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Miscellaneous Additions,Repairs,Alterations,etc. Tel.No-n(o g2-S Alterations kw
a NORTHAMPTON, MASS. --- 1A Additions APPLICATION FOR PERMIT TO ALTER Repair �G
Garage
1. Location 82— ChyA Z S-jra d::: Loot No.
2. Owner's name` - e) Ci'fig,me LA C C-,RS Address 3q S 3. Builder's name-� --% S C r Sfirtlxt���ba� - P Address (Ck M idd S 2Cf�. T7 4d 1Grt
Mass.Construction Supervisor's License No._( U-7�7 Z_C1 Expiration Date ✓�1 /�7i
4. Addition
5. Alteration �Q» cl u k► l e C at D is t 1"uti
6. New Porch �i O
7. Is existing building to be demolished? 0 0
8. Repair after the fire v-�D
9. Garage V�) 0 No.of cars Size
10. Method of heating C4 6"-,
11. Distance to lot lines
12. Type of roof
13. Siding houseL�
14. Estimated cost:- 10,bo�
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signature of responsible applicant
Remarks
PR YN, _T+SHOP