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Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. S ii/-.2 10/ Alterations
• •,r NORTHAMPTON, MASS. q 19 9O Additions f
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;'�.���r a Repair
.* APPLICATION FOR PERMIT TO ALTER Garage
1. Location -CZ " n 0 e le r k 5 t r e. t Lot No.
2. Owner's name lr ti Y/ J , B o t- Oi a i- S Address S a ''n e- as ar b0•,/e
3. Builder's name 7 11/ Be-a Y / ve) L S Address / Ea s J z . 0.h tccpc. e
Mass.Construction Supervisor's License No. Expiration Date
4. Addition /I lo--ett oLli---ate 7 rs u..>7 d' p a c Q-
5. Alteration
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
14. Estimated cost:-
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\`�'' / The undersigned certifies that the above statements are true to the best of his, her
/ knowledge and belief.
r)7(...tti),/ , 7(&-11-0-41.4__A-1 .
Signature of responsible applicant
Remarks
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