33 MASON ST - BUILDING INSPECTION (2) Permit Number �)
APPLICATION FOR PERMIT TO ERECT A SIGN
' .. NOTE:BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN Is ERECTED
l� Location, Ownership and Detail Must Be Correct, Complete, and Legible
Salem,Massachusetts ( 3
To the Building Inspector: Date
The undersigned hereby applies for a permit to ❑Erect, o Alter, o Repair a sign on the following described buildings:
:1 Street Address Zoning District
3 3 i A /�S� 5 ❑Urban Renewal Area o Entrance Corridor
o Historic District o None
• Tp f\( /ZUse of
Telephone I` floor.
• /O L 4uM/�C%' 2 floor
Address 3 floor
Telephone ,lb I" • 3S _ Siy 3 4 Floor
E-mail How many businesses are in the building?
If a corporate body,name Frontage
ofres nslble officer
S((�J1/S Building Q linear feet
Construction Sups License No Applicant's Space(if multi-tenant) linear feet
Address (o O OLD L)C f?R, _a_, Property 4linear feet
Telephone 6v3- c(37•/app )C3oi Mail Sign Permit to
E-mail ❑Sign Owner ign Erector o Other.
Si•n 1 Sion 2 Sign 3
"urface o Surface o Surface
Right Angle to Building ❑Right Angle to Building a Right Angie to Building
❑Free Standing ❑Free Standing ❑Free Standing
❑Awning o Awning o Awning
❑Portable(A-Frame) ❑Portable(A-Frame) ❑Portable(A-Frame)
❑Other(specify) o Other(specify) ❑Other(specify)
SigLn jvlatCSCerials Sign Materials Sign Materials
•f• Lvi`// vi�'�
Sign Dimensions Sign Dimensions
g Sign Dimensions
Sign Area ,7S Sign Area Sign Area i
sq it s ft '
Sign Height(if free standing) Sign Height(if free standing) s ft
Sign Height(if free standing)
Estimated Cost of Net Work I
$
Existing Signs
Type Sign Area To Belem=? Sign Owner iI
❑Surface sq ft as
no
❑Right Angle to Building sq ft ❑yes ❑no
❑Free Standing sq ft ❑yes a no rSig .O u th ep,❑Awning
❑Other(specify) sq ft ❑yes o nosq ft ❑yes ❑no
Property Owner
Internal Review
r
PI Ing 6,-ommuniryQeVbJi5pn)ent Department - Historical CommissionAnproval
i
p
Building Inspector
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