CITY OF COVINGTON, VIRGINIA COVINGTON, VA 24426 CITY OF COVINGTON, VA SIGN PERMIT .A APPLICANT INFORMATION 1. Applicant Name: 2. Applicant Address: 3. Applicant Telephone: 4. Represented Agency/Organzation: 5. Agency/Organization Address: II. SIGN INFORMATION 1. New Sign Work Phone Renewal 2, Content of Sign (Attach Photograph, Diagram or Describe: 3. Size/Height of Sign: 4. Location of Sign Erection: Attached to Building Free Standing 5. Sign Construction: A. Type of Material: B. Wind Resistance:: (30 pounds per square foot minimum) "As a condition precedent to obtaining a permit. the property owner, the sign owner: and user of any sign shall agree to be and remain liable for all damages andi injuries caused to persons or property by the construction. maintenance or use of the sign constructed or maintained pursuant to such permit and shall also agree to indemnify and save harmless the cily against all damages it may sustain in any manner by reason of construction, maintenance or use of any sign erected, constructed or maintained over, on or in any street, sidewalk, alley, park or other public place, or any sky sign on any building in the city." (Code of the City of Covington. Section 26-19) Applicant Signature Building Official Approval: Date Date Issued Date: Renewal Date Final Approval by City Manager: Date: Remarks: Zone: SIGN PERMIT EXPIRES AFTER FIVE (5) YEARS - Fee: $20.00