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DEPARTMENT OF BUILDIXG INSPECTIONS
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INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060
REQUEST FOR PERMISSION TO VIEW
RECORDS OR HAVE COPIES OF DOCUMENTS
MADE.
DATE: d /
'- vAZ V i PAGE: PLOT: f 6
FILE ADDRESS: _
NAME: ADDRESS & PHONE #: ;Lo2
UNDER ASSACHUSETTS GENERAL LAWS WE HAVE THE RIGHT TO MEET THE ABOVE REQUEST WITHIN TEN ( 10)
DAYS OF THE ABOVE LISTED DATE.