DELIULIS CONSTRUCTION 231 Washington Street
--- - Delivlis Constructing
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3 K ,r APPLICATION FOR PERMIT TO ERECT A SIGN
Salem, Massachusetts 5 19
PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK
TO THE BUILDING INSPECTOR: ,
The undersigned hereby applies for a permit to Erect,
Alter, Repair a sign on the following described
building. ��
Location ��1 �J0.S �1iv�aA., i }t��z Zoning/District n q
Name of Property Owner ivy s. �J�c� o d? C'2� 1 .
Name of Sign Owner
Address I( t, )a r� �� ` x X•e� C) (crro
If Owner is a corporation, name of responsible Officer TE,C
Name of Licensed Sign Erector Le(icte� Lianrc
Address !S�:J'3 1 jY!_ License No. a'69
Use of Building: 1st Floor 3rd Floor
2nd Floor 4th Floor
Type of Sign: �/S`urface Right Angles to Building
Free Standing Other ( ) Height:
Sign Materials : 1,`001
Sign Dimensions : i(ol ), -14, Sign Area SF
Existing Signs : Surface: Sign Area SF
Right Angles : Sign Area SF
Free-Standing: Sign Area SF
Other: Sign Area SF
Signs to be removed: Type Sign Area SF
Frontage: Building _FT Property FT
Signature of Owner (('' � 1f
Name & Address of Address �� lJc�f� C.Jtu
Insurance Company:
Telephone '7yrj (6D--13
Estimated Cost of New Work: 000 as
APPROVALS :
APPLICATION TO ERECT, ALTER, OR REPAIR PLAN OF LOT
A SIGN IN THE CITY OF SALEM
-------------------------------------- Show Location of Present Structure
and Signs
BUILDING LOCATION:
BUILDING USE:
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CONDITIONS
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PERMIT GRANTED
19