\\city-hall\Municipal Services\Codes\Permit - CODES\Sign Permit\Sign Permit Application - 2014.docx 4/10/2014
PERMIT NO. ______S-____
NAME ADDRESS/CITY/STATE/ZIP PHONE
Business/Sign Name
Property or Business Owner
Sign Contractor
Licensed Electrician
Application is made to erect a sign(s) at
_______________________________________________
in conformance with the specifications and diagrams attached. Each sign shall be marked or
stamped with:
1) Date of erection or placement
2) Permit Number
3) Voltage of electrical current, if applicable
Also, the licensed sign hanger shall call for an inspection within 48 hours upon completion
of the erection of said sign. Materials and work will be done in compliance with all
ordinances relating to such signs. Any person, firm or corporation violating any of the
provisions of this ordinance shall be fined not less than five dollars ($5.00) and not more than
one hundred dollars ($100.00).
Qty Type Width Length Total
Area
Material Illuminated Double
(Sq. Ft.) (Yes/No) Faced
Ground
Billboard
Roof
Projecting
Wall
Temporary
Other
___________________________________ _________
Applicant Signature Date
__________________________________ _______
Building and Codes Date
Fee $___________
City County City of Milford
Building & Code Department
700 N. Jefferson St., PO Box 287, Junction City, KS 66441
PH: 785-238-3103 Ext. 182 FAX: 785-210-1904
SIGN PERMIT
APPLICATION
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