130 NORTH ST - BUILDING INSPECTION a Permit Number
APPLICATION FOR PERMIT TO ERECT A SIGN
NOTE: BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN Is ERECTED
Location, Ownership and Detail Must Be Correct, Complete, and Legible
s rF —lL- ll Salem, Massachusetts
Date
To the Building Inspector:
The undersigned hereby applies for a permit to a Erect, u�Alter, ❑ Repair a sign on the following described buildings:
Street Address Zoning District
e Urban Renewal Area o Entrance Corridor
u Historic District u None
Telephone -lg -3 oqq t� Floor
' KeAV,4k,�tl i C ifjj j " Rc-. 2 floor — .—
Address ) 3a vg h Sj - 3` floor
Telephone ry71-QaS -UZva 4 floor
E-mail ji How many businesses are in the building?
If a corporate body, name , 1_
of responsible officer
Building 79, linear feet
Construction Sup's License No Applicant's Space(if multi-tenant) linear feet
Address Property linear feet
Telephone Mail Sign Permit to
E-mail ❑Sign Owner u Sign Erector o Other:
osed Signs (If more than three signs are proposed, attach additional sheets)
Si•, t Sign 2 Sign 3
SIC
rface ❑ Surface
ri Right Angle to Building a Right Angle to Building a Right Angle to Building
u Free Standing u Free Standing u Free Standing
u Awning u Awning ❑Awning
n Portable(A-Frame) ❑ Portable(A-Frame) ❑ Portable(A-Frame)
❑ Other(specify) ❑Other(specify) u Other(specify)
Sign Materials Sign Materials Sign Materials
Sign Dimensions Sign Dimensions Sign Dimensions
Sign Arear Sign Area Sign Area
1 V 03 3 s It s ft s It
Sign Height(if fr a standing) Sign Height(if free standing) Sign Height(if free standing)
Estimated Cost of Net Work -
Existing Signs
T e Sign Area To Be Removed? Sign Owner
Surface sq ft u yes ❑ no
❑ Right Angle to Building sq It c yes o no
* Free Standing sq It a yes a no Sign Owner's Authorized Representative
o Awning - sq ft u yes ❑ no
e Other(specify) sq It o yes u no
Prope caner
Internal Review
Planning 8 ommunity Development Department / Historical Commission
Approval
_ Building Inspector
' Ofl2Gl10 rev