN CONTRACTOR) STATE LICENSE REQUIRED FOR ELECTRICAL SIGN CONTRACTOR
CURRENT MAILING ADDRESS:
CITY /STATE /ZIP: 6 Pi-NA C - � .��� I PHONE NUMBER: S 1 3 —7 - 15
TYPE OF SIGN: ,
FREE STANDING WALL MOUNTED BANNER GRAND OPENING thru
OTHER
DESCRIPTION OF SIGN: Ac LZ—E L L c_ lac.&- Y
r P � �+
SIGN DIMENSIONS: �� �� �� ' l G LUI 10e- WALL DIMENSIONS:
ILLUMINATED? YES �>< NO REFACE? YES NO ELEVATION:
* *In accordance with STATE LAW & CITY ORDINANCE, illuminated signs must be constructed, installed and wired by a State
Licensed Electrical Sign Contractor or a State Licensed Master Electrician. Signs may also be constructed by a fabricator
approved by a Nationally Recognized Testing Agency and labeled accordingly **
VALUATION OF SIGN: I S
REQUIRED ATTACHMENTS:
1. A separate permit and 2 sets of drawings are required for each sign. For wall signs a separate permit application and
plans may be submitted for each elevation.
2. Pole or ground signs require a site plan drawn to scale showing location of the sign. Show dimensions and distances to
property lines. Pole sign structural drawings must be sealed by a State of Texas Registered Professional Engineer.
Monument and Ground sign applications must include footing detail.
3. Detailed, dimensioned plans of sign showing graphics.
4. Dimensioned building elevation showing sign or signs on building. Show dimensions -of height & width of tenant space
and or building.
5. Plan Review Fee, 65% of the permit fee is required when permit application is submitted. Balance due upon approval.
If any other signs are on the property, give the number and the types
I HEREBY CERTIFY THAT THE FOREGOING IS CORRECT TO THE BEST OF MY KNOWLEDGE AND THAT THE
SAID WORK WILL BE DONE IN CONFORMANCE WITH THE INFORMATION HEREIN SET FORTH AND IN
COMPLIANCE WITH THE CITY OF GRAPEVINE CODE REGULATING SIGN REQUIRENIENTS.
PRINT NAME: i.�_�i Yl SIGNATURE:
PHONE �3 FAX #:� 1��)
FOR OFFICE USE ONLY
FUNCTIONAL TYPE: 4M, pl -ru' - ur/ PERMIT FEE:
STRUCTURAL TYPE: AA,tyti u,ue y('/l „L.4_ PLAN REVIEW FEE:
APPROVED BY: DATE: REMAINLNG FEE:
O:FORM&SIGNAPP
6/4/2004- Rev:3/24/05,5/23/06, 2/16/07
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