10B-081 (2) City of Northampton
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P V- NT Or BUILDING INSPECTIONS
2016 Main Stroot • MLrricipal Huildj ^b
Northampton, min 01050
Electric, Plumbin ! "R ill-)-")IC i NS P';r.•I [C NS,
Northam to ' Gas Inspecyions
—"'—` o 01060
Application Sent on February 25, 2015
PREMISE NAME: LEEDS VILLAGE
PREMISE ADDRESS: 2.60 MAIN ST
OWNER(S) OF RECORD:
OWNERS: ADDRESS:
LEEDS, MA. 01053
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TELEPHONE NO:
NAME ON CERTIFICATE: LEEDS VILLAGE ASSOCIATES��
TYPE OF BUSINESS
USE GROUP:
INSPECTION FEE: S 260.00 (J
Please corn olete and return this anplication to the nepirtment of B�_Iilding In,snections, 212 Mqin 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:
P1'
Telephone
�,5�j 3 70 5 �..�-mac?L�------ --- ---
Preferred inspection time/date
313111 S' Q�-- la,,;, el ji/