12 CANAL STREET - SIGN PERMIT 12 Canal Street
Bailey's House of Sports
! 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.
Location, Ownership" p and Detail Must be Correct, Complete and Legible. Separate
Application Required for Every Sign.
n
A
3Tpplication for Permit to Erect a Si
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Sign
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Salem, Massachusetts Au vsq t O 199P
TO THE BUILDING INSPECTOR:
The undersigned hereby applies for a permit to_Erect,X Alter,_Repair
a sign on the following described building:
Location and No. Zoning/District
f Name of Property Owner 041 Mme Br -b Sr•
�m` , Name of Sign Owner iz Caro( S Qel , Inc L�0A E30rlec, A 46se oZj S�br fs
�ddress I '7 Gr4r)GI S1Teef Salem , mQ 41976
If Owner is a corporate body, name of responsible officer f oy d �audreau 1+
Crm-h vc
Name of Licensed Sign Erector ��.SiR 114
Address_ L..t>r r-, eve . 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
Sign Dimensions L4 K 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 ,�f0 /L�� �
Signature of Owner's Authorized Representative
TGG A- Deyeau—
Address 117)legsan-� &'� Mbl d , aA 0lC1145
Estimated Cost Telephone '791 - 63c/-"02—
of New Work $
Signature of Property Owner
APPROVALS:
Sale Inning Depa Superintendent of Streets Historical Commission
ON REVERSE SIDE PLEASE SHOW SIGN SIZE, COLOR, LOCATION; LOCATION OF OTHER SIGNS AND BUILDING
ENTRANCE.
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08/25/1998 12:36 9787457386 ROSE INSURANCE PAGE 01
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Surety Comte Western � � r- �
I baI'. . f Dept.
LICENSE AND PERMIT BOND
For County.City,Town or Village Only-Not Valid for Bonds Required by the State. Not Valid for Contract,
Performance, Maintenance.Subdivision. Agent to Sell Hunting end Fishing License, or Utility Gaarsat"Bond.
KNOW ALL MEN BY THESE PRESENTS: BOND No. L& P-42827671
That we, Bailey ' s House of Sports
of theof Sal esT State of MA
and WESTERN SURETY COMPANY, a corporation duly licensed to do business inaz Principal,
of as Surety, are held and firmly bound unto the
tate
of State of , Obligee, in the amount
of One Thousand (Valid only when a County,City,Sown or Village is named as Obligee)
DOLLARS ($ 1 ,000.00
(NOT VALID FOR MORE TRAM$25,000) '
lawful money of the United States, to be Paid to the said Obligee, for which payment well and truly
to be made, we bind ourselves and our legal representatives,jointly and severally.
THE CONDITION OF THIS OBLIGATION IS SUCH, That whereas, the Principal has been
licensed Sign Permit Bond
N µn by the Obligee.
Nq ' BEFORE, if the Principal shall faithfully perform the duties and comply with the laws and
orijr� c��. R ckij^g all amendments), pertaining to the license or permit, then this obligation to be void,
otF�giwige to.reinatp�:in full force and effect for a period commencing on the 2 S t i1 day of
Au-ust 1990,andendingonthe 24t 1i da
of- __ August I99 , unless renewed by continuation certificate. y
",.This.bond may btterminated at any time by the Surety upon sending notice in writing to the Obligee and to
t6%!$pncipal, ince Of the Obligee or at such other address as the Surety deems reasonable, and at the expira-
t on•gfg61 e) days from the mailing of notice or as soon thereafter as
permitted by applicable law,
whicheVen;)s,later,"this bond shall terminate and the Surety shall be relieved from any liability for any subsequent
acts or omissions oft}1e4 (zncipal.
Dated this ` tl day of August 1998
Bailey ' s House of sports
Principal
Principal
Counte 9k
/ WESTERN SU ETY COM/� lkNY
T !�
By �Cv� f By _ � � !!
Resident Agent President
ACKNOWLEDGMENT OF SURETY
STATE OF SOUTH DAKOTA 1 ss (Corporate Officer)
County of Minnehaha f
On this day of before me,the undersigned officer,personally
appeared Stephen T.Pate who acknowledged himself to be the aforesaid officer of WESTERN
SURETY COMPANY,a corporation,and that he as such officer,being authorized so to do,executed the foregoing
instrument for the purpose therein contained, by signing the name of the corporation by himself as such officer.
IN WITNESS WHEREOF, I have hereunto set my hand and official seal.
B.THOMAS i
�� NOTARYPUBLIC i
•`"� SOUTH DOW nA a•"' .F Notary Public, South Dakota
My Commission Expires 62.2003 Western Surety Company
co,m ache—sae M'M"'�""""""'''"'"'`"''A"' 1.605.336-0850
1007
BAILEY'S HOUSE OF SPORTS FLEET
22072.DANVERS SQUARE OFFICE
17 CANAL STREET DANVERS,MASSACHUSETTS 01923
SALEM,MA 01970 - 5-13-110
- 8
PAY TO THE - - // / /J h $
ORDER OF
�li'�� ✓l 2U 6c) DOLLARS Y
N
I]'
MEMO
11100 100 7o 40 L 1000 1381: 9406 5 2 140 Sit•