HomeMy WebLinkAboutSign Permit 98-138
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FRI 10:02 FAX 6124414245
CIT': OF PR~OR L}2CE
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City of Prior Lake
APPL!CA TION }'OR SIGN PERL'\fIT
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Pennit N,~. qf --/3 <;s
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nrRECTIONS: One completed application per sigu is r~uired. Applicanti!
respoIl~J.ble f(lr obtaining :1 buildmg peImit if necessary.
I 1. PARCEL I.n. OF f'ROPERTY:
13:3-~30-0S>- ~
(pHOr-.'E)
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SIGN PERMITS WD..L NOT BE PROCESSED IF THEY ARE INCOMPLETE
T!Jis AppliaotioD jcome ,~~n ~rOYed.
13yi0, /
II)' Plar,nel' Of ~tS1gMe
q -~ ,5{ --7 k.
Date
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Received of
the sum of
for the purpose of
CITY OF PRIOR LAKE
16200 EAGLE CREEK AVE SE
PRIOR LAKE, MN 55372
(612) 447-4230, (612) 447-4245
RECEIPT # 33722
DATE; ft)/OI/98"
dollars
$
,q () CO
BUILDING PERMIT #
BUILDING PERMIT #
Building Permit Fee
Plan Check Fee
State Surcharge
Plmb Pmt pp#
Mech Pmt mc#
(Heating only - $65.00)
(Htg & Air - $100.00)
(Fireplace - $40.00)
(Air - $40.00)
SwrlWtr Pmt sw #
Other
1,200.00
700.00
1,500.00
Building Permit Fee
Plan Check Fee
State Surcharge
Park Support Fee
SAC
Plmb Pmt pp#
Mech Pmt mc#
Mech Pmt mc#
SwrlWtr Pmt sw#
Pressure Reducer
Water Meter
Tree Preservation Deposit
SwrlWtr Connection Fee
Water Tower Fee
Builder's Deposit
Other
Total
Total
SIGN ORDER FORM
The J.M. STEWART CORPORATION
2201 CANTU COURT, SUITE 217-218, SARASOTA, FL 34232 Smith
1-800-237 -3928
941-378-4242
SOFCOPV
FOR ASSISTANCE IN COMPLETING ORDER, PLEASE CALL YOUR SIGN CONSULTANT TOLL FREE
SIGN SPECIFICATIONS
PRICES
ASSEMBLIES OF GOD
Name as it is to appear on sign:
PRIOR LAKE ASSEMBLY OF GOD
Order Number.....* 182997
Customer Number..* 1149839
Sign.............$ 4,505.00
Sign specifications:
Model.............. Witness
Size............... Standard 4'x 8'
Sgl/Dbl Sided...... Double Sided
Face................Inverted
Mounting Method.... Anchor Bolts
Cabinet Color...... Caramel
Leg Height.........dt' 0" (c)
Symbol...........$Included
Clergy Panel.....$Included
Hours Panel......$Included
Shorten Legs
..$Included
Internally Illuminated
Faces:
Background Color... Brt Blue
Type........... Translucent vinyl
Name Color......... White
Draft Color........ White
Cowling
..$Included
Symbol Number...... 720 & 795
Total Sale......$ 4,505.00
Deposit Rec'd....$
Message Center.....
* of Lines.....
Letter Size....
* of Letters...
Letter Color...
Vandal Cover...
Yes
2
4 Inch
330
Black
Not Included
Actual freight charges will
be added to final invoice.
Applicable State Sales Tax
will be added to your invoice
unless a copy of your Exempt
Certificate is included.
SIGN
CONSULTANT
These Prices Guaranteed for 60 Days only.
ORDERED BY: PRIOR LAKE ASSEMBLY
6880 Boudin St Ne
Prior Lake, Mn 55372
AUTHORIZED SIGNATURE:
TITLE:
SHIP TO:
PRIOR LAKE ASSEMBLY Attn: DAN TURNER
6880 Boudin St Ne
Prior Lake, Mn 55372
Ph: 612-447-2789
SEND INVOICE P~IOR LAKE ASSEMBLY
6880 Boudin St Ne
Prior Lake, Mn 55372
See Reverse Side for Terms, Ordering Procedure & Warranty Information
//
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