32C-058 (7) City of Northampton ,
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Massachusetts
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DE AR IMENT OF BUILDING INSPECTIONS y,
a NOV 1 7 '2015 2 2 X,i. Street • Municipal Building
Northampton, MA 01060
�r -----__, PERIODIC INSPECTIONS
Application Sent on October 5, 2015, 2015
PREMISE NAME:
PREMISE ADDRESS: 129 PLEASANT ST
OWNER(S) OF RECORD: L L
L24
OWNERS: ADDRESS:
NORTHAMPTON, MA 01060
TELEPHONE NO:
NAME ON CERTIFICATE: CHAP INC
TYPE OF BUSINESS ' ,SE
1
USE GROUP:
INSPECTION FEE: 220
Please complete and return this application to the Department of Building Inspections, 212 Main Street,
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:
Applicant Title:
AA
Telephone
Preferred inspection time/date
Comments: T l� l� o