140 WASHINGTON ST - BUILDING INSPECTION (7) Permit Number
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\ ? APPLI R 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
crn, � Salem, Massachusetts
Date
To the Building Inspector:
The undersigned hereby applies for a permit to rest, ❑Alter, ❑ Repair a sign on the following described buildings:
an Renewal Area ❑ Entrance Corridor
`t J ❑ Historic District ❑ None
7Telephone 1� floor
1 a - ✓� 12" floor
dress !_ 3 floor
phone 4 floor
E-mail How many businesses are in the building?
If a corporate body, name
of re onsible officer
Building linear feet
Construction Sup's License No Applicant's Space(if multi-tenant) linear feet
Address Property linear feet
Telephone
E-mail ❑ Sign Owner o Sign Erector o Other:
Sign 1 Sign 2 Sian 3
❑Surface ❑Surface ❑ Surface
❑ Right Angle to Building ❑ Right Angle to Building ❑ Right Angle to Building
❑ Free Standing ❑ Free Standing ❑ Free Standing
❑ ning ❑Awning ❑Awning
Portable (A-Frame) ❑ Portable(A-Frame) o Portable(A-Frame)
o Other(specify) ❑Other(specify) ❑Other(specify)
Sign Materials Sign Materials Sign Materials
Sign Dimensions" `� ? Sign Dimensions Sign Dimensions
cJ
Sign Area Sign Area Sign Area -
sq ft s ft sq It
Sign Height(if free standing) Sign Height(if free standing) Sign Height(if free standing)
Estimated Cost of Net Work -
Type Sign Area To Be Removed? Sign Owner
❑ Surface sq ft o yes ❑no
• Right Angle to Building sq ft ❑yes ❑no
❑ Free Standing sq ft o yes ❑no Sign Owner's Authorized Representative
o Awning sq ft ❑yes ❑no
❑Other(specify) sq ft ❑yes ❑no
Property Owner
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Plannind&Community Development Department - Historical Commission -
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Building Inspector
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