239 WASHINGTON ST - BUILDING INSPECTION S Permit Number
APPLICATION FOR PERMIT TO ERECT A SIGN
lNOTE: BUILDING PERMIT MUST BE OBTAINED BEFORE SIGtt�IS ERECTED
^1 ° Location, Ownership and Detail Must Be Correct, Co Ce,and Legible
Salem, Massachusetts i 1 Gk Y
To the Building Inspector.
(� ate
The undersigned hereby applies for a permit to o Erect,.o Alter, ❑Repair a sign on the following described buildings:
0
oWjrm-
Urban Renewal Area ❑Entrance Corridor _
rt ^ `•� ' V u Histor c District ❑None
se of Building
Telephone - 1. floors, _
Ll-,' i- <_.L.a i S'af n floor
Address 3 floor
Telephone 4 floor
E-mail How many businesses are in the building?
If a corporate body, name Frontage
ofres onsible officer
Bung - linear feet
Construction Sup's License No - Applicant's Space(if mufti-tenant) linear feet
Address Property linear feet
Telephone ,
E-mail n Sign Owner o Sign Erector o Other.
three signs are proposed, attach additional sheets)
S
ign Sign 2 Sign 3
ace o Surface ❑Surface
t Angle to Building o Right Angle to Building ❑ Right Angle to Building
Standing o Free Standing u Free Standing
o Awning ❑Awning
e Portable(A-Frame) ❑Portable(A-Frame) o Portable(A-Frame)
❑ Other(specify) o Other(specify) ❑Other(specify)
t Sign Materials 1 Sign Materials Sign Materials
Sign Dmensions Sign Dimensions Sign Dimensions
Sign Area Sign Area Sign Area
I s ft so ft sq ft
Sign Height(if free standing) Sign Height(if free standing) Sign Height(if free standing)
Estimated Cost of Net Work
l
$ �I(oS — fi' C,10 s=' 2ti;5 , c l' C_ct�. F+ [?(` C,GnS�r v Cis U: t-ii r.
Existing Signs
Type Sign Area To Be Removed? Sign Owner
,F Surface �t.:�i sq it yes o no
❑ Right Angle to Building sq ft ❑yes o no
o Free Standing sq.If u yes n no Sign Owner's Authorized Representative
n Awning sq ft n yes a no
u Other(specify) sq ft o yes ono
Property Owner
Internal Review,
G fn
7_77anning&Community Developme t,Department Historical Commission
Building Inspector