126 NORTH STREET - SIGN PERMIT (2) 126 North Street
ATM @ 7Eleven
RAPID NOTE
DATE ��
FROM TO
SIGNED
VR!f FORM 3602
C'L IT tcJSI OB AI NED Llf.0
APPLICAT1ON !BUST BE SUBMITTED 1 �1 DL'PLICAT" ;;E SET TO SE FILED WITH THE
?L.'i,nll:G DEP,.F. , AND 0..E SET (SEARI !! T:-,- F.F?RO\'AL OF THE PLANNING
DEPAP.T?IERT) TO SE FILED WITH THE BUILDII;S II;SPEC70R.
Location, Ownership, End Detail Must be Correct , Cc-plete
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j rk- and Legible. Separate .-. 1icaticn Required far very Sign.
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Application for Permit to Erect a Sign
Salen, 'H,assachusetts
TO THE BUILDING I.iSPECTOR:
The undersicned hereby applies for a pe mit to Erect , _ Alter , Repair
sicn on the follcwin// f/g described building:
Location and 1,1o.o. ��ftpRT174 Zoning/District
„are of Property Owner )06J1W #1V1J 6M12-
lame of Sian Owner
Address
If Owner is a corporate body name of responsible officer
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Name of Licensed Sign ,Erector Salem
Address 141 License 14o.
Use of Building: lst Floor ;rd_Floor
2nd Floor 4th Floor
Type of Sion: Surface, Right Angles to ouildind , Free Standing,
Other (specify) Height-
Sicn Materials
Sion Area SF
Sien Dimensions
'
Sign Area T� SF
Existing Sions : Surface: Sign Area SF
Richt Angles:
Sign Area SF
Free-Standing SF
Other Sian Area
n Area SF
signs to be Removed: Type (, C�YL' Sign
(�
FT Property FT
Frontage: BuildingS
Signature of Owner
MAIL PERMIT TO:
Hazel Wood Hopkins Signature of Crwners Authoriz/end Representative
43 North Main Street — /�, _ /'�Cw`e•1j r e.lv
West Boylston, MA 01583-11V _
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Address ��� //r� f'/'/`/��J S/ �• /�0 i/LS771/�
Estimated Cost
of I:ew '„ork _
Telephone R-� 0
APPROVALS: Signature of Property Owner
Superintec�ent or S[ .:ets
Historica Lor, nission
7 : Irn ? lan ino Department
i
HAZEL WOOD HOPKINS
5-13/110
43 N. MAIN ST. PH-/FAX SD8435-4878 30-
WEST BOYLSTON, MA OIS83-1127 -
PAY TO THE 19 ��
ORDER OF
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4'—1 1/4"
3'-9 116- CTR. TO CTR.
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SIGN SPECIFICATIONS: �
SIGN SIZE: I
N
AREA ... 10.25 S0. FT.
ACTUAL SIZE ... 2'-6" x 4'-1 1/4"
APPROXIMATE WEIGHT ... 65.0 lbs °
ELECTRICAL: 5" ELECTRICAL ENTRANCE (1.6 AMPS TOTAL)
AMPS ... 1.6 TOTAL
CIRCUITS ... (1) 20
VOLTS ,.. 120 —
COLORS: 0
"ATM" COPY ... BLACK #L880 1
CIRRUS ... RIGHT CIRCLE BLUE — PMS #3005 /
LEFT CIRCLE BLUE — PIAS #287 Q
COPY — WHITE 3LS-3124
PLUS ... BLUE — PMS #294
MONEY GRAPHICS
HAND LAYOUT ... BLACK #L880
MONEY ... GREEN — PMS #347 4L
CABINET & RETAINERS ... GLOSS BLACK —
GRIP GARD #228 3/8" x 3" LG LAG BOLTS
SUPPLIED BY INSTALLER
MR.o.. W 10 arc
ZIMMERMAN SIGN CO. SOUTHLAND 10-5-93
LONGVIKW TIYAS 2'-6"x 4'-1 1/4" S/F SIGN �...� NGLE TERESUA SOU-93-1244
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FRUM
SIGNED
#hFS FORM 3802 --
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