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Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. J Alterations
19 5�1e- Additions
NORTHAMPTON, MASS.
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location Lot No.
2. Owner's name Address
3. Builder's name Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration L
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
11. Distance to lot lines
12. Type of roof
13. Siding house f
14. Estimate-OSost:
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
ell,
4,t.
Signature of responsible icant
Remarks
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