ELAINE WALSH ACQUPUNCTURE 231 Washington Street
Elaine Walsh Acupuncture
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Permit Number
PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK
APPLICATION MUST BE SUBMITTED IN DUPLICATE, ONE SET TO BE FILED WITH THE PLANNING
DEPARTMENT, AND ONE SET (BEARING THE APPROVAL OF THE PLANNING DEPARTMENT) TO BE
FILED WITH THE BUILDING INSPECTOR.
ppQD' q� Location, Ownership and Dgjad Must be Correct, Complete and Legible. Separate
_ Application Required for Every Sign.
Application for Permit to Erect a Sign
Salem, Massachusetts 3) 19 �J,
TO THE BUILDING INSPECTOR:
The undersigned hereby applies for a permit to_ Erect, _Alter, _Repair f
a sign on the following described building:
Location and No. �ZJ� �11J(Cl, /J'( f� Zoning/District
Name of Property Owner
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Name of Sign Owner �(CZ.1' /7
Address 3 Z & �,4Gi� �'X�Y( 5�
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If Owner is a corporate body, name of responsible officer
Name of Licensed Sign Erector
Address Salem License No.
Use of Building: Ist Floor 3rd Floor
2nd loor 4th Floor
Type of Sign: L,-"Surface, _ Right Angles to Building, _Free Standing
Other (specify)) Height:
Sign I12t �/1 (! (� I�CJGI G W /
Si n Materials
Sign Dimensions_ 2 Sign Area _SF
Existing Signs: Surface: GPi 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 Prope �FT
Signature of Owner � G
Signature of Owner's Authorized Representative
Address /
Estimated Cost Telephone —o�
of New Work $ 6LI) / u
Signature of Property Owner
/APPROVALS:
fSalem
am ing Department Superintendent of Streets Historical Commission
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REVERSE SIDE PLEASE SHOW SIGN SIZE, COLOR, LOCATION; LOCATION OF OTHER SIGNS AND BUILDING
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No.`.............................. PLAN OF LOT
APPLICATION FOR PERMIT FOR Show Location of Present Structure SHOW SIGN SIZE, COLOR AND LOCATION ON BUILDING;
ALTERATIONS, REPAIRS AND and Signs LOCATION OF OTHER SIGNS AND BUILDING ENTRANCE
DEMOLITIONS
................................................CLASS BUILDWG See attached plan.
i LOCATION
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Permit Granted a ��
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INE G. WALSH ` L
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SALEM DATE
MA 01970 - -
.PAY TO THE_. -
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