3 WILLIAMS STREET - BUILDING INSPECTION No. 153L-2
HASTINGS, MN
LOS ANGELES-CHICAGO.LOGAN.OH
MCGREGOR.TX-LOCUST GROVE.GA
U.S.A.
i INSPECTION REPORT DATE:
ADDRESS:
" OWNER: _
USE GROUP: .:2 S-V'Woc 7-
NUMBER OF STORIES: .3 y r3
NUMBER OF ROOMS (BY STORY) : /Sr"J�?m
HOW HEATED: —,OA4 T
GAS: YES . NO:
NUMBER OF SANITARIES:
NUMBER OF APPROVED EGRESS DOORWAYS:
REMARKS: c4E7e,y- TL1
C7-,
FEE RECEIVED: YES N0: d J/x/95
BUILpi'NG QEPT- �
�re2 2 3s PM;'7
�Cf1 YO �AD�9ASSv Date
I
j
Mr. , Building Inspector
Town/City of
Massachusetts
I I II
� I
Dear Sir:
I�
In accordance with Section 111,43 and Section 120.3 of
the State Building Code, I, as the owner, hereby reque�
inspection of the premises at 3
and the issuance of a Use and Occupancy Certificate.
Entry to the premises may be obtained by contacting
R. W,. Carlson Assoc. , .Inc. should you determine that an
inspection is necessary or desired.
Will you kindly acknowledge that you have received this
letter by signing and dating the attached copy, and returning jl
it to me in .the enclosed envelope., II
Yours very. truly,
III
Owner
On 19 I received this letter for the I
issuance of a Use and Occupancy Certificate.
QAn inspection will be made by our office within three days.
C1 An inspection will not be made by our office.
i
Building Inspector
- i
I�