600 LORING AVENUE - PEDIATRIC HEALTHCARE 600 Loring Avenue
Pediatric Health Care Assoc.
� 1
- .�
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 TiLE PLANNING
DEP;RTMENT) TO BE FILED WITH THE BUILDING INSPECTOR.
rya"CON°rat- Location, Ownership, and Detail Must be Correct, Complete
' and Legible. Separate Application Required for Every Sign.
Application for Permit to Erect a Sign
ttOMn,
Salem, Massachusetts A14,K-L /n 19 C �
TO THE BUILDING IiISPECTOR:
The undersigned hereby applies for a permit to X Erect, Alter, Repair
a sign on the following described building:
Location and No. ko L OICIL�16 'Toning/District
Name of Property Owner V«LkC7C__
Name of Sign Owner PAS T? fC
Address 6OU L— ,w .( t_4Ci
If Owner Is a corporate body name of responsible officer
Name of Licensed Sign Erector Cz
Salem
Address li'2_�0 µ 1G,kArLrA,-VA-V ,4n/E • License No. 401 `7
Use of Building: 1st Floor '14a, U &i Grv_„ 3rd Floor
2nd Floor 4th Floor
Tyyu of Sign: Surface, Righ . Angles to Bullding, _ - Free Standing,
Other (specify) sleight•
Sign Materials� /1"e:�,
- - r
/ oSn SF
��_.�Tr��1
Sign Dimensions �rKqVr5tgn Area
Existing Signs: Surface: Sign Area SF
Right Angles : Sign Area SF
Free-Standing 7 Sign Area SF
Other Sign Area SF
Signs to be Removed: Type Sign Area SF
Frontage: Building �j c7 ' FT P rt
rots$ Y FT
X. Signature of Owner
Signat ofners ho ed Representative
Add ss Z b IA-,I-
Estimated Cost _
of New Work a Telephone
APPROVALS: Signature of Property Owner
Salem Planning Department Superintendent of St..,!ets Historical t_omm.ission
ON REVERS "ESHOWIGN SIZE, COLOR, LOCATION; LOCATION OF OTHER SIGNS'AND
BUILDING
i
-- 6Yra•
I• •
l
\ CN
b j !
•,\ ' I �III
U � '
c
I .J
i
i
W �
N
Na
J � N
1 . -:It.�ir,---,1
.� ..,.,!� -- GATE INVOICE AMOUNT ' >9"
SALEM SIGN CO., INC.
230 HIGHLAND AVENUE Np 4 9 3 5
SALEM, MASSACHUSETTS 01970 .^
PAY Al.Pld :ilti+!d" '"1 by I.,,.l , ,,l ., 1.. ., DOLLARS
AMOUNT
DATE HECK AMOUNT
TO THE ORDER OF Gfl055-OTHER GROSS AIP DISCOUNT C
EASTERN BANK- SALEM, MASSACHUSETTS
n'DL493SII• 1:01L30i7981: 02 4008 711' ^♦=-i>+,
t
� w
th
I
C�n,q,y� j =
»P
f
I �
J
• vj
rWr
W
hn Si
I