29-133 (4) Crxf� of 'wort4amptan
9 d �laaeac(�usetfa
DEPARTMENT OF BUILDING INSPECTIONS
e`
INSPECTOR 212 Main Street ' Municipal Building °., Sv,•°
Northampton, Mass. 01060
Francis X. Sienkiewicz
REQUEST FOR PERMISSION TO VIEW RECORDS
OR HAVE COPIES OF DOCUMENTS MADE
***PLEASE KE P THESE DOCUMENTS IN CHRONOLOGICAL ORDER***
DATE: �� PAGE: PLOT:—
FILE ADDRESS:
NAME: — ADDRESS:
PHONE #; lQ► 7 -Z��-�/5�.�'
UNDER MASSACHUSETTS GENERAL LAWS WE HAVE THE RIGHT TO MEET
THE ABOVE REQUEST WITHIN TEN ( 10) DAYS OF THE ABOVE LISTED
DATE.