35-301 (2) MSSMPliBPg c
3
DEPARTMENT OF BUILDING INSPECTIONS `
�. 212 Main Street . Municipal Buildingt ;
Northampton, MA 01060
I'NSPEC'TOR
Louis Hasbrouck Phone: (413) 587-1240
Building Commissioner Fax: (413) 587-1272
FAX THIS TO: 413-587-1272
REQUEST FOR PERMISSION TO VIEW RECORDS
OR HAVE COPIES OF DOCUMENTS MADE
*PLEASE KEEP THESE DOCUMENTS IN CHRONOLOGICAL ORDER*
DATE: Z 121 MAP: 3 5 BLOCK: o I
FILE ADDRESS:
NAME:
ADDRESS: 2 �Vi ► J '�
PHONE #: fS-7 22-
E-MAIL: a-C S I`r►� �e_�t`}z-j S�v� io. -�vh.
UNDER MASS GENERAL LAWS WE HAVE THE RIGHT TO MEET THE
ABOVE REQUEST WITHIN TEN (10) DAYS OF THE ABOVE LISTED DATE.