400 HIGHLAND AVE - BUILDING INSPECTION (13) Pennit.Number__,W_/ �
"Cow APPLICATION FOR PERMIT TO ERECT A SIGN
NOTE: BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN Is ERECTED
Location, Ownership and Detail Must Be Correct, Complete, and Legible
�'Kryse" Salem, Massachusetts
To the Building Inspector:
Date
The undersigned hereby applies for a permit to ❑Erect, ❑Alter, ❑Repair a sign on the following described buildings:
DistrictStreet Address Zoning
D O ❑ Urban Renewal Area ❑Entrance Corridor
❑Historic Distrid ❑ None
• BuildingUse of
Telephone — �t_. O- — 1, floor
• ' 2 floor
Address 3 floor
Telephone 4 floor
E-mail How many businesses are in the building?
If a corporate body, name e, ,
of responsible officer
• Building linear feet
Construction Sups License No Applicant's Space(if multi-tenant) linear feet
Address Property linear feet
Telephone _ Q o
E-mail — Sign Owner ❑Sign Erector a Other.
S n1 Sign 2 Sign 3
Surface ❑Surface ❑ Surface
a Right Angle to Building ❑ Right Angle to Building ❑Right Angle to Building
❑Free Standing ❑Free Standing ❑Free Standing
❑Awning ❑Awning ❑Awning
❑Portable(A-Frame) ❑ Portable(A-Frame) ❑Portable(A-Frame)
❑Other(specify) ❑Other(specify) ❑Other(specify)
Sig jaterials Ir Sign Materials Sign Materials
Sign Dim nsions Sign Dimensions Sign Dimensions
Sign Area Sign Area Sign Area
sq ft s ft sq It
Sign Height(if free standing) Sign Height(if freestanding) Sign Height(if free standing)
Estimated Cost of Net Work
$ 3 g 9.
Existing Signs
Type Sign Area To Be Removggd? Sign Owner
❑Surface sq ft ❑yes 70
❑ Right Angle to Building sq ft ❑yes ❑no
❑ Free Standing sq It a yes ❑no Sign Owner's Authorized Representative
❑Awning sq ft ❑yes ❑no
❑Other(specify) sq It ❑yes ❑no
Prop caner
Internal Review
ommunity UeVeloomentDeogrtfmint Historical Commission
Approval
Building Inspector
0WQ10 rev