32A-155 (5) 1 " yk_;•
i Erection. ( ,4
Hw'.-. si:
rr_ �'' Alteration ( )
Plans must be filed with the Building Inspector, Repair ( )
Repainting ( )
before a permit will be granted, Removal ( )
Titl) of Xiairt4antptian, Rass.
Application for a Permit to Place or Maintain a Sign
rN,/ ca or other Advertising Device
'Y 'J(� (Application to be filled out in ink or typewritten)
FEE PAGE... PLOT
Northampton, Mass., ' / 1.k i 19
To the Building Commissioner:
Application for a permit to place or maintain a sign or other advertising device, or marquee.
BUSINESS NAME C.>:tti?►i At
1. LOCATION, STREET and No. 4 n".A t Sr
2. Owner's name ia,.Gc i ..,!2:1.t..QJ
3. Owner's address.........La Asr.A2,—) S- _ ih/.0.4,41.1ay-0raY'1
4. Maker's name 60R••DEROSI•T•ONLY
5. Maker's address Seigel Signs
6. Erector's name 601 0019 286 FOR DEPOSIT.ONLY
............
7. Erector's address Seigel Signs
601,019"286
SIGN KIND OF SIGN
(Designate)
g 1. Sign will be (check one) illuminated non-illuminated X
2. Will sign obstruct a fire escape, window or door? Marquee
�' Projecting
`' 3. Lower edge will be i ft....LQ ins. above the public way.
1 4. Upper edge will be /1 ft. /O ins. above the public way. Roof
N
5. Height ft a ins. Width 1' ft ea ins. Temporary
6. Face area 7l2 seq. ft. Wall
Cli 7. Inner edge will be a ins from the building or pole. Ground
8. Outer edge will be...r Other
g �� ins. from the building or pole.
9. Face of building or pole is is" ins,back from the street line.
10. Sign will project. 0 ins.beyond the street line.
11. Sign will extend 0 ft 9 ins. above the building or pole.
12. Of what material will sign be constructed? Frame.... 1tic Face f9cRy 1G
11
613. Estimate cost..../6.r..?c-i
(1 The undersigned certifies that the above statements are true
to
zy best of his knowledge and belief.
i ature of O er or Age t)
NOTE: In order that this application may be accepted, the data called for above must be set forth
CT;EARLY and FULLY. PA" '
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