1 JEFFERSON AVENUE - SIGN PERMIT (2) 0
1 Jefferson Avenue -7
One Jefferson Avenue Suites
1
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.
�•r0ND1Z.j _ 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 t 9
TO THE BUILDING INSPECTOR:
The undersigned hereby applies for a permit to ✓ Erect, _Alter,_Repair
a sign on the following described building:
J
Location and No. 1 ' PTrlj-So✓t AL3eAu*_, Zoning/District
Name of Property Owner
Name of Sign Owner /M
" I rye 14" eN j'Uc. k —
Address7 (•o 119 r25> ?/,7,1
If Owner is a corporate body, name of responsible officer
Name of Licensed Sign Erector-
Zn TU C-(�
Address L ro✓t
5S 97-r el Salem License No.
Use of Building: Ist Floor 151--0d;4 3rd Floor
2nd Floor p4;co— 4th Floor
f Type of Sign: ✓FlSurface, _ Right Angles to Building, _Free Standing
Other (specify) Height:
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Sign Materials3 } }�rhi5k
5 ' 3`G"
Sign Dimensions x Sign Area ills Zf SF
Existing Signs: Surface: ZVO/Vy-'— 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_
Signature of Owner's Authorized Representative
Address 0?_I
Estimated Cost (sU v� Telephone 7 y q—a IJ
of New Work $
Signature of Property Owner
APPROVALS:
Salem Pan mg Departmen Superintendent of Streets Historical Commission
Ou
No................................. PLAN OF LOT
�i APPLICATION FOR PERMIT FOR Show Location of Present Structure
ALTERATIONS, REPAIRS AND SHOW SIGN SIZE, COLOR AND LOCATION ON BUILDING;
DEMOLITIONS and Signs LOCATION OF OTHER SIGNS AND BUILDING ENTRANCE
.....CLASS BUILDING See attached plan.
LOCATION
No............................................................................
........................Ward......................
OwnerU
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cost..............................................................................
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Permit Granted
.................................................................. 19..........
....................................................................................
MICHAEL A. MENTUCK NATIONAL GRAND BANK 3939
&ASSOCIATES, INC. MARBLEHEAD,MASSACHUSETTS
23 CONGRESS STREET 53<30/113
SALEM,MASSACHUSETTS 01970
PAY TOORDER THE �� ��� $ 2 o, C3
ORDER OF /1 /n�--��(��" (J�/�/(.
` V DOLLARS
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MEMO AUTHORIZED SIGNATURE
11100393911' 1:0 1 1, 3043001: 1130 111 900 Lill
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MICHAEL A. MEN'1rUCK � \
& ASSOCIATES, INC.
FLATi RoCREATIVE
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MARIBL EIE- SAID GLASS WORKS
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