17D-044 (4) City of Northampton
r Massachusetts
DEPARTMENT OF BUILDING INSPECTIONS {
212 Main Street • Municipal Building
Northampton, MA 01060s5y'° ,yip
INSPECTOR
Louis Hasbrouck Phone: (413) 587-1239 Chuck Miller
Building Commissioner Fax: (413) 587-1272 Assistant Commissioner
FAX THIS TO: 413-587-1272
REQUEST FOR PERMISSION TO VIEW RECORDS
OR HAVE COPIES OF DOCUMENTS MADE
*PLEASE KEEP THESE DOCUMENTS IN CHRONOLOGICAL ORDER*
DATE: -7110) )Li MAP: I7 BLOCK: yyK
FILE ADDRESS: b� S4,,v'l 1�ve , -Fl0 rtot '°
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NAME:
ADDRESS:
PHONE #: 111 20u >
UNDER MASS GENERAL LAWS WE HAVE THE RIGHT TO MEET THE
ABOVE REQUEST WITHIN TEN (10) DAYS OF THE ABOVE LISTED DATE.