32A-138 (128) RECEIV!$ty of Northampton 3a 3r
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� I tir,�k', DEPAItTMEtIT OF BUILDING INSPECTIONS
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Lin street . Mucipal Building
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PERIODIC INSPECTIONS
Application Sent on April 25, 2016
PREMISE NAME: KARUNA CENTER FOR YOGA
PREMISE ADDRESS: 25 MAIN ST
OWNER(S) OF RECORD:
OWNERS: ADDRESS:
NORTHAMPTON, MA 01060
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TELEPHONE NO: (yl3)5-`(5` - 5-05
NAME ON CERTIFICATE:
TYPE OF BUSINESS Kafu n& (on4c( Cr La ar \IACDAI 4) Af
USE GROUP: 49oh -PIC° ! .J
INSPECTION FEE $150
Please complete and return this application to the Department of Building Inspections, 212 Main Streets
Northampton, MA 01060. We will contact you to arrange a time to inspect your property. If this information is
not correct, or if you no longer own this property, please note any changes at the bottom or on the back of this
form and return it to the building department. Feel free to contact us if you have any questions. We can be
reached at (413) 587-1240. Thank you.
Applicant name:
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Applicant Title:
Telephone
A(3) 56y - 5o5y
Preferred inspection time/date /gyp �p
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Comments:
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