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Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. ����"` � Alterations ,X
so NORTHAMPTON, MASS. �( tt�_ 19 �- Additions
APPLICATION FOR PERMIT TO ALTER Repair
�p / Garage
1. Location 9;" 7 i h e // Y,//J1 �d Lot No.
2. Owner's name KIP,fa 14 R1,22 i Z Address—,q
3. Builders name Address
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration s r� <r r' ,yr'�' ;.,< .57.Xe o
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire `i–VU
9. Garage Y`� No.of cars Size
10. Method of heating +u,�
11. Distance to lot lines
12. Type of roof n A Vi
13. Siding house ,
14. Estimated cost:- ( (
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
T \
Signature onsible applicant
Remarks f >>Lr °{ ( ) ( 7{ aC. � c 'i,
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