36-094 (4) City of Northampton
5s° x-t
Massachusetts
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building �� `�
Northampton, MA 01060 sNjp
INSPECTOR
Louis Hasbrouck Phone: (413)587-1239 Chuck Miller
Building Commissioner Fax: (413)587-1272 Assistant Commissioner
SAP � F 2010
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: D MAP: �0 BLOCK:
r
FILE ADDRESS:
NAME: C���iIJ�
ADDRESS: , 'li
PHONE #:
UNDER MASS GENERAL LAWS WE HAVE THE RIGHT TO MEET THE
ABOVE REQUEST WITHIN TEN (10) DAYS OF THE ABOVE LISTED DATE.