CANAL STREET SERVICE STATION 290 Canal Streets
C3{d-S�l®m R I �� n �2a111tn — _
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PERMIT MUS- BE OBTAINED BEFORE BEGINNING WORK
APPLICATION MUST BE SUBMITTED It; DUPLICATE, CNE SE' TO BE FILED WITH THE
PLANNING DEPARTMENT, AND ONE SET (BEARING THE APPROVAL OF THE PLANNING
DEPARTMENT) TO BE FILED WITH THE BUILDLI(G INSPECTOR
covnr.
q�c`�' �.�,• Location , t O.rnership , and Detail '"usbe
Correct, Complete
=rl and _eaible. Separate DoIication w Remwired or
., . Every Sign.
Application for Permit to Erect a Sign
Salem, Massachusetts 19
TO THE GUlt.:il;l^: IiiSPECTCR:
The undersione .`.ereby applies for a per..^.it to Erec[,
a sign on the fcllowine described building: _ Alter, _ Repe
Location and No.
` �donina/District
Name of Property Owner `�
Cdame of Sign Owneerh \ r j11
dress_
f Owner is a corporate body name of responsible officer s6on Qh{
Name of Licensed Sign Erector I t �J �' ��Lr►L�
Address DU-3
t S Z__5 - e Salem
> �1 License No.
Use of Building: 1st Floor 3rdFloor
2nd Floor 4th Floor
Type of Sign: ✓ Surface, _ Right Angles to Building, Free Standir
Other (specify) Height:
Sign Materials 1/4'.'-V�\ V\'vvti
. s . •� /���
Sign Dimensions 'f 'i5on Area .1
Existing Signs : Surface: r Sicn Area
Right Angles: Sian Area
Free-Standing �Irvt/ Sian Area
Other Sign Area
Signs to be Removed: Type_ Y\,J C*j Sion Area
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Frontage: Building L-} FT Property
C�c3✓ L
Signature of Owner
Signature of Owners Au(thhc-ized
`` Representative
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Estimated C^s Wo Address d
-
of New l,'ork Te , _ D S '
APPROVALS: Signature of Property Owner
Saiem Fi nning �ent Supe r , n to naent or St- els Historical Lommission
ON REVERSE PLEASE SHOW SIGN SIZE, COLOR, LOCATION; LOCATION OF OTHER SIGNS AND
BUILDING ENTRANCE.
\\
ED
7A /
te
/ 1711 11
Black Can , Red Faces, And 'Gold Trim Cap ✓r ,6
Installed Complete, Lag Bolted To Wall.
-lCwb Square Feet. t4' From Bottom Of Sign To Ground
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EXIT- .I.
ONLY
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n _ rXi y of SaleM, Mam
ELECTRICAL DEPARTMENT q
x:.44 Lafayette Street ^ s
•_s. 1f r 3 ✓Y _
t ' -;'PAUL M. TUTTLE ,CITY ELECTRICIAN
DATE . . . . ..:���7 . . . . . . .
To: INSPECTOR OF BUILDINGS
» Salem, Mass.
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Electrical Contractor
(Signature of Applicant) '
.............. G.. 'K Cl.��tiz�. C-
/ /00r, 4 .7—
..................T�w_Ks 6y. --------------------------------
has signified their intention of performing the required electrical
work
`�T-------------------------- ........Street.
in conjunction with a wiring- of sign by.:
Q o SiCr n-----------------•---••- s i g n Contractor
--- ---- - ----
---------- -- ................ ..........................................................
ISSUED BY:�-.......-
a This is a requirement, preliminary to the issuance of a permit
,for the 5t gn installation by the Inspector of Buildings.
ORIGINAL.SIDEWALL INSTALLER
RNR COW-BLDG.INSG-
" "= - YELLOW COW-ELEC. FILE
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CANAL
STREET ST. PH.SERVICE INC. 1032
290 CANAL 508-740-5115
2 S 01970-4512 - fy1
8 �b 53-179/113
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270 UNION STREET �� rrb
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11.00103 2111 1:01
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