25C-216 RECORDS REQUEST (2) ._ .._ City of Northampton
s
Massachusetts ,a
DEPARTMENT OF BUILDING INSPECTIONS
.212 Main Street • Municipal Building a�
- Northampton, MA 01060 ss `
INSPECTOR
ANTHONY PATILLO
BUILDING COMMISSIONER
THIS FORM MAY BE FAXED TO: 413-587-1272
REQUEST FOR PERMISSION TO VIEW RECORDS
OR HAVE COPIES OF DOCUMENTS MADE
*PLEASE KEEP THESE DOCUMENTS IN CHRONOLOGICAL ORDER*
DATE: MAP: �( BLOCK:
FILE ADDRESS:
NAME:
ADDRESS: o /z'Z'4tLJ I� 5
PHONE#:
MASSACHUSETTS GENERAL LAWS GRANT US TEN (10) WORKING DAYS
OF THE ABOVE LISTED DATE TO MEET THIS REQUEST.