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Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
7Cv2,T Lot No.
1. Location `
2. Owner=s name Address OL
3. Builder's name- 111L >f >L Address
Mass.Construction Supervisor's License No. Expiration Date ,:/J
4. Addition
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 c
C_
The undersigpeo certifies that the above statements are true to the best of his, her
knowledge'apd belief.
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4n,�, f ..pons,ble appicanl
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Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. �/ ' � Alterations
NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location ,�� / Lot No.
2. Owner's name .J_1-- � 4+ 0 ,lam Address 93
3. Builder's name Pf lM I le (1 + r P Address r/ C/t 0 f4 Lrt'
Mass.Construction Supervisor's License No. Expiration Date l`1
4. Addition w 1a _
5. Alteration d
6. New Porch
7. Is existing building to be demolish ? N
8. Repair after the fire
9. Garage k A No.of cars Size
10. Method of heating 6 ly-S FD cc,e to l f al 14 LL
11. Distance to lot lines /v
12. Type of roof S 7
13. Siding house ;V
14. Estimated cosL- � a
The undersigned certifies that the above statemcnts are true to the best of his, her
knowled d belief.
re S urn
' Inatur of r e s onseb17 app i
Remarks
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