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Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
a NORTHAMPTON, MASS. 19 Additions
APPLICATION FOR PERMIT TO ALTER Repair
Garage
1. Location 4 1 O r b FcrzP-,�5 R o Ai�, N o a-7-th"P TIP r1l m 0+ Lot No.
2. Owner's name k ✓2T + e Ai-(20 L (I L 4 N 4 Address S-)(. f p m S7' ry 0 R7x 4"07-vN "!4
3. Builder's name C EwM S r3 6W 2 Address S H E L 6 02 ni E- 'F4(_C.S 1-n A
Mass.Construction Supervisor's License No. Expiration Date
1MST9�c. Ntw F�tvnrr , S IAF , 4N� cEt.�ArL lyvJ�KME�)� CO►RS RtY�gc�- S InINa
4. Ad4itien o— C2o-.r 4.oe s1ble rREPalR OcksriN6 f'k4 %Cc #NTEtQ 0,t P-Lyuc LIrL_
5. Alteration
6. New Porch
7. Is existing building to be demolished? N U
8. Repair after the fire rr b
9. Garage N 0 u e' No.of cars Size
10. Method of heating "T w 41-rM- Arl
11. Distance to lot lines V 20�/T "7 1 — S I u E L 2-5- (Z I e i E142
12. Type of roof A),SPttfkLr $" I Nvt-e-
13. Siding house w 00 a CIA04#*-t.r%
14. Estimated cost:- -# S (, 00
The undersigned certifies that the above statements are true to the best of his, her
knowledge and lief.
w.
Signature of responsible app.icani
Remarks