25A-107 (27) ��'CttAMpTO
Grif� of
ag �Iassec(tasetts
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street ' Municipal Building
Northampton, Mass. 01060 4
REQUEST FOR PERMISSION TO VIEW RECORDS
OR HAVE COPIES OF DOCUMENTS MADE
***PL�ASE gEQ THESE DOCUMENTS IN CHRQNOL GICAL ORDER ***
DATE: P GE: PLOT:
FILE ADDRESS:
CHI DCrAPKAK
NAME: / ADDRESS:
PHONE # ��i `i
UNDER MASSACHUSETTS GENERAL LAWS WE HAVE THE RIGHT TO MEET
THE ABOVE REQUEST WITHIN TEN ( 10) DAYS OF THE ABOVE LISTED
DATE.