HomeMy WebLinkAboutESGN2013-0505jAX*A_4_s� tT e
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DATE OF ISSUANCE: MAY 13 2013
SIGN PERMIT APPLICATION
PERM IT #: / 3 �)JC) 7
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JOB ADDRESS: 130 3 KA k_cil u ID SUITE #k
LOT: BLOCK:—
NAME OF BUSINESS: In
PHONE NUMBER:
tai
SUBDIVISION:
SIGN CONTRACTOR (company name): J�� i' "�C�`� s i ''i 1YI— .pee -A/ S
(OR ELECTRICAL SIGN CONTRAC -TOR) STATELICENSERE ,RED F ELECTRICAL SIGN CONTRACTOR
CURRENT MAILING ADDRESS: �• : l . \
CITY /STATE /ZIP: i�zj (,Ini�wyl HVW _ � _1(o1 `;PHONE NUMBER: i:�Z?>
TYPE OF SIGN: �"ALL ❑ FREE STANDING MOUNTED
❑ OTHER
❑ BANNER ❑ GRAND OPENING thru
DESCRIPTION OF SIGN' �l�IIy� f IS I ! �D on ISQ) � e
SIGN DIMENSIONS: _ I� ✓LL ( WALL DIMENSIONS: q Ci Yt 'X- 0
ILLUMINATED? YES NO REFACE? YES NO _>� ELEVATION: '� 1
* *In accordance with S ATELAW & 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: .V
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 INFADAMATION HEREIN SET FORTH AND IN
COMPLIANCE ,W/}I'yT�(H>, CTHE CITY OF GRAPEVINE CODE REGULATI G �Q 1 ENTS.
PRINT NAME: I� .V ���% y(S SIGNATUR 1
PH #: U ��% �dC� (3FAX #: 5 -'Oc '1 b � EMAIL:
L; CHECK BOX IF PREFERRED TO BE CONTACTED BY E -MAIL
FUNCTIONAL TYPE: N G ( PW � 1 SC Boa oF�iCt USE ONLY PERMIT FEE: ?L"-) `>
STRUCTURAL TYPE: W AI l S 1 Y) PLAN REVIEW FEE:
APPROVED BY: A111P DATE: I S` 20 13 REMAINING FEE:
0YORMISICNAPP
614!2004 -Rev J /OSS /06, 2/07,1 1/09 (�
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