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Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. S$S G 3SS Alterations
NORTHAMPTON, MASS. T>r�� 19�'� Additions /R �R� is
g e Repair '1'60v� C7'"-'A
APPLICATION FOR PERMIT TO ALTER
Garage
1. Location Lot No.
4-CE MN 1"Fo'Q Ael' YLBORAI
2. Owner's name A _ Address /9 /3,e R 8 A Y 6
3. Builder's name -5AInE Address
Mass.Construction Supervisor's License No. Expiration Date
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4. Addition / I/(Z
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 cos
Soo.
The undersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
ignatu f responsible applicant
Remarks
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