25A-185 (117) 04.T�PTO
� ae �lssascl�asetts
ffi DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street ' Municipal Building
Northampton, Mass. 01080
Francis X. Sienkiewicz
REQUEST FOR PERMISSION TO VIEW RECORDS
OR HAVE COPIES OF DOCUMENTS MADE
***PLEASE KEEP THESE DOCUMENTS IN CHRONOLOGICAL ORDER***
DATE: Ct PAGE((:-- -- PLOT: :4 -----
FILE ADDRESS:
NAME: l �� t��ee,+r ADDRESS
PHONE # :
UNDER MASSACHUSETTS GENERAL LAWS WE HAVE THE RIGHT TO MEET
THE ABOVE REQUEST WITHIN TEN ( 10) DAYS OF THE ABOVE LISTED
DATE.