36-247 (6) `C
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251991 (rx Jrf Nort4amptou W
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` OF SUtLDING INSPECTION$ o
5 NORTHAMPM" MA 01060 PARTMENT OF BUILDING INSPECTIONS
212 Main Street ' Municipal Building �M 5�•°
INSPECTOR Northampton, Mass. 01060
REQUEST FOR PERMISSION TO VIEW
RECORDS OR HAVE COPIES OF DOCUMENTS
MADE.
DATE:
PAGE: PLOT: --
FILE ADDRESS: �6fi
NAME: ADDRESS & PHONE #:
J
UNDER MASSACHUSETTS GENERAL LAWS WE HAVE THE RIGHT TO MEET THE ABOVE REQUEST WITHIN TEN {10)
DAYS OF THE ABOVE LISTED DATE.