31B-311 (16) 4s p
o : tp of Ixsssciiusetts MAIM
=yy DEPARTMENT OF BUILDING INSPECTIONS `;=
INSPECTOR 212 Main Street ' Municipal Building ' 1M
Northampton, Mass. 01060 Ns'0>
Francis X. Sienkiewicz
REQUEST FOR PERMISSION TO VIEW RECORDS
OR HAVE COPIES OF DOCUMENTS MADE
DATE: PAGE: 21g PLOT: 31(
FILE ADDRESS:
NAME: \ ADDRESS:
PHONE # : `'
UNDER MASSACHUSETTS GENERAL LAWS WE HAVE THE RIGHT TO MEET
THE ABOVE REQUEST WITHIN TEN (10) DAYS OF THE ABOVE LISTED
DATE.