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FARMINGTON.CONNECTICUT 06032
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Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
NORTHAMPTON, MASS. 19 Additions
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APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location L S/��✓ - Lot No.
2. Owners name Address
3. Builder's name �`�'9-L s I/!9N �� e f Address .T WAosi
Mass.Construction Supervisor's License No. y`S�� 3 Expiration Date
4. Addition
5. Alteration
6. New Porch SG.QPe,✓ �''� C'x�a/� �✓ l �1�/-� iec
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 L' c5 ac --
12. Type of roof c5gz(a
13. Siding house
14. Estimated cost:-
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!67�, The undersigned certifies that the above statements are true to the best of his, her
k:ow2 belief.
<�o� H•ws.I �
1 Signature of responsible applicant
Remarks
PNINUSHOP