99 WASHINGTON ST - BUILDING INSPECTION (4) Permit NuREGEVED
APPLICA O FO RMIT T
�� � O ERECT A SIGN AUG 1 1 2011
jZ - 52 NOTE: BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN IS ERECTED DEPT. OF PLANNING&
Location, Ownership and Detail Must Be Correct, Complete, and LegibIeCOMMUNITY DP.; P.
LO ENT
/'2 �GS )r Lh ` 1 Salem, Massachusetts �' /Y
To the Building Inspector: V ,i Ll'U C�/ Date
The undersigned hereby applies for a permit to Erect, ❑Alter, ❑ Repair a sign on the following described buildings:
C
� 9Vrban Renewal Area ❑ Entrance Corridor
o Historic District o None
Telephone 1_ ,l
7 "manybusinesse,9
wC'n CC 7the
'1� L_ 7
ddress _ (\ S Telephone =E-mailU� U0 CNN g?
I(a corporate body, name
of res onsible officer Frontage
Building linear feet
ConsWdion Sup's License No
Applicant's Space(if multi-tenant) linear feet Address Property
Telephone linear feet
Mail Sign Permit to
E-mail
❑ Sign Owner ❑ Sign Erector a Other:
• - - - . .•. -• - ..
SI•n 1 SI n 2
❑ Surface ❑Surface SI n 3
❑ Right Angle to Building ❑ Right Angle to Buildingo Surface
❑ Free Standing o Free Standing
❑ Right Angle to Building
❑Awning g ❑Free Standing
'Portable(A-Frame) o Awning o Awning
❑ Other(specify) ❑ Portable(A-Frame) o Portable(A-Frame)
❑Other(specify) ❑Other(specify)
Sign Materials y� Sign Materials
1" Sign Materials
Sign Dimensions I Sign Dimensions
7- X � ".. Sign Dimensions
Sign Area co Sign Area
s it Sign Area
Sign Height(if free standing) Sign Height(if free standing) s ft s It
Sign Height(if free standing)
Estimated Cost of Net Work
Type Sign Area To Be Removed? Si•n O❑ Surface
❑ Right Angle to Building sq-R ner
o yes o no
o Free Standing q ❑ yes ❑ no
es a no
•Awning sq Ito sq It c3yes ono Sign Own iCs Aut razed Representative
a Other(specify) y \
sq It ❑yes o no
Pro Fly wne
i
�. /
Planning&Community Development Department
Historical Commission
Building Inspector