24B-038 RECORDS REQUEST City of Northampton
Massachusetts
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DEPARTMENT OF BUILDING INSPECTIONS
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: & i /e MAP: BLOCK:
„ , FILE ADDRESS: An r- /Cl� -C ' Cl l (( , yr M
NAME: Old &
ADDRESS: ,1_);(.1--6 / 51i (PC 6
/(5 e67je 5/, /(4/5- Ze;
PHONE #: 5-07-3
MASSACHUSETTS GENERAL LAWS GRANT US TEN (10) WORKING DAYS
• OF THE ABOVE LISTED DATE TO MEET THIS REQUEST.