280 JEFFERSON AVENUE - SIGN PERMIT 280 Jefferson Avenue
Palm's
t EE
GINNING DUST c: 05 AIMED EEF03E EEGINNING FORK
?PLICATIOW MUST BE sUBMITTED IN DU?LIGATE , ONE SET TO BE FILED WITH THE
PLANNING DEPARTMENT, AND 017E SET (EEARI !!G THE APPROVAL OF THE PLANNING '
DEPARTMENT) TO BE FILED WITH Ti"HE BUILDING INSPECTOR,.
Location, Ownership, and Detail Must be Correct , Co-plete
and Legible. separate .Arplication Required for Every Sign.
A lication for Permit to Erecta Sign
App
�q<LIhM1L S:.
Salem 'Masszchusetts S �8 19 8
TO THE BUILDING 1 !iS?ECTOR:
The undersicned hereby applies for a pernit to Erect, _ Alter, _ Repair
a sign on t;__ following described building:
Location and No. Z 80' `-) e�"-r'50'J Zoning/District
Name of Property Owner F �P4-k M
Name of Sign Owner
Address / �F� S� ✓�L Ewt �
If Owner is a corporate body nane of responsible
/officer t
Name of Licensed S i gn ,Erector �F `�+ T /� ��+�5
_ lem
Address License No.
Pr
Use of Building: 1st Floor 7e40,i1 7VCe4i!j 3rd-Floor
2nd Floor / 4th Floor
Type of Sion: Surface, ✓ Right- Angles to Building, ' Free Standing ,
Other (specify) Height:
Sign Materials 1c
Sign Dimensions_ AEL y Sign Area SF
Existing Signs : Surface: Sign Area SF
Right Angles: Sign Area SF
Free-Standing Sign Area SF
Other 11 Sign Area SF
Signs to be Removed: Type (✓00<1 Sign Area SF
Frontage: Building g1-7 FT Property FT
1241 G^
Name and Address of Signature of Owner
Insurance Company:
Signature of Owners Authorized Representative
Address -7
Estimated Cos S yg � L/c�_ yc�y
of New Work � Telephone 7 y 5 - �
APPROVALS: Signature of Property Owner
Superintendent o t. ats Historical or..ni5sion
C - tom P a ning Department
PLAN Of LOT
sliota SIGN sIzE , COLOR nHQ LOCATION oII nu I Ln I , ; _
PLICATION FOR PERMIT FOR Show Location of Prescnt• Skructur° LOCATI011 OF OTHER SIGHS MID 4UILQIHG ENTRnIICE
LTERATIONS, REPAIRS AND and Signs
DEMOLITIONS
..................................CLASS BUILDING
LOCATION . . . ...
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_.........._.\Wa rd......................
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................................
CONDI-PIONS
v
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........................................................................... _ . _ . _ . _ _ _ _ _ _ _ _._ . . _ • - .. � - . .._ . . _ . - .'. _ .- . _ . _ . ._ - - - - -
--- Pcrmit Crnntcd
19..........
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Western SuretyCompany
X LICENSE AND PERMIT BOND
County. City.Town or Village Only(
KNOW ALL MEN BY THESE PRESENTS: B 1\ ) . L & P. 40552793
'
i; ;
That we, Palm's Store
of the City of Salem State of Massachusetts as Principal,
and the WESTERN SURETY COMPANY, a Corporation duly licensed to do business in the
State of Massachusetts ,as Surety,are held and firmly bound unto the
City of Salem State of Massachusetts
Obligee, in the penal
(Valid only when a County. City.Town or Village is named as Obligee)
sum of one thousand and 00/100 (81,000. ) DOLLARS.
(NOT VALID IF FILLED IN FOR MORE THAN$25.000.00)
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 by these presents.
THE CONDITION OF THE ABOVE OBLIGATION IS SUCH, That whereas, the said Principal
has been licensed sign permi t
by the said Obligee.
NOW THEREFORE, if the said Principal shall faithfully perform the duties and in all things com-
ply with the laws and ordinances. including all Amendments thereto, appertaining to the license or per-
mit applied for, then this obligation to be void. otherwise to remain in full force and effect for a period .
commencing on the 23rd day of May ,19 89 , and ending on the
23rd day of May , 19_9O_ unless renewed by continuation certificate.
This bond may be terminated at any time by the Surety upon sending notice in writing to the clerk
of the Political Subdivision with whom this bond is filed and to the Principal, addressed to them at
the Political Subdivision named herein, and at the expiration of thirty-five (35) days from the mail-
ing of said notice, this bond shall ipso facto terminate and the Surety shall thereupon be relieved from
any liability for any acts or omissions of the Principal subsequent to said date.
Dated this 23rd day of May
19_L9_
Principal
Principal
Countersigged W E S T E S Y C M P A N Y
Bv
By
Resident Agent r nt
ACKNOWLEDGMENT OF RETY
STATE OF SOUTH DAKOTA i (Corporate Officer)
County of Minnehaha ss
On this day of 19_, before me, the undersigned officer,
personally appeared Joe P. Kirby who acknowledged himself to be the aforesaid officer of the '
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.
+ +
i 1).KRELL v
NOTAAY PUBLIC p �� I�y
'F SiA4 SOUTH DAKOTA 1`-��� f
ppf+ �t O-IJr } Notary Public. South Dakota
Form 8n9—e.85 yy .,,.,a;,..,.- -t-:,'e�+
REMITTANCE ADVICE
DATE INVOICE NO. AMOUNT
ATLANTIC PAVING, INC. 119 6
7 READ STREET
SALEM.MA.01970
508-745-2890 D d 53-179
113
DOLLARS
PAY tiJC � CHECK NET AMOUNT
GROSS FICq FVIT ST.
HRS. DATE ON TO THE ORDER OF NUMBER EARNINGS
K'0 PERIOD ENDING
I I I I
a DESCRIPTION
a
EASTERN BANN
2T0 UNION STREET LYNN,MASS.01901
11.00 L L969• 1:0 i L 30 L 7981: 09 L 256 511'