38B-235 (4) City of Northampton
Massachusetts
Z?"ARMW OF 1t LDnfG ZNSPEC TIOVS
212 Nwim Street . Wmicigal SuIlding
Norther ton, MA 01060
INSPECTOR
Lads Hasbrouck Phone: (413)587-1240 Chuck Miller
Building Commissioner Fax, (413)587-1272 Assistant Commissioner
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: MAP: BLOCK:
FILE ADDRESS
NAME:
ADDRESS ¢:
PHONE #:
E-MAIL:
UNDER MASS GENERAL LAWS WE HAVE THE RIGHT TO MEET THE
ABOVE REQUEST WITHIN TEM (10) DAYS OF THE ABOVE LISTED DATE.