Scanned app page 1City of Northampton
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Massachusetts
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DEPARTNENT OF 80ILDING INSPECTIONS P3.
212 Main Street • Municipal Building
Northampton, MA 01060 �s"'�..✓1!t'
INSPECTOR Application for a Permit to Place or Maintain a Sign
Or other Advertising Device, or Marquee
(Application to be filled out in ink or typewritten) Number .....................
Plans must be filed with the Building Inspector
before a permit will be granted
Erection ..................( )
Alteration .................( )
Repair .....................( )
Repainting ...............( )
Removal ..................( )
FEE........ PAGE........ PLOT.......
Northampton, Mass................................20.....
To the Building Commissioner. -- - -
Application for a permit to place or maintain a sign or other advertising device, or marquee.
BUSINESS NAME .....lV•Ofi
1. Location, Street and No...................G A.+..�I..C......5. rreeY-
I
g.... .............. I...........................
2. Owner's name...... ).c (u?rni...: �..r�e lr�25 "Cie n -f
....(......................................................
3. Owner's address .... :�.l....Crvlterr� Uf�Sv�aam{oi��l�ht!¢ ®laJ�
4. Maker's name.............................................................................................................
5. Maker's address.............................................................
6. Erector's name..........................................................................................................
7. Erector's address...........................................:...........................................................
SIGN KIND OF SIGN
1. Sign will be (check one) illuminated ....... Non -illuminated .,� ... (Designate)
2. Will sign obstruct a fire escape, window or door? Marquee ...............
3. Lower edge will be ... .'.ft ........ ins above the public way. Projecting ..............
4. Upper edge will be ..3.'..ft........ins above the public way. Roof .....................
5. Height 2.:..ft..�..ins Width ..Ctft.o... ins Temporary .............
6. Face area .'5..sq. ft. Wall .....................
7. Inner edge will be ......ins from the building or pole. Ground ................
8. Outer edge will be .......ins from the building or pole. Other ...................
9. Face of building of -pole is .......ins back from the street line.
10. Sign will project .......ins beyond the street line.
11. Sign will extend .......ft .......ins above the building or pole.
12. Of what material will sign be constructed? Frame ...........G� ...... Face. eco 4..........
13. Estimated cost $.... .Qs�......
The undersigned certifies that the above statements are true to
y� the nnbest of his knowledge and belief.
h `�y`.„v �. . �. .'� '... ...................
(Signature of OwrYer or Agent)
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