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HomeMy WebLinkAboutPermit Permanent Sign SN-06-45 - GULF5 6) DATE OF ERECTION 71 STGN DATA A) 7-A lid m G S /,,/L � � WALL SIGNS (fist size in sq. ft., illumination, . type FREE-STANDING SIGN such as panel or cut-out letter) i. 11 3 W i' SIDE (in sq. ft.): v� i - 2. 60 `h "( J, - 6 o'\ { OVERALL IEIG13T : .C, L^ s SIGNABLE WALL AREA (in sq. ft.): TYPE OF ILLuIvIINATION: NOTE: A scaled rendering of each proposed sign must be submitted illustrating the color of the sign and noting the dimensions of each sign. 8) DATE OF DESIGN REVIEW APPROVAL (if applicable): 9) Applicant Signature: Date:. >? L _ 10, Sionnture of Land/Building G=er• Date' oewanwaoaaaeewonwoceeowoa000m000soweeaooeaeeoeec�aeeaoee©e®o®oaeaooeeooeeooe0000®aeee000woo®oaoeooaooeoee -� Igo not write Wow this Sine i Fee: Code Officer Signature: E/Approved Date: !nEFA\_R1 T-T\VTaTT ,r-) F P'LAIIITT`II ,TG vt 7-0PTMTG 575 DORSET STREET SO= EURLLNGTGi T, VERla./101171 05403 (802) 846-4106 FAX (802) 84+6-4101 Permit Number Appliclation for Permanent Sign Permit 1) 0ATNER OF RECORD (Name as shown on deed, mailing address, phone and fax #) 2) APPLICANT ,Name, mailing address, phone and fax \A7-\ )Dj 3� SIGN LOCATION (include business name, address, & phone #): JA 4) TAX PARCEL ID # (can be obtained at Assessor's Office) 0 It e VI J— i % 11-� LM F-j 4 0 I 54659 SBCollins, Inc. P.O. Box 671 54 Lower Welden Street St. Albans, Vermont 05478 Fax 802-527-0115 527-0116 QTY. PART #! DESCRIPTION PRICE AMOUNT NAME DATE 11 U ADDRESS LOCATION PUMP MOD aZ SER a �r� DESCRIPTION OF PROBLEM (GNU Ot �u a -- IV 0 "1 IME IN TIME OUT SIGNATURE DESCRIPTION OF WORK PERFORMED HOURS nneCNANiC S TOTAL LABOR A TERMS: A finance charge will be imposed on any balance which remains unpaid after 30 days. The finance charge will be 1 1120, per month on the first $500.00 and 1 1;41. per month if the amount is in excess of $500.00. The annual percentage rate is 18% and 15% respectively. In the event of collection. the customer will be responsible for all collection costs including a reasonable attorney fee. Signature TOTAL MATERIALS TOTAL SUBLET VT. TAX TOTAL AMOUNT