36-330 City of Northampton
f Massachusetts ti l�a
rt DEPARTMENT OF BUILDING INSPECTIONS „ I
„ 212 Main Street • Municipal Building
Northampton, MA 01060 T�{�
INSPECTOR
Louis Hasbrouck Phone: (413) 587-1239 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: /-�//N MAP: ( BLOCK: SS(-)
FILE ADDRESS: /�' C� ( %/i7r��•✓�c 7'
NAME:_//�(
ADDRESS: .� ,✓ ,��.✓
PHONE 6�2 G - / :Z?
UNDER MASS GENERAL LAWS WE HAVE THE RIGHT TO MEET THE
ABOVE REQUEST WITHIN TEN (10) DAYS OF THE ABOVE LISTED DATE.