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DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street " Municipal Building
Northampton, Mass. 01060
Francis X. Sienkiewicz
REQUEST FOR PERMISSION TO VIEW RECORDS
OR HAVE COPIES OF DOCUMENTS MADE
***PLEASE KEEP THESE DOCUMENTS IN CHRONOLOGICAL ORDER***
DATE:— � - PAGE: PLOT:
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.