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400 HIGHLAND AVENUE - SIGN PERMIT (17) 400 Highland Avenue Pet Supplies "Plus" Discount Pet Food and Supplies I Y The Commonwealth of Massachusetts Office Use Only 3 1 � Department of Public Safety Permit No. s�.. BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Occupancy 8 Pee Checked J. 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to 0o moormeo in eccorEaMe with the Meeeechumfle Elsctncel Code,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALLINFORMATIONDate City or Town of�CC (�ii r To the Inspector of Wires: The undersigned applies for a permit toG,PC��rfyorm the electrical work described below. Location (Street R Number Owner or Tenant 511 SCS �U S Owner's Address Is this permit in conjunction with a building permit yes Mr no ❑ (Ch-*Appropriate Box) Purpose of Building S 1 U N Utility Authorization No. Existing Service Ampa r Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps 1 Vohs Overhead ❑ Undgrd ❑ No. of Matters- Number atereNumber of Feeders and Ampacity f 6-IJ I 1 Location and Nature of Proposed Electrical Work 11`7 S!(-/V TOTAL No. of lighting Outlets No. of Hot Tubs No. of Transformers KVA Above In No. of Lighting Fixtures Swimming Pool grnd.❑ rnd❑ Generators KVA No. of Emergency Lighting No.of Receptacle Outlets No. of Oil Burners Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones TOTAL No. of Detection and No. of Ranges No. of Air Conditioners TONS Initiating Devices HEAT TOTAL TOTAL No. of Sounding Devices No. of Disposals No. of Pumps TONS KW No. of Self Contained No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices Municipal No. of Dryers HeatingDevices KW Local ❑ Connection ❑Other No. of No. of Low Voltage No. of Water Heaters KW Signs Ballasts Wiring No.of Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Poli y' luding Completed Operations Coverage or its substantial equivalent. YES VNO G I heave submitted valid proof of same to this office. YES ❑ If you have checked YES, please indicate the type of coverage by check) the appropriate box. INSURANCE BOND ❑ OTHER ❑ (Please Specify)�erlPa a�7 0 (Expiration Date) Estimated Value of Electrical Work 5 Work to Start Inspection Dale Requested: Rough Final Signed under th naltiess of perjury: r(' FIRM NAME LU S! 6/V J Licensee DZ+Qft$ C. NO. �1 /1 L Slgnatur J LIC. NO.. �� Aq l Address a P- J! / Bus. tel. No.j`—�� / `G Alt. Tel. No. !'�Lh,� (��L14V OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws, and that my signature on this application waives this requirement. Owner Agent (Please check one))) Telephone No. PERMIT FEE E Y' (Signature of Owner or Agent) .' `54-0138 1999 na ' F7m'wBARL0T1G� 8 ER838T ACC. /G 158 GREELEY ST. / 19 �. HUDSON. NH 03011 $ ao PAY TO THE DOLLARS ORDER OF peat Bank M W 1PNArJM, MEMD p9 2 0999 w.. 1;0 0 040049 5i: 09801 G �,v� ail ani�� r HECEIVEv - SN,rnnir� MAY 19,.1995 "_f M m Heading �j5F-ICATION FOR PERMIT TO ERECT A SIGN Salem, Massachusetts �1(a/{ 17 19 SCJ PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK APPLICATION MUST BE SUBMITTED TO THE BUILDING INSPECTOR WITH STAMPED APPROVAL FROM THE SALEM REDEVELOPMENT AUTHORITY. TO THE BUILDING INSPECTOR: / The undersigned hereby applies for a permit to V Erect, Alter, Repair a sign on the following described building. Location �OD I I h �Ciric� sf Zoning/District J n /� Name of Property Owner �CCISe q 1YlLMje-PICO IyJ P�e5c S� rYl4rlb./p Name of Sign Owner Pe � �QJ;eS etas L Address 3,5z"' tbu:= Nj C-j-r SLi i k ZadTo If Owner is a corporation, name of responsible Officer i arr Smi >i� Name of Licensed Sign Erector &rL, &o5 Address 15S 6peefejjj 0Uc'Sbj1 N}f 0305+ Salem License No . Use of Building: 1st Floor V-1 3rd Floor 2nd Floor 4th Floor Type of Sign: y1 Surface Right Angles to Building FreeStandingOther ( ) Height: Sign Materials : e)e3 ) T reX� )wy/`} Sign Dimensions : 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 A Sign Area SF Frontage: Building 110 ' )�^' FT Property FT Signature of Owner l {9or1 A(tri� Name & Address of Addres 15W 6reel St" HL)Jsun PUH 03o5l Insurance Company: Telephone SUa �a '7 -SSG 714 brYl el'It0.w hur)-9ib4 V Estimated Cost of New Work: AP ROV LS L�f o M'NECM CMMVEI�EilE0.6 M4EZ SMJ 4[EEu WLD I'GOiD1RIM GFfEM.SIO 1'El1Dw3� Eu..pJODED wN11E YENRIB 60N Pi4M OS'COWiFIMS �AiM _ ET supp ~ 1L-`'j" D1SC0U1H4T Pet Food & upplies Z ® ❑ ®®®® o ®®®® o ®®® o ®® o ®®®® o o ❑❑❑❑ ❑ ❑❑❑❑ o ❑ 07 o ❑❑❑ ❑ ❑❑❑❑ o 275 5Q. FT �y58'� OPTION C ,�( p3 �� ,7C"� ; PET SUPPLIES PLUS SALEM , NH © 1 995BARLO. ..SIGNS PAGE 1 OF 1 ■ - C • 11111 DRAWN BY: M.A. COLEMAN