87 JACKSON ST - BUILDING INSPECTION (3) Permit Number -
APPLICATION FOR PERMIT TO ERECT A SIGN
NOTE: BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN IS ERECTED
11,>o!I Location, Ownership and Detail Must Be Correct, Complete, and Legible
''s m Salem, Massachusetts
Date
To the Building Inspector:
The undersigned hereby applies for a permit to ❑ Erect, 41ter, o Repair a sign on the following described buildings:
Street s onir g District. �� ❑Urban Renewal Area n Entrance Corridor J
❑ Historic District ❑ NoneUse of Building
J
flog
Telephone
2"_floor
✓� `� n 3` floor
Address r� ack leNt PIAC(H -- 1
r Telephone 1-60 _ - c Z _ Ib 4 floor
E-mail -- - - - How many businesses are in the building?
Frontage
if a corporate body, name
of responsible officer Building linear feet
Constntdion Su License No Applicant's Space (if multi-tenant) linear feet
h Property linear feet
Address -v .0 5�-i"
Mail Sign to
Telephone �%S'. /) Permit
E-mail ❑ Sign Owner o Sign Erector ❑ Other:
Si 1 Si n 2JL
3
urface ❑ Surfacerface
❑ Right Angle to Building ❑ Right Angle to Buildinght Angle to Building
LAnm
anding ❑Free Standinge Standing
❑Awningning
e(A-Frame) ❑ Portable(A-Frame) rtable (A-Frame)
specify) ❑ Other(specify) er(specify)Sign aterials Sign MaterialsMaterialsV DimensionsSign Dimension Sign DimensionsSign Area Sign Area Areas ft s ftSign Height(if free standing) Sign Height(if free standi Height(if free standing)
Estimated Cost of Net Work
$Existing Signs
v
7n6eTy Sign Area To Be Removed?Surface yY(o sq ft ales ❑no❑ Right Angle to Building sq ft ❑yes ❑ no d Rep�sentative
❑• Free Standing sq ft ❑yes ❑ no Awning sq ft ❑yes ❑no
❑ Other(specify) sqft ❑yes ❑ no J
tannin &Community Development Department Historical Commission
Approval
�jp�
V L/I�L�`--L1M I 'Y `�el.n )
Building Inspector
___7BB24110 rem