10 NAPLES ROAD SIGNED TENANT RELEASE FORMS RELEASE
In accordance with the State Sanitary Code Chapter II; Chapter 2_705_of the-City-Of--
-ass General Laws,Chapter 140, Section 25;Mass General Laws,
Chapter 148, Section 4; and CMR 780.115.6 the undersigned owner/lessor and
tenant/lessee of a unit of residential property,hereby authorize the Salem Board of
Health, Salem Licensing Board, Salem Fire Prevention, Salem Building Inspector and
other City departments or their authorized agents to inspect the residence identified below
in accordance with the aforementioned statutes,regulations and ordinances.
In the event it is necessary that said inspection be done in my/our absence.I/we expressly
authorized the same and for my/our successors and assigns hereby release and discharge
the City of Salem, Salem Board of Health, Salem Licensing Board, Salem Fire
Prevention, Salem Building Inspector and their authorized agents from any loss or injury
sustained of whatever nature and description occasioned by my/our absence during said
inspection.
Os {_ CIA '
Tenant/b O er/Lessor
Address �— v Address
Address of unit to be inspected
Date
RELEASE
In accordance with the State Sanitary Code Chapter II; Chapter 2-705_of the City Qf_.
Salem Ordinance;lVlass General Laws,Chapter 140, Section 25;Mass General Laws,
Chapter 148, Section 4;and CMR 780.115.6 the undersigned owner/lessor and
tenant/lessee of a unit of residential property,hereby authorize the Salem Board of
Health, Salem Licensing Board, Salem Fire Prevention, Salem Building Inspector and
other City departments or their authorized agents to inspect the residence identified below
in accordance with the aforementioned statutes, regulations and ordinances.
In the event it is necessary that said inspection be done in my/our absence.I/we expressly
authorized the same and for my/our successors and assigns hereby release and discharge
the City of Salem, Salem Board of Health, Salem Licensing Board, Salem Fire
Prevention, Salem Building Inspector and their authorized agents from any loss or injury
sustained of whatever nature and description occasioned by my/our absence during said
inspection.
Tenant O er/Lessor r �- a
Address Address
t Address of unit to be inspected
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Date
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RELEASE
In accordance with the State Sanitary Code Chapter II; Chapter 2_705 of the_City o
-Sa1em Ordinance; Mass General Laws, Chapter 140, Section 25;Mass General Laws,
Chapter 148, Section 4;and CMR 780.115.6 the undersigned owner/lessor and
tenant/lessee of a unit of residential property,hereby authorize the Salem Board of
Health, Salem Licensing Board, Salem Fire Prevention, Salem Building Inspector and
other City departments or their authorized agents to inspect the residence identified below
in accordance with the aforementioned statutes,regulations and ordinances.
In the event it is necessary that said inspection be done in my/our absence. Uwe expressly
authorized the same and for my/our successors and assigns hereby release and discharge
the City of Salem, Salem Board of Health, Salem Licensing Board, Salem Fire
Prevention, Salem Building Inspector and their authorized agents from any loss or injury
sustained of whatever nature and description occasioned by my/our absence during said
inspection.
TenanVbzm= 0 er/Lessor all
la
Address Address
Address of unit to be inspected
Date
RELEASE
In accordance with the State Sanitary Code Chapter II; Chapter 2-705 of the City of__
Salem Ordinance Mass General Laws,Chapter 140, Section 25; Mass General Laws,
Chapter 148, Section 4;and CMR 780.115.6 the undersigned owner/lessor and
tenant/lessee of a unit of residential property,hereby authorize the Salem Board of
Health, Salem Licensing Board, Salem Fire Prevention, Salem Building Inspector and
other City departments or their authorized agents to inspect the residence identified below
in accordance with the aforementioned statutes,regulations and ordinances.
In the event it is necessary that said inspection be done in my/our absence. I/we expressly
authorized the same and for my/our successors and assigns hereby release and discharge
the City of Salem, Salem Board of Health, Salem Licensing Board, Salem Fire
Prevention, Salem Building Inspector and their authorized agents from any loss or injury
sustained of whatever nature and description occasioned by my/our absence during said
inspection.
Tenantlb O
Address Address
Address of unit to be inspected
a
Date %`
i
RELEASE
In accordance with the State Sanitary Code Chapter II; Chapter 2-705_of the City Qf_.
-Salem�rdiriarice Mass General Laws,Chapter 140, Section 25;Mass General Laws,
Chapter 148, Section 4;and CMR 780.115.6 the undersigned owner/lessor and
tenant/lessee of a unit of residential property,hereby authorize the Salem Board of
Health, Salem Licensing Board, Salem Fire Prevention, Salem Building Inspector and
other City departments or their authorized agents to inspect the residence identified below
in accordance with the aforementioned statutes,regulations and ordinances.
In the event it is necessary that said inspection be done in my/our absence. I/we expressly
authorized the same and for my/our successors and assigns hereby release and discharge
the City of Salem,Salem Board of Health, Salem Licensing Board, Salem Fire
Prevention, Salem Building Inspector and their authorized agents from any loss or injury
sustained of whatever nature and description occasioned by my/our absence during said
inspection.
Tenant/b 40C /Lessor
l�fr' � ��� o �, , yM. bra o�g
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Address Address
Address of unit to be inspected
-
Date
w�
RELEASE
In accordance with the State Sanitary Code Chapter II; Chapter 2-705 of the_City o£_
--Salmi Ordinance;Mass General Laws, Chapter 140, Section 25; Mass General Laws,
Chapter 148, Section 4;and CMR 780.115.6 the undersigned owner/lessor and
tenant/lessee of a unit of residential property,hereby authorize the Salem Board of
Health, Salem Licensing Board, Salem Fire Prevention, Salem Building Inspector and
other City departments or their authorized agents to inspect the residence identified below
in accordance with the aforementioned statutes,regulations and ordinances.
In the event it is necessary that said inspection be done in my/our absence. I/we expressly
authorized the same and for my/our successors and assigns hereby release and discharge
the City of Salem, Salem Board of Health, Salem Licensing Board, Salem Fire
Prevention, Salem Building Inspector and their authorized agents from any loss or injury
sustained of whatever nature and description occasioned by my/our absence during said
inspection.
Tenant/ O er/Lessor �- '
T
Address Address
Address of unit to be inspected eLILD
Date
t
RELEASE
In accordance with the State Sanitary Code Chapter II; Chapter 2 Z05 of the City_o
---Salem ardinance;Mass General Laws, Chapter 140, Section 25;Mass General Laws,
Chapter 148, Section 4; and CMR 780.115.6 the undersigned owner/lessor and
tenant/lessee of a unit of residential property,hereby authorize the Salem Board of
Health, Salem Licensing Board, Salem Fire Prevention, Salem Building Inspector and
other City departments or their authorized agents to inspect the residence identified below
in accordance with the aforementioned statutes,regulations and ordinances.
In the event it is necessary that said inspection be done in my/our absence. Uwe expressly
authorized the same and for my/our successors and assigns hereby release and discharge
the City of Salem, Salem Board of Health, Salem Licensing Board, Salem Fire
Prevention, Salem Building Inspector and their authorized agents from any loss or injury
sustained of whatever nature and description occasioned by my/our absence during said
inspection.
Tenantlb i O er/Lessor
Address —� Address ce ei p 70
Address of unit to be inspected
Date
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