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Get City Of Glendale Banner Permit Form

CITY OF GLENDALE - BUILDING AND SAFETY 633 E. Broadway Room 101 Glendale CA 91206 - 818 548-3200 548-4830 Inspection TEMPORARY BANNER PERMIT WORKSHEET Application No. Please complete the section below clearly legibly and in ink. PRINT Check only if applicable ENGINEERING ZONING Y TRAFFIC ENGINEERING OK TO ISSUE PERMIT BY N IF THE CITY OF GLENDALE TEMPORARY BANNER PERMIT IS ISSUED TO A LICENSED CONTRACTOR THE SIGNATURE OF THIS INDIVIDUAL MUST BE VERIFIED BY PERSONAL IDENTIFICATION. ANY PERSON SIGNING THE PERMIT APPLICATION AS AN AGENT FOR THE OWNER OR THE CONTRACTOR SHALL HAVE AN ORIGINAL LETTER OF AUTHORIZATION AT THE TIME OF PERMIT ISSUANCE. CPDPSD -143 04/12 Job Address Permit Number PLOT PLAN NOTE Locate all Structures on the Lot. Attach a plot plan with sign elevations PROJECT ADDRESS CITY AND ZIP UNIT SUITE NO. DESCRIPTION OF BANNER ACTIVITY AND LOCATION OF BANNER Date s banner s will be displayed* COST OF BANNER includes all fixed equipment and labor costs This may be revised by the building official* LOCATION to HEIGHT DIMENSIONS SIGN COPY COLORS MAILING ADDRESS BUS* PHONE NO. PROPERTY OWNER S NAME Check one for the primary contact APPLICANT S NAME PHONE NO. LICENSED DESIGN PROFESSIONAL ARCHITECT OR ENGINEER IN CHARGE OF THE PROJECT INFORMATION NAME LICENSE NO. CALIFORNIA LICENSED CONTRACTOR S DECLARATION I herby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 commencing with section 7000 of Division 3 of the Business and Professions Code and my license is in full force and effect. CONTRACTOR S NAME CONTRACTOR S E-MAIL ADDRESS LICENSE CLASS AND NUMBER ASSESSORS PARCEL NO. TRACT LOT TYPE OF CONSTRUCTION THE EDITION OF THE CODE STAFF USE ONLY BELOW THIS LINE STAFF COMMENTS INITIALS OK TO SUBMIT/EXPRESS BY SIGNATURE DATE PERMIT FEE ARCHIVE FEE PAGES ACCEPTED BY RECEIPT NO. Attach a plot plan with sign elevations PROJECT ADDRESS CITY AND ZIP UNIT SUITE NO. DESCRIPTION OF BANNER ACTIVITY AND LOCATION OF BANNER Date s banner s will be displayed* COST OF BANNER includes all fixed equipment and labor costs This may be revised by the building official* LOCATION to HEIGHT DIMENSIONS SIGN COPY COLORS MAILING ADDRESS BUS* PHONE NO. PROPERTY OWNER S NAME Check one for the primary contact APPLICANT S NAME PHONE NO. LICENSED DESIGN PROFESSIONAL ARCHITECT OR ENGINEER IN CHARGE OF THE PROJECT INFORMATION NAME LICENSE NO. PROPERTY OWNER S NAME Check one for the primary contact APPLICANT S NAME PHONE NO. LICENSED DESIGN PROFESSIONAL ARCHITECT OR ENGINEER IN CHARGE OF THE PROJECT INFORMATION NAME LICENSE NO. CALIFORNIA LICENSED CONTRACTOR S DECLARATION I herby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 commencing with section 7000 of Division 3 of the Business and Professions Code and my license is in full force and effect. CALIFORNIA LICENSED CONTRACTOR S DECLARATION I herby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 commencing with section 7000 of Division 3 of the Business and Professions Code and my license is in full force and effect. CONTRACTOR S NAME CONTRACTOR S E-MAIL ADDRESS LICENSE CLASS AND NUMBER ASSESSORS PARCEL NO. TRACT LOT TYPE OF CONSTRUCTION THE EDITION OF THE CODE STAFF USE ONLY BELOW THIS LINE STAFF COMMENTS INITIALS OK TO SUBMIT/EXPRESS BY SIGNATURE DATE PERMIT FEE ARCHIVE FEE PAGES ACCEPTED BY RECEIPT NO.

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