25A-107 (26) -
s� ; Grit IIZ �j �lY� ri
+� �txsrsclltuattr 4 _
i
DEPARTMENT OF BUI=D a INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01060 Y
Francis X. Sienkiewicz
REQUEST FOR PERMISSION TO VIEW RECORDS
OR HAVE COPIES OF- DOCUMENTS MADE
DATE: '3 /� PAGE: PLOT:
FILE ADDRESS.:
SrlP/! J d)
NAME: ADDRESS: /,�2r o G E � /IJ / •`'�
PHONE -
UNDER MASSACHUSETTS -GENERAL LAWS WE HAVE .THE RIGHT TO MEET
THE ABOVE REQUEST WITHIN TEN (10) DAYS OF THE ABOVE LISTED
DATE.