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10B-081 (6) y g � rt N W n � � Q no SL Fb ID a to a 1J fb fb Y � N m � � N � •F�/J� to � A� •^ UI Q+7 (� iii/-�11 a Q � � fb S = i M x UoldweglJON ;O A110 joloadsul 6wpling syjagob .p pined AlInpoodsed uopejad000 inoR jo; no% Nuegl A06 ewuoldwegyjou@o sUagoip :si ssaippe liewe AA wd 06:t of we Og:g 'Repud g6nojgl RepuoW aie smog aolgo ino pue 04Z L-L89 sl jagwnu auoqdalal ino '/liedoid sql;o uolloadsw-aa a jo;elnpagos of Ileo pue sRep O£ ulgllm 1pom alaldwO aseeld lsel wiele ay luajjno;o Adoo e gym luewUedep 6ulpllnq uoldwegUON apinad . jagslnbullxa alRls 09V ue gl!m jagsln6ullxa wg y sselopolem L aoeldab . paimbai uopoadsw Jolenala luajuno . SwaoUOo jo suogsenb aneq noA p aw loeluoo of aaj;lea; pue slsanbai ino ipm 6wAldwoo jo; aouenpe noR i uegl suollepuawwooai pue salou uolloadsw Aw;o Aewwns a si moleg 1701§ 'L ialdego ilWo OaL 'opoo 6ulpling ele1S sllasngoesseA eql gllm eouep000e w (salepossy 96eliln spaa-l) VVY spaag yaalS uleW OgZ palOadsul I '8 LOZ p„ZZ 4aelry up 8LOZ 'ZZ gojeW 'UolUllo sW uolupo ellnp 090L0 VN 'speal laailS uleW 09Z 090ta aw 'uoldmaghoN 2mppne . Zaallg umil 2[2 � ' SNOLLD.7dSNI DNZO9711g AO ,INZJfJHVcfYU Y lIlT{duti1in..iAm 33T fou City of Northampton Massachusetts DRPABT OF BDILDING INSPECTIONS 212 Main Street Nwicipal Building JdJ, jCs MorttaxFton, bm 010,0 "dVy 'yah PERIODIC INSPECTIONS PREMISE NAME: LEEDS VILLAGE ASSOCIATES PREMISE ADDRESS: 260 MAIN ST OWNER(S) OF RECORD: OWNERS: LEEDS VILLAGE ASSOCIATES ADDRESS: ST: 665 MAIN ST HOLYOKE TELEPHONE NO: NAME ON CERTIFICATE: TYPE OF BUSINESS USE GROUP: INSPECTION FEE $260 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 N 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) 5887-1240.. Thank you. q�/( ApPI11A � Appy nt Title: c�e( q MaraQ�,r Telep V5 X 5 53a -3rl0cl Preferred inspection time/date Comments: Basic Periodic Inspection Checklist Structural Items All structural and associated components(foundation,roof,walls,support members,stairs,sidewalks,etc.)are maintained in a safe and sound condition. -. Buildings are maintained in compliance with the Massachusetts Board of Fire Prevention Regulations and the Massachusetts State Building Code.