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DEPARTMENT OF BUILDING INSPECTIONS
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INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060 SV
rancis X. Sienkiewicz
REQUEST FOR PERMISSION TO VIEW RECORDS
OR HAVE COPIES OF DOCUMENTS MADE
DATE: PAGE: PLOT:
FILE ADD ESS: l ��` I G�
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NAME: ADDRESS:
PHONE # : ``�2 $—12 j 2
UNDER MASSACHUSETTS GENERAL LAWS WE HAVE THE RIGHT TO MEET
THE ABOVE REQUEST WITHIN TEN ( 10) DAYS OF THE ABOVE LISTED
DATE.