35-259 (3) DEPARTMENT OF IIUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060
REQUEST FOR PERMISSION TO VIEW
RECORDS OR HAVE COPIES OF DOCUMENTS
MADE. /
DATE:
FILE ADDRESS: �'' // PAGE : _ PLOT: __---
jt 4�7' rvo-- '
NAME: ADDRESS & PHONE #: _
UNDER MASSACHUSETTS GENERAL LAWS WE HAVE THE RIGHT TO MEET THE ABOVE REQUEST WITHIN TEII ( 1C
DAYS OF THE ABOVE LISTED DATE.