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32C-169 (16) City of Northampton i Massachusettsw� - TNYENT OF BUXLDING INSPECTIONS 1 in Street • Municipal Buildingti - "----7 Northampton, MA 01060 SEP p PERIODIC INSPECTIONS Q 2015 rU ^0 Application Sent on August 5, 2015 01� PREMISE NAME: HAMPSHIRE E ZONAL COLLABORATIVE -�0jiLlbffaflX PREMISE ADDRESS: 228 PLEASANT ST semes . OWNER(S) OF RECORD: OWNERS: ADDRESS: NORTHAMPTON, MA 01060 TELEPHONE NO: , NAME ON CERTIFICATE: HAMPSHIRE EDUCATIONAL COLLABORATIVE TYPE OF BUSINESS ' C �2?mco USE GROUP: INSPECTION FEE: 150 764 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. Applic t Title: I ski iMIM Telephone Preferred inspection time/date "dali jz:Q /\4066���4 - 2-: Comments: VI-pa v nji S ro !a titr �ffi(lh S f 6th J6 ! ((9�f .t �'� .. ,`� 1 � �_ .i2�45"4 ����iT21Di� �f�� t