29-081 City of Northampton
Massachusetts = r
DEPARTMENT OF BUILDING INSPECTIONS rr
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212 Main Street • Municipal Building
_ Northampton, MA 01060
INSPECTOR
ANTHONY PATILLO
BUILDING COMMISSIONER
THIS FORM MAY BE FAXED TO: 413-587-1272
REQUEST FOR PERMISSION TO VIEW RECORDS
OR HAVE COPIES OF DOCUMENTS MADE
*PLEASE KEEP THESE DOCUMENTS IN CHRONOLOGICAL ORDER*
DATE: ',J f ' �'l c' MAP: BLOCK:
FILE ADDRESS: "T`� G(t"l c (?�vc'K I7► V
NAME: d l CGS t`7c 1
ADDRESS:
PHONE#:
MASSACHUSETTS GENERAL LAWS GRANT US TEN (10)WORKING DAYS
OF THE ABOVE LISTED DATE TO MEET THIS REQUEST.