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23D-107 (19) CITY OF NORTHAMPTON � •. ;�'s MASSACHUSETTS ;-' k ••w'- INSPECTOR OF BUILDINGS DATE Sept. 30, 1982 SIGN PERMIT 'r1 PERMIT NO. 5,53 PERMIT FEE $ 10.00 BUSINESS Pioneer Valley Nursing Hone ADDRESS 543 Elm Street OWNER Same ADDRESS SamP APPLICANT Signs- of Dis-tinction ADDRESS 148 Sbutesbury Rom , LovPrett, Ma. PERMIT TO: RPp1 ere g cunci sign ESTI MATED COST $ 800.00 BUILDING DEPT. BY 1 _ y OQ� PT� L J .».. ? + No. »...»..»....»»»»....»»»S 4 11 a Erection. ( ) • sry Alteration 9 P Lti« Repair (X ) Plans must be filed with the Building Inspector, Repainting ( ) before a permit will be granted, Removal ( ) ( it of ',Northampton,ampton, Raass. Application for a Permit to Place or Maintain a Sign or other Advertising Device (Application to be filled out in ink or typewritten) FEE 4O.:V PAGE.,3.1) PLOT.AP.1.. Northampton, Mass., era 4 192.c`is,. To the Building Commissioner: Application for a permit to place or maintain a sign or other advertising device, or marquee. BUSINESS NAME...r'..lu y (V Li(t S Q?.t\ . 1. LOCATION, STREET and No.1 -r1 R.c.ga. 2. Owner's name 3. Owner's address 4. Maker's name S.I»£ti.N. Sal' 5. Maker's address 1.4-.e3 !�!.`�1 c .! u Rog47> LEV G(LQ-11- ty,A,,, 6. Erector's name 7. Erector's address SIGN KIND OF SIGN (Designate) 1. Sign will be (check one) illuminated k non-illuminated 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 ft. ins.above the public way. Roof 5. Height `i ft ins. Width 3 ft ins. Temporary Wall 6. Face area...Lc, sq. ft. 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 or pole is ins.back from the street line. 10. Sign will project. ins beyond the street line. 11. Sign will extend it ins.above the building or pole. 12. Of what material will sign be constructed? Frame -u 24 Tqc-Mild Face.l l it Lr0-'D ha KaG ANy 13. Estimate cost� :. .. The undersigned certifies that the above statements are true to the best of his knowledge and belief. (Signature of Owner or Agent) NOTE: In order that this application may be accepted, the data called for above must be set forth CLEARLY and FULLY. s of Distir2c it . co.3‘q, !"/*;.;:t7iftP!..\ -�•K'4 `'.may' 148 Shutesbury Road I IAND CARVED IN WCX)I) Business(413)549-2695 Leverett,MA 01054 Residence(413)549-4115 Client's Name 30k{r.) h A hC+h3 C f Telephone S'ii 31.JC Business Name 17,y of-)2:C. c?.. ., 4.1.Lt y cki 1a Ct 5 t(sic- 1-tom 1-tom Date 3 ,! ,t. Address t.{e zLri sI QE€ -r Approximate Delivery Date. Description and sketch of sign: TGvo L r'rG 2_`- e.,t-A C'> N V t1 SSG t_S ;.1-3 ti'T L 0 L-' C._.0 4.r B,st,r•ch.oV NC5 rWrLCr'Ay4 c;2R..1 {� cot.A2 3, C o C Af,•1 G,." a Cj c':=.! ra1G00 . „.- f; /' P . N*4\ . ,. = t 6 Y , , �• i I 1 Y .9.4. . e ••• Material y L r,N.: t'^4T' 3 ^ .t i yvc>o b. •1 6 n Material Cost 3i, 41 a, 00 Signature of Agreement 4.1LL\ 0.1. qC . 0Q _. Labor Cost CAn./ t:c co Stewart F. Olson ,,, ti, -;...1.....-....,......... I 5S.1' Installation 1 0 o OD Terms Deposit (50%) 3 ^_^`10 Comments: Sales Tax 37 a 7:'/4/1.2 Total •� Balance due upon delivery /00. c�c� F dos�� `t`3%� 'O 0 .C O