WATSON STREETWATSON STREET
m
Kimberley Driscoll
Mayor
City of Salem, Massachusetts
Board of Health
120 Washington Street, 4th Floor, Salem,
MA 01970
Tel. (978) 741-1800 Fax. (978) 745-0343
health@salem.com
CERTIFICATE OF FITNESS
CERTIFICATE #: GHL-16.321
DATE ISSUED: 8/26/2016
Property Located at: 3 WATSON STREET UNIT #1
Owner/Agent: Matthew MacDonald
Address: 35 Suffolk Avenue
City/Town: Swampscott, MA Zip Code: 01907
PublicHeatth
Prevent. Promote. Protect.
Larry Ramdin, MPH, REHS, CHO
Health Agent
24 Hour Phone: (781) 983-6999
Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of
rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has
been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum
Standards of Fitness for Human Habitation'.
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now
be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later.
This Certificate of Fitness is valid only if then: is a valid Certificate of Occupancy.
Note: This approval does not certify compliance with the state lead law for occupants under 6 years of age.
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT
� YeVy/l
SANITARIAN
KIMBERLEY DRISCOLI,
MAYOR
LARRY RAMDIN, RS/REHS, CHO, CF -FS
HEALTTI AGENT
CITI' OF SALEM, MASSACHUSETTS
BOARD OF HEAI.rH
120 WASHINGTON STREET', 4' FLOOR
TEL. (978) 741-1800
FAX (978) 745-0343
LRAUJINQSALE1] COM
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
FEE: $50.00
PROPERTY LOCATED AT tL 011 UNIT#
/jIS THIS DISIIjG�NATED/�AS Ri HT LEFT FRONT OR BACK, PLEASE C C ONE
OWNER/LESSER 1I/ QjffiP V' C'J�W MANAGER/AGENT C,
NO P.O. BOX _TT—�� �
ADDRESS ADDRESS S U T ho I Ivt(1
CITY, STATE, ZIP CITY, STATE, ZIP wth, M Ito
RESIDENCE PHONE BUSINESS PHONE (24HRS)_/)ZS I�
BUSINESS PHONE
TOTAL NUMBER
rOF\ ^ROOMS:_ n
ROOMUSE: Lv'U n� 2 �j�'iC.�QnAV\ '}� 4 9-4pdon5 1%y1� pJy°�' �lrdaM
6. 7. 8. 1 9 10
THERE IS A FIFTY ($50) DOLffiI
PAYABLE BY CHECK OR NEY ORDER TO THE CITY OF ALEM
BOARD OF HEALTH THIS FEEAT OF7S CTION
APPLICANT'S SIGNATURE DATE
Inspectors use only
Date on initial inspection:03112V2QZ6 Date of reinspection:
Date of issuance of certificate Z Date fee paid: Q 5��
Type of unit: Dwe1hn Other Check #-2433—Check date: ak�j-
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 3 Watson Street
OWNER/AGENT: Andrew Perkins
ADDRESS: 133 Union Street
UNIT #: 1
CERT.# 216-99
FEE $25.00
DATE: 05/06/99
CITY/TOWN: Lynn, MA ZIP CODE: 01901 24 HOUR PHONE: 598-1808
NINE NORTH STREET
Tel: (978) 741-1800
Fax: (978) 740-9705
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
SECTION 410.400 (B): DWELLING UNIT (X) AND 410.400 (C): ROOMING UNIT
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800.
FOR THE BOARD O/EALTH
411)4 u-z,e.
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT
CODE
INSPECTOR
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT, MPH, RS, CHO I NINE NORTH STREET
HEALTH AGENT APPLICATION' FOR CERTIFICATE OF FITNESS Tel: (978) 741-1800
Fax: (978) 740-9705
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT -3 4yplsoi, S -r UNIT #—t
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASES CIRCLE ONE
OWNER/LESSERAN9 MANAGER/AGENT
No P.O. Box No P.O. Box �3 U/y S
ADDRESS 133 06);77 --.-*---ADDRESS
CITY J&�NN ✓`!� �/ 50� CITY NN 0/
76/
RESIDENCE PHONE 20- BUSINESS PHONE (24 HRS.)15 6� !& '
"FS'/£��
BUSINESS PHONE
TOTAL NUMBER OF ROOM`S: Y
ROOM USE: 1.L✓— 2. /1;a 3._. 4•
THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATUREDATE
INSP .''TORS USE ONLY
DATE OF INITIAL INSPECTION a_- 6_' y DATE OF REINSPECTI
DATE OF ISSUANCE OF CERTIFICATE: G_��q__t_DATE FEE PAID:--
TYPE
AID:_
TYPE OF UNIT: DWELLING OTHER CHECK # __L
3 4 CHECK DATE
CODE ENFORCEMENT INSPECTOR
Kimberley Driscoll
Mayor
City of Salem, Massachusetts
Board of Health
120 Washington Street, 4th Floor, Salem,
MA 01970
Tel. (978) 741-1800 Fax. (978) 745-0343
health@salem.com .
CERTIFICATE OF FITNESS
CERTIFICATE #: GHL-17-303
DATE ISSUED: 9/14/2017
Property Located at: 3 WATSON STREET UNIT #2
Owner/Agent: Matthew MacDonald
Address: 35 Suffolk Avenue
City/Town: Swampscott, MA Zip Code: 01907
Larry Ramdin, MPH, REHS, CHO
Health Agent
24 Hour Phone: (781) 983-6999
Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of
rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has
been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum
Standards of Fitness for Human Habitation".
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now
be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
Note: This approval does not certify compliance with the state lei
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT
hIMBERLEY DRISCOLL
MAYOR
LARRY RAMDIN, AS/REFI$, C1 10, CP -FS
HEM,,, 1-1 AGIiN'I'
CITY OF SALEM, MASSACHUSETTS
BOARD of Hr Arai -1
120 WASFIING"PON STRF.P� C, 41P. FLOOR
Tra.. (978) 741-1800
FAX (978) 745-0343
LRAMDIN&ALENLCOM
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
PROPERTY LOCATED AT 3
NO P.O. BOX
FEE: $50.00
�J0✓1 1��
IS THIS UNIT DISIGNATED AS RIGHT LEFT FRONT OR BACK, PLEASE CIRCLEONE
%U�MANAGER/ AGENT
CITY, STATE, ZIPO'�O-�CITY, STATE, ZIP
r Q /
RESIDENCE PHONE BUSINESS PHONE (24HRS) t1 ID
BUSINESS
TOTAL NUMBER OF ROOMS:
ROOM USE: 1. 2. 3. 4. 5.
6. 7. 8. 9. 10.
THERE IS A FIFTY ($50) DOLLAR FEE, PA ABLE BY CHECK OR MONEY ORDER TO THE CITY OF
BOARD OF HEALTH THIS FEE IS BAYWF. AT TUE TA"F INSPECWN
APPLICANT'S SIGNA
Date on initial
Date of issuance of
Type of unit:
Notes:
Code Enforcement Inspector
Inspectors use only
Date of reinspection:
Date fee
#Check di
ca%u &,0/6
VQ11
STANLEY J. LISOVICZ, JR.
MAYOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
2/22/05
Matthew M. MacDonald
3 Watson Street
Salem, MA 01970
PROPERTY LOCATED AT 3 Watson Street Unit 3
Dear Sir/Madam:
It has come to our attention, that you may be considering renting a dwelling unit at the above address.
In accordance with Chapter 11, Article XIII of the City of Salem Code of Ordinances, Section 2-
334, titled "Certificate of Fitness," each dwelling unit must be inspected and certified prior to
allowing occupancy. The inspection will be conducted in accordance with 105 CMR 410.000; State
Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation.
Please notify us if you do not intend to rent the unit
Please contact this department within 24 hours of receipt of this notice at 978-741-1800, to schedule an
appointment for an inspection. Our office hours are Monday thru Wednesday from 8:00 a.m. —4:00 p.m.
Thursday 8:00 a.m. to 7:00 p.m. and Friday 8:00 a.m. — 12:00 p.m.
Failure to comply with this procedure, may result in a fine of Twenty ($20.00) dollars per day for every
day that the dwelling unit is occupied without a Certificate of fitness.
A $25.00 check payable to the City of Salem is required for each unit inspected at the time of
inspection.
A property owner is required to pay gas and electricity for residential tenants if there is not a written letting
agreement stating the tenant is responsible for those utilities and if the meter(s) records electricity and
gas use which is not used exclusively by that tenant. The Department of Public Utilities has billed
property owners for their tenant's entire utility bills retroactive to the date of initial occupancy in cases in
which cross -metering has been proven to exist.
For the Board of Health
r' I
yJoanne Scott MPH, RS, CHO
Health Agent
Reply to
Pablo Valdez
Code Enforcement Inspector
CERTIFICATE OF FITNESS
CERTIFICATE # 322-05
DATE ISSUED: 05/18/2005
Property Located at: 7 Watson Street UNIT # 1
Owner/Agent: Felipito Guzman
Address: 7 Watson Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-3012
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in
compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter If' Minimum Standards
of Fitness for Human Habitation'.
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and
the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CODE ENFORCEMENT INSPECTOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
.)
TEL. 978-741-1800
- FAx 978-745-0343
STANLEY J. USOVICZ, JR.
JOANNE SCOTT, MPH, RS, CHO
MAYOR
HEALTH AGENT
CERTIFICATE OF FITNESS
CERTIFICATE # 322-05
DATE ISSUED: 05/18/2005
Property Located at: 7 Watson Street UNIT # 1
Owner/Agent: Felipito Guzman
Address: 7 Watson Street
City/Town: Salem, MA Zip Code: 01970 24 Hour Phone: 978-745-3012
An inspection of your vacant Dwelling/Rooming Unit at the above address has been approved and is in
compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter If' Minimum Standards
of Fitness for Human Habitation'.
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and
the unit may now be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
CODE ENFORCEMENT INSPECTOR
xe
0�
STANLEY USOVICZ, JR.
MAYOR
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
APPLICATION FOR CERTIFICATE OF FITNESS
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
PROPERTY LOCATED AT.* 6AC t�-j l :5e UNIT # j
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRONT BACK PLEASE CIRCLE ONE
OWNEWLESSER
No P.O. Box I
No P.O. Box
ADDRESS
/J(,(,4C<t5G ADDRESS
CITy�(� C� `�CITY-56
RESIDENCE PHONIR?11L-?SC USINESS PHONE (24 H
BUSINESSPHONEq jf-$3( "-'<452
TOTAL NUMBER OF ROOMS:
ROOM USE:
THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF SALEM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATURE (764 DATF>y
Z
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION S. I � -0 6- _DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE_I-_0� DATE FEE PAID: 3 / 9 -o 6-
TYPE OF UNIT DWELLINqj�OTHER__ CHECK N_ CHECK DATE -S_--"
CODE ENFORCEMENT INSPECTOR 9/28/98
Kimberley Driscoll
Mayor
City of Salem, Massachusetts
Board of Health
120 Washington Street, 4th Floor, Salem,
MA 01970
Tel. (978) 741-1800 Fax. (978) 745-0343
Iramdin@salem.com
CERTIFICATE OF FITNESS
CERTIFICATE #: GHL-15-68
DATE ISSUED: 5/7/2015
O
Public�Iealth
Prevent Promote. Protect.
Larry Ramdin, MPH, REHS, CHO
Health Agent
Property Located at: 7 WATSON STREET UNIT #2
Owner/Agent: Jason Bugg
Address: 100 Cummings Center ste. 434JJ
City/Town: Beverly, MA Zip Code: 01915 24 Hour Phone: (617) 501-7931
Pursuant to the requirements of City of Salem ordinance Chapter 2 Article IV Division 3, Section 705: Certificate of fitness of
rented dwelling unit, apartment or tenement. An inspection of your vacant Dwelling/Rooming Unit at the above address has
been approved and is in compliance with 105 CMR 410.000: Massachusetts State Sanitary Code, Chapter II "Minimum
Standards of Fitness for Human Habitation'.
Therefore, this Certificate is issued by the Code Enforcement Division of the Salem Board of Health and the unit may now
be rented and/or occupied.
Maximum Number of occupants, must comply with 105 CMR 410.000.
Certificate valid for one year from date of issuance or until the current tenant vacates, whichever is later.
This Certificate of Fitness is valid only if there is a valid Certificate of Occupancy.
FOR THE BOARD OF HEALTH
Larry Ramdin, MPH, REHS, CHO
HEALTH AGENT
iE b! i
11
CITY OF SALEM, MASSACHUSETTS
• !I r BOARD OF HEALTH ...
120 WASHINGTON STREET, 4°1 FLOOR
TEL. (978) 741-1800
KIMBERLEY DRISCOLL FAx (978) 745-0343
MAYOR. 1.RAMDINQSALEM.00M
LARRY RAMDIN, RS/RFI[S, CI -IO, CPA -S
HEN;rI-I AGENT
Application for Certificate of Fitness
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER 11, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
FEE: $50.00
PROPERTY LOCATED AT I` OJ4-4.SO w S+ UNIT# Z
IS THIS UNITDISIGNATED AS RIGHT LEFT FRONT OR BACK PLEASE CIRCLE ONE /
OWNER/LESSER () Ct S sj n I (4 MANAGER/ AGENT 1, k h
NO P.O. BOX
ADDRESS IUU Ct,^m.tijl Cfv ADDRESS S•-i4e 411OU'\7
CITY, STATE, ZIP3AA CITY, STATE, ZIP
RESIDENCE PHONE cI r9. 1. 7731 BUSINESS PHONE (24HRS)
BUSINESS PHONE I� g• 7�O�I• $200
TOTAL NUMBER OF ROOMS: (D 'S Pjt 4
ROOM USE:
THERE IS A FIFTY ($50) DOLLAR FEE AY
BOARD OF HEALTH THIS FEE I$ PAY 1�
APPLICANT'S
BY CHECK OR MONEY ORDER TO THE CITY OF SALEM
AT THE TIME OF INSPECTION
Inspectors use only
Date on initial inspection: 5& As Date of reinspection:
Date of issuance of certificate: Date fee paid: Jam'' 6 N 5
Type of unit: Dwelling Other Check #_460 Check date: 3L
S/C*//
aLl.o-—*( 5-6$
Codeen Inspector ector
dc4s 1�y�h� �IICOvn+ysClevcf.eoM
o CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
3 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1800
FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 7 Watson Street
OWNER/AGENT: Darlene L. Nulk
ADDRESS: 38 Riverside Farm Drive
CITY/TOWN: Lee, NH ZIP CODE: 03824
CERT.# 26-02
FEE $25.00
DATE: 01/15/2002
UNIT #: 2 Front
24 HOUR PHONE: 659-4639
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION"
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410.000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER -II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION".
SECTION 410.400 (B): DWELLING UNIT (X) AND 410.400 (C): ROOMING UNIT
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE. FOR MORE INFORMATION CALL 978-741-1800.
FOR THE BOARD OF HEALTH
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT
V
CODE ENFORCEMENT INSPECTOR
.�olmrr
r 6
STANLEY LISOVICZ, JR.
MAYOR
CITY OF SALEM, MASSAC_ HUS_ETTS
BOARD OF HEALTH 3
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-74 I-1 800
FAX 978-745-0343
JOANNE SCOTT, MPH, RS, CHO
HEALTH AGENT
APPLICATION FOR CERTIFICATE OF FITNESS
�a
IN ACCORDANCE WITH STATE SANITARY CODE, CHAPTER II, 105 CMR 410.000
"MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION'.
PROPERTY LOCATED AT �� N S � . Sg' FM UNIT # (:
IS THIS UNIT DESIGNATED AS RIGHT LEFT FRON4 ACK PLEASE CIRCLE ONE
OWNER/LESSERWL5lJP L A � MANAGER/AGENT 154mC—
No P.O.
CITY N . U,20 G/ITY
RESIDENCE PHONE b�6✓.WtSINESS PHONE (24 HRS.)
BUSINESS PHONE tt��
TOTAL NUMBER OF ROOMS:
ROOM USE: 119m 2. tM 3.
5. 6. 7. 8.
THERE IS A TWENTY-FIVE ($25.00) DOLLAR FEE, PAYABLE BY CHECK OR MONEY
ORDER TO THE CITY OF EM HEALTH DEPARTMENT THIS FEE IS PAYABLE AT THE
TIME OF INSPECTION.
APPLICANTS SIGNATUR DATE-��
INSPECTORS USE ONLY
DATE OF INITIAL INSPECTION DATE OF REINSPECTION
DATE OF ISSUANCE OF CERTIFICATE:/o L DATE FEE PAID:/_� /�o �-
TYPE OF UNIT: DWELLING OTHER_ CHECK # /0?- CHECK DATE/ 0--o L
NOTES: ,
CODE ENFORCEMENT INSPECTOR 9/28/98