tablishment:______________________________________________________________________
Owner of Sign(s):__________________________________________________________________________
Sign Installer:_____________________________________________________________________________
Address:_________________________________________________________________________________
Phone Number:___________________________ State Contractor's License #________________________
PLEASE CALL 5356436, 24 HOURS IN ADVANCE TO SCHEDULE SIGN INSPECTIONS. FOOTING 
INSPECTIONS ARE REQUIRED PRIOR TO INSTALLATION. FINAL INSPECTIONS ARE REQUIRED FOR ALL SIGN INSTALLATIONS. 
 

IVR INSPECTION SYSTEM, USE THE 700 NUMBERS FOR INSPECTION REQUESTS 
 
BEFORE FILLING OUT TABLE BELOW, PLEASE COMPLETE WORKSHEETS ON REAR OF FORM.



Sign Type


Sq Ft Allowed in Zone


Sq Ft of proposed Sign

Sign Height
Above Ground


Setbacks

1. ____________ ___________________ ___________________ ____________ ________
2. ____________ ___________________ ___________________ ____________ ________
3. ____________ ___________________ ___________________ ____________ ________
4. ____________ ___________________ ___________________ ____________ ________

Value of Sign(s): ________________________
Illuminated ____Yes ____No



FOR OFFICE USE ONLY

Permit Fee
___________
Elec. Permit Reqd ___Yes ___No
11.07% Plan Check ___________
Zoning Approval
_____________
Tag Fee
____$11.07_


Plans Examiner
_____________
1% State Fee
___________


Historic Approval _____________
Double Fee
___________


Board of Adj.
_____________

TOTAL

___________



Date of Approval _____________

Comments:___________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________









6/08

Permit #: _____________
Date: ________________

WORKSHEET
Zone: _____________

Size Worksheet:


Sign Type
Size ratio allowed by zone
(i.e. 1.5 st of sign per lineal footage of store frontage)

Lot Frontage
Bldg
Frontage
Store
Frontage
Size
Allowed
1.





2.





3.





4.







Square Footage worksheet:

Length
Height
Projection
Square footage of sign
1.



2.



3.



4.




Projection over Public Property? _____ Yes _____ No
Will the sign be illuminated? ______ Yes _____ No

Comments:
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________

NOTE: A
separate
electrical permit is needed for feeder or branch circuit wiring to sign
equipment or neon lighting transformers and must be obtained by a licensed electrical
contractor. Also, a
separate
permit is required for any work conducted on public
property. 24 hour notice is required for all inspections. Please call (801)535-6436 for
all inspections.

Applicant must comply with all laws and ordinances governing this type of work, whether
specified herein or not. The granting of a permit does not authorize the violation of any
law nor will a permit cancel the effect of the provisions of any other law regulating
construction or the performance of construction. Any permit or license issued for signs
which are in conflict with Salt Lake City Ordinances shall be null and void, whether or
not the license or permit was issued by employees of the City authorized to issue such
permit or license. (Sec 21.92.290). It is the responsibility of the applicant to verify
all dimensions and to verify all information contained in this application.


S
ignature of applicant:___________________________________ DATE:______________________