36-153 (6) �ltsssscyasetts
DEPARTMENT OF BUIIAD40 INSPECTIONS
INSPECTOP 212 Main Street • Municipal Building
Northampton, Mass. 01060
Francis'X. Sienkiewicz
REQUEST FOR PERMISSION TO VIEW RECORDS
OR HAVE COPIES OF- DOCUMENTS MADE
DATE: PAGE: PLOT: /
FILE ADDRESS.: 1 !
NAME:. x�lih C��a ADDRESS:
PHONE
UNDER' MASSACHUSETTS •GENERAL LAWS WE HAVE -THE RIGHT TO MEET
THE ABOVE REQUEST WITHIN TEN (10) DAYS OF THE ABOVE LYSTED
DA'L'E.