25A-170 (6) i�oa��Aro�
Grz#:R of Xort4a pton r
� o ,�ilsssadtusetts
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DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ` Municipal Building �
M SV,
Northampton, Mass. OlOGO
Francis X. Sienkiewicz
REQUEST FOR PERMISSION TO VIEW RECORDS
OR HAVE COPIES OF DOCUMENTS MADE
DATE:— �`13/�� PAGE: PLOT:--4;;7J2 —
FILE ADD S:
NAME:V ADDRESS:
PHONE #
UNDER MASSACHUSETTS GENERAL LAWS WE HAVE THE RIGHT TO MEET
THE ABOVE REQUEST WITHIN TEN ( 10) DAYS OF THE ABOVE LISTED
DATE.