207 WASHINGTON ST - BUILDING INSPECTION Permit Number -
J/ APPLICATION FOR PERMIT TO ERECT A SIG4
• EIVED
PERMIT MUST BE OBTAINED BEFORE SIGN IS FABRICATED AND INST
' Location,Ownership and Detail Must be Cotrect,Complete,and Legible NOV 1 6 2007
DEPT. OF PLANNING&
COMMUNITY DEVELOPMENT
City of SALEK MASSACHUSET*M
TO THE BUILDING INSPECTOR
The undersigned hereby applies for a permit to_Erect_Alter Repair a sign on the following described buildings:
Location and No. o?(3) !f,/M e) ' k Zoning/District
Name of Property Owner O oiy= c
Name of Sign Owner1 S c6o L? i) 31 -ZAddress 31 CIw+MGrt S �tM t INulbl�ltr 4Z MA U 1 cC
If Owner is a corporate body,name of responsible officer �`rrrn.lL S- Co V-0CC.11
Name of Ucensed Sign Erector %-DV"NC -b 1�o�DCcuQ�ICS Salem License No.
Address 0-0 C1acr�'t\1\ �TtVG �c{/ 'k[�nOQWc t-kw ClP, ' 974) /7�t�7- 7�710
Use of Building: I^Floor ' " "'I 3'd Floor A/A
2"dFloor [L 4"Floor N/A
D 1
Frontage: Building ti eiO linear ft Prrooporty linear ft
Type of Sign Proposed: ® Surface ❑ Right Angles to Building ❑ Free Standing ❑ Awning
❑ Other(specify)
Proposed Sign Materials Siam Eck backLrt�c��aanS
Proposed Sign Dimensions +�� '7 StI X s3 3' 125 d Sign Area 2 -sq It
to rr
Existing Signs: Surface: 1'7 5- 75 X o13 Sign Area sq ft
Right Angles: Sign Area aq ft
Free Standing: Sign Area sq ft
Other. Sign Area sq ft
Signs to be Removed: Type G ale Sign Area sq ft
Signature of Owner
Estimated Cost of Net WorkMA
Signature of Owner's Authorized Representative
('j
`�QO'0b • �� QO
Address
TelephoneOri JT e
s 6/'r 6x ats
�
Signature of Property Owner -
APPROVALS(Department Use Only):
An
PLANNING&COMMUNITYDEVELOP NT Ms5roi1CALCOMNUSSION BUILDING INSPECPOR
211 WASHINGTON STREET 690-08
COMMONWEALTH OF MASSACHUSETTS
CITY OF SALEM
GIs #: loin
Map: 34
Lot: SIGN PERMIT
Lot: .._ s 0418 �.,
Pemnt:{, Sign :.
Category: SIGN
Permit# 690708 '` PERMISSION IS HEREBY GRANTED TO:
Project# JS 2008-000995
Est. Cost: $490.00 ,.iu Contractor: License: Expires
Fee Charged:$20:00 ADVANCE SIGNS INC.
Balance Due:$.00, Owner: DODGE AREA, LLC, C/O RCG LLC_
#of Fixtures Applicant: DODGE AREA, LLC, C/O RCG LLC
DigSafe# AT: 211 WASHINGTON STREET
UseGroup
ConstClass
ISSUED ON: 21-Dec-2007 AMENDED ON: EXPIRES ON: 20-Jun-2008
TO PERFORM THE FOLLOWING WORK:
ERECT SIGN FOR LIVING WELL
THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON VIOLATION OF ANY OF
ITS RULES AND REGULATIONS.
Signature:
Fee Type: Receipt No: Date Paid: CheckNo: Amount:
SIGN REC-2008-001262 21-Dec-07 0 $20,00
GeoTMS®2008 Des Lauriers Municipal Solutions,Inc.