36-291 (2) �gttMlpT
0 O
$ a8 y�daendtusetta
�y DEPARTMENT OF BUILDING INSPECTIONS
x
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060
Francis X. Sienkiewicz
REQUEST FOR PERMISSION TO VIEW RECORDS
OR HAVE COPIES OF DOCUMENTS MADE
***PLEASE KEEP THESE DOCUMENTS IN CHRONOLOGICAL ORDER***
DATE:
i / 1 >'�! PAGE: PLOT. :W,//
FILE ADDRESS:— t:
NAME: 1 7 `_ ADDRESS-
PHONE # :
UNDER MASSACHUSETTS GENERAL LAWS WE HAVE THE RIGHT TO MEET
THE ABOVE REQUEST WITHIN TEN ( 10) DAYS OF THE ABOVE LISTED
DATE.