HomeMy WebLinkAboutESGN2011-4019DATE OF ISSUANCE: JAN d 6 2012
SIGN PERMIT APPLICATION
JOB ADDRESS: 4 -'S7 1 15, LL-
LOT:
BLOCK:
SUBDIVISION:
PERMIT #:
#-
NAME OF BUSINES � `-�, 1, ; � Lria 0- k- 41ukri
PHONE NUMBER:
SIGN CONTRACTOR (company name):
(OR ELECTRICAL SIGN CONTRACTOR) STATE LICENSE REQUIRED FOR ELECTRICAL SIGN CONTRACTOR
CURRENT MAILING ADDRESS: i S°) S 5,T • 160
CITY /STATE /ZIP: C + t -i~ V t E --T'� - PHONE NUMBER:Zr 7 -9 "9r-? 3--?
TYPE OF SIGN:
FREE STANDING ❑ WALL MOUNTED ❑ BANNER ❑ GRAND OPENING thru
❑ OTHER —1 ri0% LOck -52%1 -`���
DESCRIPTION OF SIGN: Uc-- Psi
SIGN DIMENSIONS: _� °{ i � '(z -t L1 rui or- 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: ) '-5c� ,
REQUIRED ATTACHMENTS:
I. 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 REQUIREMENTS.
PRINT NAME: (9 U,2 - c �4 3 f �, SIGNATURE: �J
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❑ CHECK BOX IF PREFERRED TO BE CONTACTED BY E -MAIL
FOR OFFICE USE ONLY
FUNCTIONAL TYPE: buj �ra �„ �,i PERMIT FEE:
STRUCTURAL TYPE: PLAN REVIEW FEE:
APPROVED BY: DATE: !2 REMAINING FEE:
O:FORM\SIGTAPP
6/4/2004 -Re,:3 /05,5/06, 2;07,11/09
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