36-263 (2) 04TKµ�pTO
�� se Crlf� of ''ox#4amp#utt a .�
8 �tassadlnsClio
DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060
Francis X. Sienkiewicz
REQUEST FOR PERMISSION TO VIEW RECORDS
OR HAVE COPIES OF DOCUMENTS MADE
DATE:- _ c� " — �F3 -- PAGE: PLOT:
FILE ADDRESS:
NAME:- /'LZ�' t ADDRESS: -.2 '--�I?
Lf /
PHONE s S T f� f
UNDER MASSACHUSETTS GENERAL LAWS WE HAVE THE RIGHT TO MEET
THE ABOVE REQUEST WITHIN TEN ( 10) DAYS OF THE ABOVE LISTED
DATE.