36-280 (3) 4(tUMpT
O O,`
� y
$ •B �lxeiacllusett�
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
0,6-c -3Q-
DATE:
"� — — PAGE: PLOT:—
FILE ADDRESS: `� ' }
NAME:, c> —�' ADDRESS: t(:D .n S -Y&4—
PHONE #: Ste' to 4
UNDER MASSACHUSETTS -GENERAL LAWS WE HAVE THE RIGHT TO MEET
THE ABOVE REQUEST WITHIN TEN ( 10) DAYS OF THE ABOVE LISTED
DATE.