118 WASHINGTON ST - BUILDING INSPECTION (4) .r. Permit Number3-Z
(01 APPLICATION FOR PERMIT TO ERECT A SIGN uuJJJ
�it ,)� PERMIT MUST BE OBTAINED BEFORE SIGN IS FABRICATED AND INSTALLED
I A)CIM 11,0Wt1Crship .old Detail Must he Correct,Complcte, and Legible
City of SALEM, MASSACHusETr$
TO THE BUILDING INSPECTOR:
'fhe undersigned hereby apphes for a permit to --X- Erect Alter Repair a sign on the followingdescribed buildings:
Location and No._I ) �J Q / A SF(1 Jk'((r-rO/N/ ST Zoning/District DOWN-mw 14
Name of Property Owner
Name of Sign Owner K El I-rfA C[tA I JTHC A RALI T Address ? d-nA C
If Owner is a corporate body, name of responsible officer S Q-4A C
n/� Muse
Name of Licensed Sign Erector t 11 P-jm �I6J & Awmrsn C$ 8905 Salem License No.
� �e2�M Sfi. Tewl�s�a r a vi �6
Address
Use of Building: 1^ Floor ^' Y4 Floor try
2^a Floor '�Fa 4' Floor rt�r
� 7 v
Frontage: Building `I 6 t linear ft Property t� 10 linear ft
Type of Sign Proposed: ® Surface ❑ Right Angles to Building Free Standing ❑ Awning -
Other(specify)
Proposed Sign Materials 6TgUCED /41.vmu1y►t —rJbV- 9R' F &jjAI Corytasirr FKiF 4 It? PUC, CGRAPH1eS
u 11
Proposed Sign Dimensions 2•�3 H x i 17 • O V\1 Sign Area 20 sq ft
Existing Signs: Surface: Sign Area sq ft
Right Angles: Sign Area sq ft
Free Standing: Sign Area tdA sq ft
Other: Sign Area sq ft
Signs to be Removed: Type Sign Area s ft �
l
Signature of Owner
Signature of Owner's Authorized Representative 6 I
Estimated Cost of Net Work Tew�ab�� Mg O)01'0
Address 11U �d2yir Sfirt2� � _.
$ '7 (o b C( 2 7 Telephone q16
Signature of Property Owner
APPROVALS (Department Use Only):
COMMUNITY DF.VE OPMENT FIISTORIt'AI,COMMISSION BUIIDING INSPECTOR