10 DERBY SQUARE - SIGN PERMIT (4) 10 Derby Square
10 Derby-Square Condo Trust
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5 HIGGINSON SQUARE 813-10
COMMONWEALTH OF MASSACHUSETTS
CITY OF SALEM
GIS #: 1550
Map: 135
Blo
Lot: 0252
Lot: _ -- -- SIGN PERMIT
L
Permit: Sign
,Category: SIGN
Permit# 8i3-lo PERMISSION IS HEREBY GRANTED TO:
Pro ect# I _ 10-001160
Est. Cost: $10,00.0.00 Contractor: License: Expires
Fee Charged:$0.00 TBD
Balance Due:$.00 'Owner: 10 DERBY SQUARE CONDOMINIUM TRUST
- — -
i#of Fixtures I- Applicant: TBD
DigSafe# AT: 5 HIGGINSON SQUARE
UseGroup
C,
ISSUED
ISSUED ON: 14-May-2010 AMENDED ON: EXPIRES ON: 14-Oct-2010
TO PERFORM THE FOLLOWING WORK:
SIGN PERMIT AS APPROVED FOR(10 DERBY SQUARE CONDOMINIUM TRUST)jbh
THIS PERMIT MAY BE REVOKED BV THE CITY OF SALEM UPON VIOLATION OF ANY OF
ITS RULES AND REGULATIONS.
Signatu
1
Fee Type: Receipt No: Dale Paid: Check No:
Amount: L
SIGN REC-2010-001352 14-M2y-10 x $0.00
GeoTMS®2010 Des Lauriers Municipal Solutions,Inc.
P'� NurhbEF—VE3 V ED
° APPLICATION FOR PERMIT TO ERECT A SIGN NOV 10 2010
`+ a NOTE: BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN IS ERECTED DEPT,OF PLANNING&
Location, Ownership and Detail Must Be Correct, Complete, and LegibIEPOMMUNI DE -LOPMENT
Salem, Massachusetts 'I 1 v I o
Date
To the Building Inspector:
The undersigned hereby applies for a permit to )(Erect, ❑Alter, ❑ Repair a sign on the following described buildings:
Street Address Zoning District
❑ Urban Renewal Area ❑ Entrance Corridor
Historic District ❑ None
Cop)CSO SS(X, Use of Building
Telephone �, (t. �OQ Z t' floor LA Olv- 644
• 0 X13 (c�rJ� A SOL . 2" floor
Address 10 ITS 3` floor IWAtiP
Telephone $ • !}.-6 �� 4 floor W*10W
E-mail -q�a AV ALGA v . (A How many businesses are in the building?
If a corporate body, name _ Frontage
of responsible officer
(� Building Z linear feet
Construction Sups License No C5"0015% MOW6AP Applicant's Space(if multi-tenant) linear feet
Address 2,IDo•St�� S7• AIJA" linear feet
Telephone 5096,0032 Mail Sign Permit to
-
E-mail 'p�c�R�rui VPS�G�. Sign Owner ❑Sign Erector o Other:
posed Signs (if more than three signs are proposed, attach additional sheets)
Sign 1 Sign 2 1 Sign 3
-XSurface a Surface 1)(Surface I
❑Right Angle to Building u Right Angle to Building ❑ Right Angle to Building
❑Free Standing ❑ Free Sta9ding ❑ Free Standing
❑Awning Awning (O�t At0.(41(A^NAS) ❑Awning
❑ Portable(A-Frame) �❑ ortable A- rame) ❑Portable(A-Frame)
❑Other(specify) ❑ Other(specify) ❑Other(specify)
Sign Materials UYA. Sign Materials 4W
1A.�40n)/UM Sign Materials �►�VS AWIJ�
Sign Dimensions V AV Sign Dimensions ) .,�t x � � Sign Dimensions
Sign Area Y Sign Area ''�A _ Sign Area 1
T sq ft s ft � � sq ft
Sign Height(if free standing) Sign Height(if free standing) Sign Height(if free standing)
Estim ted Cost of Net Work
$ 0-0%a
Existing Signs
Type Sign Area To Be Removed? ign Own�err
❑Surface sq ft ❑yes ❑no O CAO-SW A.SSGQ
Right Angle to Building (0.V5 W:sq ft ❑yes a4 no
❑ Free Standing sq ft ❑yes ❑no Si w er's Authorized Representative
;,,Awning L57—sq ft ❑yes y(no
❑Other(specify) sq ft ❑yes ❑no
Property Owner
10 C4S v4� (,OVJW
Internal Review
Pla ning&Community Developnient Department Historical Commission
Approval
Building Inspector
09124110 rev
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DERBY
: SQUARE
El design
s
rl
AW Wireless
i
front side
Nd TES
brick flit ade mountcn truant ld E
.5remuveble aluminum panel sleeves into detalt bar
heu Ill place w:th set screws
detail "I attaches to wall with visible hardware
screened graphics
lndbstrlal hatdware to be a pronomrcer visual retail
fabncatoi to verify all mounting ebndtnons context CONCEPTS
tenant
wall A
? .25. 10
SIGN 4
NOTES there Could be up to three company ID signs along the first floor . E
Basement North, 1 North, 1 South
DERBY
SQUARE
ills ... .
]5'
1 �
. --,�. rl a;�_,L 1!✓�i 1.
t root stJe 8
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MOTES
br Ick facade Iw.btedaJbress s)gn -
.5- labr)catLJ br usberl aluminuly numbers
atlach walJeJ tu.<Iei ail Lar - y
flush motuit to exterlol nu LJing tacaJe
nirlustrl•)I Ilan ebmre to be o plo0awlcetl visual 1¢•tall
tabr lcalor To Val lty atl Ihouitt111[, conditial" C011text
CONCEPTS
entrance
address id
?S TO
SIGN 3 D
DERBY
✓' : SQUARE
ourke design
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AT&T Wireless
rwres
br ck faunae mounted tenant blade sago
.s" rainov,uie aiumioum panel sleeve, into bracket. } ♦ ��
screened truant identity
industrial hardware to be a pronounced visual detail context
CONCEPTS
tenant
blade id
SIGN 5
NOTE� there could be up to three company ID signs along the first floor. F
Basement North . 1 North, 1 South
DERRY
SQUARE
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bn<k facade monied building srlin
arched harizuntal actatl Oars contain
welded address <harecters
CONCEPTS
statnles> steel cable support system attaches
through eyelets In the detail bar
and thread through upper ring
industrial hardware to be a pronounced visual detail bui I d i ng
rro"t tabrtcator to verily all mounting cundltions id
2 25.10
SIGN 2 B
DERBY
SQUARE
ou me dell gn
s ` Ir iu[ slJe
NOTE' .
bn h IacaJe muuute❑ add,esl sl gn
fF e
1-cj 11lbr lcated allue111wM ndMllerS w t It bruslied Iiit I%It _-
allark welded to detalI bar
flush Inmm.l to eater mr bund vlg facade
tndusln al hardware to be a pronounced visual detail
V iabi nafor eo venfV all mounnng condlllans cold helghls conleat
CONCEPTS
address
id
2.25. 10
SIGN 1 A
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5 HIGGINSON SQUARE 422-11
COMMONWEALTH OF MASSACHUSETTS
_ CITY OF SALEM
GIS#: 550
B t k: 02
Lot: 3552 SIGN PERMIT
Permit: Sign
ICategory: SIGN
IPemzit# 422-11 PERMISSION IS HEREBY GRANTED TO:
Project# JS-2011-000429
Est. Cost: $7,700.00 Contractor: License: Expires
Fee Charged:$0.00 Kaygee Signs/Michael T Hannigan CONSTRUCTIO SUPERVISOR-56985
Balance Due:$.00 Owner: Lavoie Group
#of Fixtures Applicant: Kaygee Signs/Michael T Hannigan
DigSafe# IAT. 5 HIGGINSON SQUARE
UseGroup
ConstClass
ISSUED ON: 17-Nov-2010 AMENDED ON: EXPIRES ON. 17-Apr-2011
TO PERFORM THE FOLLOWING WORK:
SIGN PERMIT AS APPROVED FOR(10 DERBY SQUARE CONDO ASSOCIATION)jbh
THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON VIOLATION OF ANY OF
ITS RULES AND REGULATIONS.
Signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
SIGN REC-2011-000531 17-Nov-10 x $0.00
GeoTMS®2010 Des Lauriers Municipal Solutions,Inc.
Permit Number J"Ij
APPLICATION FOR PERMIT TO ERECT A SIGN
3 q NOTE: BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN IS ERECTED
. ,It', Location, Ownership and Detail Must Be Correct, Complete, and Legible
Jp t�bj. Salem, Massachusetts 16 April 2010
Date
To the Building Inspector:
The undersigned hereby applies for a permit to XErect, ❑Alter, ❑ Repair a sign on the following described buildings:
Street Address Zoning District
10 Derby Square / ❑ U ban Renewal Area ❑Entrance Corridor
S Historic District ❑ None
10 Derby Square Condominium Trust use of Building
Telephone 617.645.5488 1� koor Basement: Retail 1 st fir: Offices
10 DerbySquare Condominium Trust s floor 50% residential 50% OfficeS
Address 10 DerbySquare, Salem MA 01970 3` floor Offices
Telephone 617.645.5488 4 floor Offices
E-mail steven@availablelight.com How many businesses are in the building?5
If a corporate body, name Susan Gochenour, Secretary
of responsible officer
TBD, upon approval of application Building 68' linear feet
Construction Sup's License No Applicant's Space (if multi-tenant) NSA linear feet
Address Property 66' linearfeet.
Telephone Mail Sign Permit to
E-mail XSign Owner ❑ Sign Erector o Other:
Sign 1 Sign 2 • Sign 3
X Surface X Surface X Surface
❑ Right Angle to Building ❑ Right Angle to Building ❑ Right Angle to Building
n Free Standing ❑Free Standing ❑Free Standing
a Awning ❑Awning Awning shape but only ❑Awning
in Other(specify) XOther(specify) sculptural framework ❑Other(specify)
Sign Materials Aluminum Sign Materials Aluminum + S.S. Sign Materials Aluminum
Sign Dimensions 2'-2" X 2'-3" Sign Dimensions 7'-811x3'-1V Sign Dimensions 11.25" X 1'-0"
Sign Area 4.9 sq
ft Sign Area 30 sq
ft Sign Area under 1 sq It
Sign Height(if free standing) Sign Height(if free standing) Sign Height(if free standing)
Estimated Cost of Net Work
$ $7,500-10,000.00 (signs 1-5)
Existing Signs
Type Sign Area To Be Removed? Si• Owner
❑Surface sq ft e yes ❑no
u Right Angle to Building sq It t yes ❑no
ri Free Standing. sq It u yes ❑no Sig utneruthoris ARep"entatiye
❑Awning sq ft o yes ❑no
❑Other(specify) sq ft ❑yes ❑no
Pr perty Owner
t
Internal Review
It u
Planning&Community Development Department Historical Commission
Approval
Building Inspector
11M1108rev
SignSignX 4 Si nX
X Surface X Surface ❑ Surface
❑ Right Angle to Building X Right Angle to Building ❑ Right Angle to Building
❑ Free Standing ❑ Free Standing ❑ Free Standing
❑ Awning ❑ Awning ❑ Awning
❑ Other (specify) ❑ Other (specify) ❑ Other (specify)
Sign Materials Aluminum Sign Materials Aluminum Sign Materials
Sign Dimensions 1 '-7.5" X 2'-9" Sign Dimensions 1 "-10" X 2'-1 " Sign Dimensions
Sign Sign Area 4.33 s ft Si9 Area Sign Area 3.82 s ftSign Heiht (if fre
S9 ft
Sign Height (if free standing) Sign Height (if free standing) ge standing)
Estimated Cost of Net Work
$ $7,500-10,000.00 (signs 1 -5)
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Effective Date:April 16th, 2010
Weste-n Surety company
LICENSE AND PERMIT BOND '
KNOW ALL PERSONS BY THESE PRESENTS: Bond No. 24763865 a
. .
9
That we, l0 Derby Square Condominium Trust
Y
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of the City of Salem State of Massachusetts as Principal,
and WESTERN SURETY COMPANY, a corporation duly licensed to do surety business in the State of
Massachusetts , as Surety, are held and firmly bound unto the
city of Salem State of Massachusetts ,as Obligee, in the penal
sum of One Thousand and 00/100 DOLLARS($1,000.00 ),
lawful money of the United States, to be paid to the Obligee, for which payment well and truly to be made,
webind ourselves and our legal representatives,firmly by these presents.
THE CONDITION OF THE ABOVE OBLIGATION IS SUCH, That whereas, the Principal has been
licensed Sign Permit Bond
by the Obligee.
NOW THEREFORE, if the Principal shall faithfully perform the duties and in all things comply
with the laws and ordinances, including all amendments thereto, pertaining to the license or permit
applied for, then this obligation to be void, otherwise to remain in full force and effect until
April 16th I gni i ,unless renewed by Continuation Certificate.
This bond may be terminated at any time by the Surety upon sending notice in writing, by First Class
U.S.Mail, to the Obligee and to the Principal at the address last known to the Surety, and at the expiration
of thi>i� ` &)r,lays from the mailing of said notice, this bond shall ipso facto terminate and the Surety
sh4 h'Nr upon ly" heved from any liability for any acts or omissions of the Principal subsequent to said
da A-.-Re0*�'s•,d;..'the number of years this bond shall continue in force, the number of claims made
Q a t�nis bon��.v.. ;the number of premiums which shall be payable or paid, the Surety's total limit of
4 shall notyb��:timulative from year to year or period to period,and in no event shall the Surety's total
lility.�o ��claizxi exceed the amount set forth above. Any revision of the bond amount shall not be 1
p�rtt ttp6w`� 14th April 2010 '
Date t�ua day of '
Y
v e
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0 10 Derby Square Condominium Trust
e Principal °
0
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' Principal ;
WESTE SURET COMPANY
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° By Paul T.Bruflat,SGior Vice President '.
e
Fc"532-2-2006 °
pu
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ACKNOWLEDGMENT OF SURETY
STATE OF SOUTH DAKOTA ss (Corporate Officer)
COUNTY OF\IINNDHAIIA
On this 19th day of April 2010 ,before me,the undersigned officer,
personaLy appeared Paul T.Bruflat ,who acknowledged himself to be the aforesaid
officer of WESTERN SURETY COMPANY,a corporation, and that he as such officer,being authorized so to do,executed
the foregoing instrument for the purposes 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.
{4444444444F4444444{
S. PETRIKTRIK Jl
NOTARY PUBLIC
SEAL
i SEAL SOUTH DAKOTA ry public—South Dakota
+'"44
My Commission Expires August 11,2010
ACKNOWLEDGMENT OF PRINCIPAL
1 (Individual or Partners)
STATE OF ))ss
COUNTY OF
On this day of —,before me personally appeared
known tome to be the individual—described in and who executed the foregoing instrument and acknowledged to me
that—he— executed the same.
My commission expires
' Notary Public
ACKNOWLEDGMENT OF PRINCIPAL
STATE OF as
(Corporate Officer)
COUNTY OF
On this day of ,before me personally appeared
who ackmwledged himself/herself to be the
of ,a corporation,and that he/she as
such officer being authorized so to do,executed the foregoing instrument for the purposes therein contained by signing
the name of the corporation by himself(herself as such officer.
My commission expires
Notary Public
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Western Surety Company
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
That WESTERN SURETY COMPANY, a corporation organized and existing under the laws of the State of South Dakota,and
authorized and licensed to do business in the States of Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut,
Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa. Kansas, Kentucky, Louisiana, Maine,
Maryland, Massachusetts, Michigan.,Minnesota, Mississippi,Missouri, Montana,Nebraska, Nevada,New Hampshire, New Jersey,
New Mexico, New York, North Carolina, North Dakota, Ohio. Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina,
South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming, and the United
States of America,does hereby make,constitute and appoint
Paul-m. Bruflat Of S1011X Falls ,
State of Sonth natnta ,its regularly elected Senior vice President
as Attomey-in-Fact,with full power and authority hereby conferred upon him to sign,execute,acknowledge and deliver for and on
its behalf as Surely and as its act and deed,the following bond:
One sign Pe=it; C'tyof Salem Department of Planning t Comm nity Development
bond with bond number 24763865
for 10 Derby Square CondoniL Trust
as Principal In the penalty amount not to exceed:
Western Surety Company further certifies that the following is a We and exact copy of Section 7 of the by-laws of Western Surety Company
duty adopted and now,in force,to-wit:
Section 7. All bonds, policies, undertakings,Powers of Attorney,or other obligations of the corporation shall be executed in the corporate
name of the Company by the President,Secretary, any Assistant Secretary,Treasurer,or any Vice President or by such other officers as the
Board of Directors may authorize. The President any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint
Attomeys-in-Fact or agents who shall have authority to Issue bonds,policies,or undertakings in the name of the Company. The corporate seal is
not necessary for the validity of any bonds,policies,undertakings,Powers of Attorney or other obligations of the corporation. The signature of any
such officer and the corporateseal may be printed by facsimile.
In Witness Whereof, the said WESTERN SURETY COMPANY has caused these presents to be executed by Its
Senior vs ce President with the corporate seal affixed this 14th day of April ,
2010
ATTEST ���//)p }L'�CLQQ_l171 WESTE N URET COMPANY
?Z � By Pa BruA ,Senior Vice President
L Nelson,Assistant Secretary
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STATE OF SOUTH DAKOTA1 � `'• `�'.i•�Z
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as �v •. Sr.+
COUNTY OF MINNEHAHA ''rp.�fl' : ;• �c \�
!!•+nnesrais
On this 14th day of . April 2010 ,before me,a Notary Public,personally appeared
Paul T.. Bruflat and L. Nelson
who,being by me duly sworn,acknowledged that they signed the above Power of Attorney as senior vice President
and Assistant Secretary, respectively, of the said WESTERN SURETY COMPANY, and acknowledged said instrument to be the
voluntary act and deed of said Corporation.
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NotaryPublic
My Commission Expires November 30,2012 S4-
Pon F1975-9-2006
city of Salem Department of Planning & Community Development
Check/Cash Receipt and Tracking Form
Please complete form and make two copies.
Date Received ;l � I U
Amount Received $
Form of Payment Check ❑ Cash
Client Information �U
CASH PAYMENTS: client initials /
I XSign Permit Application Fee
F-1-- Conservation Commission Fee
Payment received for what ❑ Planning Board Fee/ ZBA
service? ❑ 5RA/DRB Fee
❑ Old Town Hall Rental Fee
❑ Other: Copies
Name of staff person receiving
payment 1_
Additional Notes
BEVERLY CO-OPERATIVE BANK
53]21421 13 5198
10 DERBY SQUARE CONDOMINIUM TRUST
PO BOX 202
NEWTON,NH 03858
PAY TO
ORDER
t- �QYYI $
ORDER OF C � O t- ����llll...���` 1 1 1
P1 r iA-leu C,\\)C_ ,1 Y� c\yA ll — DOLLARS
MEMO
i'00S498,1' 1: 2113721451: 05301616611'
Original Check and Form: DPCD Finance
Copy 1: Client
Copy 2 Application File
DERBY
SQUARE
concept drawings
5 . 3 . 10
burke -- design
133 washington st
morblehead ma
01945
781.63 1.0070
DERBY
SQUARE
burke design
133 . . .
. . _ _.. .
01945
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31
EXISTING
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7
CONDITIONS
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s;gn key:
A address ID Traffic Mae Map satelli
a residential canopy ID ' �Snm DERBY
D entrance address ]D I'
E retail tenant ]D ��
F retail tenant blade ID SQUARE
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burke + design
�i 133 woshingion st
morblehead ma
.,+ I 01945
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781.631.0070
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DERBY
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burke + design
133 washington sl
morblehead ma
01945
2"
- --�'- 781.631.0070
1' -7.5" 1"
c
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LL
front side
7 r'
� 1
1" fabricated
v aluminum numbers
E = A
v � r
.5" aluminum plate .25" visible -
w welded to tube
hardware .� -
E
1 xl aluminum
tube with end caps
w context
V NOTES
brick facade mounted address sign
1" fabricated aluminum numbers with brushed finish CONCEPTS
1" aluminum tube stock frame, capped on both ends, brushed finish _
.5" aluminum detail fin, brushed finish
flush mount to exterior building facade address
industrial hardware to be a pronounced visual detail ld
fabricator to verify all mounting conditions and heights
5 . 3 . 10
SIGN 1 A
DERBY
SQUARE
7. .0„ .�
burke design
133 woshington st
morblehead ma
01945
761.631.0070
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brick facade mounted building sign
arched horizontal detail bars contain
° 0 ID ° welded address characters
UD stainless steel cable support system attaches CONCEPTS
O J �F �DE) y
SO ° through eyelets in the detail bar
and thread through upper ring
industrial hardware to be a pronounced visual detail building
front fabricator to verify all mounting conditions id
2 . 2 `, . 10
SIGN 2 B
DERBY
SQUARE
burke + design
133 washington st
11.25" marbleheod mo
01945
9.75" ,5" 781.631.0070
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brick facade mounted address sign E
A
. 5" fabricated brushed aluminum numbers
attach welded to detail bar
flush mount to exterior building facade
industrial hardware to be a pronounced visual detail
fabricator to verify all mounting conditions context
CONCEPTS
entrance
address id
= . 2 . l0
SIGN 3 D
DERBY
SQUARE
burke + design
1'-7.5" 133 washington st
marblehead ma
01945
781.631.0070
r
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-° 111
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0 0 0 0 0 0
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front side E Q >
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NOTES
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brick facade mounted tenant id w E
. 5" removable aluminum panel sleeves into detail bar
held in place with set screws w `,
detail bar attaches to wall with visible hardware !r
screened graphics
industrial hardware to be a pronounced visual detail
fabricator to verify all mounting conditionscontext CONCEPTS
tenant
wall id
2 . 25 . 10
SIGN 4
NOTE : there could be up to three company ID signs along the first floor : E
Basement North , 1 North , 1 South
DERBY
SQUARE
burke + design
133 washington st
marblehead ma
01945
1 ' - 1G" 781.631.0070
AT&T Wireless
LL
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C fid ' a
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front side E
E -
m �
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w w
NOTES E
brick facade mounted tenant blade sign
.5" removable aluminum panel sleeves into bracket
screened tenant identity
industrial hardware to be a pronounced visual detail context
CONCEPTS
tenant
blade id
2 . 25 . 10
SIGN 5
NOTE : there could be up to three company ID signs along the first floor : F
Basement North , 1 North , 1 South