36-258 (6) i�OQ"�tit ATO�
s e C�ft� of woof 1jamp#uit w
� B ,iRlaaaRCltiiaetta
si DEPARTMENT OP BUILDIXG INSPECTIONS
212 Main Street ' Municipal Building
INSPECTOR Northampton, Mass. 01060
Francis X. Sienkiewicz
REQUEST FOR PERMISSION TO VIEW RECORDS
OR HAVE COPIES OF DOCUMENTS MADE
6 - SAL
DATE:
PAGE: PLOT:
FILE ADDRESS :
NAME:
� ADDRESS : �a
PHONE
GENERAL TO MEET
THE ABOVE LISTED
DATE.