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Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. " -275 Alterations
NORTHAMPTON, MASS. 4 6-0 19 in Additions
Repair
APPLICATION FOR PERMIT TO ALTER
Garage
1. Location A r-r�--1P r C,C)�\ Lot No.
2. Owner's name Address ��g4
3. Builder's name 1 Address
Mass.Construction Supervis is License No. Expiration Date
4. Addition
5. Alteration a q i &Al_ -A u h `l &(,j ry
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating
1�
11. Distance to lot lines
12. Type of roof
13. Siding house
14. Estimated cost:- qt SD6•—
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Sig ature of res onsible applicant
Remarks
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