102 WEBB ST - BUILDING INSPECTION Pemrit Number
APPLICATION FOR PERMIT TO ERECT A SIGN
PERMIT MUST BE OBTAINED BEFORE SIGN IS FABRICATED AND IOVED
Location,Ownership and Detail Must be Correct,Complete,and Legibl
FEB 2 6 2007
DEPT.OF PLANNING 8
City of SALEM,MASSACIIgoikeNIN DEVELOPMENT
TO THE BUILDING INSPECTOR:
The undersigned hereby applies for a permit to_Erect_iet 1 Repair a sign on the following described buildings:
Location and No. ;y�1V 5 t-w�te U1 Zoning/District
Name of Property Owner Je- yy A' V l/YJV1M I ,C J U rv�A (SIC CtS e- �}
Name of Sign Owner l�tR 1 (,9 it I'h� Address
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If Owner is a corporate body,name of responsible officer NlfAlne-w—s k�lP
Name of Licensed Sign Erector Salem License No.
Address (u S I1 y "tit_. y SC. lt"i%,l / [M(-`
Use of Building: I°' 3'4 Floor
2^d Floor 4d'Floor
^ I nsnfaiil�
Frontage: Building I" � ''�e-+ 1 ' IVIC� linear Property linear ft
2R fee.{- on webb
Type of Sign Proposed: [0-�gurface Right Angles to Building Free Standing ❑ Awning
Other(specify)
Proposed Sign Materials W CS C.GI ?
Proposed Sign Dimensions ; "I I I d X c) t t Sign Area '9 sq ft
Existing Signs: Surface: Sign Area sq ft
Right Angles: Sign Area sq ft
Free Standing: Sign Area sq ft
_ Other. sq k
Signs to be Removed: Type Sign Area sq ft
Signature of Owner
Signature of Owner's Aultized Representative
Estimated Cost of Net Work Q
Address (9 JJv
3 Telephone q a'5S
Signature of Property Owner
APPROVALS(Department Use Only):
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c&CONASUNrrYDEVELOPiiEN-r FLSTotuCu.COMNMION BUILOtNGINSPELTUA
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