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17C-253 (25) City of Northampton 190- Z.Si� f? a\. Massachusetts " as��"�'w' or smanx2rc zsseccrzoss > ,� \ /2L2,aaln 3=r t • tw !Pal Building oC� MA Nortaavpton, 03060 h PERIODIC INSPECTIONS PREMISE NAME: CLINICAL SUPPORT OPTIONS PREMISE ADDRESS: 29 NORTH MAIN ST OWNER(S)OF RECORD: OWNERS: I E C I to tce' So O Id�S ADDRESS: ST: 29 NORTH MAIN ST TELEPHONE NO: NAME ON CERTIFICATE: _ �~ TYPE OF BUSINESS USE GROUP: INSPECTION FEE $200 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 fans 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: Lei Q,,,, M-41 12L Applicant Title: , �;��2y ✓t'Sfl� Telephone L/1 '>-32 5--�,;27/11`3 ^5--�,; ^nt- 7 Preferred inspection timeldate Comments: i I Basic Periodic Inspection Checklist Stractural Items All structural and associated components(foundation,roof,walls,suppon members,stairs,sidewalks,etc.)are City of Northampton Massachusetts I�PBRTMENT OF BUILDING INSPECTIONS 212 Naim etraet • � Pal Building Northampton, M 01060 PERIODIC ISSPECTIONS PREMISE NAME: SERVICE NET INC APR ( i PREMISE ADDRESS: 91 GROVE ST OWNER(S) OF RECORD: .—'„� oE�� OWNERS 6erUPCeAIe-I' -- ---- ADDRESS: ST: 91 GROVE ST TELEPHONE NO: 4t,3 2. ,5'0 - 5117- NAME 1 2NAME ON CERTIFICATE: TYPE OF BUSINESS USE GROUP: INSPECTION FEE $150 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: 1 J,'CEC�-nC OF RL.Ft\Telephone q13 - D50- Preferred II13 - a50-Preferred inspection timeldate Comments: Basic Periodic Inspection Checklist structural Items I I 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.