34-036 (11) City of Northampton
Massachusetts l
DEPARTMENT OF BVILDING INSPECTIONS
212 Main Street • Municipal Building b
Northampton, MA 01060
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: l C}�;�'MAP: BLOCK: �� b
FILE ADDRESS:
NAME:
ADDRESS:
PHONE#:_ ;> C GP
UNDER. MASS GENERAL LAWS WE HAVE THE RIGHT TO MEET THE
_ __ _ ABOVE REQUEST WITHIN TEN (10) DAYS OF THE ABOVE LISTED DATE.