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DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street a Municipal Building ',M
Northampton, Mass. 01060
Francis X. Sienkiewicz
REQUEST FOR PERMISSION TO VIEW RECORDS
OR HAVE COPIES OF DOCUMENTS MADE /l
DATE: % _G _ 3 PAGE:
FILE ADDRESS:
NAME: ADDRESS:
PHONE # :Sy—���
UNDER MASSACHUSETTS GENERAL LAWS WE HAVE THE RIGHT TO MEET
THE ABOVE REQUEST WITHIN TEN (10) DAYS OF THE ABOVE LISTED
DATE.