Paducah Fire Department
Fire Prevention Division
300 South 5th Street
P.O. Box 2267
Paducah, KY 42002-2267
SIGN APPLICATION
JOB ADDRESS:
OWNER / OCCUPANT:
CONTACT: PHONE: EMAIL:
SIGN COMPANY: CONTACT:
PHONE: EMAIL:
ELECTRICIAN: CE#
ME#
CONTACT:
PHONE: EMAIL:
TYPE OF WORK: NEW TEMPORARY SIGN RE-FACE ALTERATION VALUE $________________
SIGN INFORMATION EACH APPLICATION MUST INCLUDE THE INFORMATION BELOW AND ITEMS 1-4 ON PAGE TWO
TYPE
WALL SIGN
AWNING / CANOPY
BANNERS
PROJECTING SIGN
FREE-STANDING SIGN (MONUMENT)
FREE-STANDING SIGN (POLE)
OTHER ___________________________
ILLUMINATION
NONE
EXTERNAL
INTERNAL
SIZE / HEIGHT
PROPOSED SIGN DIMENSIONS: __________ ft. in. x __________ ft. in. = __________ sq. ft.
HEIGHT ABOVE GRADE (MEASURED TO TOP OF SIGN): __________ ft.
CLEARANCE FROM GRADE (MEASURED TO BOTTOM OF SIGN): _________ ft.
SITE
INFORMATION
(SCALED SITE
PLAN REQUIRED)
TOTAL NO. OF SIGNS ON THIS PROPERTY: __________
SETBACK OF SIGN (DISTANCE FROM SIGN TO PROPERTY LINE): __________
NUMBER OF STREETS FRONTED BY PROPERTY: __________
LINEAR FEET OF STREET FRONTAGE: __________
DIMENSION OF BUILDING / TENANT FAÇADE (WIDTH x HEIGHT): __________
ELECTRIC
ELECTRIC SIGN:
(NOTE: IF YES, ELECTRIC PERMIT IS REQUIRED BEFORE ISSUANCE OF SIGN PERMIT)
NOTE: SIGNS MUST MAINTAIN HORIZONTAL AND VERTICAL CLEARANCE OF ALL OVERHEAD ELECTRICAL CONDUCTORS IN
ACCORDANCE WITH SPECIFICATIONS OF THE NATIONAL ELECTRIC CODE, AND OTHER APPLICABLE LAWS.
I certify that all information provided in this application for and any other information provided by me in support of this application is true
and accurate to the best of my knowledge. I certify that I will comply with all applicable State and local laws and regulations in performing
the work for which this permit is issued, and that I possess all contractor and personal licenses that are required for lawful performance of
the work described in this permit. I understand that the issuance of this permit does not imply or authorize the granting of any business or
professional license. Homeowners shall not hire unlicensed persons to perform work under any building, electrical, or mechanical permit.
SIGNATURE: _____________________________________________________ DATE: ________________
DEPARTMENT USE ONLY
PERMIT NO. SIGN PERMIT FEE:
ELECTRICAL PERMIT FEE:
ENGINEERING SEAL REQUIRED: YES / NO
ENGINEERING SEAL PROVIDED: YES / NO
ZONING DISTRICT:
REMARKS:
Official Use Only
APPROVEDISAPPROVE
______________________________
ApprovingagentDate
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