145 NORTH ST - BUILDING INSPECTION (2) a.. Permit Number Val— �'y -
�r�0'; APPLICATION FOR PERMIT TO ERECT A SIGN
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NOTE: BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN Is ERECTED TAR 01 2012
0f1' 1 2
P �r Location, Ownership and Detail Must Be Correct, Complete, and Legible
DEPT
rrtna y Salem, MassachusetCW•'•
Date
To the Building Inspector:
The undersigned hereby applies for a permit to o Erect, ❑Alter, c Repair a sign on the following described buildings:
Street Address Zoning District
a Urban Renewal Area uEnuance Corridor
❑Historic District ❑ None
06 A AN Z0Use of Building
Telephone 9-1 g d6 T 5-3-91 S floor <tn ' 9M E�
• A Ai 4 L) 2 floor
Address tv 0 a x k 5 3 floor
Telephonel r,1 g 7115 }}r 4m floor
E-mail How many businesses are in the building?
If a corporate body, name Frontage
ofres onsibleofcer
• Cc iv Building linear feet
Construction Sup's License No 000 —; 0 Applicant's Space(if multi-tenant) linear feet
Address � kt OE 5 r Property linear teat "
Telephone Mail Sign Permit to T
E-mail ❑ Sign Owner o Sign Erector o Other
Proposed Signs(If more than three signs ire proposed,
Sign 1 1 Sign 2 Sign 3
❑Surface ❑ Surface ❑Surface
n Right Angle to Building o Right Angle to Building ❑ Right Angle to Building
n Free Standing ❑Free Standing ❑ Free Standing
o Awning ❑Awning ❑Awning
)0 Portable(A-Frame) o Portable(A-Frame) o Portable(A-Frame)
o Other(specify) ❑Other(specify) ❑Other(specify)
Sign Materials Sign Materials Sign Materials -�'•
Aj4I C
I
Sign Dimensions X Sign Dimensions Sign Dimensions ;
Sign Area Yl,,I-, �23 Sign Area Sign Area
ciJ� sq it sq ft sq (t
Sign Height(if free standing) �� � Sign Height(if free standing) Sign Height(if free standing)
Estimated Cast of Net Work
$
Existing Signs
Type Sign Area To Be Removed? Sign Owner
:3 Surface sq It ❑ yes o no
u Right Angle to Building sq(t ❑yes u no c
o Free Standing sq It oyes ❑ no Sign Owner's Authorized Representative
n Awning sq it n yes n no
u Other(specify) sq it ❑yes ❑no
Property Owner
Internal Review
PI ing &Community Development Department Historical Commission
Approval
�1
Building Inspector i
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