TRANSYLVANIA PIZZA 128 Washington Street
Transylvania Pizza
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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
I ED WITH THE BUILDING INSPECTOR.
°Otm Location, Ownership and Detail Must be Correct, Complete and Legible. Separate
Application Required for Every Sign.
Application for Permit to Erect a Sign
Salem, Massachusetts 19_
TO THE BUILDING INSPECTOR:
The undersigned hereby-applies for a permit to X Erect,_Alter,_Repair
a sign on the following described building:
Location and No. /2P 00� St�l N 6.70 5% Zoning/District
Name of Property Owner { G & _&"
Name of Sign Owner Qom'/(I q 6 V LC- 4
Address - 2� \ q C;70
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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 Floor 4th Floor
Type of Sign: Surface, _ Right Angles to Building, _Free Standing
_Other(specify) Height:
Sign Materials Y's?� y J-)Do Ps �� °� �,g l J 40 LO
Sign DimensioJ ego 3 '� Sign Area ! SF
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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
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Signature of Owner's Authorized Representative .
Address
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Estimated Cost Telephone
of New Work $
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Signature of Property Owner
APP OVALS:
ale Mrining Department Superintendent of Streets Historical Commission
ON REVERSE SIDE PLEASE SHOW SIGN SIZE, COLOR, LOCATION; LOCATION OF OTHER SIGNS AND BUILDING
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ANT O DATE: DATE TIME SPOKE WITH LEFT MESSAGE
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FAX:
365 Boylston Street FROM: Arthur
Brookline, MA 02445
Ph. (617) 731-0150
Fax (617) 738-5.777 SPPRIOR TO FAKING,ORDER HAS SEEN PROOFED AND
ELL CHECKED SV:
(FOR OFFICE USE ONLY)
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MATERIAL: `' I 4
COLOR: code.
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*'DO NOT SIGN IF CHANGES ARE NEEDED'" CUSTOMERS: CAREFULLY EXAMINE YOUR PROOF BEFORE SIGNING.
ORDER RECEIVED/APPROVED INSTANT SIGN CENTER'S POLICY ON PROOFS:
The purpose of a proof is to eliminate errors or dissatisfaction.
You are required to sign and date each proof. Your signature indicates your approval.
t You will be responsible for any charges to re-make or change a sign in the event that you signed-off
on a proof that contained an error(yours or ours) including spelling errors.
Please Sign & Print Name Also, we will require additional time to re-make or change your sign and this will effect the due date.
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