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Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. 1 �� Alterations
a NORTHAMPTON, MASS. 192Z Additions
APPLICATION FOR PERMIT TO ALTER Repair
/ Garage
1. Location —�(� Lot No.
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2. Owner's nam shit v Address '
3. Builder's name . . �> Address
Mass.Construction Supervisor's License No. / ( f Expiration Date
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 cost:-
The�(dersigned certifies that the above statements are true to the best of his, her
knowledge and belief.
Signat, of responsible applicant
Remarks
PHIN;,SHOP
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