The Ladies Rest Room was erected in 1924 by the Marshall County Court as a place for women and young children to rest, use a toilet, or eat a packed lunch during a visit to town. The building was designed with a large sitting room, a two-stall restroom, and a bed/sitting room for the matron who was paid to live on the premises and oversee the daily operations. Listed on the National Register of Historic Places in 1995, it was closed to the public in 2002. Ownership was transferred to the City of Lewisburg in July 2007. After extensive remodeling, it was renamed The Historic First Avenue Building in January 2012 and set aside as the meeting place for the Lewisburg Industrial Board.