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17C-293 (3)
14 191, �b.00 M No...... 1........................................ Erection...........................( ) ( ) Plans must be filed with the Building Inspector, Alteration....................... Repair...............................( ) before a permit will be granted, Repainting....................( ) Removal..........................( ) (.at of ,;N,vrt4amV tvn, Aria. 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) Northampton, Mass.......... .�J7.0..............................19. ... To the Building Commissioner: Application for a permit to place or maintain a sign or other advertising device, or marquee. 1. LOCATION, STREET nd No y......J.QIAa `.. ....... .�j..�......../4� .......... 2. Owner's name............... L.... ............................................................................................................................................. 3. Owner's address................L ...���Q .�. � ��Q..T s-.... Q� ©................. .......... ,,....� .�....................... 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 Projectingg................................... ................................... 3. Lower edge will be../A......ft...................ins. above the public way. 4. Upper edge will be...��.......ft...................ins. above the public way. Roof...........ry................................. 5. Height......... .....ft.......�........ins. Width...�.......ft...................ins. Temporary................................. . 6. Face area.. 11.......sq. ft. Wall................................................ 7. Inner edge will be.....,y,�.........ins from the building or pole. Ground.......................................... 8. Outer edge will be.....,� ins. Other.............................................. from the building or pole. 9. Face of building or 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 1w��ill sign be constructed? Frame................................................ Face................................................. 13. Sign will weigh.....1/ .....lbs. 14. Will the sign conform to the ordinances of the City of Northampton?........................ MARQUEE 1. Lower edge will be..................ft..................ins.above grade. 2. Upper edge will be..................ft...................ins.above grade. 3. Length........ .......ft...................ins. Width..................ft...................ins. 4. Will marquee be constructed entirely of incombustible materials?........................ 5. Will the marquee conform to the ordinances of the City of Northampton?........................ The undersigned certifies that the above statements are true to the best of his knowledge and belief. .............................................................................................................................. (Signature of Owner) NOTE:In order that this application may be accepted, the data called for above must be set forth CLEARLY and FULLY.