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Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
a NORTHAMPTON, MASS. ; (.4xe, 2-S-41, 1990 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location A 2.2 k6 wE3 S?R= wo,e,-jc-e Lot No.
2. Owner's name R Y 5Si4* 12 Address 44,2�2-('7OW41"3 S7-,ec`Vr
3. Builder's name 2(eMjNSIG DEC Address 387 POCKY k�tc, R�D NOoe-7744-t-hPI-a-►
Mass.Construction Supervisor's License No. 17$8°/ Expiration Date (
4. Addition 'tom fZt-"A - OF 0PG#,1 P•'i- DZK wrn+ 96-i cu.r(r- + STEPS l2'x i2' /,j SJ2,E7I GA"r
5. Alteration RGMOVE GRiSTW&- C. 1,42Ow / --0-45T7twc..- S Left? T I*WP e RDA P j o 3uDi.j6f Uk'A
6. New Porch
7. Is existing building to be demolished? 146
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating
11. Distance to lot lines R((,,wr- !:j 6
12. Type of roof
13. Siding house
14. Estimated cost:-
�3903,�'
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
ign ture of responsible applicant
Remarks
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