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Miscellaneous Additions,Repairs,Alterations,etc. \ Tel.No. C! �' ` Alterations
a NORTHAMPTON, MASS. —J e + 19 "` Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location )/ Lot No.
2. Owner's name HO Address
3. Builder's name A h �-! _VV ''7 Address o G-K u��''� !� u )<y
Mass.Construction Supervisor's License No. �'-r`� `f Expiration Date
4. Addition
5. Alteration 1-
6. New Porch
7. Is existing building to be demolished? N
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating u L Q
11. Distance to lot lines
12. Type of roof rf
13. Siding house N 1 A
14. Estimated cost:- I O
I
The undersigned certifie he above qatements are true to the best of his, her
knowledge and belief.
Signature of responsible applicant
Remarks
PHINT'SHOP
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