157 WASHINGTON ST - BUILDING INSPECTION (2) 1, Permit Number
APPLICATION FOR PERMIT TO ERECT A SIG
PERMIT MUST BE OBTAINED BEFORE SIGN IS ERECTED
Location, Ownership and Detail Must be Correa, Complete, and Legible
SALEM,MASSACHUSEM
TO THE BUILDING INSPECTOR
The undersigned hereby applies for a permit to X Erect Alter, Repair a sign on the following described buildings:
Location and No. S M $ Zoning/District
Name of Property Owner ro os. t `'
Name of Sign Owner ,dl> Address
If Owner is a corporate body,name of responsible officer )+(-j q ri V12R , ]
Name of Licensed Sign Erector l -4�4Q �j-0-5 Salem License No.
Address (o'�S LOR4 NC5— A\)'& ) �4-1 19- 0{!�-7 tC)
Use of Building: 1■Floor 1?,6z S )(ZPrVNT- 3.d Floor
2m Floor 4Lb Floor
t
Frontage: Building linear ft Property /tq?>f linear ft
Type of Sign Proposed: ❑ Surface Right Angles to Building ❑ Free Standing ❑ Awning
❑ Other(specify) /
Proposed Sign Materials 1M� PL-'[k)�>,� Q
Proposed Sign Dimensions Ze�1 j 3a1' Sign Area S m t/ sq ft
1 > >
Existing Signs: Surface: l X Sign Area Qj sq ft
Right Angles: Sign Area sq ft
Free Standing: Sign Area sq ft
Other: Sign Area sq ft
Signs to be Removed: Type Sign�a-7
sq ft
Signature of Owner Az-
Address
Estimated Cost of Net Work Signature of Owner's Authorized Representative
_ '� (lfrSrv ,)[ & g Cl4sh -dA
l/ Telephone q ? C- g 3 S 3\C-7\7
Signature of Property Owner
APPROVALS (Department Use Only):
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&Cok9bMTY DEVEWPMBAFr-. -. -. .. . IIISfORiCAt GOMAnSStOTh_ _._.__.._ .. / BvmDrNG-ImpEcTox
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City of Salem Department of Planning & Community Development
Check/Cash Receipt and Tracking Form
Please complete farm and make two copies.
Date Received AW Z )-lob
Amount Received
Form of Payment Check cash
CHECK PAYMENTS:
write check number
CASH PAYMENTS:
write client initials {,,
I X I Sign Permit Application Fee
0 Conservation commission Fee
Payment received for 0 Planning Board Fee
what service?
0 Old Town Hall Rental Fee
0 Other
Name of staff person �I
receiving payment "1 ►'&A IL !doYvn�1�'
Additional Notes
M
FRIENDS RESTAURANT INC. DBA BEVERLY COOPERATIVE BANK- 2608.
PASSAGE TO INDIA B EVE RLYMA01915
-
155-159 WASHINGTON STREET
SALEM, MA 01970 - 53-7214/2113r
8,-- DATE 2 ) e�, AMOUNT
3
PAY C, ^ ..,z• c
7 o r Snt ,
fi
TO THE ORDER /CHT7. vV lJ..lT1`i e�
E
OF:
AUR OAM SIGNATURE
11.00260811E 1: 2ii3721L S1: 06300936911E
------ - ---------------- -------------------------
Original Check and Form: DPCD Finance
Copy 1: Client
Copy 2:Application File